Thursday, December 26, 2019

The Management Of Nutrition And Hydration - 3048 Words

Introduction This assignment has been structured to demonstrate the management of nutrition and hydration in end of life care. In this learning utilising the reflective frame work of Driscoll, 2007, I will critically explore and analyse the management of end of life care in relation to management of a patient’s nutrition and hydration, identifying potential elements and their impacts upon care delivery. As a health care practitioner, my role towards end of life care involves communicating with patients and their family members on a need to know the basis of the treatment plan. Also this would include adequate handover to professionals to maintain a seamless service; as outlined in the Individual Plan of Care (Support for the Dying Person in the Last Days and Hours of Life, NHS, Wigan Leigh Hospice 2014) which, is currently in used in my area of practice. Each outcome would be supported with current literature including local and national government documents. I will identify and explore current and local initiatives e.g.† Individual Plan of Care†, Local Hospice, which have influenced care delivery of nutrition and hydration within the end of life and critically analysing its impact on future care delivery. Governmental influences, as in published documents: influences of professional bodies as in the National Council for Palliative Care (NCPC 2007) and the Royal Council of Nurses (RCN 2014) will be discussed. Challenges facing practitioners will be discussed, especiallyShow MoreRelatedThe Benefits Of The Registered Nurse For Every Healthcare Practice Setting2134 Words   |  9 Pagesprogressive and incurable. A very critical part in the end of life process is decisions regarding nutrition and hydration. â€Å"In patients with far-advanced and life-limiting conditions such as cancer, artificial nutrition and hydration may be offered to those who suffer from potentially reversible malnutrition or dehydration and whose estimated prognosis allows them to benefit from artificial nutrition and hydration. However, reduced oral intake is itself recognized as a phenomenon indicating impending death†Read MoreThe Importance Of Medical Practices In Hospitals900 Words   |  4 Pagesin established labour (NICE, 2017). Though the use of opioids as pain management contraindicates access to food and fluids due to the considerable increased risk associated with gastric emptying delay in opioid u se, as does the development of any risk factors during labour (NICE, 2017; Smith et al., 2011). Furthermore, NICE guidelines require midwives to carefully consider the woman’s position, psychological health, hydration and pain relief throughout active and second stage of labour, monitoringRead MoreThe History of Public Health and the Role of the Community/Public Health Nurse1136 Words   |  5 Pagesfamily about desires and expectations for end of life care. There are may be ethical dilemmas that arise in the hospice setting that could be worked through more easily if the patient’s wishes are made clear. The decision to provide hydration and or nutrition parenterally or enterally when a patient cannot eat or drink for themselves can often pose a dilemma. At what point should this life prolonging sustenance be stopped? At what point is this ordinary humane care, and when does it becomeRead MoreStrategic Marketing Case 1 Essay2887 Words   |  12 Pagesproducers should handle as well. Competitors goals and strategies, product/production costs, reputation and position, strengths and weaknesses, institutional experiences are very important as well as innovation skills, production capacity, finance, management, sales and marketing and customer relationship. Market analysis is the essential guide for the PDB in order to positioning. Market dynamics, size, growth trends in 5-10 years should be understood well. They can decide the market share, profitabilityRead MoreList Of Potential Sources And Guide Essay1684 Words   |  7 Pages(System Analyst, Qualcomm) Friend 7.5 References 8 PART 1 – 5 8.1 LIST OF QUESTIONS 5 9 GROUP DIARY AND WORK COMPLETED 7 9.1 09/07/2016 - 09/11/2016: 7 10 LESSONS LEARNED 7 10.1 UNDERSTANDING,PLANNING AND DESIGNING OF THE SYSTEM: 7 10.2 MANAGEMENT AND LEARNINGS: 7 11 REVISION HISTORY 7 1 Purpose The purpose of this document is to list down all the details about HTrack and its scope, benefits of the system, limitations, system components, information about development and commercializationRead MoreCase Study Crescent Pure Essay1084 Words   |  5 Pagesï » ¿Patrick Kelly 4/30/15 Professor Rosenblatt Marketing Management Business Case Study: Crescent Pure Due to Crescent being Portland Drake Beverages’ (PDB) first entry into the U.S. sport/energy beverage market, there are some issues that PDB should consider with regard to Crescent’s impending launch. These issues consist of determining what customers want, being discussion-worthy and being transparent. Before launching Crescent it is essential to make sure that there is a place for Crescent in theRead MoreNursing Education is Necessary in the Prevention of Pressure Ulcers1349 Words   |  6 Pagesprominences. Tubing and cords are another common source of pressure ulcers, such as lying on a Foley catheter tubing or having a nasal cannula that is to tight around the patient. As with most prevention and healing of illness or disease, proper nutrition plays a large role in pressure ulcers. Nurses must be aware of the mechanical forces that can put a patient at risk for or create a pressure ulcer. Friction is when a surface rubs the skin and pulls off or irritates a layer of skin. (IgnataviciusRead MoreWgu Community Health Task 21548 Words   |  7 Pagesvisualization, music therapy, self-hypnosis and mediation. Encourage her to listen to her body by resting when needed and participating in life when she has the energy. Mr. and Mrs. Thomas both require education about palliative care options for management of symptoms associated with her disease. 3. Help the couple prepare for Mrs. Thomas’s decline and death. This is a subject that must be approached gently and with a great deal of respect for the anguish and suffering the couple are facing. AssessingRead MoreEssay On Mealtimes983 Words   |  4 Pagesthese, tube feeding may be utilized to ensure that the patient is receiving nutrition adequately (ASHA, n.d.). There are two types of feeding tubes that are commonly placed in pediatric patients, these include nasogastric (NG) and gastrostomy (G-tube) tubes. A NG tube is a plastic tube inserted through the nose, past the throat, and down into the stomach, whereas a G-tube is inserted through the abdomen and delivers nutrition directly to the stomach (Moore Greene, 1985). Feeding tube placement mayRead MoreEssay on Evidence Based Information on Pressure Ulcers831 Words   |  4 Pagesvertebra. Risk factors that influence pressure ulcers are fragile skin, age, impaired mobility, a decrease in sensory perceptions, poor nutrition and incontinence. Incidence rate vary considerably by clinical setting from up to 38% in acute care and up to 23.9% in long term care to up to 17% in home care.( Lyder CH. Pressure ulcer prevention and management. JAMA.) Importance of the clinical problem and its significance to nursing practice As Nurses one of our goals is

