Wednesday, May 8, 2019

Clinical Supervision Importance in Practices Nursing Essay

Clinical Supervision immensity in Practices Nursing - Essay ExampleAs nurses, we play a big role which ensures those patients argon cared for and receives quality medical health care. Clinical supervision provides the possibility of bringing ab divulge change in this process. The objective of this paper is to provide a reflection of my own performance as a clinical supervisor to a peer colleague and recommend a future developmental need that I might have worked as a clinical supervisor. My reflective report will be establish on John Driscolls model of structured reflection. I will use the model as a guide to assist me reflects upon significant events in my most recent clinical supervision. I headstrong to choose this model since I found it most relevant to my reflective style. The model provided me with a grave guideline of potential questions, such as the what? So what? and now what? which influenced my flow of thought without having to map out the entire reflective process. In the reflective report, I will provide a descriptive fib of events at my workplace, analysis of the behavior and emotional context and conclude with a feasible action excogitate summarizing my future developmental needs as a clinical supervisor might be met. In conformity with the NMC code of conduct, confidentiality will be maintained throughout the essay. What is clinical supervision? Research reveals that clinical supervision is an aspect that affects all practicing nurses. However, it has often been regarded as something new, since its application began in the early 1990s with the accept of Nursing and Midwifery. Since then, the concept has evolved and is being adopted in all the fields of healthcare and its allied valet such as psychiatry, physiotherapy, and counseling (Jones 2003, 224-228). Brunero and Stein-Parbury (2010, p.87) defines clinical supervision as the processes of professional support and learning where nurses are assisted in developing their exercising throug h regular discussion time with knowledgeable and undergo colleagues. Fowler (1996, p.27) notes that during clinical supervision, nurses engage in reflection processes in order to be able to identify and tack together their need for professional development. According to Van Ooijen 2000, p.14-16) the purpose of clinical supervision is to improve nursing practice and as such needs to be focused on nurse-patient interaction. Canham & Bennet (2008, p. 63) support this arguing that the content of clinical supervision is the support and the development of the nurse.

Tuesday, May 7, 2019

Palliative Care Case Study Example | Topics and Well Written Essays - 2000 words

Palliative Care - Case Study exercisingThe report then discusses the case in light of current medical practice in the scene of action of palliative care and applies the ACE model in the design and implementation of the palliative care fancy of the diligent. Palliative care for the elderly is a faultfinding healthcare service whose objective is to improve the case of life of the elderly. Although a lot has been done in terms of research initiatives, and education of healthcare providers, the property of healthcare is yet to reach the desired standards (Jerant, Azari, Nesbitt, & Meyers, 2004). In many instances, design of care provision a lot overlooks the elderly who in fact have the greatest need for the care due to the complex nature of their needs. Despite this, palliative care is progressively being incorporating the elderly in the design of care and has compete a major role in alleviating pain and distressing symptoms thereby gaining wide acceptance as a recognized spec ialty of nursing (Becker, 2009). Palliative care and nursing are also well intertwined and the knowledge and skills required are applicable across the nursing profession. It is therefore critical that nurses acquire critical skills and knowledge that would enable them to conduct research and apply current evidence based practice guidelines in palliative care delivery. This report will be based on a case occupy of a 78 year old man brought into the ER after being found dismantle and altered by a friend.... On physical tryout, the heart rate was in the 110s and improved to 130 and then to 140s systolic with fluid resuscitation. On further examination the persevering is noted to be cachetic, and malnourished. He was alert, oriented, awake and talking. The mucous membranes were very dry. He had tachycardia with inspiratory rales on the right upper lobe of the lung. The abdomen was non distended and non tender. His laboratory results revealed a white blood cell count 16.1 with a lef t shift, the sodium concentration was 128, the creatinine level was 2.0, and lactate at 5.1. His chest x ray was eject and the head CT scan of the head revealed moderate hypoattenuation of the white matter. The patient has evidence of having an needlelike kidney dent and hyponatremia. The patient displays evidence of failure to thrive. The initial diagnosis made included altered mental status, acute kidney injury, failure to thrive, malnourishment, starvation, weight loss, history of alcohol abuse, severe chronic obstructive pulmonary disease, dehydration, and hyponatemia, The condition of the patient was determined to be critical and he was admitted into the medical intensive care unit. While in the MICU, the patient complained of increasing cough, difficulty swallowing and abdominal pain. On auscultation of the lungs, there were scattered rhonchi across the lung fields both ass and anterior. The patient grimaced on palpation of the abdomen and had a productive cough. The bowel sounds were hyperactive and the abdominal roentgenogram revealed a large amount of stool within the rectosigmoid colon. There were also several personal credit line filled loops in the mid to upper abdomen. The mucosal lining appeared thickened and distorted. The x-ray of the chest

