Saturday, February 15, 2020

Reflections on my Drug Administration OSCE Essay

Reflections on my Drug Administration OSCE - Essay Example Drug administration is one of the major roles of nurses. However, as I found out in the objective structured clinical examination (OSCE) given to us, it entails much more than simply giving a patient a pill. It is an aggregate of all the principles and skills we learn as nursing students, and the application of theories into practice. In drug administration, we have to remember and practice patient safety, provide holistic and individualized patient care, have a solid foundation on knowledge about drugs and medication safety, and perform administration checks and documentation at all times. Much about the role of nurses in hospital can be learned from something as seemingly simple as a drug administration OSCE. Patient safety practices Patient safety is a crucial part of patient care. At all times, all health professionals should keep the safety of the patient in mind. Patient safety practices for drug administration begin at the first contact, from patient identification, patient ed ucation and information, patient contact, performance of procedures, to leaving the patient comfortable. One of the important principles in patient safety is infection control. Nosocomial or hospital-acquired infections are the most common complications affecting hospitalized patients today, and one of the major sources of infection is cross-infection by health care workers (Burke, 2003). Meaning, most patient obtain infection from the hands of those that are treating and caring for them. Most incidents that lead to infection can be prevented and one of the simplest ways to prevent this is by hand-washing. In the Guideline for Hand Hygiene in Health-Care Settings released by the Centres for Disease Control and Prevention (Boyce and Pittet, 2002), it is recommended that hand washing and hand antisepsis be done if hands are visibly dirty or contaminated. It should also be done before having direct contact with patients, before donning sterile gloves, after contact with a patientâ€⠄¢s skin, after contact with body fluids or excretion and wound dressings, and before eating or after using the restroom. In all aspects of contact with the patient, hand hygiene must be done. The guideline further recommends that health care personnel should not wear artificial fingernails, should keep nail tips short, and should remove gloves after caring for a patient. Thus, before drug administration, and even before handling drugs and preparing them, hand washing must always be done. It should also be done after patient contact, and in between interaction with different patients. Verifying patient identity is another important aspect of patient safety, and not being able to do this could lead to adverse results. Omitting verbal verification of patients’ identity prior to administering medications may lead to a potential adverse event 20% of the time in worst case scenarios (Lisby, Nielsen, and Mainz, 2005). Even with the use of medication administration technologies such as bar code verification, effectiveness in preventing errors is largely dependent on how practitioners use the technology to verify patient identity and drug identity (Englebright and Franklin, 2005). Remediable causes of having the wrong patient include absent or misused protocols for patient identification and informed consent, faulty exchange of information among caregivers, and poorly functioning teams (Chassin and Becher, 2002). During my OSCE, I failed to check the identity of the patient with my mentor. I understand that failing to properly verify my patient’s identity could lead to adverse consequences, and will make sure to keep it in mind in future patient interactions. Doing a brief clinical history can also contribute to patient safety. It allows nurses and other medical personnel to be aware of the patient’s condition, comorbidities, present symptoms and level of comfort. Particularly relevant in drug administration is asking the patient about other drugs being taken and for any personal history or family history of

Sunday, February 2, 2020

Gdel's Work in Set Theory Case Study Example | Topics and Well Written Essays - 2000 words

Gdel's Work in Set Theory - Case Study Example In his Logical Journey, Wings publications indicate that GÃ ¶del’s works began in 1930 when he started studying the consistency problems of classical analysis (Wang, 1996). At the time, there had been no rigorous justifications and explanations on the rigorous mathematics (Feferman, et al., 2003, p. 339). This study got its motivation from Hilbert’s works. Hilbert had been working towards the provision of a directly consistent analysis of the finitary methods. The problems that this work had formed the driving force to his study. Through this, GÃ ¶del’s wanted to prove the constancy of number theory by a finitary numeral theory (Barbara, et al., 1990). He also wanted to prove the dependability of analysis by number theory. He represented real numbers by the predicates in number theory. In so doing, he found out that he had to use the truth concept in order to verify the axioms of the analysis. He came with an enumeration of symbols, sentences, and verifications within the specified order. In so doing, he discovered that the impression of arithmetic truth cannot be given a defined form in arithmetic. He observed that if a way to define the truth within a system existed, it would lead to a liar paradox (Rahman, et al., 2008). This would show that the system is inconsistent with what is being studied. These arguments were later formalized so that they bring meaning to the existence of undecidable propositions without quoting any individual occurrences. It is observable that GÃ ¶del tried to reduce the c onsistency problem to that of arithmetic for ease of solving. At this point, he temporarily changed the direction with the aim of intruding another element. The element would prove an illumination solution to Liar Paradox (Winterburn, 2012, p. 47). This appeared to require the truth definition for the arithmetic. This, in turn, resulted to paradoxes, like the Liar paradox to mean that the sentence is a false one. GÃ ¶del then discerned paradoxes of this form would not necessarily come in existence if the truth were to be replaced with probability.

