Wednesday, May 6, 2020
Love Relationships Comparison between Today and...
Love is the basis of our existence. It affects our every moment, dreams, and hope for the future. Love has caused wars, ended lives, toppled governments and has been expounded on by poets, musicians, philosophers, and literates throughout the centuries. Research from Syracuse University shows that it takes about a fifth of a second to fall in love and it affects almost every part of our body. Our brain releases dopamine, a natural chemical that gives us energy and optimism. Love is similar to a drug and can become an addiction because it affects our brain much like other drugs by triggering the dopamine reward part of our brain. Love even affects a personsââ¬â¢ heart when a person is in love their blood pressure will lower and has beenâ⬠¦show more contentâ⬠¦Media knows that belonging and love will sell perfume to attract, make up to look your best, items to keep your family safe and other popular items just to have what you need to fit in or belong to a certain in group . Media not only influence a personââ¬â¢s purchase choices but also can sway their political opinions. What is seen on the news can influence people to hate a certain group because they are a threat to the safety of families or politically influence a vote for a candidate because so families will prosper. Media influences self-esteem by suggesting finding love or being able to fit in a person should have a certain body type and if that goal is not met a negative self-image or feeling of failure could ensue. Eating disorders have been tied to mediaââ¬â¢s trend toward portraying women in certain model thinness and promoting only that body type (Neda Feeding Hope). Media is 95% controlled by two companies NBC Universal and Sony Corporation of America. They own radio, television, networks, programming, sports and movie theaters and more. Since those two companies control what we are exposed to daily they can have a strong influence on our behavior and motivators. Media is a business and as such they are building audience ratings to promote revenue and profits (Curtis). Media is power because it influences our lives on a daily basis and because of that power it is has been called the ââ¬Å"FourthShow MoreRelatedGeneral Commentary of 1984 by George Orwell1514 Words à |à 7 PagesGeneral Commentary of 1984 by George Orwell George Orwells dystopian (a fictional place where people lead dehumanized and fearful lives) vision of the year 1984, as depicted in what many consider to be his greatest novel, has entered the collective consciousness of the English-speaking world more completely than perhaps any other political text, whether fiction or nonfiction. No matter how far our contemporary world may seem from 1984s Oceania, any suggestion of government surveillanceRead MoreAnalysis Of The Book 1984 By George Orwell1288 Words à |à 6 PagesControlled freedom Present day society is very much like society in the book 1984. 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The Utopian society strives for a perfect state of well-being for all persons in the community, and over-emphasizes this factor, where no person is exposed to the reality of the world. As each novel progresses we see that neither society possesses family values nor attempts to practiceRead MoreAnalysis Of George Orwell s 1984 As Well As His Politics And English Language2893 Words à |à 12 PagesRelationship between thought and language is not something you consider or contemplate in your everyday life. Nevertheless, the answer to this seemingly useless philosophical question might spell the difference between totalitarian control of our minds achieved through manipulation of language and a world of freedom, where human ideas cannot be subjected to blatant perversions as they resonate through int elligent minds, bound only by the power of our imagination. This dilemma has captivated my attentionRead MoreRebellion In 1984 Essay1854 Words à |à 8 Pagesthe few to take great risks for the many. George Orwellââ¬â¢s 1984 returns again and again to a struggle with the concept of rebellion, especially against an oppressive government force like The Party. Does one take the chance of moving forward, or stay stagnant in their current situation? As readers follow Winston in this internal conflict, itââ¬â¢s clear to see that in order for a revolution to be effective, there must be a strong personal connection between the revolutionary and the cause. Most citizensRead MoreWhy Natural Law Theory Is an Inadequate Criticism of Homosexuality1147 Words à |à 5 Pagesbecause there are certain semantic inconsistencies with Kantian ethical Theory that will be discussed further on. 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Role of Nurses in Proper Clinical Handover -myassignmenthelp
Question: Write about theRole of Nurses in Proper Clinical Handover of Patients. Answer: The Australian Commission on Safety and Quality in Health Care (ACSQHC) has formed the ten standards on the National Safety and Quality Health Service (NSQHS) that aims in protecting the patients from any harm and effectively improve the quality provision of health service. They deliver effective methods in order to ensure that minimum safety and quality standards are met with an improved mechanism to understand the developmental goals (Phillips, et al., 2014). Among the10 standards, the standard 6 is about clinical handover that aims in ensuring timely, well framed and relevant handover that sets the clinical setting and handover standards. Organising the clinical handover effectively can minimise the communication errors in between the health professionals and thus increase the safety and care of the patients (Hesselink, et al., 2012). Problems in clinical