Monday, May 6, 2019

Introduction Essay Example | Topics and Well Written Essays - 250 words - 9

Introduction - Essay deterrent exampleSuch as enhancing my vocabulary, encouraging powerful writing skills and ensuring wide-ranged career opportunities and advancement options so that I could cause stable in the future.Personally, I was keen on improving my command on English run-in, and the material body offered me this opportunity. Emails are extremely important nowadays at any workplace since communications by email are conducted daily. Reading and Writing emails is an essential tool in my company too. Writing email is itself an contrivance and effective writing skills are necessary to write eloquent emails.However, I would primarily focus on improving not just my written but verbal communication skills in English language too so that getting along with others effectively becomes possible for me. I find it difficult to pack my ideas in a clear and precise manner both on paper or during nomenclature and listeners/readers cannot correctly comprehend what I am trying to expr ess and deliver through my thoughts.It has been pretty dispute for me to communicate effectively in written and/or spoken English writing or address because it is my second language. However, I syllabus to overcome this language barrier as it causes a dilemma for me all day. I have taken too many courses to help me out in this context, and I plan to learn more in this class. I am sure it will take a fold of time and dedication to accomplish that, but I am looking forward to it.My main focuses in life are school, work, and most of my free time is spent reading. If I find the title and the melodic theme interesting, I just read it without caring about who is the author. My favourite reading materials are the ones that have roughly underlying message such as which teach me how to become a better person. Topics like etiquette, human beings relationships, and personal fitness are some of my preferences.I have always believed

Saturday, May 4, 2019

Building construction technology Essay Example | Topics and Well Written Essays - 2000 words

Building construction technology - Essay Example9 1.0 creation This authorship provides the details of the High Street Plaza Shopping Centre construction. It is located in Towoomba, Queensland, Australia. It depart cover the start of the construction until its present condition and information includes when the structure was being built and provides a suss out of the construction methods, material used, and processes undertaken at that period. This is seen a redevelopment project, and viewed as an important milestone. Constructions are seen as part of economic growth hence, the in the buff structural design does not only include esthetical enhancement but also integrates a more comprehensive planning in order to maximise the space into a more useful, long-term multipurpose recreation center that will able to run more consumers or clienteles. The redevelopment project construction had quite started during the gathering of information and data for this report. In fact the basem ent of the shopping center was already built and some shoring had been completed. Polishing and flirt detailing during that period has not been collected due to un-availability. The main purpose of the writer of this report for requesting the catchy copy of the complete detail of the program of works is to have a basis for the final review of the construction methods, materials and other issues. Lack of document, however, does not affect the report because the writer provides a thorough judging through direct interview with the people involved in the project development and construction. Regular go through for on-site observation was also conducted in order to collect all relevant and important issues pertaining to the project. This report seeks to give details on the key issues related to building construction. Particularly, this report will be concentrate on the redevelopment construction of the High Street Plaza Shopping Center. The report will guide the pre-construction co ncerns and how they were handled, construction methodology of structures that are in place as well as some predictions of the structures save to be built, materials that had and were planned to be used to the extent known, and construction practices and future projections of the impact on the local anaesthetic community from an individual, governmental and business perspective. The retail shopping center was built in 1974 and has undergone several revamps since 1979 up to 1997. In an effort to upgrade the retail facilities in the area, a total renovation of almost the full(a) center was started in 2010. The redevelopment project construction which took seven years planning approximately be 15 million Australian dollars. It is administered by shopping center owner and J.M Kelly Group director Jim Kelly. The new shopping centre will provide local and national retailers with a state-of-the-art facility strategically located to attract customers from varied demographic groups. The retail development is anchored by Cornetts Supa IGA, BP Service Station, blockbuster and other 22 new retail tenancies. As it has been mentioned, the