Wednesday, December 18, 2019

Essay Magazine Critique - 935 Words

Magazine critique Adbusters is a popular alternative magazine started in 1989 by self-proclaimed â€Å"cultural jammer† Kalle Lasn and Bill Schamlz. As the title suggests, Adbusters is dedicated to exposing and undermining mainstream capitalist culture. Their mission statement says,â€Å"We are a global network of culture jammers and creatives working to change the way information flows, the way corporations wield power, and the way meaning is produced in our society.† it’s consistently one of the most, interesting and relevant magazines that actually discusses something of substance. While the mainstream media delivers little but clichà ©s that never question the political and economic status quo, most alternative media tends to respond to the†¦show more content†¦In this article the magazine addresses four main issues â€Å"post normal, post empathy, post memory, post empire â€Å"and also different issues including commercial Calvin Klein jeans, Burberry and the mos t important about the biggest real time psycho experiment in human history in which they find today’s teenagers are addicted to social media technologies like YouTube potato, Facebook addict, texter and a gamer in a picture. They also mentions about other issue like children develops in condition which have been corrupted and troubled over the last several decades and how half of million kids are receiving heavy duty antipsychotic medication which could put children’s lives in danger and we are trying to fix the massive social problem that has to do with disconnection win society and loss of nurturing. The magazine covers also have little sign saying singularity or nightfall, which is an up coming in next issue of adbuster #95. In the beginning it shows president Barack Obama’s words about the coming up 40 years being the most important years in human history because of the shift of existing world system to capitalist world economy. On next few pages it picks on TVShow MoreRelatedAnalysis Of The Book West 10th And Poetry 1365 Words   |  6 PagesAmerican Contemporary Poetry: Journal critique essay West 10th and Poetry Magazines The importance of poetry in a college student’s life cannot be overemphasized. From ensuring that one is conversant with contemporary social and economic issues as well as generally having a large knowledge base on different subject topics. Poetry is important for the enrichment of the soul and the nourishment of the mind. It also helps us step back and look at things from different perspectives. Like any otherRead MoreAnalysis Of Ezra Pound s 1146 Words   |  5 PagesHomage to Sextus Propertius has stirred controversies after its first publication in Harriet Monroe’s Poetry magazine in March 1919. The poem is consisted of twelve sections and it was based on Propertius, a great Latin elegiac poet who lived during the first century. Pound’s poem provides a new interpretation of Propertius that differs from his predecessors. Pound finds a voice to critique the corrupted politics of his time. The poem, However, has enraged the Classicists for they viewed it as an Read MoreDickens Hard Times1535 Words   |  7 PagesAlthough it is not Dickensian, author still put his cliff-hanger characteristic on his work which makes the story enjoyable and worth reading for all-age-readers. Due to many interesting factors, this novel has been chosen to be the topic of this essay consisting of three parts that are the historical backgrounds, the facts about this novel and my critical reflections. To gain the comprehensive perspective of the story, we need to look back on historical backgrounds of the age that this novel tookRead MoreAdorno Horkheimers Traditional And Critical Theory Of Society1199 Words   |  5 PagesIn the essay Traditional and Critical Theory, Adorno Horkheimer introduced the term critical theory in contrast