Saturday, January 25, 2020

Our Moment In History :: essays research papers

Our moment in history   Ã‚  Ã‚  Ã‚  Ã‚  My moment in history would have to be my first rave I ever went to. It was in an old abandoned warehouse and my friends and I had never been to a rave. We thought it would be a good idea to get there early so we wouldn’t stand in line to long. But as it turned out there was no line and we appeared to be the first ones there. My friend mustered up the courage to go talk to the guy at the front of the building. There was just one problem he was missing his ticket.   Ã‚  Ã‚  Ã‚  Ã‚  Not understanding that he needed a ticket to get, and that the building didn’t open for another hour, he sat there and argued with the man about how he should be let in right now. Well the man eventually calmed my friend down. But sent him to a checkpoint, which is a way, to detour people that the doormen feel should not be in the rave. Any way I was volunteered next to go up to the man after my friend drove off.   Ã‚  Ã‚  Ã‚  Ã‚   â€Å"So,† I said, â€Å"here’s my ticket when can I get in?† He explained that this building would not open for an hour and that we best drive around for an hour or so. I went back to car and told about how we were too early. They agreed that we should drive around for a while. As we drove around I saw my friend driving around. He pulled us over and started to talk to us.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Are you guys going though the check points too?† He said, but we were thinking to our selves what is he talking about? So he went on to say how he had been going to check points that take him to the rave. He asked us why we had a confused look on our face, and I said, â€Å" No reason†¦Ã¢â‚¬  Well from there we left him and went get something to eat, he would be searching all night for the remaining check points. He would be searching all night for a good reason most of them didn’t exist.   Ã‚  Ã‚  Ã‚  Ã‚  So we went do the gas station, the only thing open past nine in Florida, and got some snacks and drove around some more. We got on the Florida turnpike and got stuck on there for about an hour and a half.

