Saturday, November 16, 2019

Foundations Of Learning And Collaborative Working Nursing Essay

Foundations Of Learning And Collaborative Working Nursing Essay For the focus of this essay I will be discussing the concept of collaborative working within the professional area of adult nursing. Using appropriate literature this essay will examine the definition and rationale of collaborative working, a small introduction to nursing and how collaboration is applied in this area of care. This essay will conclude by looking at the influencing factors and outcomes of collaborative working in nursing practice. McCray, 2007 defined collaboration as a respect for other professionals and service users and their skills and from this starting point, an agreed sharing of authority, responsibility and resources for specific outcomes or actions gained through cooperation and consensus. (use ref) Collaboration may be seen as a process by which members of different disciplines share their skills and expertise to provide a better quality service to patients/clients/service user. (Hughes, Hemingway Smith, 2005). Collaborative working involves interaction of various group or organisations to achieve a common goal, which normally in the health care setting is the patient. As a result of problem solving, open, flexible approach to the roles and tasks of individual team members provide a more patient focused healthcare. The Department of Health (GB DOH 2001) published a strategic framework for lifelong learning for the NHS, Working together, Learning Together Learning and development are key to delivering the Governments vision of patient centred care in the NHS. Lifelong learning is about growth and opportunity, about making sure that our staff, the teams and organisations they relate to, and work in, can acquire new knowledge and skills, both to realise their potential and to help shape and change things for the better. Lifelong learning is inextricably linked with the wider agenda for building, rewarding and supporting the NHS workforce for the future.( www.dh.gov.uk) http://www.dh.gov.uk.assetRoot/04/05/88/96/04058896.pdf Barr (2004) points out that interprofessional working enables professional benefits, with reference being given to the sharing of knowledge and the opportunities to experience areas of work outside ones own remit. It is suggested that professionals may have levels of improved job satisfaction and increased levels of confidence in dealing with difficult situations. Barr (2004) also expresses a view that interprofessional education is collaborating learning in order to enable collaborative practice. Collaborative working in health care is often referred to as interprofessional working (IPW). Rationales for collaborative work in is to cope with the problems that exceed the capacity of any one profession (Hughes, Hemingway Smith, 2005) In nursing it is important to remember that providing holistic care often involves the use of other professionals and this concept should be encourage in order to facilitate the provision of patient care. Standards have been set by the Nursing and Midwifery Council (NMC) to safeguard the welfare of both the patient and the nurse. These standards identify that the nurse must work with others to protect and promote the health and wellbeing of those in your care, their families and careers, and the wider community. It has been said that to fully explore the place of the nurse in the multi professional team you must first understand the role of the nurse. McCray (2009) as the health care system grows and changes rapidly, the role of the nurse also changes, but the well being of the patient is always the main focus. A good nurse will strive to develop good relationships with other professionals, when the care of a patient depends on collaboration of various health professionals. Collaborative effectively is often vital in the achieving a holistic healing process, which involves treating the patients biological psychological and social needs. Patient centred care (PCC) is a widely used model in the modern health care system; it places the patient at the centre of all care. PCC improves continuity of care and integration of health care professionals collaborating on behalf of their patient. (Pence, 1997) To be able to give a patient the best possible care its imperative to work alongside other healthcare professionals to come to a joint care plan some times in the form of a package of care which can be mutually agreed to meet every care needs of the patient. Each professional has to show mutual respect to each other. An example of effective collaborative working may be; Mr B is due for discharge after having suffered a severe stroke which has affected his right side, leaving him with severe expressive and perceptive dysphasia. As a Nurse in charge of the care of Mr B must collaborate with other health care professionals, such as doctors, occupational therapists, physiotherapists, speech therapists and of course Mrs B, in order to fully assess the level of care he may require on discharge, and provide a gradual return home. This would prove beneficial, since the patient has mobility and communication problems, so was going to need physiotherapy, speech therapy and adaptations to the family home. Maintaining good professional relationships is imperative amongst not only other health care professionals, but also the patient and family members. (Molyneux 2001) In this example effective collaborating ultimately had a positive impact on the successful outcome. This in turn improved the service being offered to the patient. Unfortunately collaboration does not always have positive effects and Interpersonal conflict can sometimes occur, a number of various reasons which could cause this, old, new team members, power issues, time management and funding Conflict may occur for example in the case of lung cancer, doctors wish to treat a patient who has lung cancer when the chances of success are low and the treatment has side effect. Nurses on the other hand may feel the results of treatment are so bad it outweighs any benefit; this could be when things can become complicated. The NMC states that; you must always work cooperatively within teams and respect the skills, expertise and contributes of your colleagues. (2008) in some case following this may prove extremely difficult. Building a successful collaborative relationship requires good communications skills, which in turn allows the development of trust which will benefit the patient in the holistic care they will receive. I believe that any thing we can do to make a difference must be a good thing. As Florence Nightingale once said, unless we are making progress in our nursing every year, every month, every week, take my word for it we are going back (Alexander, Fawcett Runciman (2006)

