Nursing in a Day Surgery Essay Example | Topics and Well Written Essays - 1500 words

Nursing in a Day Surgery - Essay Example In order to do this the discussion will first of define pain, because it not objective as many nurses and health practioners may believe. In fact it is a very subjective term. The discussion will end by considering the problems in the UK when dealing with patient's whose wishes are hard to discern and whether we should be administering pain relief methods without proper consent. It is this balance between whether nurses, as myself, should be acting on the wishes of the doctors and the establishment or the patient's wishes and concerns. This is because speed and cost efficiency should not be a determining factor in a patient's health, rather if a person who has varicose vein surgery is more suited for overnight care this should be considered. Pain was found to be the major concern for patients undergoing surgery and they wanted access to information both verbally and through written communication (Taylor. H. 2001). Patients have evinced interest in knowing the details of their recovery and realistic accounts of discomfort that they can expect. Addressing the cognitive component of pain is easily done through patient education (Carr C.J. Ellois. 2001). An audit at the Warwick Hospital found that although patient education booklets were available, the APS refrained from giving out this information. Besides, patients were not consulted in the development of the services Patients usually felt better and less ... Many used past experiences as reference for their expectations. Some studies found that patients had lower expectations of post-surgical pain. Patients also had a number of misconception related to the use of analgesia. This led to under usage of drugs and poor pain management. Understanding these factors can help nurses develop educational manuals for patients and help in better pain management (Taylor). H. 2001). The NIH has given Guidelines for the preparation of patient education and state the all communication must be, "clear, cost-effective, straightforward, modern, accessible, honest and respectful."(DoH, 2001) The Royal College and the Anaesthetic Association reported that 44% of hospitals had some form acute care services and 79% used modern analgesic techniques to manage pain (Carr C.J. Ellois. 2001.) A study of hospital services declares pain prevention to be one of the 10 most important indicators of care quality. (Susan M, 2003) While the need for management is acknowledged, the resources allocated for the function were found to be inadequate. In a significant finding, the Clinical Standards Advisory Group found that although 81% of the functions involve nursing care and 7% of these were headed by nurses there was lack of specialized nursing care in the chronic pain department. The situation was further made worse by inadequate funding. (Pain Society, 2001) Health professionals currently are found to have deficits in knowledge and skills for proper pain management. Nursing care is often found to be influenced by attitude of patients, their culture and value systems. (Redorbit.com, 2006) . The Services for Patients with Pain, in

Management Essay Example | Topics and Well Written Essays - 1250 words

Management - Essay Example Knowledge, understanding, skills development, attitude development, synthesis, analysis, comprehension etc are some of the major elements of learning. Knowledge and understanding represents the surface level learning whereas the skills development, attitude development, synthesis, analysis and comprehension etc are the symbols of deep learning. Critical thinking is necessary for the occurrence of deep learning. According to Pavlovich, (2007), Describing the experience, analysis of the experience, creation of new meanings and understandings and actions for change are the four major dimensions of critical thinking (Pavlovich, 2007, p.284). This paper analyses the importance of these dimensions in critical thinking process. Dimensions of critical thinking â€Å"The first dimension is the manner in which experience act as the context for personal learning. Reflection begins with asking the key questions that describe experience† (Pavlovich, 2007, p.283). It is often said that expe rience is the best teacher than anything else in this world. For example, a child who suffers burns from a candle flame may never tries to touch the flame again. What he knows from this experience is that candle flame or fire is extremely dangerous and it may present painful experience. It is not necessary that he may develop deep understanding from this experience. ... At the same time, fire is a useful entity for the human bad side. Critical thinking is the only way for a person to judge the goods and evils associated with things in this world. The second dimension outlined by Pavlovich, (2007) is the mental activity that reviews experience (Pavlovich, 2007, p.283). Moon (1999) defined critical thinking as a â€Å"mental process with purpose and /or outcome in which manipulation of meaning applied is applied to relatively complicated or unstructured ideas in learning† (p.155). It is not necessary that two people who suffered the same problem may learn similar facts. For example, everybody knows that smoking is injurious to health. Plenty of people died in this world because of smoking related diseases. However, only few people stopped smoking after realizing the dangers associated with smoking. There are plenty of people who continue smoking even after realizing the dangers. This is because of the differences in the mental activities of dif ferent people. Some people are ready to learn from the experiences whereas others are reluctant to learn from experiences. Some people think on long term basis whereas others think on short term basis. Those who stopped smoking can be labeled as long term thinkers whereas those who continue smoking can be labeled as short term thinkers. Paul & Elder (2002) have mentioned that â€Å"short term thinking, which leads to quick fix solutions, is largely the rule of the day† (Paul & Elder, 2002, p.5). On the other hand, long term thinking helps a person to secure his future even if he faces some short term problems. For example, a poor manager may fire an employee who underperforms, whereas a smart manager guide the employee to improve his

