Discharge Planning And Processing Nursing Care Nursing Essay

Discharge Planning And Processing Nursing Care Nursing Essay Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in a wide diversity of practice areas with a different scope of practice and level of prescriber authority in each. Many nurses provide care within the ordering scope of physicians, and this traditional role has come to shape the historic public image of nurses as care providers. However, nurses are permitted by most jurisdictions to practice independently in a variety of settings depending on training level. In the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing. Nursing care is understood as being particularly crucial during patients recovery from serious illness or injury. Classically, it was thought that people requiring these services were probably people who were bed ridden. The objective of health services delivery is not only to care for bed ridden people but also anybody else that have a condition that is reducing their quality of life. It is known that some diseases significantly reduce the quality of life led by individuals and not by necessarily sending them to bed. The aim of healthcare today is to assist any person with any disease, ailment or any form of suffering to recover and have a joyous and creative life. Another factor that makes a nurse to be specifically suited to their job is because they are trained about community care. They deliver care in the context of the whole community. They are able to reach the society or community and teach or assist them on the best way to care for various people needing care in a society. Psoriasis is a non-contagious disease that affects a peoples skin. It is found in a class of diseases that are described as immune mediated. It occurs when a persons body starts sensing the skin cells that are foreign cells of disease causing microorganisms hence reacting against them. For this reason, the body responds to this faulty signal by producing more skin cells. The patients skin cells in the affected places divide up to 10 times faster and lead to accumulation of dead cells on the surface. The skin of the patient appears to have a red plaque that is covered with white rashes. This disease is particularly acutely irritating and is probably the most frustrating and unpredictable skin disorder. This disorder is also the most inexplicable and continual skin illnesses. Some parts of the body are more affected by this disease than others. These include the scalp, elbows, and knees. Some other parts are affected but on rare instances. They include the soles, the palms, and the fee t. Commons symptoms of psoriasis include reddening of the skin with white or silvery scales occurring at the top. These areas can be exceedingly sore and may crack and bleed occasionally. In most cases, the affected patches expand and coalesce forming large and continuous patches. In other instances, this disease may affect the nails where nails become rough, crumbled or even detached from their bed. Another symptom that health care providers look for in diagnosing psoriasis is crusts, scales or plaques on a persons scalp. There are various aspects of care that a nurse considers during care delivery. These are sometimes utilized by professional nurses as a checklist to ensure that the care is all inclusive, and the process of recovery is holistic. The main aim of this assignment is to address the nursing care of a patient with psoriasis based on two aspects of care which include patient education and discharge planning and process. Patients Education of Psoriasis Patient It is essential in the nursing care process of a patient with psoriasis to be educated and advised on how to live with the society, to avoid psychological torture and lastly to meet the prescribed medical instruction. The Patients are reported to face stigma and antagonism by such other people in the society. They become less indispensable resource to the society and hence said to experience negative attitude for the firsthand. They have seen how a single look on them initiates talks among people among other forms of stigmatization. Nurses teach patients to become ambassadors of truth. The society mistreats its members through stigmatization because of ignorance. The nurses also educate patients on how to protect friends, relatives and other members of the community (Smith et al, 2002). Moreover in Medical care, the nurse give educational care techniques including assistance on the application of the medicine, monitoring the progress of the patient and advising the patients on the fa ctors that aggravate psoriasis. Secondly, the nurses have noticed that the patients due to stress are currently suffering from psychological disorders such as post traumatic stress disorders and anxiety. They feel neglected and thus they need psychological education. Some of the nurses collaborate with psychologists to educate both the society and the psoriasis patients. In most case, nurses find themselves in a situation where the psychological health of the patient is crucial. Some patient feel like their image has been dented after they suffer from a psoriasis attack. The nurse has to respond to this by educating the patient on how to deal with these psychological problems. Sometimes, the patient is so psychologically affected that the nurse has to refer the patient for specialized counseling among other interventions. Bearing in mind the wide spread nature of psoriasis nurses come up with a way of assisting the society. The challenge that nurses face is lack of an elaborate system of reaching the society in order to educate them. The patients are advised on how to live healthy and boost their self-esteem. Nurses take this opportunity to educate parents and guardians how to handle the case and enhance the recovery of the patient. These educational programs are currently found to improve the health of the patient and to reduce stigmatization directed to the skin infections victims. Also in some cases, nurses organize members of the public into groups which have initiated some sports or even meditation. Other benefits of these sports are they help to deal with behaviors such as scratching. Furthermore other patients educational campaigns carried out by the nurse are to educate the patients and the society on the symptoms and origin of the disease thus clearing misconceptions in peoples mind. For example, some people believe that psoriasis is a sign of a curse, due to this they fail to take the medication and the advice seriously. It jeopardizes the process of treatment exceedingly and seriously. It may even increase stigma; people do not want to get close or in contact