Wednesday, November 13, 2019

Me and the Moon :: Something Corporate Me and the Moon Essays

Me and the Moon Music has always been a crucial part of the way society views the world. Some songs have hidden messages that can change’s one’s life and opinions. Today many songs become popular without having meaning. Something Corporate is a fairly new band, which sings, â€Å"Konstanine†, â€Å"You’re gone†, â€Å"Only Ashes†, and â€Å"Me and the Moon†. Being a new band in the music scene, they have caught many listeners attention through their lyrics. One of their more interesting songs is, â€Å"Me and the moon†. Something Corporate’s song â€Å"Me and the Moon† succeeds because it makes you think about relationships through subliminal messages. Obviously, the author of the song â€Å"Me and the Moon† is the new and up coming band Something Corporate. This song brings in an audience of women who have difficult relationships with their significant other. Many of their songs tell their listeners real life experiences. â€Å"Me and the moon† appeals to people in relationships because it describes someone in a relationship that is suffering. Being alternative music, it appeals to people who are interested in rock music or like different kinds of music rather than the popular music. Most songs use pathos because of their emotional lyrics. We realize that this song is pathos because of the extremely personal experience represented in this song. Throughout the song, he uses emotional lyrics that touch your heart. Many people in unhealthy relationships can identify with this song In the beginning verse of the song, the first line â€Å"It’s a good year for murder. She’s praying to Jesus. She’s pulling the trigger. There’s no tears, cause he’s not here. She washes her hands, and she fixes dinner, but soon they’ll be coming to rush her away. No one’s so sure if her crime had a reason†. This lyric tells us that a woman is trying to kill her husband. We can infer this because they describe the presence of a gun and her committing a crime. We can tell that they are married because they state activities that would be associated with being a house wife. The murder would be considered a crime because no one knew the pain her husband caused her. She has no feelings because she does not cry after she murders her husband. After killing her husband she has no remorse because of the damaged he caused. In the next verse, Something Corporate tells us that â€Å"Reasons like seasons.

Monday, November 11, 2019

King Devanampiyatissa Essay

During the reign of king Asoka of india,Srilanka was ruled by king Tissa who was the second son of kung Muthaseeva. King Asoka and King Tissa were very close friends. Kung Tissa sent delegation to meet kingAsoka with several gifts. The leader of that group was Prince Maha Aritta who was the nephew of King Tissa. This delegation was ceremoniously received by Emperor Asoka. This delegation spent about 5 months in India. King Asoka sent back alarge collection of precious onaments required in a coronation as a gift. It consisted of swords and valuable ornaments. Also the following message was sent: â€Å"I have surrended myself to the triple gem. Oh my friend, you too submit yourself to the triple gem.† The King was very much pleased with the message the envoys brought back. He held a second coronation with ornaments King Asoka had sent. Also the King waz given an honorary title â€Å"Devanampiya† that was used by Mourya rulers ti which Emperor Asoka belonged. From that day king Tissa was called â€Å"Devanampiyatissa† The most important outcone of the friendship of the two kingswas the introduction of Buddism to Srilanka. King Asoka sent several missions to preach buddism to this country. Mihindu Thera who was the son of kung Asoka brought Buddism to Srilanka after 3rd Dharma Sangayana Along with Mihindu Thera came Arhat Thera named Ittiya, Uttiya, Sambala,Baddadala anf Sumana a young monk and Bhanduka on a pposon full moon day at Mihinthale. Mihindu Thera preached the † Chulla Hattipadopama Suthraya† to king and his group . Upon listening to the sermon the king and the people readily embraced Buddism and surrendered to the triple gem.

