PTSD and Fluid deficit Essay Example | Topics and Well Written Essays - 250 words

PTSD and Fluid deficit - Essay Example Nursing intervention therefore should include frequent explanation of treatment and treatment outcome to the patient, involvement of patient in some decision-making, detection of both behavioral and psychological changes in patient and administration of mild sedatives to help patients cope. Healthcare givers should also be ready to listen and talk to the patient and encourage the patient to talk about the stress factors or the burn experience which would enhance adjustment capability to the trauma. Severe burn cases have a great risk for fluid deficit. Most burn case patients die because of burn shock. During the first 2 or 3 days fluid and electrolytic balance is lost and the cardiac output is extremely low such that only fluid resuscitation can help prevent such shocks. This deficiency is mostly causes by fluid loss from unconventional sources, less fluid intake or enhanced need of fluid (eNurse Care Plan,2014). Health care givers need to primarily concerned about hydration and restoring the lost balance of fluid. Interventions need to include proper monitoring of vital signs and Central Venous Pressure, observation of urine output in terms of color and measure specific gravity, estimate losses from wound and detect any other physiological abnormality. The patient also needs to be weighed on a daily basis since hydration depends on individual weight and a record also needs to be maintained regarding the amount and type of fluid given to the

Principles of Health Care Practice Code of Conduct Essay Example for Free

Principles of Health Care Practice Code of Conduct Essay 1.1 Introduction I am writing this report as a requirement for my HNC Health Care course which will be submitted to Christine Hughes. In this report I will be comparing and contrasting two health care professions, the two health care professions I have chosen to compare is nursing and social work. The report will be highlighting the principles of healthcare, such as Education and Registration, (still to finish) 1.2 Nursing Education Registration To train to be a qualified nurse you undertake either a pre-registration diploma or degree at university this is normally a three year programme. Degrees and diploma programmes comprise of 50% theory and 50% practice, with time split between the higher education institute. Nursing is organised into four branches Adult, Children, Mental Health and Learning Disabilities. During the first year of nurse training you are introduced to all of the key areas as part of the Common Foundation Programme. In the second and third year you focus on a specific branch, which runs the course. Registered nurses and midwives are responsible for assessing the needs of individuals, planning and implementing their care, and evaluating the effectiveness. The Nursing and Midwifery Council (NMC) is the statutory regulatory body for nursing, midwifery and health visiting in the United Kingdom. All nurses working in the UK, including those trained abroad, need to be registered with the NMC in order to practice as a nurse in the UK, of that care. All qualified nurses, midwives and health visitors are required to be members of the NMC in order to practice. If nurses, midwives or health visitors are found guilty of misconduct, the NMC has the authority to strike them off the register. www.nhscareers.nhs.uk, www.planitplus.net/careerzone/ www.nursingnetuk 1.3 Social Work Education Registration Social work requires a professional qualification, currently a three year undergraduate honours degree or a two year Masters degree in social work that has been approved by the General Social Care Council (GSCC)). The course involves a combination of course work and a minimum of 200 days spent in practice settings providing the opportunity for lots of practical experience before you actually qualify. The social work qualification is suitable for social workers in all settings and sectors. As a student and once qualified you will need to register with the General Social Care Council (GSCC) which is responsible for regulating the workforce. Previous qualifications in social work including the diploma will continue to be recognised as valid social work qualifications. There are a variety of ways to enter the social work profession, according to age and previous experience. www.socialworkcareers.co.uk, www.planitplus.net/careerzone 2.1 The Nursing Midwifery Council The NMC is the regulatory body for nursing and midwifery; there purpose is to improve