with a cursed person. Even when such people should be giving care, they stay away due to unreasonable fear. It becomes the responsibilities of nurses to shed more light on psoriasis. Friends, family, and people living with the affected individuals are educated to provide the necessary support for the patient. Lastly, the nurses are currently educating the patients who ignorantly fear to access the medical services due to been noticed that medical services will save them a lot from the disease. In some cases, it may disappear, in others it does not; thus, medical help is required. Additionally, it may leave an individual with extraordinarily large psychological problems that require specialized assistance. In most cases, nurses know specialists who can counsel and help the patient to fully recover. Nurses offer their advice regarding medical care and refer the patient for further counseling and peer support. In home care, the nurses are also educating the patients on how to handle stress. Medically, it is known that the careless and irresponsible behaviors that people develop during the stress cause psoriasis. Such behavior may include rubbing of hands and face. Stressed people have destructive tendencies of holding into anything and bringing things in contact with their faces. During care of a patient or other members of the community, the nurses shed more light on these issues so that people can lead a more informed life. They are also advised to protect themselves against excessive exposure to sunshine that can aggravate psoriasis especially during the summer periods. It is a method of illnesses prevention in a community, as observation of such basic rules can keep psoriasis at bay, at least for some people for some time (Walji et al, 1994). Thus in summary, the nurse has been carrying out the patients education across the medical services, stigmatizations and stress from other people, misconceptions and myths about the origin of the disease, treatment methods, society approach to psoriasis victims and lastly on how to handle psychological perception found to affect them adversely. Discharge Planning and Processing of Nursing Care Acute based care hospital discharge planning and process starts immediately upon admission in the hospitals. In most cases it is found to ensure that the nurses follow the right psoriasis disease medical guidelines and system (Fabian et al, 2011). It is defined as a multi-disciplinary nursing approach by the nurses and other medical practitioners to the patients signs, treatment process and discharging means. It involves several planning process, as described below. Immediately after admission of the patient, the first step in the nursing care designing planning and process is to examine the skin in general circumstances. The nurse should contact this within three hours. At the same time the patient is prepared for discharging through contacting the Medicare organizations such as insurance. At the same time the nurse should interview the patients about the problems linked to the disease, when did it start, what are some of the medications the patient accessed before and lastly, whether they have any hereditary problem of the disease across their family lineage. The next planning process is the nurse to describe the information given in line to the prevailing psoriasis diagnosis where the patient is taken for laboratory medical examination. At this process, the patients are instructed not to scratch themselves even if they are itching and home cares prepared for discharging process .This help to reduce more infections and complications. Moreover, in this stage, the patients are instructed to isolate themselves from other people in the society, utilize their own clothing and even take bath using bath oils. Moreover, the patient should avoid any skin injury that is going to complicate the medical process (Walji .Kingston, 1994) Third step in the discharge of nursing care planning method include keeping the skin moist. The nurses are trained to apply epidemiological prescription to ensure the patient skin is moist and thus not to itch. This involves reducing the scales by applying the necessary medical bath oils and staying in a cool place free from any dust and high temperature. The patients are also provided with some injections and clothing necessary to reduce itching, smell and pain. In the next stage, the patients are nursed in a manner as to keep the wounds clean and to apply the necessary antibiotics carefully and skillfully. This ensures that the patients do not have pain and itching is reduced. The nurses take this opportunity to educate the family members on how to prescribe the medical drugs to the psoriasis patients and thus improved services. At this moment, the nurses must monitor the risk of infections, outcomes of the disease and lastly the implication of the bath oil to the skin (Papadopoulo s Walker, 2003). Lastly, some of the patients found to be stressed, stigmatized and psychologically affected are provided with advices or even referred to psychologists for guidance and counseling. The nurses have a goal to improve the mind perceptions of the patients and to positively impact on their health. The nurses consider some numerous patients factors in the process of discharging the duties. They have to make necessary recommendations in line to the Medicare guideline so as to ensure that psoriasis patients enjoy the best Medicare services (Braverman, 1998). In the process, they must have insurance and Medicare eligibility so as to ensure that the psoriasis patient has in-patient services and hospitalized for at least three consecutive calendar years for observation purposes. Secondly, they must observe the cognitive status and especially their safety awareness while in the discharging process. This helps in reducing unnecessary infections to both the nurses and other patients. The clothing and bed sheets of the psoriasis infections must be handled with a lot of care (Camisa, 1994). Lastly, the nurses should observe the illness history and the future falls of the patient. Moreover, other factors that should be observed in the planning and discharge of psoriasis patients includes; age, living situation and lastly the daily nutrition and activities of the patients. Conclusion The nursing process of any psoriasis patient does not just require observation of the two aspects discussed above. Rather than that, it require all the nurses and medical practitioners to maintain people medical services to the patients, educate them and plan for the discharge process well. This will help to improve the health of this skin condition victim and reduce society misconception about the disease.