Friday, January 17, 2020

Part Two Chapter VIII

VIII Colin Wall saw Gavin and Mary pass under his study window. He recognized Mary's silhouette at once, but had to squint to identify the stringy man at her side, before they moved out of the aureole cast by the street light. Crouching, half-raised out of his computer chair, Colin gaped after the figures as they disappeared into the darkness. He was shocked to his core, having taken it for granted that Mary was in a kind of purdah; that she was receiving only women in the sanctuary of her own home, among them Tessa, who was still visiting every other day. Never had it occurred to him that Mary might be socializing after dark, least of all with a single man. He felt personally betrayed; as though Mary, on some spiritual level, was cuckolding him. Had Mary permitted Gavin to see Barry's body? Was Gavin spending evenings sitting in Barry's favourite seat by the fire? Were Gavin and Mary †¦ could they possibly be †¦? Such things happened, after all, every day. Perhaps †¦ perhaps even before Barry's death †¦? Colin was perennially appalled by the threadbare state of other people's morals. He tried to insulate himself against shocks by pushing himself to imagine the worst: by conjuring awful visions of depravity and betrayal, rather than waiting for the truth to rip like a shell through his innocent delusions. Life, for Colin, was one long brace against pain and disappointment, and everybody apart from his wife was an enemy until they had proven otherwise. He was half inclined to rush downstairs to tell Tessa what he had just seen, because she might be able to give him an innocuous explanation of Mary's night-time stroll, and to reassure him that his best friend's widow had been, and was still, faithful to her husband. Nonetheless, he resisted the urge, because he was angry with Tessa. Why was she showing such a determined lack of interest in his forthcoming candidacy for the council? Did she not realize how tight a stranglehold his anxiety had gained over him ever since he had sent in his application form? Even though he had expected to feel this way, the pain was not diminished by anticipation, any more than being hit by a train would be less devastating for seeing it approaching down the track; Colin merely suffered twice: in the expectation and in its realization. His nightmarish new fantasies swirled around the Mollisons and the ways in which they were likely to attack him. Counter-arguments, explanations and extenuations ran constantly through his mind. He saw himself already besieged, fighting for his reputation. The edge of paranoia always apparent in Colin's dealings with the world was becoming more pronounced; and meanwhile, Tessa was pretending to be oblivious, doing absolutely nothing to help alleviate the dreadful, crushing strain. He knew that she did not think he ought to be standing. Perhaps she too was terrified that Howard Mollison would slit open the bulging gut of their past, and spill its ghastly secrets for all the Pagford vultures to pick over. Colin had already made a few telephone calls to those whom Barry had counted on for support. He had been surprised and heartened that not one of them had challenged his credentials or interrogated him on the issues. Without exception, they had expressed their profound sorrow at the loss of Barry and their intense dislike of Howard Mollison, or ‘tha' great smug basturd', as one of the blunter voters had called him. ‘Tryin' ter crowbar in ‘is son. ‘E could ‘ardly stop hisself grinnin' when ‘e ‘eard Barry was dead.' Colin, who had compiled a list of pro-Fields talking points, had not needed to refer to the paper once. So far, his main appeal as a candidate seemed to be that he was Barry's friend, and that he was not called Mollison. His miniature black and white face was smiling at him out of the computer monitor. He had been sitting here all evening, trying to compose his election pamphlet, for which he had decided to use the same photograph as was featured on the Winterdown website: full face, with a slightly anodyne grin, his forehead steep and shiny. The image had in its favour the fact that it had already been submitted to the public gaze, and had not brought down ridicule or ruin upon him: a powerful recommendation. But beneath the photograph, where the personal information ought to have been, were only one or two tentative sentences. Colin had spent most of the last two hours composing and then deleting words; at one point he had managed to complete an entire paragraph, only to destroy it, backspace