Friday, January 31, 2020

The IOM Report and The Impact of Nursing Essay Example for Free

The IOM Report and The Impact of Nursing Essay The Institute of Medicine and The Robert Wood Johnson Foundation worked together to create a report that would change the future of nursing. The two teams worked on this project for two years. During this time they came up with four key messages. The four key messages are as stated, â€Å" Nurses should practice to the full extent of their education and training, nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression, nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States, and effective workforce planning and policy making require better data collection and information infrastructure. † (The future of nursing: leading change, advancing health 2010) The IOM report shows the importance of a nurse and how this will help change the future of nursing. The Institute of Medicine report informs everyone how important nurses are in giving high-quality, safe, patient centered care. The IOM report wants nurses to continue their education and help with the health care system. The future of nursing report wants more nurses to have a baccalaureate and doctoral degree in nursing. The nurse must commit to continue learning new information for the rest of their life or career. Nurse should also function to the full extent of their scope of practice. When caring for patients you are caring for them physically, emotionally, and spiritually. (Fights S. D. 2012) The Institute of Medicine report has a big impact on nursing education. According to the report and one of its key messages, â€Å"Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.† (The future of nursing: leading change, advancing health 2010) Nurses are required to have 24 continuous education hours every time they renew their license. Nurses are always learning new protocols and procedures when they are at work. Most hospitals are beginning to require you have a bachelor’s degree to even get hired on at their facility. They want more nurses to achieve their bachelor’s degree in nursing. In nursing school the instructors are teaching more public health, preventative care, and are preparing the nurses to be able to use their learned knowledge on the job. I think schools are making it easier for nurses to begin working with the clinical setting teaching. Most of the test taken in school is based on clinical setting questions rather than knowledge based questions. Through this type of testing you must use your critical thinking skills in the classroom first before using it on the job. The Institute of Medicine report also has a big impact on the nursing practice. The goal to caring for patients is care for them at their own individual needs and not at the nurse’s convenience. The care of a patient must be centered on the patient. Instead of having just acute care or specialty care, the care has been broken into more define groups. Some of the groups include preventative care, palliative care, primary care, chronic conditions, and hospital-acquired infections. Every nurse must practice to their full potential of their education and training. Teaching is a major way you can help your patients with their health. Most patients take medications and don’t even know what they are taking them for. When patients are educated about their condition and the preventative care they can better care for them self and know signs and symptoms to report to you and the physician. The Institute of Medicine report has had a big impact on the nurse’s role as a leader. When you are a nurse you must take charge and be the leader to care for your patients. Many people are working with each patient and one person needs to know what is going on with that patient at all times and that would be the nurse. The nurse plays a very important leadership role. Nurses must communicate with the physicians concerns about the patient. Nurses also need to communicate with other nurses for report or if they need help with a patient. Everyone needs to work together as a team in order to provide the patient with safe, patient centered care. I will make sure I am communicating all my concerns to the physician and fellow nurses to better care for my patient. The IOM report shows the importance of a nurse and how this will help change the future of nursing. Nurses are the main person caring for the patients while they are following the physicians’ orders. The nurse is the one who will notice changes in the patient first and needs to be able to communication with the physicians and other nurses efficiently. Caring for patients is a team effort. Physicians, nurses, and other specialized medical staff needs to work together in order to provide safe care. By focusing on the patient and their unique needs you can provide safe, effective, patient centered care. Nurses are very important to help maintain the health of patients to their full potential. References Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine,Institute of Medicine. Front Matter. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press, 2011 Fights, S. D. (2012). Nurses Lead From Where We Stand: How Can You Impact the Future Of Nursing?. MEDSURG Nursing, 21(2), 57-58. The future of nursing: leading change, advancing health. (2010). Connecticut Nursing News, 83(4), 1.