Vietnam: The Mixture of Protests and Politics Essay -- essays research

  Ã‚  Ã‚  Ã‚  Ã‚  The United States was unjustified in its involvement in the Vietnam War because, in my opinion, the U.S had little justification to sacrifice thousands of innocent youths for political ideals. It was the longest and most unpopular war in which the United States fought. Many Americans on the home front protested their government’s involvement in the war. Many young Americans felt that there was no reason to fight for a cause they did not believe in, especially in such a strange foreign country. The civil rights movement also strongly influenced many of the war protests. This was because such a large percentage of minority soldiers sent over to fight were being unfairly treated. The African American soldiers were being ordered to the frontlines more often than white soldiers were.   Ã‚  Ã‚  Ã‚  Ã‚  Another vigorously protested topics of the Vietnam War was Conscription. Most of two million soldiers who fought in the war were chosen through the Selective Service program. The draft policy has been an imprint of America the Civil War. This policy has been used in every major United States war since. Young adult males were required to register for the draft when they turned eighteen years old. A lottery system decided who would be called to combat. If selected for the draft, the draftee had to serve 24 months of active duty. During the Vietnam War, the hostility Americans felt towards the draft erupted and caused major protests across the nation.   Ã‚  Ã‚  Ã‚  Ã‚  They are where many ways people protested the draft. Some eligible draft members avoided the draft by leaving the country for Canada, Sweden, and a number of other countries. Other men protested by publicly burning their draft cards.   Ã‚  Ã‚  Ã‚  Ã‚  Lyndon B. Johnson won the presidential election on November 1, 1964. Despite the tension between the â€Å"Doves† and the â€Å"Hawks†, president Lyndon B. Johnson stood by his policy of slow escalation. As he began his term in office in 1965, he was confident that his programs to better the nation would be established despite that â€Å"nagging little war in Vietnam†# as News Week reported it.   Ã‚  Ã‚  Ã‚  Ã‚  Protests have long been a way for people to display their difference in opinion and gain support. One of the many protests against the war that had a powerful effect on public opini... ...been involved in because it was against an unknown enemy in an unknown territory. The consequences of the war far exceed the benefits. The citizens during that period of time would definitely agree. The war caused a severe decrease in the countries moral. Many people no longer trusted the government and grew extremely skeptical of its actions. The recession soon after the war did not help in boosting the spirit of the country. The Vietnam war also exposed many of the United States‘ weaknesses. It showed that our government had planned poorly. It also showed that it was possible to resist the United States as a mass. There is a major difference between one disagreeing voice and a vast number of them. In the end the United States had devastating losses socially and economically. Protests and politics will always go hand in hand when the â€Å"sheep† disagree with the â€Å"herderâ€Å". Bibliography: - Nhu Tang, Truong. 1985. A Vietcong Memoir. New York: Harcourt Brace Jovanovich, Publishers - Dougan C. & Lipsman S. 1984 The Vietnam Experience: A Nation Divided. Boston: Boston Publishing - McDougal Littell. 2003 World History. United States of America - http://www.pbs.org/

