Sunday, January 26, 2020

Patient Care Plan Analysis: Suicide Attempt Case Study

Patient Care Plan Analysis: Suicide Attempt Case Study The purpose of this essay is to explore the effectiveness of the care delivered to Mike during clinical placement. In order to achieve this, the essay will demonstrate development of therapeutic relationships through the use of appropriate communication and interpersonal skills will be demonstrated in this essay the essay will look at the formulation and documentation plan of care of mike including his family or carers within a framework of informed consent. The essay will also evaluate and document the outcomes of nursing and other interventions. Finally, the essay will discuss the opportunities utilised and created to promote the health and well-being of patients, clients and groups. For confidentiality reasons, names and places used in this essay are changed in compliance with Nursing and Midwifery Council Code of Conduct (NMC, 2010). Mike, a 54 year old widower was taking to the accident and emergency (AE) department when found in a semi-conscious state after taking an overdose of his prescribed pain killers. Mike’s neighbours alerted the police when they realised his curtains had not been drawn and reported he had not been attending the local social club for a couple of weeks. Mike collapsed on his bed with an empty packet of tablets beside him and a suicide note addressed to his son Duke who lives in Greece. Mike appeared to have been neglecting himself, lost weight and there were signs he had made superficial cuts to his wrist. Mike was also suffering from chronic lung condition due to excessive smoking. Following an assessment Mike was diagnosed of depression and was detained under section 2 of the Mental Health Act (MHA) since he refused to be admitted voluntarily. Hospital environment can be very stressful for clients when they first arrive at the ward. Nurses need to engage positively with clients to develop therapeutic relationship. Barker (2009) argues that, therapeutic relationship empower clients to learn, or cope more effectively with their environment. The nurse began a therapeutic relationship with Mike by initially introducing himself to Mike and addressed Mike by his preferred name. Mike was listened to without any immediate advice or diminishing his feelings. NMC (2010) recommends that, patients must be treated as individuals and respect their dignity. Mike had daily 1-1 nursing time with staff and through this Mike’s goals and wishes were identified which was incorporated into his care plan. DOH (2006) declares that, one to one session are therapeutic, they enable the patient to engage well with staff as empowering them to express their feelings and thoughts. In other to deliver effective care to mike to promote his recovery, person-centred care plan was devised. NICE (2009) recommends that, treatment and care should take into account patients’ needs and preferences. It also suggests, people with depression should have the opportunity to make informed decisions about their care and treatment, in partnership with their practitioners. Since Mike had severe and complex mental and physical health needs, different health professionals’ i.e. psychiatrists, psychologists, GP, nurses, social workers, occupational Therapist and other community care providers were involved in his care. DOH (2004) ten essential shared capabilities recommends that professionals, patients, families, carers should work in partnership to provide quality care. Consent was sought from Mike if he wanted his son Duke to be involved in his care. Gaining consent is a legal aspect of mental health nursing and it shows that patients are treated with respect (Diamo nd, 2008). Mike and Duke were fully involved in every aspect of the plan of care for Mike. CPA (2008) recommends, patients, families; carers should be involved in making decision about their care plans. The author and other team members provided Mike with vital info to promote Mike’s choice and to enable Mike to make informed decisions. The MDT reviewed Mike’s mental and physical health regularly and any significant changes in Mike’s health were amended on his care plan to make sure Mike’s needs were still being met. Meeting service users other needs improves their quality of life and provides good well-being, No Health without Mental Health (2011) Due to the nature of Mike’s illness and presentation, Mike was initially nursed within eyesight observation which was later reviewed to general observation (NICE, 2005). Mike also had lots of supports, reassurance and prompts to enable him attend to his personal care since he appeared unkempt. Mike losing his wife and the chronic lung condition may have impacted on his mood. Also it is possible that Mike had limited social support network and felt vulnerable, which can add to low mood. Therefore team’s occupational therapists regularly engaged Mike in therapeutic activities both on and off the ward to lift Mike’s mood up and also to promote his independence. New Horizons (2011) suggests, occupational activities are therapeutic and they help patients to engage with staff and other patients in the ward and builds self-worth and confidence towards discharge. Mike was also provided with bereavement support. NHS (2012) recommends bereavement support to carers, familie s and patients if they lose a dear one as it has impact on their mental health and well-being. Mike was made known of options of treatment available to him (NICE, 2009). Apart from being treated with antidepressant medication, Mike also had lots of inputs from the team psychologist to help promote Mike’s recovery. NICE (2009) recommends that, people with moderate or severe depression should be provided with a combination of antidepressant medication and a high-intensity psychological intervention i.e. cognitive behavioural therapy (CBT) or individual personal therapy (IPT). Papageorgiou, C. et al. (2011) affirms that, one of the most widely known types of psychological therapy for depression is CBT, which combines both cognitive and behavioural techniques into an integrated whole. The MDT and the ward staff carried out initiatives that raised awareness and promoted healthier lifestyles choices and patients awareness of health, and also reduced the risk of experiencing illness. Wrycraft (2009) argues that, mental health promotion is an activity healthcare professionals carryout as part of their everyday practice in their roles and do not realise they are engaging in such activity. However at other times they actively seek information about health promotion activities. The nurse did provide Mike with information in the form of leaflets about his condition and range of information on smoking cessation and different methods involved. Staff facilitated these health promotions by strengthening the patients on the ward, they increased emotional resilience through communicating and negotiation with the patients to promote self-esteem, life and coping skills. This plan of care should be reviewed by the MDT depending on the progress of Mike health.