Wednesday, January 22, 2020

The Humpback Whale :: essays research papers

To look up into the mountains and see the steam rolling from a mountain stream on a cold winters morning is a beautiful sight. However, to look out over the horizon and see the white spray of salt water coming from the blow of a huge hump-back whale is much more exciting sight and a whole lot warmer. I lived in the mountains of Colorado for most of my childhood. The first time I had the opportunity to see the ocean was on a vacation to California, when I was about 15 years old. It was even better than I had dreamed it would be. The different animals in the ocean, the color of the water, and the warm sand between my toes was probably what led me to come to the islands of Hawaii. When I first saw the hump-back whale I was amazed at their huge size and how they could breach out of the water so gracefully. It is as if they were trying to play or show off. So when we were asked to choose a favorite animal, I had no problem deciding on the hump-back whale.The hump-back whale gets it's name from the distinctive hump in front of the dorsal fin and from the way it raises it's back high above water before diving. They are a member of the order Cetacea. This order is of aquatic mammals and the hump-back belongs to the suborder of the Mysticeti. The Mysticeti are the baleen whales which have three families and several species. The family in which the hump-back belongs is the Balaenopteridae, the true fin backed whale. The thing that separates this genus from the other fin-backed whales is the pectoral fins, which grow in lengths of about 5 meters (16.4 feet). This Genus is called Megaptera meaning great wing (Tinker 290). There was a controversy over the species name in the late nineteenth and early twentieth century. In 1932, Remington Kellogg finally settled the matter with Megatera Novaeangliae (Cousteau 84). The common English name is the hump-back whale.The hump-back whale lives in both the Atlantic and the Pacific oceans. Since we live in the Pacific I'll be discussing the hump-backs of the North Pacific. They migrate from North to South. In the months of July through September they gather in the Aleutian Islands, Bering Sea or the Chukchi Sea. They head south for the winter.

Tuesday, January 14, 2020

Referral Article

In addition, when asked, current employees would eve nonchalant answers such as â€Å"l will have to think about it, I don't know. † The general structure of such a program is that there is an associated monetary bonus for the employees who refer candidates for open positions. The monetary bonus would be received after the referred employee passed a 90 day probationary window. A number of companies will actually limit the monetary bonuses received for referrals for employs too particular number per year.For the companies that do to offer a monetary bonus for employee referrals, there is an offering of products or services to be redeemed, specifically products or services that are commonly used. In regards to employee-based referrals, it seems that the process should be more streamlined and has a more concrete structure. Offering monetary bonuses doesn't seem like the best idea as it could motivate the current employees to suggest any random individual, rather that a solid qual ified one.Instead of monetary bonuses, he companies should offer training to employees. For example a rare opportunity for a class that isn't normally offered, it would encourage the employee to better themselves and the company they work for. The employee referral program is also a significant way for companies to diminish large cost ways of finding employees, such as newspaper advertisement. The word of mouth idea is at it's finest by using the current employees to recruit new ones. That is a great way to cut cost and yet get the Job done in a timely manner.

Monday, January 6, 2020

Symptoms of Parkinsons Disease Essay - 1373 Words

Symptoms of Parkinsons Disease Parkinsons Disease is a degenerative disorder of the nervous system. Parkinsons is a disease that may happen in younger people, but the risk mainly increases with age. This is because many of the cellular systems in the brain are difficult to renew by themselves while there are trillions of nerve cells in the brain to compensate for the loss of these cells. For example, in Parkinsons disease the symptoms are caused by the selective loss of a small population in the brain consisting of about 500,000 dopaminergic cells. The dopaminergic cells are situated deep in the midbrain and carries messages back and forth to nerve cells. In any brain that grows older, some of these dopamine cells will†¦show more content†¦Unless it is temporarily eased by anti-Parkinsons medications, rigidity id always present. However, it increases during movement. It is often responsible for a mask-like expression of the face. In some patients, rigidity leads to sensations of pain, especially in the arms and shoulders. Bradykinesia is the slowness of movement a p erson with Parkinsons disease will usually have. This symptom is characterized by a delay in initiating movements, caused by the brains slowness in transmitting the necessary instructions to the appropriate parts of the body. when the instructions have been received, the body responds slowly in carrying them out. Poor balance also tends to affect people with Parkinsons disease. This is mainly true when they move harshly, causing a sudden change in the position of their bodies. Some patients experience repeated falls due to poor balance. Walking problems commonly include a decreased or non-existent arm swing, short shuffling steps, difficulty in negotiating turns, and sudden freezing spells that make a person unable to take their next step. People with Parkinsons disease may also suffer from many secondary symptoms. These include depression, sleep disturbances, dizziness, hunched posture, constipation, dementia, and problems with speech, breathing, swallowing, and sexual function. Also, it is important to take notice that different patients experience differentShow MoreRelatedThe Symptoms and Signs of Parkinson’s Disease650 Words   |  3 PagesParkinson’s disease is a disorder of the nervous system that progressively gets worse. The breaking down of certain neurons causes Parkinson’s. Many symptoms are due the lack of dopamine, which is produced by some neurons. It may just start with tremors in one hand but will commonly grow and cause stiff or slow movement. There are no cures for Parkinson’s but there are medications you can take to improve different symptoms. 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