Thursday, January 30, 2020
Effective approaches in leadership and management Essay Example for Free
Effective approaches in leadership and management Essay Healing hospital paradigm represent the whole health care system which mainly focus on the whole recovery of the body mentally physically and spiritualy.The traditional style of cure model is only to eradicate the disease. But in the case of healing health it mainly focus on the total wellness of the entire body by addressing the patients emotional and spiritual needs.There are three major important elements in the hospital paradigm.They are loving care healthy healing surroundings and the technology. In this paper we are going to discuss the elements and challenges of the healing hospital when we implement the healing environment. Components of the healing hospital Patients curing environment is the most highlighting element of the healing hospital paradigm.It always concentrate on the care of the patient, the atmosphere of the hospital while on treatment (Samueli Institute ,2010).In the case of healing hospital paradigm it is not only restricted on the patientââ¬â¢s treatment or the diagnostic procedure nor the medicine but also it consider the patientââ¬â¢s health care person or the care giver or even the family members in the progression of cure.This theory is based on the knowledge that a patientââ¬â¢s full recovery connect with the patientââ¬â¢s emotional and spiritual well beingness.Healing hospital paradigm states if a whole person is to be okay it needs to be his physical body and all its parts ,the mind and the spirit must be healthy.Therefor healing hospital perception , the treatment of a patient is with compassion and a culture of concern and fundamental loving. Under healing hospital paradigm, health care practioners have to support physical wellness as well as the mental health of the patient instead of only taking care of the treatment of the illness or disease(Baptist healing trust).It is important to prepare the patient mentally to receive the treatment. Health practioners need not only show their skills in the treatment but also have to show their ability to deliver their loving care and make extra step to make the patient feel more better(Samueli Institute ,2010).Showing compassion to the patient is also a way of meeting their needs of mental and spiritual needs. Healing physical environment is the second element of the healing hospital paradigm.It clearly says the physical environment is very important for the healing process of a patient(Samueli Institute 2010).Rest is very important in the healing process. A hospital environment supposed to be very calm and quiet in order to make the patient feel better.Eventhough the hospital are provided information about keeping silence inside the hospital ,many of the hospital surroundings are characterized by noisy environment with the nurses spectra link phones,pagers,and nurses conversations. On the top of that family and relative gatherings in the corridors of the hospitals. These challenges always a matter for the entire patients recovery. Most hospital are facing these challenging situations and cannot make a comfortable stay of the patient. The healing paradigm came up with some suggestions which includes providing an relaxing environment by the hospital that improves the service level of the hospital and improve the patients satisfaction. Entertainment program for the patient and decent meals also provides greater satisfaction to the patient. Work design and the technology is the third component of the healing hospital paradigm. Healing hospital has to have a well advanced work design which help the health professional to deliver quality care.(Samueli Institute 2010).Healing has the technologies which aid the patient to have competent service,confidence,cost effective, and confidentiality in their treatment. Patient get satisfied with these psychological needs and which proceed to have a fast recovery from their disease. Healing hospital participate with the patient with their advanced technologies and design to meet such needs. The modern technology and design helps the health practioners to work without difficulty and provide better care that can proceed to an effective healing development to the patient. Challenges involved in implementing a healing environment There are number of challenges to implement the noble concept of healing hospital in the traditional hospital settings.One of the main challenges to implement the noble concept of the healing hospital in the traditional hospital is to do with the finances(Geffin,2004).To provide the healing environment need a huge amount of investment.To provide the advance technology ,recruitment of the skilled people and their training need a big amount of money. Requirement of investment in facilities and technology is necessary to make sure that the hospital physical environment has been incorporated with the healing process. Also it is very important have a terms of mind set ,ability and culture of medical practioners in order to provide a devoted and sympathetic care