to the traditional theory. ‘Critical theory’ or critical theory of society is defined as a social theory which aims to both critique and changes the society by providing a normative and descriptive basis for the emancipation of the society. In fact, an emancipation of the oppressed (similar to the Marxian emancipation of the proletariat from the shackles of bourgeois)  is the core conceptRead MorePersuasive Writing1044 Words   |  5 Pagesfirst write an outline to gather together our ideas, then write our first draft, and then review a classmate’s paper while someone else reviews our. It is relevant to incorporate all the crit iques and corrections the instructor and classmates make because that will lead to a better paper afterwards. The three essays I have written for this course demonstrate that I have developed the correct formatting of MLA, APA and Chicago Style in citing external sources and writing a references page, as well asRead MoreAnalysis Of The Novel Uncle Tom s Cabin 1345 Words   |  6 PagesAccording to Annette Gordon-Reed, It is common for people to look at women’s novels and not take them seriously, especially in that time. â€Å"Jane Smiley, in a controversial essay, asked why Stowe’s novel has been more harshly treated than works written by men which are just as dated and offensive in their treatment of race, notably, Huckleberry Finn.† (Annette Gordon-Reed). I believe that Stowe’s novel was taken seriously as a woman’s novel. Uncle Tom’s Cabin was very influential in that time periodRead MoreMark Twain s The Adventures Of Huckleberry Finn A nd The Adventures Of Tom Sawyer1226 Words   |  5 Pagessame mass audience and level of fame as the better-known Twain classics. For just as a novel like Huckleberry Finn serves as a searing critique of racial inequality, â€Å"The War-Prayer† offers a dark satire on society’s willful blindness to the ramifications of jingoistic patriotism. In â€Å"The War Prayer† Twain argues against the philosophy of imperialism. This essay was written in 1900’s when America was caught up in the idea of imperialism and extending its influence to other countries using militaryRead MoreSocial Constructionism and the Relationship Between Meaning and Power1181 Words   |  5 Pagesreality. These are intensified and disseminated, if not, often times created, by powers of society, such as the media, who create and use words to forge certain images in peoples minds and to create the realties that they wish to render. The following essay uses a recent advertisement from Singapore Airlines as example of this thesis. Reality is socially constructed. We see the world through a lens. Each culture and society has its own way of perceiving reality and existence. This becomes its weltanschauungRead More Critique of a Website Essay1639 Words   |  7 PagesCritique of a Website Web sites are just like magazines, newspapers, brochures, menus, or even directions on how to make nitroglycerin from house-hold goods, in that they all have to be put together in such a manner that whoever is reading or browsing over it will be able to clearly distinguish this from that. In this sense, a critique of any particular web site will have justification, while carefully considering also that this is an altogether new medium of information exchange. Now, all ofRead MoreTense Present Democracy, English, And The Wars Over Usage1043 Words   |  5 PagesSummary of â€Å"Tense Present Democracy, English, and the Wars over Usage† Published in April of 2001 by Harper’s Magazine, David Foster Wallace’s essay is both a review of A Dictionary of Modern Usage by Bryan A. Garner and an interjection into the present day â€Å"Usage Wars.† Wallace’s thesis for his essay is stated after a list of grammatical errors that are overlooked on a daily basis and a few paragraphs defining SNOOT. His thesis states, â€Å"Issues of tradition vs. egalitarianism in U.S. English are