How do you intend to use the skills and knowledge gained from the Essay

How do you intend to use the skills and knowledge gained from the Public Sector Leadership and Management Institute in your current position - Essay Example The public will thus get the avenue of expressing their concern and ventilating their grievances. Consequently, the local government will improve the quality of service in their jurisdiction. In addition, the implementation of a customer relationship management will ensure that there is attraction, retention, and getting back former customers to the organization. From the knowledge leant, one is able to implement a system which is customer friendly and that reduces resistance to change. Strong resistance forces that require basic knowledge on change management commonly meet the alteration of the status quo (Christensen & Per 25). There is thus need to ensure that the implementation is gradual and that majority if not all of the clients are involved in the process as learnt in change management. From the knowledge acquired, it will be easy to adopt simple procedures that reduce costs and increase response and satisfaction of customers. Moreover, the skills acquired through the training will assist in ensuring that the policies of the local government are strategic and future oriented. The feasibility skills and evaluation possibility will be applied in monitoring progress and detecting deviations so that corrective actions are pursued (Christensen & Per 25). In conclusion, the skills and knowledge obtained is instrumental in the general understanding of management process as well as the need to improve institutional performance. the knowledge and skills has to be applied after carefully evaluating the impact and earning the confidence of stakeholders. The process should be flexible to look at the diverse nature of interests of

Role, Significance and Impact of Multi-Agency Working in Childcare Essay

Role, Significance and Impact of Multi-Agency Working in Childcare - Essay Example In work with disabled children, families experience better relationships with services along with improved level of access to them and improved quality of life with reduced stress (Sloper, cited in Improving outcomes for children 2007). This is also true in the aspect of healthcare. In projects targeting mental health of children, there has been a reduction in the proportion of children with clinically significant problems, with children showing better involvement with school (Kurtz & James, cited in Improving outcomes for children 2007). Multi-agency working involves patient counselling, taking a great deal of time and care in dealing with children as well as parents when necessary. The counsellors are facilitators of information who helps sensitive sharing of information in a very respectful manner without violating confidentiality (McGinnis 2008, p.128). Collaborative working and information sharing among the different services is a key factor in enhancing children's welfare. Frequent and personal contacts of practitioners from different agencies with each other help resolve issues of concern (Cleaver et al. 2008, p.105). Collaborative working of services helps recognise the different needs of a child and the relationships between the different aspects of a child's life. Information sharing helps in early identification of children's additional needs to help them reach their potential. Identifying with parents and sharing information with them play a key role in understanding children and enhancing their well-bein g. Videotapes of children both at play and at work, at home and in school, can be exchanged which help to keep parents up-to-date on the children's progress as well as help staff to understand certain behaviour of children which they would have found difficult to comprehend. Information sharing also helps the staff in having an insight into the children's cultural background. This can help in the children's development in the cognitive and socio-behavioural aspects (Whalley & Dennison 2001, p.137). It is the goal of the Government that by 2010 all schools will provide access to a core offer of extended services including childcare, study support activities, parenting support and specialised support services with wider community access to information and communication technology, sports and arts facilities, and adult learning (Extended schools 2009). Extended support can bring about a significant improvement in children by identifying their individual problems, which they face outside of school and are intractable, and tackle them effectively, thus enabling teachers to give more attention to teaching. These services can also support parents through information sessions and parenting programmes, thus ensuring better parental involvement in the children's activities. Positive impact in preventative work Multi-agency involvement in preventative work has brought about positive results in children including improved behaviour, better relationships, enhanced education and increased well-being. The results of the On Track programme effectively demonstrate these effects. On Track is a research-based preventative programme for crime reduction, which through multi-agency partnerships

Description of the Business Report Parts Assignment

Description of the Business Report Parts - Assignment Example This entails the problem that is going to be solved, how the problem will be solved, what exactly will be provided in solving the problem, whether the project can deliver the stipulated promises, the benefits of the project when it will be completed and the cost to be involved in the entire work. The sections that need to be included in a proposal for a student report include the problem identified in the problem, the feasibility, the audience the project targets, topics the project investigates, the method to be utilized, the resources and facilities available, the work schedule of the project and the action plan of the project proposal. Progress reports should essentially tell what you’ve done, why it’s important, and what the next steps are i.e. the chronology, task, and recommendation. They can also be used to enhance your image, float trial balloons and minimize potential problems. Make your progress report as positive as you honestly can. Using capitalization when searching for web pages is a major issue. It is always important to uncapitalize words when searching for information, use quotations marks for exact terms and use root words in finding variations of information. A survey is a study that is conducted on a large group of people referred to as subjects or respondents. A questionnaire is a list of questions that people fill and an interview is a structured conversation with someone who will be able to provide useful information for a study. In a random sample, each person in the population of the study theoretically has an equal chance of being chosen to take part in the study. Inconvenience sample only a group of respondents are targeted and will be easy to get. Judgmental sample entails a group of people whose views seem useful. The mean is the average figure you get when you add up all the numbers and then divide by the number of numbers. The median is the middle value in the list of numbers and