in regards the requirement of the hospital healing paradigm.It must be a discouraging job for the traditional hospital authorities to accept such expensive projects. One of the other main challenges to implement the healing concept is the legal problems. Hospitals must have already many legal challenges including higher rate of court cases and problems with the insurance. Since this perception is not yet fully activated in the health care the healing concept also may attract the people to file court cases.One of the challenges in these concept is the current employ organizations. The current system treat the employees in a graded system. But the healing hospital system treats all the employees equal. There are philosophical challenges also can see in this. The treatment model is exactly different in the old traditional style .They only focus on eliminating the disease by using the scientific methods and procedures. But the healing hospital always give importance to physical mental and spiritual needs of the patients. This type of treatment based on the patients beliefs and values. Conclusion Holistic approach to the health care is the main element in the healing hospital paradigm.It is a concept of entire wellbeing of a patient. Not only curing or treating the disease but also taking care of the entire physical as well as emotional and spiritual needs of the body by using healing physical environment and high advanced work design and technology. There are challenges to bring this in to live .This assignment discussed about the elements of healing concept and its challenges to bring into practice. View as multi-pages
Wednesday, January 22, 2020
Oscar Claude Monet :: Essays Papers
Oscar Claude Monet Oscar Claude Monet was born on November 14, 1840 in Paris, France. Monet spent most of his childhood in Le Havre, France. In Le Havre, Monet studied drawings and painted seascapes with a French painter Eugene Louis Boudin in his teens. By 1859 Monet committed himself a career to be an artist. Monet spent a lot of time in Paris around 1859. By 1860 Monet met a pre-impressionist painter, Edouard Manet. Monet also met other French painters to form the impressionist school. Monet met Camille Pissaro, Pierre Auguste Renoir, and Alfred Sisley. Monet painted simple landscapes and sketches like scenes of bright color. Monet had some success in official exhibits. In 1874, Monet and his colleagues decided to organize their own exhibition in public. Monet and his colleagues called themselves, independents, but the press later named them impressionists because their work seemed sketchy and unfinished. One of Monetââ¬â¢s paintings had the title Impression: Sunrise in 1872, in Musee Marmottan, Paris. During the rest of the 1870ââ¬â¢s and early 1880ââ¬â¢s, Monet used special techniques to paint scenes of different impressions on colors. Monet went to the Mediterranean and Atlantic coasts to study the effects of light and color. By mid 1880ââ¬â¢s Monet was generally the leader of the impressionist school and he achieved significant recognition. Monet was recognized as the master of meticulous observation and true feelings for his paintings. In 1890, Monet was able to purchase some property in the village of Giverny, not far from Paris. In Giverny Monet began to construct a water garden (a lily pond arched with a Japanese bridge, overhung with willows and bamboo). Oscar Claude Monet :: Essays Papers Oscar Claude Monet Oscar Claude Monet was born on November 14, 1840 in Paris, France. Monet spent most of his childhood in Le Havre, France. In Le Havre, Monet studied drawings and painted seascapes with a French painter Eugene Louis Boudin in his teens. By 1859 Monet committed himself a career to be an artist. Monet spent a lot of time in Paris around 1859. By 1860 Monet met a pre-impressionist painter, Edouard Manet. Monet also met other French painters to form the impressionist school. Monet met Camille Pissaro, Pierre Auguste Renoir, and Alfred Sisley. Monet painted simple landscapes and sketches like scenes of bright color. Monet had some success in official exhibits. In 1874, Monet and his colleagues decided to organize their own exhibition in public. Monet and his colleagues called themselves, independents, but the press later named them impressionists because their work seemed sketchy and unfinished. One of Monetââ¬â¢s paintings had the title Impression: Sunrise in 1872, in Musee Marmottan, Paris. During the rest of the 1870ââ¬â¢s and early 1880ââ¬â¢s, Monet used special techniques to paint scenes of different impressions on colors. Monet went to the Mediterranean and Atlantic coasts to study the effects of light and color. By mid 1880ââ¬â¢s Monet was generally the leader of the impressionist school and he achieved significant recognition. Monet was recognized as the master of meticulous observation and true feelings for his paintings. In 1890, Monet was able to purchase some property in the village of Giverny, not far from Paris. In Giverny Monet began to construct a water garden (a lily pond arched with a Japanese bridge, overhung with willows and bamboo).