Monday, December 9, 2019

Concert Report (252 words) Essay Example For Students

Concert Report (252 words) Essay Concert ReportBill Housmanconcert report #5On the night of Friday April 28th, 2000 I attended a piano recital. A good friend of my mothers named Sarah Goodman, who has been playing the piano since the age of 6 was holding a solo performance in a small concert hall in the upper east side of Manhattan. The hall had capacity for 200 hundred people, however only about 50 or so sat in the front of the room. It was a beautiful hall with huge chandeliers and giant columns. The program was scheduled to run just over an hour as it began at 8:30 p.m. The first piece was recognizable Beethoven, an intense piece that ranged in sounds using many crescendos and de-crescendos to highlight certain parts. Fluctuating through out the entire song the volume seemed to roar than suddenly go silent. Sarah was quite active during this piece her fingers seemed to float over the black and whit keys. While her body would at points flail violently from side to side. It all seemed to be quite emotional for her. At the end of the piece Sarah was rewarded with a short round of applause. The next piece was my favorite, I did not know who it was by, however it was pleasing to my ear. The music had great rhythm and seemed to flow constantly through out the song. The song was dreamy and carried my hand into the air (I kept it quite low) where I sort of Music

Monday, December 2, 2019

Juvenil Crimes free essay sample

They look at Juveniles on how unreliable and inconsistent they are on making bad decisions. But often minors bring unparticular brutally attracting impulsive claims on their behalfs on their crimes. Though the mind of a teenagers brain is pretty much dazed out, meaning how would you think they could handle prison. Well people say if they can handle committing crimes they should put up with what should be disserved. This brought a concern to society should Juveniles be charge as adults? In the article assertions from Liptak, Lundstrom, Krikorian, and Thompson, bring us vidence of how Juveniles are being tried as adults. These Journalists bring concerning information on how teens react to hatred crimes that they commit. Liptak and Lundstrom consideration against ones opinion on how Juveniles crimes should be thought are at most similar to one anothers thoughts. Liptak thinks that Juveniles should be brought to thought, that they commit crimes to diminish their responsibilities to some of what of danger to themselves and others. We will write a custom essay sample on Juvenil Crimes or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Lundstrom says that theyre only kids until they mess up and commit crimes, then were more eager to all them adults. Krikorian believes that teens are seriously impaired, are less likely to recognizes the risks and dont really think about the consequences. Thompson finds that mathematical the brain system grows little until puberty corresponding with abstract concepts before then. Krikorian and Thompson have the agreement that teens are at a stage were they really dont think because they are still kids and that they dont know better. In the article Supreme Court to rule on Executing Young Killers By Adam Liptak, Robert Acuna was convicted of killing two elderly eighbors referring to Execution Style then stealing a car. Mr. Acuna was the latest person to be convicted with a death row sentence before the age of 18. In Kids Are Kids until They Commit Crimes by Marlie Lundstrom writers about a 12 year-old savagely beated a 6 year-old girl to death, Lionel Tate said he was imitating his world wrestler icon. In April. Nathaniel Braizl was charged with first-degree murder at the age of 14, for shooting an English teacher that didnt let him say goodbye to two girls on the last day of school. In Many Kids Called Unfit for Adult trial y Greg Krikorian researched that teens are emotionally or intellectually unable to contribute to their own defense in court. In studies shown thousands of Juveniles went to an adult trail when they shouldnt because of their inability to stand the courts proceeding. In Startling finds on Teenage Brains by Paul Thompson discovers that the patterns of brain growth in children and teenagers. The brain is like a puzzle that grows fast at the point of learning skills. Also, that the massive loss of brain tissue happens in teenage years at risk taking, controlling impulses, and self-control. The Supreme Young Juveniles are incompetent on being well behaved as what Krikorian says Seriously Impaired or is that Just an excuse? But knowing that you took a life is Just unimaginable and horrifying. So if you did the crime now youre going to pay the time. Even though your seriously impaired if you know that then why you take advance of that abuse and commit crimes. If you blame the teens youre basically blaming the parents for unfit parenting their children. They dont teach their kids form right or wrong and dont control their kids. So minors are what so to be unished for what inconsiderable parenting. Many Juveniles are sentenced as adults for the crimes they commit at a young age being irresponsible. Their for theyre the ones who should pay for the price they commit if they went against the law so the law should be put to Justices. Teens are impulsive when it comes to things that are serious at times which they cant really control themselves either. Juveniles commit crimes today like Homicides, Murder, First-degree murder, Second-degree murder, Voluntary manslaughter, and Involuntary manslaughter. People who commit uch horrible crimes should be taken seriously and let it be brought to Justices. It doesnt matter what characteristics makes a person an adult, a Juvenile, or a child if you committed the crime at any age you should be held responsible for what you did so you should be tired no matter what. Juveniles are able to commit crimes but then, so they should be punished the same way as adults. Teens try to be like adult but they do it in an unfair manner to make them seem cool so when they acted like adults why not try them as adults give them what they want.