Nursing Essays Knowledge and Skills for Nursing

Nursing Essays Knowledge and Skills for Nursing Knowledge and Skills for Nursing The Setting The setting is a medical ward; patient was admitted due to diarrhoea and vomiting as a result of alcoholism and malnutrition. Hospital medical ward consists of patient that needs proper approach and nursing care to shorten their stay in the hospital. The patient will be treated not only physically and physiologically but also mentally since the patient was having such difficulties because of depression. The patient started to become depressed when her husband dies. She became an alcohol dependent and her health started to deteriorate due to malnutrition. The Approach The patient was brought to the hospital with diarrhoea and vomiting. The patient is physically not well, pale and has a poor hygiene. Based on the background check patient had suffered severe depression because her husband died and live alone. The patient became alcoholic and her health deteriorated because of malnutrition. The patient looks underweight but can survive by giving proper medication and patient care. The nursing process can best be described as a framework for planning individualized care for patient with intellectual disabilities. Since the care for patient is a process it does not conclude into anything but rather it changes constantly and it is the nurses’ responsibility to respond to these changing needs whenever necessary. The nursing process usually comprises four or five stages depending on the resources available and work setting, and includes: diagnosis, assessment, planning, implementing and evaluation. The nursing process should be undertaken using a collaborative and participative approach with other professionals, gathering and implementing resources, in order to improve the care process (Department of Health 2000b; Department of Health 2001). The focus of this study will be on the design care plan for our patient on study. Assessment Assessment is the most important part of care planning and delivery. It includes areas such as health and health needs, daily living skills, activity programmes, mobility, mental health, risks to the client, finance, respite, social events/outings, support requirements, spiritual needs and, possibly, accommodation issues (Department of Health, 2000b;Sox, 2004a). As a start, a background check is needed to be able to assess the situation of the patient. Our patient is conscious but was not able to respond properly because of her condition. So we need someone close to the patient or a relative to answer questions needed for the care plan. Data such as previous hospitalization, medication taken and others related to the patient condition is important. Diagnosis The patient was brought in the hospital because of diarrhoea and vomiting. The initial diagnosis is that the patient is dehydrated base on the physical appearance of the patient. Diarrhoea usually gets better on their own, often without treatment. If the diarrhoea continue within several days it is best to check patient’s medical history and physical exam. Planning In planning, the nurse plays an important role in the recovery and stay of the patient in the hospital. The patient upon admission was given attention on the main complain which is diarrhoea and vomiting. However further diagnosis and assessment of the medical team discovered that the patient is suffering from malnutrition. Our plan focuses on malnutrition; the reasons why the patient is having this kind of condition, and the treatment and the protocol that the nurses should follow for the welfare of the patient. Implementation Implementation of a care plan is the most challenging part of the nursing process. The patient is pale and has lost a lot of weight. The patient also lacks proper hygiene as a result of her appearance upon admission. The implementation of the care plan will begin upon admission. The patient will be forwarded and referred to the nursing staff on duty in the medical ward and will be given the care plan as agreed upon by the medical team and the patients relative. Malnutrition Evaluation will assess the effectiveness of the care plan and the implementation of the care. It is important to evaluate the point for care to be able to reach its desirable care plan. An updated review should be done to correct and improved the plan. The Model In simple language, a model is described by  Pearson and Vaughan (1993) as a descriptive picture of practice which adequately represents the real thing. Riehl and Roy (1980:11) cited in Roper et al (1990) provide   a more elaborate definition of a model as a systematically constructed, scientifically based and logically related set of concepts which identify the essential components of nursing practice, together with the theoretical bases of these concepts and the values required for their use by the practitioner. Choosing an appropriate model is important to help the care planning effective. In UK, the model of nursing used most predominantly is that of Roper et al, 1980 that bases its principals on a model for living. It provides a holistic care approach and involving the important component of the daily activities of a person. The model is made up of five components: Activities of daily living (ADLs), Lifespan, Dependence/Independence continuum, Factors influencing ADLs, and Individuality in