communication are one of the important risk factors in about 70% hospitals that usually rise at the transient period when the p atient is shifted between units, clinicians and teams (Tappenden, et al., 2013). Inaccurate clinical handover exert adverse affect resulting in delayed diagnosis and treatment, skipped or duplicated tests resulting to wrong treatment with administering wrong medication to the patients (Eggins, S., Slade, D., 2012). The other discrepancies are communication problem due to variation in gender, ethnicity and hierarchy. Thus, the achievement of an effective clinical handover is met based on three criterions such as the implementation of an effective handover system by the health organizers, the health service should have well documented and well framed processes of clinical handover in place and lastly organizations should establish techniques to incorporate patients and nurses in handover processes (Tolk, et al., 2015). The policies and procedures should be abided efficiently in order to help the care services in assisting the patient with respect (Thomas, et al., 2013). In this follo wing essay we will discuss the nursing role related to clinical handover of by proper communication and documentation of the patients. Values underlying clinical handover. The first principle is that the clinical handover should actively include the participation of the patient, the nurses and the clinicians (Drach?Zahavy, et al., 2015). The clinicians should listen to the information provided by the patients and the nurses in order to understand the situation. Apart from the clinicians, it is important for the patients and nursing department to know the current progress with required treatments and care planning. This principle of active involvement thus can reduce the risk of experiencing adverse event by the patients (Barello, et al., 2015). Preparation and organisation of handovers. The clinical handover needs to be prepared before the time of handover. The nursing staffs should make the handover at a given time and place. All the relevant documents and the notes about the progress should be regularly updated and should be available during the handover time. Along with verbal handover, the nursing staff should also provide documentation in the form of handover sheets. A designated nurse should punctually share all the relevant communication as handover surrounds the patients safety and employees protected and paid time. All the environmental issues such as safety and health issues that can affect the shift should be informed to the incoming nursing team. Thus, to avoid the miscommunication the handover should always contain the points such as patients requiring immediate treatment, with high acuity, deteriorating, extra safety measures for patients with infections, discharging or transferring patients and allocating the staffs and nurses (Drews A., 2013). The handover should also include accountability transfer and responsibility that assists in accurate communication of critical information among the clinicians (Eggins, S., Slade, D., 2012). Constituents of clinical handover. The nursing staff should process the handover in a structured and well documented manner in order to ensure that every participant knows the information, the handover purpose and also the documentation that has to be shared (Kerr, et al., 2014). The information is shared within the clinicians of one discipline, to other discipline, to the wards within the heath service during shift change, from one to another ward, during transferring the patient to other facility, on patient discharge or whenever the condition warrants. In order to ensure that relevant information are shared by the nursing staffs, tools based structured handover are used that encourages the patient assessment, improves communication thereby saving time both for assessment and clinicians. To help the clinicians remember the information for handover, many acronyms are used (Holly, C., Poletick, B., 2014). Methodologies. Whenever possible the interacting and clarification should be conducted in front apart from verbal handover comprising of updated information of patient. The supportive tools can lower the risk of skipping information, can improvise the information retention, and reduces repetition and handover length (Bost, et al., 2012). It is important that the information provided is fully clear to the person receiving the handover by the clinicians though the patients are stable (Dawson, S., L., Grantham, H., 2013). Role of nurse providing the handover. The nursing staff should maintain the confidential information and the privacy of the patient in the handover. While escorting a patient by non-staff, a verbal handover should be provided to the allocated person receiving the patient in order assumes the responsibility and accountability (Johnson, et al., 2012). All the transfer details and discharge details should be well discussed both with patient and nurse. While handing the patients to clinicians, they should be informed about the patients present status and admission time. The details of patients identity and stability should be assessed properly in order to prepare the handover during transferring or at discharge time(Pham, et al., 2012). Documentation should be updated comprising of preparing the handover forms and progress notes. The forms should include the date of admission and diagnosis, any events at the time of admission, complete discharge summary, any kind of risk with preventive strategies and referrals. During receiving the handover, nurse in charge should communicate to the patient and care giver. While communicating with clinicians, the nurse should be completely aware of the admission time and other relevant details