Strategic Management and Strategic Competitiveness Research Paper

Strategic Management and Strategic Competitiveness - Research Paper Example The manufacturing plant is located in Richmond; in the Virginia State. This is the biggest plant ever built in the tobacco industry. Marlboro is well known for its adverts by use of the Marlboro man (Erin & Jack, 2003). Impact of Globalization and Technological Changes on Marlboro Globalization in this scenario is the process of improving the interactivity of the social, political interdependence, cultural, financial economic and incorporation of markets that are triggered by development of technologies in the communication and transport sector at the same time liberalizing trade. Globalization together with unparalleled change in technology has led to a weakening of the borders from the States control (Michael, Duane & Robert, 2008). There is an increase in the volume of cigar and money at an alarming rate which kills the tobacco industry. Fake tobacco products are smuggled into the State by organized criminals. There are various networks of companies, people and groups who evade ta xes and royalties to bring in fake cigarettes which look similar to the genuine products. As a result they trade like any other company’s products hence killing the revenue collected by the company. The products sold by these smugglers cost much lower than the genuine products. With globalization and technological change the products can be designed in away, that one cannot differentiate them genuine products. The taxes can be avoided easily with fake documentation which can pass for the real documents. Application of the industrial organization model and resource based model by Marlboro firm to earn above average returns can be done in various ways. First, with the application of the industrial organization model, Marlboro firm can make use of alliances with other cigarettes manufactures to form an association like a cartel. Since the organized cooperate more with other close competitors in the tobacco industry, this will reduce the probability of the collaboration to lift t he revenues of the firm. Moreover, the firm can also make good use of its resource based model by differentiating their products and making it known to the customers about the genuine products and how to separate from the fake products. All it takes are the internal resources by the company to implement strategies that can easily reduce cases of smuggling. In addition, the government regulatory controls can be partnered with, by the company by having agents or inspectors who are able to draw a clear line between fake and genuine products. There are various procedures that can be taken by Marlboro firm in reducing the negative impact of globalization and technological improvement to increase returns on their products. First and foremost, analyzing the external environment is very crucial in identifying the potential threats and how to override them. Second, the firm must distribute its products by reliable distributors who are not likely to imitate or sell the products to competitors for imitation (Erin & Jack, 2003). Third, every firm has its own strength and opportunities, Marlboro can make good use of its lifetime existence in the market to identify tactics that are appropriate in attracting in good returns. This can be done by employing skilled labor from technological sector to help in branding their products in a manner that competitors cannot copy them. The Effect of Marlboro’s Vision and Mission Statement on Their Success The main aim a mission statement is to draw to attention

Online Education is Effective For Adult Learners Essay

Online Education is Effective For Adult Learners - Essay Example As the report stresses importance for distance learning has been realized and has led to increase in popularity of online education among the adults. Online education has achieved success, still certain individuals give preference to traditional, classroom style education and certain are in the favor of online education. Those in the favor of traditional learning methods assert that students learn in a better manner when they are involved in learning along with other students. A recent change in education has been experienced as both distance and traditional learning methods have been integrated. One of the major concerns associated with distance learning is communication that takes place between teachers and students. Due to this, measures have been taken in order to increase communication between learners and instructors in the case of distance learning. Distance learning has undoubtedly made great progress and is one of the preferred methods of obtaining education for adult learne rs. This paper discusses that the Department of Education of US asserts that number of students enrolling in nontraditional means of education is increasing at a higher pace than number of students enrolling in traditional form of educational system. Chun states that as the number of students enrolling in educational systems that are not traditional in nature, it is needed that the method of delivery of education should be flexible enough to meet the requirements of individual students. (Information Science Reference 739). There has been tremendous amount of change in the demand for higher education throughout the world and distance learning has assisted traditional educational institutes in meeting these demands by overcoming several barriers of higher education with the assistance of technological advancements. Goddard has predicted that by the era of 2025 there will be over 150 million individuals that will be in pursuit of higher level education and this increase in demand will lead to various changes in the way through which individuals obtain higher education (Weller 8). In the 21st century employers have increased their demand updating of an individual’s skills and abilities while he works for an organization. Benefits Several benefits have been associated with online education, these include: meeting the requirements of nontraditional students who have various responsibilities such as career and family. These responsibilities do not allow or discourage nontraditional students from being a part of classroom style educational system. Due to these issues, various higher level educ