living. (Roper, Logan, Tierney, 2002). The case of our patient needs to be assessed physically, physiologically but also mentally. The effect of losing a husband has led our patient to become ill. The Roper, Logan and Tierney are believed to be a useful approach in dealing with our patient since it involves a holistic approach. The model was named after the author of the model, Nancy Roper, Logan and Tierney. It was first developed in 1980 based upon the work by Nancy Roper in 1976. The model is based on the 12 activities of living in order to live. The model has been revised several times 1985, 1990 and the latest version 1998. The 12 activities involve the following: maintaining a safe environment, communication, breathing, eating and drinking, elimination, washing and dressing, thermoregulation, mobilisation, working and playing, expressing sexuality, sleeping, and death and dying. Each of the activities might be seen to be conceptualised as lying on a continuum from dependence to independence. There are times in our life that we may be more dependent on others to meet our needs. The role of the nurse is to help people move towards independence in all activities of daily living. Biological, physiological, socio-cultural, environmental and politico-economic variables are factors that impact on the individ ual and affect their levels of dependence /independence. Advantages and Disadvantages of Roper, Logan and Tierney Based on the study done by Pearson and Vaughan (1993) model of nursing is important in hospital ward or department. One of the advantages of the Roper, Logan and Tierney model is that it leads to consistency in the style of care received by patients and thus to a continuity of care patterns and treatments. The Roper, et.al. Model will give rise to less conflict within the team of nurses as a whole. Because of the rationale and definition behind the model other healthcare involved will understand better the logic of care. Roper, et. al model is said to be self explanatory or not too complicated as compared to others. It is said to be done this way in order to assist learners to develop a way of thinking about nursing in general terms. It is mentioned above that main concept of the Roper, Logan and Tierney model is based mainly on twelve activities of living which is the main elements of nursing and is referred to as â€Å"basic human needs†. According to Roper, Logan and Tierne y the activities of living have an advantage for nursing model since they are observable, describable, and in some instances, objectively measured. The model is mainly focused on the twelve activities while the theory is built on living and addresses the nursing activities as a deliberative approach to meet the twelve components of nursing care. It conceptualises the Person as a biological being with inseparable mind and body and Health as the ability to function independently in relation to the twelve components (Fitzpatrick and Whall 1989). The Care Plan The initial diagnosis on the patient under study is diarrhoea, alcoholism and malnutrition. However as the process of identifying the cause of the patient’s condition, nurse attending to her needs found out about the death of her husband. After background check they have found out that the patients’ husband died and became depressed because of the situation. During assessment on the patient’s health it has been noticed that the patient has mental health problem. The health needs of a patient is also important and the nurse involve should be aware of these needs. To help the patient, nursing process and nursing model should be working hand in hand to help the patient survive. Assessing the need of the patient is important. The Roper, Logan and Tierney model will ensure that the patient should be able to have a safe environment, should be communicating with her nurse attending to her, breathing, eating and drinking, working. Because of its holistic approached, Rogan. Logan and Tierney model is widely used. To evaluate the situation of our patient, the alcoholism of our patient might lead to liver disease and will be affecting the daily activities of life. The patient should trust her nurse and they should have a good relationship to have an effective care plan. The chosen model Roper et al have described the course of life as someth ing that starts at conception and lasts until death. The model involves maintaining a safe environment; our patient should be living in an environment that she will be comfortable and clean. The patient upon admission has seen to have poor hygiene. In identifying the activities of living the individual should be engage in personal cleansing and dressing. As described in the admission of the patient, the patient has poor hygiene. The patient may have pressure sore due to her stay in the hospital. This should be treated and approached very well by the nurse handling her. Pressure sore is the result of being immobile of the patient. The length of stay of the patient in the hospital should be shortening to avoid such condition. The nurse must assess how to help the patient to cooperate on the agreed care plan. Implementing the care plan will need the cooperation of the patient. It is important to help the patient to overcome the depression that she is experiencing. In this case the patient may not cooperate at the start of the plan but will be eventually