regarding the patient and clarify if unsure about anything (Manias, et al., 2016). The nurse should perform an overall assessment and record the findings regarding progress along with complete documentation of medication and fluid charts. Any doubts arising should be immediately clarified with clinician before taking the patients charge. Proper availability of all the patients related documents should be (Dawson, S., L., Grantham, H., 2013). Engaging with patients and nurses. The nurses should educate the requirements and role of clinical handover to patients and caregiver. This attitude can bring out a concerned issue and can be effective in treating the patient (Caligtan, et al., 2012). The need of exchanging the information is to provide further information that was not available with clinicians. The patients and caregiver should get acquainted with the current status followed by treatment and care planning. Both the patient and caregiver should point out any query with the team of health care. Excluding English, information should be provided in other languages. The staff should ensure that patient and caregiver both remain updated about the courses of treatment along with discharge information (Smeulers, et al., 2012). Evaluation and reporting adverse affects. The nursing staff should participate in auditing the clinical records and evaluate the documentation to improve the practices (Towers L., 2013). Nurse in charge, allocated medical officer should be aware of any poor or unavailability of clinical handover and should be entered in clinical record thereby reporting to the risk management system (Markar, H., O'Sullivan, G., 2012). These events should also be informed to patients and caregiver thus implementing the organizations disclosure. The trends based information can then be utilized to improve the system, protocols, policy and equipments along with improving training activities and education (Pham, et al., 2012). Thus, by implementing a proper clinical handover by the nursing staff in the hospital can effectively reduce the communication gap among the clinicians and patients and contributes to increase the patients safety and better care planning in the hospital. Bibliography Barello, S., Savarese, M., Graffigna, G. (2015). The role of caregivers in the elderly healthcare journey: Insights for sustaining elderly patient engagement. Patient Engagement: A consumercentered model to innovate healthcare, 108-119. Bost, N., Crilly, J., Patterson, E., . . . W. (2012). Clinical handover of patients arriving by ambulance to a hospital emergency department: a qualitative study. International Emergency Nursing, 133-141. Caligtan, A., C., Carroll, L., D., Hurley, C., A., . . . C., P. (2012). Bedside information technology to support patient-centered care. International journal of medical informatics, 442-451. Dawson, S., K., L., Grantham, H. (2013). Improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Emergency Medicine Australasia, 393-405. Drach?Zahavy, A., Goldblatt, H., Maizel, A. (2015). Between standardisation and resilience: nurses' emergent risk management strategies during handovers. Journal of clinical nursing, 592-601. Drews, A., F. (2013). Human factors in critical care medical environments. Reviews of human factors and ergonomics, 103-148. Eggins, S., Slade, D. (2012). Clinical handover as an interactive event: Informational and interactional communication strategies in effective shift-change handovers. Communication medicine, 215. Hesselink, G., Schoonhoven, L., Barach, P., . . . H. (2012). Improving patient handovers from hospital to primary CareA systematic review. Annals of internal medicine, 417-428. Holly, C., Poletick, B., E. (2014). A systematic review on the transfer of information during nurse transitions in care. Journal of clinical nursing, 2387-2396. Johnson, M., Jefferies, D., Nicholls, D. (2012). Exploring the structure and organization of information within nursing clinical handovers. International journal of nursing practice, 462-470. Kerr, D., Lu, S., McKinlay, L. (2014). Towards patient?centred care: Perspectives of nurses and midwives regarding shift?to?shift bedside handover. International journal of nursing practice,, 250-257. Manias, E., Gerdtz, M., Williams, A., . . . M. (2016). Communicating about the management of medications as patients move across transition points of care: an observation and interview study. Journal of evaluation in clinical practice, 635-643. Markar, H., O'Sullivan, G. (2012). Markar; H.; O'Sullivan; G. . CRC Press. Pham, C., J., Aswani, S., M., Rosen, M., . . . J., P. (2012). Reducing medical errors and adverse events. Annual review of medicine, 447-463. Phillips, M., N., Street, M., Haesler, E. (2014). Measuring patient participation in health care: a comprehensive systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 68-88. Smeulers, M., Tellingen, V., C., I., Lucas, C., . . . H. (2012). Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Systematic Reviews, 7. Tappenden, A., K., Quatrara, B., Parkhurst, L., M., . . . R., T. (2013). Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. Journal of the Academy of Nutrition and Dietetics, 1219-1237. Thomas, J., M., Schultz, J., T., Hannaford, N., . . . B., W. (2013). Failures in transition: learning from incidents relating to clinical handover in acute care. Journal for Healthcare Quality, 49-56. Tolk, N., J., Cantu, J., Beruvides, M. (2015). High Reliability Organization research: A literature review for health care. Engineering Management Journal, 218-237. Towers, L., A. (2013). Clinical documentation Improvementa physician perspective: Insider tips for getting physician participation in CDI programs. Journal of AHIMA, 34-41.
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