the standards of nursing and midwifery care in order to protect the public through professional standards. NMC register all nurses and midwives to ensure that they are properly qualified and competent to work in the UK. They set the standard of education; training and conduct that nurses and midwives will deliver high quality healthcare consistently throughout their careers. NMC also makes sure that nurses and midwives keep all their skills and knowledge up to date and to uphold the standards of their professional code. They also investigate allegations made against nurses and midwives who may not have followed the code. Every registered nurse, midwife or health visitor must renew their registration every three years. Post-registration education and practice (Prep) is set by the NMC which is designed to help nurses and midwifes provide a high standard of practice and care. There are legal requirements set which must be met in order for there registration to be renewed. 2.2 General Social Care Council The General Social Care Council (GSCC) sets standards of conduct for social care employers and workers, this regulates the social care workforce including regulating social work their training and education. The GSCC is responsible for codes of practice for employers and employees in the care sector. Social Care Register is a register of qualified social workers, the registration will ensure that those working in social care meet rigorous registration requirements and will hold them to account for their conduct by codes of practice. Registered social workers are also required to complete post-registration training and learning activities before renewing their registration every three years. Post-registration training and learning requirements that all registered social workers must meet are every social worker registered with the GSCC shall, within the period of registration, complete either 90 hours or 15 days of study, training, courses, seminars, reading, teaching or other activities which could reasonably be expected to advance the social workers professional development. To keep a record of post-registration training and learning undertaken, and failure to meet these conditions may be considered misconduct. Continuing Professional Development in Nursing All registered nurses and midwives are required to take part in continuing professional development (CPD) in order to maintain their professional registration. This is part of the post-registration education and practice (PREP) requirements, set by the Nursing and Midwifery Council NMC. There are two types of PREP, 1. Practice standards and Continuing professional development standards. CPD is fundamental to the development of all health care practitioners, as it is important that nurses keep there knowledge and skills up-to date, to improve standards in the practice and to gain more qualifications. To meet the CPD standards nurses must undertake at least 35 hours of learning activity relevant to their practice every three years, to maintain a personal professional profile of their learning activity and to comply with any requests to audit how they have met these requirements. Nurses and midwives who do not comply with the Prep requirements will cause their registration to lapse and can no longer work as a registered nurse or midwife. These requirements must be met every three years, and are declared at the point that registration is renewed. 3.1 Clinical Governance Clinical governance is the framework through which the NHS is accountable for the continuing improvement of quality of professional standards whilst still safeguarding high standards of care, thereby creating an environment which aims for clinical excellence. It is to ensure that high quality and professional standards are being maintained, and that health professionals are competent to deliver care safely with the right training and skills. This protects the patients from risks and mistakes allowing them to have confidence and faith in their care providers. Clinical governance also ensures that practitioners are accountable for the quality of patient care they provide meaning that they are more likely to question their practice and seek to make it of more benefit to the patients health. If it is found that those standards are not being met or they have got complaints from individuals about there delivery of care, there will be someone answerable for the failures to maintain standards. Nurses are responsible for their own competence and if they carry out treatments or procedures then they will be deeming themselves to do so.