cooperate as the process continues. The success of the plan depends on the cooperation of the patient and the nurses. Throughout life, our ability to perform ADLs will move from one extreme and possibly back again. This aspect of the model of living, therefore, interlinks with the model of nursing with effectively, each reliant on the other. The patient will have a chance in recovering from the health problem that she is encountering. The Roper, Logan and Tierney model is appropriate to approach the case of the patient in a holistic way. Conclusion The nursing process includes stages that should be completed to help the patient overcome the disease she is in. By means of this we will be able to identify which factors should be given enough attention to prevent the occurrence of such disease. The study includes the nature of care planning, person centred are planning, care management, health action planning and the care program approach. This study also introduced some relevant actions that need to be taken. The use of the Roper, Logan and Tierney model are described to help the nursing process to become successful and effective. The Roper Logan and Tierney is a holistic approach and are important to work with the nursing process. This study has also advocated the need for robust, professionally prepared care plans based on a systematic nursing assessment. Proper planning is important in dealing with the patient especially on those that are in admitted in the hospital because of different illnesses which can be cured and overcome if proper nursing process and model will be used. A nursing process is important to evaluate, assess, cure and eliminated illnesses of person. Our patient became sick because of depression and problem, which needs to have a proper attention on different aspect. She must be treated physiologically, physically and psychologically. Nursing model should be holistic if this is the case. The patient’s daily living activity is affected and she needs to understand why such activity such is done for her wellness. Patient should be very well educated or informed on the benefits that she will be having if she will cooperate on the agreed care plan. Reference Roper, N; Logan, W; Tierney, A; 2002 The Elements of Nursing 4th edition. Churchill Livingstone, Edinburgh Department of Health (2000a), Nurses, Midwives and Health Visitors (training) Amendment, London Department of Health. Department of Health (2000b) The NHS Plan. www.nhs.com.uk Goddard M, McDonagh MS Smith DH (2000) Measuring appropriate use of acute beds: a systematic review of methods and results. Health Policy 53 157-84. Coast J, Inglis A Frankel S (1996) Alternatives to hospital care: what are they and who should decide? British Medical Journal 312 162-6. Pearson A. and Vaughan B.(1993) Nursing Models for Practice. Oxford. Butterworth Heinemann. Riehl J. and Roy C.(1980) Conceptual Models for Nursing Practice (2nd. Ed.) New York. Appleton Century Crofts. In Roper N., Logan W., and Tierney A.(1990) The Elements of Nursing (3rd. Ed.) London. Churchill Livingstone. Fitzpatrick J. and Whall A.(1989) Conceptual Models of Nursing: Analysis and Application (2nd.Ed.) London. Prentice Hall Int.

Catcher In The Rye :: essays research papers

Summary "The Catcher in the Rye" is a story of a young sixteen year old boy named Holden Caulfield. Holden is telling this story in first person. Holden is a student of Pency Prep an all boys school in Pennsylvania. The book starts in a rest home in California. Holden flashback to four days before the beginning of Christmas vacation. Holden is going to pay a visit to Mr. Spencer, his history teacher. Mr.Spencer is sick in bed suffering from the grippe. While there Mr.Spencer talks to Holden about his poor grade on his last examination paper. That Saturday Holden and his friend Mal Brossard, who is on the wrestling team , go to see a movie. They invite Ackley out of sympathy because he never does anything Saturday night. After the boys finnish playing pinball. Holden goes back to his room to write a composition for his roommate Stradler. When Stradler comes back from his date with Jane Grallagher, a girl that Holden has a crush on, he doesn't like the composition. Holden and Stradler argue, then Holden punishes Stradler. Holden loses the fight. Holden goes to Ackleys room to talk, but Ackley doesn't want to talk so Holden leaves to look for Mal Bossard. Holden starts to pack his bags after he decids not to look for Borssard. He walks to the train station because it is too late for a taxi. While there he cleans off the blood from the fight with some snow. He catches a train to New York. On the train he meets a woman who is the mother of one of his classmates. Holden is attracted to the women so he starts to lie about himself. When he arrives in New York he get a room in the Edmont Hotel. Holden is thinking of staying in the hotel until Wednesday when he can go home. It is still Saturday night and Holden is bored so he goes to the club in the hotel. The waiter will not serve him alcohol. At the next table there are three women who are giggling at him. Holden asks the ladies to dance. Holden find out that the ladies are from Seattle, Washington. After the ladies leave the club Holden gets bored because there are no drinks are and no girls, so he leave. In the lobby he sits down in a chair and thinks about Jane Gallagher.