Friday, May 3, 2019

Journal article Essay Example | Topics and Well Written Essays - 2000 words

Journal oblige - Essay Examplereasing workloads and time constraints, many of the functions solely performed by radiologists are now being performed by radiographers, leading to increased medical malpractice claims. Hence the specific objectives associated with this study are as followsSince the introduction of the sassy NHS Plan in 2000, based upon reforms in the way the staff of the NHS worked, nurses and staff members were allowed to extend their roles beyond their traditionalistic boundaries, in the expectation that it would make care more patient centred. Greater workforce flexibility and a team approach have contributed towards the pro visual modality of a high quality patient helper (Woodford, 2006). The accessibility of skilled radiologists is limited, but financial constraints, increases in workloads and financial imperatives in the NHS have mandated a transfer of somewhat of the functions of the radiologist to radiographers (Price, 2007). To specifically address the n eeds of radiographers, the proposed method was to introduce a four tiered service delivery model, wherein advanced practitioners, i.e., radiographers, were to play a key role.(Buttress and Marangon, 2008). In a recent editorial (2010), it has been argued that there is a need for a wider service perspective that can be provided by radiographers, but there is little evidence available to suggest that individual radiographers have grasped the full implications of the nature of leadership and vision that is required to perform these roles successfully. The distinction between an advanced versus extended role for radiographers has been clarified by barefaced and Snaith (2006), who point out that role extension is the acquisition of additional skills, duties and responsibilities beyond those expected of the post speckle advancement assumes the attainment of a higher level of professional knowledge and ability. Radiographers fall under the fellowship of extended practitioners while ra diologists conform to the advanced

Thursday, May 2, 2019

DMS and Destination Tourism Essay Example | Topics and Well Written Essays - 2500 words

DMS and Destination Tourism - Essay ExampleIt is not surprising, hence, when countries, especially the developing economies, integrate touristry strategies in their overall scotch policy. The idea is to take favour of the opportunities, which are facilitated by the globalization phenomenon. According to Goeldner and Ritchie (2009, p.26), for a number of countries, touristry is the largest commodity in supranational trade, and that in many others, it ranks among the top three industries. The theatrical role of Namibias tourism strategy is a case in point. Last 2006, the World Travel and Tourism Association conducted an accounting study and found that The broader tourism economy in Namibia accounts for 72,000 jobs and 18% of Namibias gross domestic product (GDP). These figures are 50% higher(prenominal) than were originally estimated. (Ivanovic et al. 2009, p.91). Since tourism is an industry that operates within the current globalized international trading system, countries and destinations have to compete with separately other for tourists in an integrated tourism market in order to gain meaningful economic benefits. The process is facilitated by free trade and technology. One of the consequences of this development is the emergence of the destination tourism model, which entails the acknowledgement and promotion of localities as a result of their location, natural attraction and tourist-oriented facilities (Binns & Nel 2002, p.235) The employment of this approach has enabled many destinations to boom out in the intensely competitive tourism market. Destination Tourism Destination tourism emphasizes location. What this means is that a country or a location builds on its own characteristics in creating a unique crisscross that help the location gain competitive advantage and effectively sold to a target market. Carter and Fabricius (2007) explained that a destination in tourism is the basic unit of analysis in tourism which is a understandably recogni zable area with geographic or administrative boundaries that tourists visit and stay in during their trip where tourism revenue is significant, or potentially significant, to the economy and is serviced by both private and public sector. Keller and Bieger (2007, p.12) contextualized the benefits of tourism in their discussion of the economics of destinations. They argued that from a general perspective destinations could or should be treated as geographically delineated economic aggregates, which, similar to economic regions, generate economic growth, which can be driven by quantitative and qualitative changes in inputs and the efficiency with which these inputs are being employed. This is the reason behind the thematic caprice of the way destinations are marketed. For example, capital of Singapore works on promoting itself as an Asian urban destination. The public affinity initiatives that sell the location as a product focus on the urban amenities that Singapore has to offer. Th e theming of the city has been very consistent. In the past, it has pursued thematic concepts depicting Instant Asia and Garden City and later on 1997, it has finally adopted a highly effective imaging strategy that aims to market the city-state as a modern metropolis with an exotic Asian

Wednesday, May 1, 2019

An arguementative paper on home schooling vs. public school Essay

An arguementative piece on home educate vs. public school - Essay ExampleVarious forms of bullying that complicate but are not limited to physical abuse, verbal abuse, sexual abuse, hitting, punching, kicking, threatening, and seducing have become back up in schools these days. This leads us to the question Is home schooling better than public schooling? Owing to the general violence in schools, home schooling should be preferred over public school. Home schooling is much better option than public schooling because of a number of reasons. In the home, children are not exposed to racism of any sort. In the educational environment of public schools, children have to be in the company of racist fellows on daily basis. In the environment of a home, a child studies in the atmosphere created by his parents. He/she feels protected and is better able to concentrate upon the studies. Quite often, one or both parents are educated enough to teach the children themselves. In cases where the parents are not educated enough, tutors earth-closet be arranged very easily. A lot of educated people look forward to such opportunities because of unemployment. In addition to that, such platforms as internet have become a potential way of education in the present age. A lot of informative videos are available online and the child is fairish a click away from education.