by backspace, with a nervous, jabbing forefinger. Unable to bear the indecision and solitude, he jumped up and went downstairs. Tessa was lying on the sofa in the sitting room, apparently dozing, with the television on in the background. ‘How's it going?' she asked sleepily, opening her eyes. ‘Mary's just gone by. Walking up the street with Gavin Hughes.' ‘Oh,' said Tessa. ‘She said something about going over to Miles and Samantha's, earlier. Gavin must have been there. He's probably walking her home.' Colin was appalled. Mary visiting Miles, the man who sought to fill her husband's shoes, who stood in opposition to all that Barry had fought for? ‘What on earth was she doing at the Mollisons'?' ‘They went with her to the hospital, you know that,' said Tessa, sitting up with a small groan and stretching her short legs. ‘She hasn't spoken to them properly since. She wanted to thank them. Have you finished your pamphlet?' ‘I'm nearly there. Listen, with the information – I mean, as far as the personal information goes – past posts, do you think? Or limit it to Winterdown?' ‘I don't think you need say more than where you work now. But why don't you ask Minda? She †¦' Tessa yawned ‘†¦ she's done it herself.' ‘Yes,' said Colin. He waited, standing over her, but she did not offer to help, or even to read what he had written so far. ‘Yes, that's a good idea,' he said, more loudly. ‘I'll get Minda to look over it.' She grunted, massaging her ankles, and he left the room, full of wounded pride. His wife could not possibly realize what a state he was in, how little sleep he was getting, or how his stomach was gnawing itself from within. Tessa had only pretended to be asleep. Mary and Gavin's footsteps had woken her ten minutes previously. Tessa barely knew Gavin; he was fifteen years younger than her and Colin, but the main barrier towards intimacy had always been Colin's tendency to be jealous of Barry's other friendships. ‘He's been amazing about the insurance,' Mary had told Tessa on the telephone earlier. ‘He's on the phone to them every day, from what I can gather, and he keeps telling me not to worry about fees. Oh God, Tessa, if they don't pay out †¦' ‘Gavin will sort it out for you,' said Tessa. ‘I'm sure he will.' It would have been nice, thought Tessa, stiff and thirsty on the sofa, if she and Colin could have had Mary round to the house, to give her a change of scene and make sure she was eating, but there was one insuperable barrier: Mary found Colin difficult, a strain. This uncomfortable and hitherto concealed fact had emerged slowly in the wake of Barry's death, like flotsam revealed by the ebbing tide. It could not have been plainer that Mary wanted only Tessa; she shied away from suggestions that Colin might help with anything, and avoided talking to him too long on the telephone. They had met so often as a foursome for years, and Mary's antipathy had never surfaced: Barry's good humour must have cloaked it. Tessa had to manage the new state of affairs with great delicacy. She had successfully persuaded Colin that Mary was happiest in the company of other women. The funeral had been her one failure, because Colin had ambushed Mary as they all left St Michael's and tried to explain, through racking sobs, that he was going to stand for Barry's seat on the council, to carry on Barry's work, to make sure Barry prevailed posthumously. Tessa had seen Mary's shocked and offended expression, and pulled him away. Once or twice since, Colin had stated his intention of going over to show Mary all his election materials, to ask whether Barry would have approved of them; even voiced an intention of seeking guidance from Mary as to how Barry would have handled the process of canvassing for votes. In the end Tessa had told him firmly that he must not badger Mary about the Parish Council. He became huffy at this, but it was better, Tessa thought, that he should be angry with her, rather than adding to Mary's distress, or provoking her into a rebuff, as had happened over the viewing of Barry's body. ‘The Mollisons, though!' said Colin, re-entering the room with a cup of tea. He had not offered Tessa one; he was often selfish in these little ways, too busy with his own worries to notice. ‘Of all the people for her to have dinner with! They were against everything Barry stood for!' ‘That's a bit melodramatic, Col,' said Tessa. ‘Anyway, Mary was never as interested in the Fields as Barry.' But Colin's only understanding of love was of limitless loyalty, boundless tolerance: Mary had fallen, irreparably, in his estimation.