John F Kennedy’s Rice Stadium Moon Speech Analysis Essay

Since the industrial revolution, countries have been competing against each other to see who is the most advanced in medicine, technology, and education.In 1957, Russia successfully launched the first artificial satellite, this had started the space age and the United States of America and the U.S.S.R. space race. President John F Kennedy delivered the Rice stadium moon speech in hopes of persuading the American people to support NASA’s intention to send a space craft to the moon. Kennedy attempts to do this by the use of syntax and ethos. Kennedy begins by trying to establish credibility with his student audience by the use of ethos. Kennedy is made an â€Å"honorary visiting professor† and states that his â€Å"first lecture will be very brief†. By putting himself into the position of a professor, he tries to convey to his student audience that he will teach them something important and to open their minds to him. He then lists how humans have advanced learning to â€Å"use skins of animals to cover them† to developing â€Å"penicillin†¦television and nuclear power†. By listing these advancements in mankind, Kennedy shows the audience his knowledge and gives them another reason to trust what he is saying. In gaining the audiences trust, Kennedy can easily persuade them to support NASA’s intentions of sending an aircraft to the moon. The word choice and sentence structure Kennedy uses to deliver his speech helps to persuade American citizens to support NASA’s intentions. Kennedy uses phrases such as â€Å"10,000 automobiles†¦as tall as a 48 story structure†¦ [and] as wide as a city block†. He uses lament terms to appeal to the commons man’s ballpark figure of everyday lengths and power. With better understanding of what Kennedy is saying, his student audience can support NASA with their acquired knowledge. He then states how his surroundings are â€Å"noted for† knowledge, progress, and strength. By his word choice he helps to instill a sense of pride for the homeland. This promotes nationalism among the audience and their desire for their country to be helpful.