Tuesday, January 14, 2020
Preeclampsia Case Study
At 0600 Jennie is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen (Tylenol), swollen hands and face for 2 days, and epigastric pain described as bad heartburn. Her sister tells the nurse, ââ¬Å"I felt like that when I had toxemia during my pregnancy. â⬠Admission assessment by the nurse reveals: today's weight 182 pounds, T 99. 1à ° F, P 76, R 22, BP 138/88, 4+ pitting edema, and 3+ protein in the urine. Heart rate is regular, and lung sounds are clear.Deep tendon reflexes (DTRs) are 3+ biceps and triceps and 4+ patellar with 1 beat of ankle clonus. The nurse applies the external fetal monitor, which shows a baseline fetal heart rate of 130, absent variability, positive for accelerations, no decelerations, and no contractions. The nurse also performs a vaginal examination and finds that the cervix is 1 cm dilated and 50% effaced, with the fetal head at a -2 station. 1. In reviewing Jennie's history, the nurse is correct in concluding that Jennie is in jeopardy of developing a hypertensive disorder because of her age (15).Which other factors add to Jennie's risk of developing preeclampsia? A)à Molar pregnancy, history of preeclampsia in previous pregnancy. INCORRECT While all of these are risk factors for preeclampsia, Jennie has no indications of a molar pregnancy (first trimester vaginal bleeding, size/date discrepancy, or excessive nausea and vomiting), nor has she had any previous pregnancies (gravida 1). B)à Gravidity, familial history. CORRECT Jennie is under 17 years of age, is pregnant for the 1st time, and has a sister with a history of toxemia, which is an old term for preeclampsia that some clients may still use.C)à History of pounding headache, low socioeconomic status. INCORRECT While age and low socioeconomic status (SES) are risk factors, Jennie's SES is unknown. A pounding headache is a symptom, not a risk factor. D)à Low soci oeconomic status (SES), history of pedal edema. INCORRECT Although age and low SES are risk factors, this client's SES is unknown. Pedal edema is common in pregnancy after 32-weeks. 2. To accurately assess this client's condition, what information from the prenatal record is most important for the nurse to obtain? A)à Pattern and number of prenatal visits. INCORRECTIt is important to have early and consistent prenatal care, but this information will not help in the assessment of this client's condition. B)à Prenatal blood pressure readings. CORRECT The client's BP (138/88) is below the guideline that indicates mild preeclampsia. Blood pressure parameters for mild preeclampsia include a reading of 140/90 taken on two occasions 6 hours apart. However, Jennie's reading is significant if it is an increase of 30 mm systolic or 15 mm diastolic from her prenatal levels, particularly in combination with proteinuria and hyperuricemia (uric acid of 6 mg/dl or more).Blood pressure usually remains the same during the first trimester. Both systolic and diastolic then decrease gradually up to 20-weeks gestation. At 20 weeks of gestation, the blood pressure begins to gradually increase and return to 1st trimester levels at term. C)à Prepregnancy weight. INCORRECT The nurse should compare today's weight to Jennie's most recently obtained previous weight, not to the prepregnancy weight. A weight gain of ;2 pounds per week is indicative of mild preeclampsia. D)à Jennie's Rh factor. INCORRECTWhile the Rh factor of the mother is important in determining the need for prophylactic Rh immune globulin (RhoGAM) at 28-weeks and after birth, it is not the most important information at this time. All Rh negative women with negative Coomb's tests are given RhoGam prophylactically at 28-weeks, and then evaluated immediately after birth to determine if another dose of RhoGam is needed. Pathophysiology of Preeclampsia There is no definitive cause of preeclampsia, but the pathophysiol ogy is distinct. The main pathogenic factor is poor perfusion as a result of arteriolar vasospasm.Function in organs such as the placenta, liver, brain, and kidneys can be depressed as much as 40 to 60%. As fluid shifts out of the intravascular compartment, a decrease in plasma volume and subsequent increase