Wednesday, January 8, 2020

Internet Effects Of Social Networking - 1387 Words

Professor Sanders August 10, 2015 Internet: Effects of Social Networking Envision the year 2000 - six years prior to thought of Twitter turned into a reality, four years prior to Mark Zuckerberg dispatched Facebook from his school quarters, three years prior MySpace was changed over to bolster the thought of long range informal communication. The prospect that individuals may some time or another spend more than 700 billion minutes for every month on a solitary site, for example, Facebook was unimaginable. These long range informal communication locales alongside hundreds more were only a flash in creators brains. Blaze forward to the present. Undergrads in the year 2010 can hardly wait to redesign their status. It is pressing for them to let their three hundred and twenty Facebook companions think about the task they have due in two days. While paging through their live bolster they understand, from an announcement, they have an obscure task due the next day. In the news sustain, they perceive their most loved games group has won. They can see what their companions needed to say in regards to the amusement. In the event that a school class is moved or a secondary school day is wiped out, understudies are frequently more inclined to discover it out on Facebook as opposed to through correspondence with their school or college. Facebook first went online for long range informal communication in February 2004, from a school residence at Harvard. It was at firstShow MoreRelatedSocial Networking And Its Effect On The Internet3529 Words   |  15 Pagesinformation technology and the quickly-growing social networking world on the internet, a combined topic would both be interesting for me to research, but also a relevant investigation in today’s world, with a connection to the beginning of the topic, being MySpace (2003). One of the biggest debates about social networking is privacy, so I decided to delve into the topic myself and created a research question of, â€Å"To what extent does social networking, beginning with MySpace (2003), affect the privacyRead MoreEffects Of Social Networking On The Internet3661 Words   |  15 PagesDo you recall your way of living preceding the invention of the Internet? Can you remember how you drew out necessary information concerning studies, weather patterns, or d irections? More pressing, how did you have access to the where-abouts and status’ of your closest four hundred friends? While social networking has become an essential tool in modern day life, our dependence on the Internet has proven itself flawed in that it leads to the increase of adolescences’ diagnosed with depression. AnRead MorePositive And Negative Effects Of Social Networking1431 Words   |  6 Pagesâ€Å"Like all revolutions, the social networking revolution is accompanied by concerns and questions about whether the changes have wrought something better or something worse.† (Szumski and Karson  ¶ 4) The social networking revolution has come a long way in its accessibility and effectiveness and has become a great resource for many people. But with its benefits come more serious downfalls that need to be acknowledged and dealt with. While social networking can be used as a clear, accessible sourceRead MoreDiscuss the Influence That Social Networking Plays in Society Today? How, and to What Extent, Has It Re-Defined Social Relationships and Is This Generationally Specific?1144 Words   |  5 PagesDiscuss the influence that Social Networking plays in society today? How, and to what extent, has it re-defined social relationships and is this generationally specific? Social Networking plays an important role in society today; it will be argued that social networking has redefined social relationships and that this effect is generationally specific (Salman,2009) Social Networking sites such as Facebook have had a profound effect on personal relationships. The twenty first century is an imprisonedRead MoreAnnotated Bibliography1438 Words   |  6 PagesNegative Effect of Social Media on Society and Individuals | Chron.com. Small Business - Chron.com. Retrieved March 15 2013 lt;http://smallbusiness.chron.com/negative-effect-social-media-society-individuals-27617.htmlgt;. This is an article which talks about how the social networking system, although looks really great is in the same way has a negative effect in the society. False sense of communication is one of the many problems social networking faces. Social media sitesRead MoreSocial Network and Its Effect on Poor Students Academic Performance1051 Words   |  5 PagesSOCIAL NETWORK AND ITS EFFECT ON POOR STUDENTS ACADEMIC PERFORMANCE Facebook, Twitter, and Instagram are the example famous social network that becomes the best choice among the students, especially university students. Social network can defines as site of grouping of individuals into specific groups, like small rural communities or a neighbourhood subdivision. Nowadays, the social network is a necessary communication tool that has emerged in the field of information and communication technologyRead MoreThe Effects Of Social Networking On Society1317 Words   |  6 PagesThe Effects of Social Networking Intro Over half of the world uses the internet. 2.2 billion people actively use any kind of social networking. There were 176 million new users of social media just last year (Regan 1). With the influence of so many people a pressing question: Is the impact of social media harmful or beneficial in its effects? Social networking is one of the biggest reports of online traffic. So, if so many people are using these networking sites, what are the effects on us? The â€Å"first†Read MoreThe Effects of Facebook to Study Habits1734 Words   |  7 PagesCatholic College High School Department S.Y. 2011 - 2012 THE EFFECTS OF SOCIAL NETWORKING TO THE STUDY HABITS OF 4TH YEAR HIGH SCHOOL STUDENTS A Thesis Presented To: Mrs. Ma. Teresa C. Radovan In Partial Fulfillment Of The Requirements In English IV Submitted by: Juan Paulo Concepcion Renz Daniel Tenedero Jeffrey Sanchez John Lemuel Lastimado Jeoffrey Asuncion March 2011 CHAPTER I THE PROBLEM INTRODUCTION As many as you know, social networks have been famous since 2001 with Friendster,Read MorePositive And Negative Impacts Of Social Media Essay1082 Words   |  5 Pagesas there are positive effects of social media, there are also negative effects as well. False connections are often made on SNS. Ninety percent of students have Facebook which is constructed to be socially shared with any user. It may seem obvious that users of social networking cannot stray far from reality from his or her online identity, although the users can depict what he or she wishes to display (Moreno et al. 452). There are many young teenagers on social networking websites posting trueRead MoreThe Negative Effects of Social Networking on Teenagers1547 Words   |  6 PagesThe popularity of social networking increased rapidly during the past few years, and it has become part of everyone life in our society. Social Networking can define as an online site that focuses on creating the relationshi ps among people who share interests, activities, backgrounds, or real-life connections (Boyd Ellison, 2008). The popular social networking sites, for instance, Facebook, Twitter, Instagram are used excessively in teenagers’ society. It is a new socialization for them. It is