Saturday, November 9, 2019

Drug Abuse- a Menace to the Society

Drug Abuse is a serious issue affecting all sections of the society, Irrespective whether they are Young/Old, Poor/Rich, and Educated/Illiterate. To really understand the gravity of the situation one needs to understand a few very important points;- what actually is Drug-Abuse? As I understand a very simple definition of Drug abuse is that it means use of drugs for the purpose for which it is not meant to be used (in other words use of drugs not for treating ailments but to satisfy vicarious pleasure ). The destructive thing about this is that when people experience the hallucination under the influence of these drugs, they would like to this again & again causing a serious Drug Addiction. Now let’s try to understand the various Drugs frequently abused. The Most Common that is used by more than 80% of the people is Marijuana also called Ganja or Grass or weed in colloquial language. The most dangerous aspect to be noted is that in spite of being labeled a Banned Drug, Marijuana is available very easily to all & sundry. The reason for it to be a favorite among the Drug addicts is that it is not very expensive & it gives an instant kick and can be had instantly without even letting a non smoker know about it. We see thousands of people smoking cigarettes everyday & their may be many of them smoking Ganja & still we won’t know about it. Even though this is not an appropriate time to say I cannot prevent myself from saying that the If the Law enforcing authorities are strict, this menace can be controlled to a very large extent. Why would people get addicted to this? Other than the reasons of being easily available etc, as mentioned above Chemically a substance called as THC ( Tetra Hydroxy Cannibinol) a ketone present in this Drug makes the body become dependent on it. The relaxation it brings to the smoker along with the euphoria it creates makes the smoker misconceive that this actually is not destructive & some regulars believe that smoking grass helps in harnessing their creativity. Once again this is a misconception which needs urgent rattention. . Now let us see How it becomes a menace to the person abusing it so that we can understand how it affects the society. As the time goes by & the addiction takes root, it causes various personality disorders, serious psychological behavioral problems & loss of priority resulting in Poor judgments, Slowed reflexes, Distorted vision, Memory lapse, Anxiety, Confusion, Constant physical fights, tiredness, Black outs, Lowered inhibitions & problems in remembering recently said or did. They even start believing that Drugs is necessary to have fun & to even to exist. They constantly feel run-down or depressed leading to suicidal tendencies. They constantly complain of Dry mouth, Nausea, Head ache, decreased co-ordination, Increased Heart rates, Reduced Muscle strength, increased appetite & craving. Drugs & Alcohol together are contributing factors in at least half of all murders, Suicides, & Car accidents in an inebriated condition. Drug dependency pushes people to loose their self esteem & make them promiscuous. Approximately there are 1 lakh deaths occurring per year because of Drugs. The Illegal drug Mafia has a firm grip on the Market & is a very big source of funding Terrorism. Of course Marijuana is not the only drug & there are more serious Drugs like Cocaine, Heroin, LSD, and Phencyclidine which are more dangerous but luckily they are not very common as these are expensive, difficult to procure & more harmful. These drugs are snorted, smoked or injected. When these drugs are taken thru injections, it increases the chances of transmitting AIDS & HIV by sharing of needles. The Good News is that more than 98% of the teens have never tried these harder drugs like cocaine. Let me see if we can do anything about this, first of all on a personal level if we find our friends or other young people indulging in it, we have to report to the family immediately. On the family level care should be taken in handling these people & we should give them all the love & support to overcome the addictions with the help of De-addiction clinics. On a bigger scale the society of which we are a part of should take stringent steps to see there are no peddlers or users among them & finally the state should introspect & see why it cannot be rooted out if there is a will & conviction among them. My friends, Recently we saw the Grammy award winner Amy whinehouse dying at the age of 27 because of Alcohol & Drugs. It’s a pity that such a great talent has to loose out to Drugs. I can go on & on about the menace the Drug Abuse causes to the Individual first & then the society, but I feel the more we dwell upon it, the more we would be energizing it, so lets all say NO TO DRUGS & Promise to ourselves & to the society that we would weed out this menace in our generation completely.