Is YouTube Hurting our Kids Professor Ramos Blog

Is YouTube Hurting our Kids Since the mid 2000s YouTube has gotten very popular and it’s just been growing every year. But the one thing that we don’t realize is just how big is to big. Every day videos are uploaded in YouTube, the next big video will be shown on the Internet, and the next star. I see YouTube as tool that can’t be use right for are kids, but we also have to watch the dark side of YouTube. In discussion of YouTube, one controversial issue has been is YouTube safe for our kids. On the one hand, it doesn’t have enough filters contends to many uncensored videos online. Others even maintain it hurts them emotion and mentally and also some videos are mostly targeting are kids. My own view is as a parent I could relate it’s easy for us to just give them an electronic device to keep them distraction, but we also need to be careful what they are watching in article from USA Today states, â€Å"YouTube said it turned off comments on 625,000 videos and deleted 150,000 videos that were targeted by child predators.(Grahams, USATODAY). A CHILD PREDATOR uploaded a video on YouTube that could contain very bad content. Then again there are no relegation on who could upload a video. Like any other company in order to become big they need to protect their YoutTubers because they get a lot of views and a lot of billion on advertising. Like Logan Paul especially had a big c ontroversial issue for showing a real life dead body that was hanging from a tree in japan. In his video he laughs about it and doesn’t realize what effect people might take it. Had over six million views less than an hour been uploaded and most of his followers then again are kids that fallow him and of you look at his channel mostly dumb and outrages videos he does to promote. YouTube has a lot in their hands they can’t control even with their filter just installing the app is easy its free. If you go and look on the image on the left, you could see the rating is for Teen and that 23,448,364 are install either on their phones or tablets still not including computer. With no context letting the user what kind of graphic video you might see. My feeling on the issue are mixed. There is good information on YouTube how well-educated videos that are uploaded. In my experience I do use YouTube for day to day task like how to teach my sons how to read, how to do some fun activities, my son Andrew also likes to watch soccer videos and how to become a better goal keeper. YouTube has variety of good contents and followers to watch. In article by Forbes it sates, â€Å"What makes these YouTube educational channels so successful may be the very element of entertainment students may not receive in the classroom.† (Hua, FORBES) what some are true. I don’t blame my sons teacher in anyways but something he doesn’t get I’ll try to find someone in YouTube that could help us what issue there having and we could resolve it and I do notice it like for example we watching a video how to improve your word sounding this YouTuber called, â€Å"Pebbles Kids Learning† channel help him a lot it wasn’t bori ng to him he was having fun while watching this video on YouTube. Like what Karen states, â€Å"In fact, education videos are viewed twice as often as those found in the Pets Animals category.† (Hua, Forbes) so means that children and even teens use YouTube for education purpose. YouTube has also created a new App called YouTube for kids which is targeted only kids that are in the elementary age. Which G rated context that very education and fun to watch. What I learn so far is that being a parent I have to be more careful on what my sons are watching. I was born during 90’s we didn’t have much technology growing up as the only action I got to watch was when my dad was watching Alfonso Zayas (Mexican Actor in the Early 80’s) movies especially â€Å"La Risa En Vacaciones† collection those were graphics videos then again, my parents didn’t have filters. All we need to is just monitor on what there watching and explain to them it’s not good watch and if you have any concerns not afraid to ask. : Authors:Jefferson Graham USA TODAYSource:USA Today. 11/30/2017. Authors:Jessica Guynn USA TODAYSource:USA Today. 01/04/2018. Karen Hua , Forbes Staff  Jun 23, 2015 @ 12:28 PM

CMOE gone wild Essay

CMOE gone wild Essay CMOE gone wild Essay When you walk into CMOE there is such a converting and relax atmosphere. It doesn’t matter what your kids enjoy or their interest you will want to take them to CMOE not just because of what all you can observe there, but also because of how the staff acts and there goals and ideas. When talking to Emily Endress and Stephanie Terry I could quickly see that this isn’t just their job, it is also their passion, they want to bring the best atmosphere for kids to learn but have fun when they are learning, and there will be no boundaries on what they want CMOE to become. From the beginning of the interview all the way to the time I left I was nothing but impressed because of not just with the words they used to answer our questions but the way they answered them. To me in communications it’s not all about the words you use but all the other factors are just as important to me, such as their tone and all the non-verbal’s. When she answered the question about what led her to get involved in this type of work, you could see the fire and passion just light up in her eyes as she began to explain how she first got a part time job here and got the opportunity to work at the summer camp. She absolutely loved it, she didn’t have anything negative to say about it. She then led on to say that she had her teaching degree, enjoyed teaching but was not a fan of the traditional school setting. She wanted to be able to teach the things the kids had to learn like CMOE was doing, rather than books, paper and test setting. A job opened up at CMOE and she didn’t want anything less than that job. It just shows you that this wasn’t there last resort to a job, it was the exact opposite. They want to work here they want this type of job. CMOE is most definitely not your normal museum, it has pretty much been the same museum these last six to seven years. They know that is definitely time for change. To some people it is always just about how things places are operated, or what they have to offer, or even the people that work there. They are more worried about what they will observe when they are there to see how things are working all the time. What you observe at a place leaves a lasting impression. When I got the opportunity to visit CMOE the most important things I observed was the first impression, how everything was set up, and the staff that worked there. In life no matter what you are doing or where you are at or how old you are, first impressions are everything. You can redo a first impression. That is one of the main reasons that I knew the moment I opened the door at CMOE and I would get my first impression that, that would determine how the next 2 hours of the interview would go. When I walked through the door all I could see was warming, friendly smiles from the workers all the way to the youngest kids that were there playing. You would just know that everybody seemed to be in a good mood and that there wasn’t very much negativity in the room. My first impression was not only that I felt very welcomed but also that I was impressed by how everything was set up. When you go into a building I am always curious, first how is it set up, second why is it set up this way. You never want to have too much in the front room and you never want to have not enough. I noticed that when I walked in they had some pretty cool things to look at and some simple items that you could play with no matter how old you were. It almost like they were giving you a quick overview on what you were going to get to experience