in hematocrit is seen. The edema of preeclampsia is generalized. Virtually all organ systems are affected by this disease, and the mother and fetus suffer increasing risk as the disease progresses. Preeclampsia develops after 20 weeks gestation in a previously normotensive woman. Elevated blood pressure is frequently the first sign of preeclampsia.The client also develops proteinuria. While no longer considered a diagnostic measurement of preeclampsia, generalized edema of the face, hands, and abdomen that is not responsive to 12 hours of bedrest is often present. Preeclampsia progresses along a continuum from mild to severe preeclampsia, HELLP syndrome, or eclampsia. A client m ay present to the labor unit anywhere along that continuum. 3. What is the pathophysiology responsible for Jennie's complaint of a pounding headache and the elevated DTRs? A)à Cerebral edema. CORRECTAs fluid leaks into the extravascular spaces, organ edema as well as peripheral edema occurs. This, in conjunction with cortical brain spasms, causes headache, increased deep tendon reflexes, and clonus. B)à Increased perfusion to the brain. INCORRECT The hypovolemia that accompanies preeclampsia decreases perfusion to the major organs. C)à Severe anxiety. INCORRECT While Jennie may be very anxious, this is not the pathophysiology involved. D)à Retinal arteriolar spasms. INCORRECT These spasms are the cause of blurred vision and scotoma that often accompany worsening of the disease.Jennie's sister is very concerned about the swelling (edema) in her sister's face and hands because it seems to be worsening rapidly. She asks the nurse if the healthcare provider will prescribe some o f ââ¬Å"those water pillsâ⬠(diuretics) to help get rid of the excess fluid. 4. Which response by the nurse is correct? A)à ââ¬Å"That is a very good idea. I will relay it to the healthcare provider when I call. â⬠INCORRECT Although it is caring to offer to relay family concerns to the healthcare provider, the physician will make the decision on treatment.B)à ââ¬Å"I'm sorry, but it is not the family's place to make suggestions about medical treatment. â⬠INCORRECT While it is not inappropiate for family members to make suggestions, this answer is not sensitive to the sister's desire to help Jennie. C)à ââ¬Å"Let me explain to you about the effect of diuretics on pregnancy. â⬠CORRECT The sister may have seen diuretics used for treating fluid retention before (for example, in cardiac disease), but may not be aware of how diuretics affect pregnancy. Diuretics decrease blood flow to the placenta by decreasing blood volume.In the case of the preeclamptic client, this is particularly dangerous because the disease has already caused a volume deficit. In addition, the diuretics disrupt normal electrolyte balance and stress kidneys that are already compromised by preeclampsia. The only time they are used is if the preeclamptic client also has heart failure, but this client has no symptoms of heart failure. D)à ââ¬Å"Have you by any chance given your sister water pills that belong to someone else? â⬠INCORRECT This could be construed as hostile and accusatory.If the nurse believes further assessment is warranted, the nurse should ask Jennie about any medication she has taken. Admission to the Labor and Delivery Unit At 0630 the nurse calls to report to the healthcare provider, who prescribes the following: admit to labor and delivery, bedrest with bathroom privileges (BRP), IV D5LR at 125 ml/hr, CBC with platelets, clotting studies, liver enzymes, chemistry panel, 24-hour urine collection for protein and uric acid, ice chips only by mouth, nonstress test, hourly vital signs, and DTRs. 5.While awaiting the lab results, which nursing intervention has the highest priority? A)à Teach Jennie the rationale for bedrest. INCORRECT While this is important, it does not have the highest priority. B)à Monitor Jennie for signs of dehydration. INCORRECT This is important because the client is restricted to ice chips only and may already be hypovolemic. However, it is not the highest priority. C)à Educate the client about dietary restrictions. INCORRECT Since Jennie is currently taking ice chips only, this is not the most important intervention at this time. D)à Observe Jennie for CNS changes.CORRECT Central Nervous System (CNS) changes such as severe headache, blurred vision, scotoma (spots before eyes), and photophobia indicate a worsening condition. 