AP us witch trials

Explain the economic and political causes underlying the Salem witch Trials? The causes underlying the Salem witch trials has a lot to do with religious practices during the late 17th century. These cases were proven however not to be Just based on religion. Though the church was the power of the state the act of treason and the striping of due process concluded these trials could have been for money and property. When an accused was executed, sometimes that person's property was given to the state. Another possible underlying cause would be out of spite, or the slaking of someone.For example an accuser may accuse someone her or she does not Like and they could be executed. It could have started out of religious purposes however it seemed to be more of personal issues. Analyze the role that reverend Paris played In the Salem witch trials? The Role of reverend Paris played was quite Interesting and quite suspicious. Paris served as a justice during the trials but there's a catch. Two of the allegedly â€Å"possessed† girls were related to him. One being his daughter and another who was his niece. Paris was also responsible for â€Å"breaking Tuba†.Otherwise known as questioning until the truth is revealed, Paris struck Tuba with hard questions until she confessed. Whether her confession was true or not, Is not known but Reverend Par's' roll Is quite skeptical to me. Evaluate the Significance of who was accused of witchcraft and who the accusers were? Well right off the back people being accused were the Native Americans and slaves. The Native Americans were already believed to be â€Å"employees† of the devil. Some people living in Salem even claimed the woods of the new world was the devil's home. Slaves and Native Americans were not the only ones. W class colleens and people who seemed to be the poorest were being put on trial. These accused were being put on trial by the Upper-class and even farmers were sometimes accusing the poor. Brai nstorm and Discuss more recent events that you might label as witch-hunts? Something that I believe is a recent event that could be labeled, as Witch craft would be something about exorcisms and possessions. People, are claiming abnormalities from ghosts or lost ones just as the girls were In the Salem trials. However these cases are not usually brought to court. Instead they are made into TV shows, and OFF for ghosts.In some ways the Salem witch trials and Ghost hunters are very similar. Both are all claims and technology was and is not advanced enough to detect spirits or contact with the devil. Another event I think could be labeled as â€Å"witch hunts† would be the search of information on the illuminant. A group of people who are believed to worship satanic figures Just like the witches. Debate the use of spectral evidence and Tuba's confession in the trials. What would a modern court do with such evidence? Spectral evidence is a form of evidence based upon dreams and v isions.It was admitted into court during the Salem witch trials by the appointed chief Justice, William Sought. The definition Justifies the use right there, it is invalid and should not be used. This was evidence only the accuser could provide, being dreams, visions, sounds, and other strange things along those lines is not valid or factual enough to prove someone's innocence. Tuba's confession in my opinion could not have been Justified as truthful. Firstly she was from Barbados and though she may have been participating in witch like activities is does not mean she cursed the kids.Secondly she may have Just have confessed to get it over with because the community believed in forgiveness. If spectral evidence was used in court today it would probably be laughed at and the person claiming these visions or whatever would probably be placed in a clinic. Discuss how the witch trials came to an end in Salem and what their consequences were. In your view, were matters resolved fairly? T he witch trials came to an end with a realization, that perhaps the accusers were not telling the truth. In 1693 Tuba was proven guilty and sold into slavery.Over 200 people were accused and 55 were executed, survival usually came from a confession. After realizing the courts were wrong, in 1697 a pubic fasting took place, and in 1702 John Hale gave a powerful apology statement. It wouldn't be 300 yeas later until the last case was reversed. In my opinion matters were probably as solved as fairly as possible. How I see it was this whole case to our society seems crazy and we think of these accusers and Judges Just as crazy. During the 17th century though, witchcraft was thought to be so real that the inhabitants of a lusciously based community really had no choice but to believe.Mistakes were made ? Old say yes, but what needs to be looked into is those who were accused out of personal reasons for