Wednesday, November 6, 2019

Evaluation for Ice Bar Essays

Evaluation for Ice Bar Essays Evaluation for Ice Bar Essay Evaluation for Ice Bar Essay You dont want the expenses to be more than the sales. Management and employees would want to see this information to see how well the business is doing. Also to see if the business can afford to pay the employees. Evaluation for Ice Bar First of all we were deciding upon what kind of business we were to set up. First we had decided to set up a chocolate shop. The reason for not starting up a chocolate shop was because we thought this was not necessary and there are a lot of shops which sell chocolate in Sheffield. We wanted to introduce something new instead. So we decided upon setting up an Ice Cream parlour, the reason for this was there are no Ice Cream parlours in Sheffield, but there are cafes and restaurants which sell Ice Cream. By doing research we found out that Ice Cream does not have to be restricted to the summer months only as it is a cold dessert. At the time we started our business plan in the winter where a lot of Ice Cream is not eaten due to the cold weather. Due to us starting our plan in the winter we thought it would be difficult to find information on Ice Cream due to Ice Cream is known as seasonal. We also decided not to open Ice Cream parlour at one point due to it being seasonal. However, doing a lot of research finding out the important information for our business we realised we could be successful. If we put a lot more effort in advertising in the winter. Research is the most important part of the business plan and we believe we were successful in this area. As we found out a lot about Ice Cream the profits you can make buy selling the product. Pricing is really important in a business. If it is pitched too high then it will frighten off potential customers, but too low a price might give you levels of demand we wont be able to cope with, or worse leave us with higher costs than revenues. So we had decided making the prices reasonable. We decided to locate on Ecclesall Road due to it being a predominately student area. We believe it could start us with a good client base. There were different areas from where we could choose from for example London Road, somewhere in the City Centre. As Ecclesall Road is just off the City Centre so it does have its advantages and it is a long road with a lot of competition. Finding the property on Ecclesall Road was difficult as there are a lot of businesses successful. We managed to find a property after a while we had to wait, if we had not been successful in finding a property on Ecclesall Road we would have decided to locate on London Road which is a road like Ecclesall Road with a few cafes and takeaways. London Road is being developed into being another Ecclesall Road. There are flats being made on London Road which are to be filled with mainly students. We had decided to set up the business as a partnership due to having more ideas and we both have different skills within each other. By putting the skills together we thought we could have a successful business. Setting the business up as partners does have its advantages and disadvantages. As above they are the advantages but the disadvantages are not agreeing on the same idea, which can cause some problems but me and Emma managed to work together and if any disagreements occurred we had sorted them out by working them out. We did manage to get on well with each other and work as partners. The quality assurance was used by the help of Emma getting information how a food handling business works. As Emma works at Massarella she had the experience and knowledge of what was needed to be done. We used the information from Massarella as it is a food handling business. It had helped us a lot with our quality assurance, production plan, and constraints on production. The financial plan is crucial as it is a forecast on the business to see if we are to be successful in making any profit. The financial part of the plan took us a long time to do by trying to get it right. It was not difficult doing the cash flow forecast and the profit and loss account as we had to just fill in the months and it were calculated automatically. However finding out all the prices and working them out was difficult and took most of our time working them out. However looking at the financial plan we seem to be doing well not losing a lot of money. As we do expect sales to be high in the summer but not in the winter so it can be understood that the sales figures are low and we dont make any profit in the first three months. It is expected though we dont make any profit at the start of the business. Nevertheless we seem to be doing well not losing out on much. Looking at the ratios in gross profit we are doing extremely well, but not in the net profit but we are totally low in the net profit we are jus near the 50% mark but we can grow on this as it is the start of a new business and we might even expect more customers than we predict or less. If we had more time we would have convert the Ice Bar into a drinking bar in the night. We have a bar in Ice Bar and the name which would be suitable, so there would not be a lot to change the premises itself. We would have to apply for licence for alcohol. We also have a basement we could refurbish it and convert it to a dancing area or have another bar downstairs. To convert the Ice Bar into a night bar it would cost us a lot of money so we would need to take out a loan. If we were not successful in our Ice Cream Parlour this idea would be our back up plan. We decided to use the Lloyds TSB Bank business plan to help us construct our own plan to help us construct our own plan. There were a variety of business plans to choose from to help us to construct our business plan for example HSBC Bank, Natwest etc. The business plans are mainly available from the banks. We chose Lloyds TSB Bank because there is a lot of information given to help with the business plan, for example a CD was given a book which guides you through the planning of a business. It also gave an outline of a business plan where you can fill in the spaces and use it as a business plan. The guide was very helpful, we used the construction of the Lloyds TSB business plan we did not use as we had a lot more information to add and some of the information in the plan was not necessary to our business plan. We could have chosen different plans like HSBC but we felt HSBC did not have lot information like Lloyds TSB. It was not very helpful it had just given a business plan where you can just fill in what was necessary.