6. Which technique should the nurse use when evaluating Jennie's blood pressure while she is on bedrest? A)à Have Jennie lay supine and take the blood pressure on the left arm. INCORRECT The pregnant client should not lie in the supine position because it puts her at risk for vena cava compression and subsequent supine hypotensive syndrome. B)à Have Jennie lie in a lateral position and take the blood pressure on the dependent arm.CORRECT The lateral position supports placental perfusion. The lower (dependent) arm should be positioned so the client is not lying on it, and the blood pressure should be taken in that arm. This more closely approximates arterial pressure. Using the arm on the opposite (upper) side will falsely reduce the measurement. C)à Have the client sit in a chair at the bedside, and take the blood pressure with her left arm at waist level. INCORRECT While sitting is an appropriate position, the arm should be resting on a surface at heart level.In addition, Jennie is on bedrest with bathroom privileges, which does not include sitting up in a chair. D)à Have Jennie stand briefly and take the blood pressure on the right a rm. INCORRECT A standing blood pressure does not provide the most valid reading. In addition, Jennie is on bedrest with bathroom privileges, which does not include standing at the bedside. The nurse performs a nonstress test to evaluate fetal well-being. 7. When performing a nonstress test (NST), the nurse will be assessing for which parameters? A)à Accelerations of the fetal heart rate in response to fetal movement. CORRECTThe basis for the nonstress test is that the normal fetus with an intact CNS will respond to fetal movements by increasing its heart rate (episodic accelerations). A reactive test is one in which the fetus displays at least 2 accelerations of 15 beats per minute that last for 15 seconds in a 20-minute period in the presence of a normal baseline rate and moderate variability. B)à Late decelerations of the fetal heart rate in response to fetal movement. INCORRECT Late decelerations are a sign of uteroplacental insufficiency, and are assessed for in response to uterine contractions, not fetal movement.C)à Accelerations of the fetal heart rate in response to uterine contractions. INCORRECT Accelerations that occur with contractions (periodic accelerations) are usually linked to breech presentations, and are not the basis for the nonstress test. D)à Late decelerations of the fetal heart rate in response to uterine contractions. INCORRECT Late decelerations in response to uterine contractions are the basis for the contraction stress test. HELLP Syndrome At 0800, physical assessment and labs reveal the following: the client is still complaining of a headache but the epigastric pain has slightly decreased.While resting in a left lateral position, the vital signs are BP 146/94, P 75, R 18. Hyperreflexia continues with one beat of clonus. The baseline fetal heart rate is 140 with moderate variability and no decelerations. Since completion of a reactive nonstress test, no further accelerations have occurred. Lab results include: hemoglobin â⠬â 13. 1 g/dl, hematocrit ââ¬â 40. 5 g/dl, platelets ââ¬â 120,000 mm3, aspartate aminotransferase (AST) ââ¬â slightly elevated, alanine aminotransferase (ALT) ââ¬â normal for pregnancy, 0 burr cells on slide, clotting studies normal for pregnancy.The healthcare provider diagnoses Jennie with preeclampsia rather than HELLP syndrome, a variant of severe preeclampsia. 8. If Jennie had HELLP syndrome, which lab results would the nurse expect her to exhibit? A)à Elevated hemoglobin and hematocrit (H&H) without burr cells, elevated liver enzymes, platelet count >150,000 mm3. INCORRECT Elevated H&H without burr cells and platelets >150,000 mm3à are not indicative of HELLP syndrome. B)à Decreased hemoglobin and hematocrit (H&H) with burr cells, elevated liver enzymes, platelet count
Monday, January 6, 2020
Character of Chris McCandless of Into the Wild, by Jon...