that was unfair treatment and people were losing loved ones over a claim, Justice was not served fairly then. How and why have different political and social groups competed for influence over society and government in what would become the united states? Well our country was Just on its start. In my opinion these groups competed because purpose. That purpose is to live in and make a perfect society, whether it is through elision, law, government or another practice the goal is all the same to live happy.Take a look at the 18th century in order to understand this competition more. Liberalizes, Nationalists, and Conservatives, all competing against each other to form that golden society. Liberalizes wanted equality and liberty, generally speaking civil rights and freedom. Nationalists this involves individual identifying with a nation, very similar to Patriotism. Conservatives was basing culture aspects based on western civilizations. You see all three want what's best but Just believe and have different opinions how to do it.How have Americans agreed or Argued over t he Values that guide the political system as well as who is part of the political process? Many Americans believe today's system is unjust and unfair. Americans have argued over the political system and schemes for years. It seems like the government always has something up its sleeve and its people know that. Like the Salem witch trials, and many other cases family members and friends were working on cases involving loved ones. This didn't make sense and people argued over that. How much say a person has, the penalties, who and when to speak has all been argued about until a solution was thought of.The agreeing and Arguing is what essentially shaped the political system into something more fair. How and why have changes in moral, philosophical and cultural values affected US history? Change, comes through one thing experience, and experience can come from mistakes or well doings. These values have all been tested up until now by trial and error. Starting with moral values take a lo ok at punishments for crime. The electric chair and hangings was a way of being punished for a crime, but with research and discovery these methods were found painful and unethical and charges have now differed.Philosophical values are along the lines of pollution. People have been polluting for centuries and it is now Just taking a toll on our environment and change is being made. Lastly cultural is more along the lines with lets say helping other countries, a few hundred years ago why would we do that? The world is ours, but we have realized we all need each other if we want to survive and live peacefully. So how has this affected United States history, well its simple change in values is what shaped our country today.. Each time a change happens, the previous thing being changed will no longer happen in history again.

Children Are Interesting Little Humans - 1149 Words

Children are interesting little humans. The prejudices and malice of society are hindered by the infant innocence, to such extent, that children do not comprehend what they say. Philosophy describes children as tabula rasa, meaning their minds are like blank slates. However, being blank slates can be a nuisance because children learn anything, despite the morality of what they are taught. The author, uses the characters from the story to portray the development of children’s mind and innocence. The girls’ attitudes change as the story progresses from ignorance, hatred, groupthink, to coming of age. Packer begins by describing the arrival of the white girls of Troop 909 to the Crescendo Brownie Camp, â€Å"They turtled out from their bus in pairs, their rolled up sleeping bags chromatized with Disney characters† (Packer 1). This suggests, that the African American girls see the white girls as graceless human beings. With this in mind, Arnetta, the leader of the African American brownie group begins to make negative comments about Troop 909, â€Å"Caucasian Chihuahuas† (Packer 2). The Brownie Girls are in fourth grader, thus, their vocabulary is not very extensive. Therefore, the complexity of the words they use as insults ware not completely understood by any of the girls in the group. Their unfamiliarity with the advanced vocabulary and the incorrect use of such, shows the girls’ unawareness of the actual significance of the supposedly terrible insults. To put it another way, theShow MoreRelatedThe Fairy Story Of Briar Rose898 Words   |  4 PagesScaring children is about assisting them to cope with, or comprehend their own fears. Although the task is not easy, various authors have managed to strike the balance where the scary and fairy tales evoke the feelings helping children explore fear, grief, anxiety and even imaginary happiness. 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