W Essay Example | Topics and Well Written Essays - 750 words - 1

W - Essay Example Oligopoly involves a market with a limited number of sellers. Monopsony is market with several sellers and a single buyer. Chamberlin’s most outstanding contribution to imperfect competition is the theory on monopolistic competition. This theory provides that there are several consumers and producers in a market and no one has total control of the market price. There is an existence of non-price differences between products with limited barriers to entry and exit. In this market, the producers also have some level of control over prices. Chamberlin conceived production differentiation, which describes the ability of producers to charge different prices for the same product in different markets (Chamberlin 519). Robinson’s contribution to imperfect competition centers on monopsony, which was conceived in her book ‘The economics of imperfect competition’. The term is often associated with the purchase of labor where the employer possess the power to set wages which allows them to pay the workers less than their marginal productivity (Helpman 54). Alfred Marshall was an economist and the founder of neoclassical economics. Marshalls book the ‘Principles of Economics’ introduced the concepts of integrating demand, supply, cost of production and marginal utility. This book was widely used because it introduced radical changes on how to teach economics. Unlike other books, which were written is solely in paragraphs, the book incorporated diagrams to allow for better understanding. Marshall’s concepts made a significant contribution to neoclassical economics. Among these contributions is the analysis of price. According to Marshall, consumers act rationally and seek to maximize utility while producers seek maximum rewards. The equilibrium price and quantity can be determined by drawing a demand and supply curve. His analysis of price emphasized the cost of production as a

Police Officers Injuries related to work and what ii the solution Essay

Police Officers Injuries related to work and what ii the solution - Essay Example This is mainly evidence with patrol police officers who receive injuries or meet their deaths when they are outside their patrol vehicles. Arguably, few professionals experience the injury threats that police officers face during their careers. Health workplace is the key to any effective and successful law enforcement department. The department of police should understand that healthy police officers who work under safety and healthy workplaces are able to better perform their duties and serve the community effectively. The department executives must ensure that police agencies support the police officers’ safety and healthy. For, instance, the department of police should incorporate adequate measures to protect the employees from the adverse threats, which they face during their operations (Gundersen and Robert 62). Police executives should ask several questions to ensure the police officers’ wellbeing is fully protected (Ball 47). For example, what are the basic health and safety measures should the police department ensures to its employees? During large-scale epidemics, such as fighting against a terrorist group, which are the appropriate safety and health measures to ensure the police officers are healt hy and are able to undertake their duties? What benefits should the police officers derive from the health and safety program? This essay aims at explaining the types of injuries, police officers face during the line of duty and the appropriate safety and health programs that police department should implement (Gundersen and Robert 65). The paper also purports to provide some considerations for strengthening the current safety and health programs. This document begins with explaining the various types of injuries, police officers face related to their duties (Ball 49). It further proposes several health and safety programs that police departments should implement and explaining their benefits and stressing that it is only through the