Saturday, January 18, 2020

The story is dated and juvenile

Highpockets, by John Tunis, is a baseball novel, first published by Scholastic Book Services in 1948.It is one of a series of books that Tunis has written on the subject of a fictionalized Brooklyn Dodgers baseball team. In this book the title character,   Cecil (Highpockets) McCade is   an unlikable rookie professional ball player in New York City.   He is totally selfish and is not liked by anyone on the team. He does not play for the team.He is only concerned with his own records and his money. He was a poor farm boy from North Carolina, and now that he is in the major leagues and playing in the outfield for a famous and well-loved team he thinks only of how it will profit him. He considers his siblings at home in North Carolina and thinks about how to pay for their schooling as well as pay off the mortgage on his family’s home. No one else matters.Before the end of this book the protagonist, Highpockets McCade, learns the importance of being a team player and that th e praise of your team and friends is much more important than the cheers of the crowd or a good story from a sports writer. The book didn’t change my thoughts much, though I enjoyed the book. It seems to me that the lessons he learned should have been a part of his upbringing and his parents should have instilled better values in him to begin with.The turning point in his life, the incident that causes him to see the light, is an accident involving a boy. It is not McCade’s fault but he becomes friends with the boy and it changes his attitude and his life as he starts to become the team player that his teammates want and need. In a move that is so predicable that it seems right out of Hollywood, his team makes it to the playoffs and he makes the play that wins the game and the pennant. The story is dated and juvenile but has good values and is worth the reading.BibliographyTunis, J.   Highpockets   New York: Scholastic Book Services 1948