Life is never easy, no matter how hard we try to short cut and escape the inevitable difficulties. After College is when life sets in, when work becomes a necessity and we all begin to find a place to settle down. People respond differently to different situations. Some of us embrace the freedom and the ability to earn money and spend money indiscriminately. Others crumple under the social pressures placed on us. Christopher McCandless is a perfect example. Settling down and raising a family, providing for that family and creating a sustainable lifestyle are important and high stress things that we all must deal with if we are to enjoy the finer things in life. Chris totally abandoned that, he gave away all of his possessions; evenâ⬠¦show more contentâ⬠¦Conforming to social norms is never a bad thing. Contributing to society in the form of working and helping to provide a service to your fellow man is admirable. Hard work provides many things. Putting in work for a week a llows you to relax on the weekend. Putting in a hard work week allows you to get money, allows you to become eligible for promotions and raises. The rewards continue; the ability to provide for yourself or/and a family. When Chris graduated from Emory University he had $25,000 in savings and was set to start a whole life for himself. He had a family who loved him. Yet, he still abandoned all of that, and ran away from petty problems. There comes a time in everyoneââ¬â¢s life when we must face things that seem unconquerable. Winston Churchill once said ââ¬Å"If you are going through hell, keep going.â⬠This statement applies directly to Chris. He was seemingly afraid of life and when fight or flight took over he just bolted. Growing up is different for everyone. In my opinion growing up is what happens after one graduates from college; when life sets in. After one graduates from college; there are several things that happen. Generally people go out and find a job and become useful to society. They go out and find a nice girl to marry and have children. Life becomes more or less systematic and repetitive. Chris gave up all of these to chase a wild dream that inevitably led to his death. Chris was a selfish child. He exhibited many of theShow MoreRelatedExamples Of Foolishness In Into The Wild866 Words à |à 4 PagesJon Krakauer glorifies Chris McCandless in his book, Into The Wild which puts rose tinted glasses on the reader, they donââ¬â¢t get the full story. Examples of Krakauer bias would be that he mentions other stories of people who have a similar experience to Chris. Foolish men whose foolishness lead to their demise in the wild. But Krakauer says that Chris was similar to them but different. His reasoning for their difference is due to Chris being well â⬠¦ Chris. The real reason that Chris is different thanRead MoreUse of Literary Techniques in Into The Wild, by John Krakauer1073 Words à |à 5 Pageslife to a man on an extraordinary path that led to his eventual demise and truthfully telling the somber story of Christopher McCandless. Krakauer enhances the story by using irony to establish Chrisââ¬â¢s unique personality. The author also uses Characterization the give details about Chrisââ¬â¢s lifestyle and his choices that affect his journey. Another literary element Krakauer uses is theme. The many themes in the story attract a diverse audience. Krakauerââ¬â¢s telling is world famous for being the truestRead MoreAnalysis Of The Book Into The Wild By Jon Krakauer1106 Words à |à 5 Pagesthe Wild (1996), Jon Krakauer writes this biographical novel in order to inform readers about a young man named Chris McCandless, who changes his name to Alexander Supertramp, and his identity. 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Jon Krakauer is not the main character; however he tells a story of this boy who leaves his well-developed family forRead MoreTrancendentalism in The Call of the Wild, by Jack London and Into the Wild by Jon Krakauer885 Words à |à 4 Pagesand strong, especially in the two novels The Call of the Wild, by Jack London and Into the Wild by Jon Krakauer. Transcendentalism is the belief that thought and spiritual experience is more important than everyday experiences and material belongings. The main character in the call of the wild is buck, a dog forced into trancendality as he was kidnapped and handed a brutal northern life. The main character in Into the wild is Chris McCandless, a young man who chooses the call of nature over modern
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