Tuesday, December 31, 2019

Human Conduct Meaning Sympathy, Civility, And Relationships

Since when the first writing was established in the Mesopotamian area, most cultures have strived to create a legacy that allowed people to remember them. And with the major empires rise before the common era were without the technologies and knowledge that we know today, it seems impossible. But the early empires were significant in the spread of knowledge, religions, or technologies; each with its own mark on history. And two eras that have exceeded in every way were the Roman and Chinese empires. During the Eastern Zhou era, ideas were furnished to â€Å"promote harmony and stability† (Judge, Langdon 80). This allowed the ethical philosophy in China, especially Confucianism, to be produced. It was absorbed into Buddhism and Daoism, and helped sustain the culture in times of political trouble. Confucianism stresses â€Å"humane conduct, civility, and relationships† (Judge, Langdon 81). Human conduct meaning sympathy, civility meaning courtesy, and the relationships that Judge and Langdon talk about are mainly to one’s parents, leaders, and ancestors (81). Confucius stresses in Analects that this is the Moral Way and that it could â€Å"return Chinese society to a state of harmony and justice† (Andrea Overfield 93). Although Confucianism was not written down during its founder’s life, the immediate followers were able to write down his teachings and produce them to their emperors. This held their rulers and officials to â€Å"high moral stan dardards, promoting good governance and discouragedShow MoreRelatedThe White Man s Burden By Rudyard Kipling10612 Words   |  43 Pagesbinary opposing approach of the ‘we/them’, and the power and violence approach of Foucault and Arendt could be readily attached to analyse the text. Having an eye on these approaches, this section offers a critical thinking about the nature of the relationship between the British and the Indians. 2.1 The Indian Landscape and the Sense of Displacement As in Heart of Darkness, the Indian landscape appears very hostile to the colonisers as if it conspires and plots against them. It depicts their socio-psychologicalRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesUnderstanding Work Teams 307 Communication 335 Leadership 367 Power and Politics 411 Conflict and Negotiation 445 Foundations of Organization Structure 479 v vi BRIEF CONTENTS 4 The Organization System 16 Organizational Culture 511 17 Human Resource Policies and Practices 543 18 Organizational Change and Stress Management 577 Appendix A Research in Organizational Behavior Comprehensive Cases Indexes Glindex 637 663 616 623 Contents Preface xxii 1 1 Introduction Read MoreRastafarian79520 Words   |  319 Pagesits routinization is in conversation with Karl Marx. While Marx sees all of social life, and hence all social change, as emanating from and shaped by the economic 8 RASTAFARI substructure of the society, Weber contends that ideas and the human actors who conceive and countenance them are often independent variables shaping cultural and social change. As sociologist Lewis Coser observes, â€Å"He [Weber] attempted to show that the relations between systems of ideas and social structures wereRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesRichard Moser, eds., The World the Sixties Made: Politics and Culture in Recent America Joanne Meyerowitz, ed., History and September 11th John McMillian and Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape Gerda Lerner, Fireweed: A Political Autobiography Allida M. Black, ed., Modern American Queer History Eric Sandweiss, St. Louis: The Evolution of an American Urban Landscape Sam Wineburg, Historical Thinking and

Monday, December 23, 2019

Voices From The Heartland By Julie Carson Essay - 1224 Words

Voices from the Heartland is an anthology of essays that relates the stories of Oklahoma women. The authors share their experiences about their lives in Oklahoma: childhood experiences, relationships with neighbors, devastating times, life-changing events. The essays are organized under a set of themes, not limiting the contributors to a specific topic. Some of the pieces are light-hearted, such as Julie Carson’s essay about her left-handedness, while others deal with the struggles the authors have gone through because of their gender. While the gender issues accentuated in the book are conveyed by Oklahoma women, they are relevant to women everywhere, in America, other industrialized nations, as well as developing countries. Women are often confined to a set of ideals and expectations because of one simple fact: they are women. Many of the women who contributed to this book have faced gender stereotyping and discrimination. Instead of allowing traditional social norms to confine them to an unwanted lifestyle, they challenged these conventional ideals, risking failure and facing condemnation from strangers as well as people close to them. People often associate feminism with negativity and pessimism. In â€Å"Feminism is a Dirty Word,† Cindy Simon Rosenthal talks about how people refuse to define themselves as a â€Å"feminist.† However, the movement does not advocate for women’s special privileges. Feminism celebrates social equality and supports the utilization of all talents.