Monday, November 4, 2019

Consolidation Case Study Example | Topics and Well Written Essays - 750 words

Consolidation - Case Study Example The preparation of the consolidated financial statements DOES NOT involve any adjustments to the financial statements of either the parent or the subsidiary companies. In this case, the parent is Batman and the subsidiary is Robin. A. This means that the investing company, Batman is willing to pay more that the total value of the stockholder's equity. There are many good reason why companies agree to pay more than the acquired company's actual net worth. some of the reasons are: A. The pre acquisition journal entry is also known as the elimination entry. The journal entry made such as investment in subsidiary is credited. The original entry where the stockholders' equity amounts are credited is now debited. The main reason for such pre -acquisition entry is to produce a correct combined financial statement where the assets, liabilities and stockholders' equity accounts are lumped together. Based on the above declaration, the dividends declared after acquisition is bigger than the dividends declared before acquisition. The main reason is that the income derived from combined financial statement shows that the is higher then the pre acquisition net income.

Saturday, November 2, 2019

Computer Systems Architecture and Administration Assignment

Computer Systems Architecture and Administration - Assignment Example There are three mechanisms to the performance of processing interrupts. The leading element is the amount of time taken between when the processor receives an interrupt request and when the processor takes action to initiate processing the interrupt service routine. This interruption is referred to as interrupt latency. The second element of interrupt is the interrupt processing time. It denotes the amount of time that the processor spends when practically saving the machine state of the interrupted task and diverting the interrupt service routine execution. Usually the amount of machine state saved is minimal, on the presumption that the interrupt service. The last element of interrupt service performance is the state saving overhead. This underlines the amount of time consumed when saving machine registers, but which must be saved so that the interrupt service routine to do its job. c. Caching is beneficial in several ways including: latency is abridged for active data resulting in higher application performance levels. Further, the I/O operations to external storage are minimized because most the I/O is diverted to cache. Subsequently this leads to lower levels of SAN traffic and disagreement. a. For a program to be executed it is required that it be first stored in main memory. Subsequently, after the program is loaded in the memory, a program execution starts through the delivery its start address to the CPU, which then sends instruction address to the memory unit.