Friday, January 10, 2020

The One Thing to Do for Good Perswasive Essay Topics

The One Thing to Do for Good Perswasive Essay Topics Where to Find Good Perswasive Essay Topics Oral presentation topics must be managed properly to attain a desirable outcome. Research is essential to understand what catchy and fun persuasive speech topics you would like to write about. Presentation is vital. Teachers should complete annual tests to receive a license. The Principles of Good Perswasive Essay Topics You Can Learn From Starting Right Away Even the toughest speech is easily done, you merely must place an order with your requirements and following a quick time period, you are going to receive just what you desire. There are occasions when you're requested to deliver a persuasive speech in a short time period. Usually, students find it complicated to pick a suitable topic. Fantastic examples are raising in road accidents and theft. All About Good Perswasive Essay Topics A persuasive speech intends to educate the audience about a specific topic. It is critical to make the subject, and the content of your speech attract the interest of the audience. There are three main forms of persuasive speech topics, based on the sort of claim created by a speaker. Deciding upon the proper topic for a persuasive speech is occasionally not such an easy issue to do as it might seem. Making your audience feel comfortable is the secret to giving a thriving speech. An excellent speech needs to be convincing in nature in order for the audience can believe a viewpoint they previously did not share. To begin with, if you're arranging a persuasive speech, you ought to think about a topic that may create mental pictures in the minds of your audience. Have a look at our presentation if you need to find out more about creating a high-quality speech that will entice the audience! Exactly how effective your speech is likely to also depend on several different aspects, besides the words. Homosexuality isn't a disease. Psychological issues like depression and anxiety can increase the chance of being injured during exercise. Good Perswasive Essay Topics Secrets That No One Else Knows About Various folks possess various sorts of intelligence but grades measure just a few kind. Not all individuals are suicidal that manner. Many people wind up covering the exact tired topics they see in the media every day, only because they can't produce a better idea. A highly opinionated topic would be an excellent place to start, as it gives a good deal of scopes to put forward different opinions. If you think that you don't have enough skills for writing your persuasive speech, you can hire expert assistance. Truthfully, careful planning is required to have a wonderful speech. Persuasive essays are an excellent approach to encourage the reader to check at a particular topic in a different light. An individual can employ three analytical methods to opt for an excellent topic. Such topics ought to be avoided without a lot of hesitation. A number of the topics also fall into other categories and we've posed the topics as questions so that they are easily adapted into statements to fit your own viewpoint. One-of-a-kind and compelling topic ideas can play an important function in engaging and persuading the audience. The presence of credible articles is a substantial bonus for a specific topic. It will probably be simple to select a good topic because it's inclined to be relevant locally. Our topics are good since they won't leave listeners indifferent. Definitions of Good Perswasive Essay Topics There are several persuasive essay topics to pick from to finish your high school or college assignment. Students must be cautious about what they post on social networking. They should keep their mobile in silence so as to not disturb the class. They should be allowed to pray in school. Remember your essay shouldn't be a string of jokes, it's a narrative it needs to have a start, middle and the end. At exactly the same time, it's an excellent persuasive essay idea. An excessive amount of money isn't a good thing. The list of calories ought to be displayed in each fast food restau rant. Top Good Perswasive Essay Topics Secrets Most people have not mastered how to compose their speeches properly because they don't understand the way to use words well. It may be intriguing to talk about the significance of sports in student's life and deal with a number of the problems that college students face in college. Argue that public higher education has to be free for everybody. Some parents stay together for the interest of their children but don't get along. Exactly like an argumentative essay, a persuasive paper demands an adequate degree of expertise and knowledge of a particular field. A great instance of a persuasive paper will have the ability to make an essay that may make a new perspective. A persuasive essay is a powerful tool when you will need to supply a new vision of a specific topic for the reader. In general, you can observe that writing a persuasive essay isn't a brain surgery. Sure, with this kind of a big selection of topics to select fro m, picking just one may be challenging. It's not simple picking a topic for your speech because there are many alternatives so look at these factors when deciding. Despite personal interest, it can be difficult to find out ways to be persuasive with a particular topic. While it could be hard to pick from such a number of persuasive speech topics, take into consideration which of the above you've got the most knowledge of and can argue your opinion on.

Wednesday, January 1, 2020

Favoritism in the Workplace - 1140 Words

Does it fluster you when you’re working exceptionally hard at work yet at the same time you notice a co-worker who does absolutely nothing but arrive to work late, take frequent breaks during the work day or prance around the office chatting with other co-workers including the manager and not ever get in trouble for it? Or do you have a manager who treats an employee better than the rest of the department because they are liked? I believe everyone has experienced some form of favoritism that took place in their workplace at one point or another. What is favoritism? The Oxford dictionary defines favor as an attitude of approval for liking. Favoritism is defined as the practice of giving unfair preferential treatment to one person or group at the expense of another. How would this world run when people uses favoritism in the workplace? What does that say about their character? How would this world be if that’s the only way people can get ahead in the workplace, not by their knowledge or hard work but how well liked they are by upper management. I believe this will create an unfair advantage. The workplace will not thrive and businesses will not run properly because the people in charge might not necessarily have the skills to perform their job as they were picked because they were favorites. What’s the point of working hard in school or in the workplace when what matters is how well you can be an apple-polisher? I am passionate about my work and feel that I am aShow MoreRelatedHow Bad Is Favoritism in the Workplace?1809 Words   |  7 PagesHow bad is Favoritism in the Workplace? Do you have a co-worker who is subject to special treatment while everyone else gets pushed aside? Are you the one praised incessantly by the manager, or the go-to person for all the great projects? 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