Peer Pressure in Gang Violence

Peer Pressure in Gang Violence One of the Gang Peer group pressure is a major problem for teens now days, caused by pressure require by others and their wanting to fit into certain groups. The negative peer group is being named by the society as gangs. Adolescents associated with these groups feel they gained prestige. Nevertheless, not all peer group pressure has negative influence, like academic and athletic achievement. (Ayres Nalebuff, 2005) Based on studies, most teens/adolescents think that joining a group gives them popularity with their peers. The average teen feels pressure either from the school, peers, or parents; thus enticing the need to belong to groups. Oftentimes, they get involved in violence, alcohol or drugs users, and sex. Studies will prove that high school students give more time with their friends than with parents or other influential adults. Teenagers who get involved with delinquent friends shun themselves away from good or straight kids and choose to fit in to their own kind. Nowadays, majority of families are headed by single parents, most of them mothers, who work extra jobs. Single parent are spending little time with their teens, thus leaving them victim to peer group pressure. Research shows that peer group pressure may lead to delinquent behavior among teenagers, which includes criminal acts such as motor vehicle theft, burglary, and robbery and others (Cabot, M. (2007). Peer pressure can manipulate a person into smoking, drinking, or doing drugs and other things that is harmful to his/her body. Nevertheless, peer pressure can also be supportive by influencing someone to do the right thing instead of wrong. For instance, a person can be a model to his/her friends and let them know he/she wants to do right and he/she wants to change how he/she acts or what he/she was like. Some people struggle because they are depressed by what they have done or what people done to hurt their feelings in the past (Healey, J. 2007). Peer Pressure is said to be responsible for teenagers behaviors starting from choice in clothing to drug usage. A study shows that the outcome of peer pressure on teenagers behavior may be highly overestimated. This study was published in Addiction (Vol. 91, No. 2), adds to a increasing body of research that implies peer pressure is a weaker factor in adolescent behavior than many had believed. Much emphasis is not given on peer pressure, dont discuss or do not look hard for evidence of other factors. Going back and try to critically examine the importance of peer pressure. Researchers did studies over a twenty year span to find that peer pressure was easily blamed for teenage behavior but never examined. Other issues such as family life, economic background, environment, and biological tendencies all may be as important as or even more important than peer pressure in determining behavior. Teenagers who smoke tends to choose peers who smoke as friends and children with the same habit s have a tendency to hang together. Peer pressure can be least factor in the use of drugs and other habits related to adolescent life, but nonetheless peer pressure is a factor that influences drug use among teenagers. From ages twelve to nineteen is a stage in a teenagers life that determines what kind of adult he or she will become. This stage of adolescence, known as the formative years, is the subject of deeper study and research to establish why adolescents are vulnerable to the phenomenon called peer pressure. Disturbing number of incidents of teenage drug use, pregnancy and teenage suicide is the best reason to fuel the need for such research. Probably because as children they are taught the importance of having and maintaining friends or maybe they dont feel that they can talk to their parents or teachers when problems arise. Or perhaps simple reason as wanting to rebel against the pressures placed on them as youths. Because adolescents spend their time either at home or in school, it is within these confines that the answers to adolescents behavior lay. In other words, family and school can sometimes cause adolescents to give in to peer pressure because of an overemphasis on the importance of social adjustment, a lack of interest or communication on the part of the parents and teachers, and the unrealistic expectations that these entities create. Even if the reason for attending school is to receive an education, it also gives children with a medium through which they can develop relationships with other children that eventually turn into friendships. Their capability in forming friendships can be traced back to even the pre-school years and its importance emphasized by eager parents who want their children to fit in at school. Interactions with friends or other peers are crucial for the development of a mature morality. Almost all would agree that social interaction is essential but at times parents are guilty of over-stressing this importance. For Example, the birthday parties where every child in the neighborhood was invited to come regardless of whether or not they were actual friends. The need to socialize children also happens in the classroom at school. The classroom represents not only an educational ground but a powerful social context in which the psychological adjustment of children and adolescents can be influence d. Teachers promote social interaction by assigning exercises that necessitate working in pairs or groups. Besides, when a teacher notice a child playing alone, they will persuade him or her to join the other children failing to notice the possibility that the child might have preferred to be alone. Therefore, from an early age, children are taught to value the importance of social interaction and this value remains in them as they move into the adolescent years. Result of which is that adolescents value their friendships deeply and in some cases more so than their relationships with family members. This accounts for the adolescent not being able to deny their friends for fear of losing the bonds that they have formed and is the cause of their greater vulnerability to peer pressure. Having experienced peer pressure, during my adolescent years in order to fit in, because its not easy being the only one doing something different. Oftentimes, I feel worried Ill be picked on if I dont go with the crowd, or I lose my friends. Other times I do stuff because I think my friends will like me more, or because my gangs are doing it, so it seems normal. Both close friendships and wider friendship groups have provided opportunities for me to join them, and that was to smoking. Until I realized that I was into smoking for a longer period of time and hard to quit. But I asked myself if I was doing what I really think is right or just giving in to my peers pressure to impress my friends and my gang. But as I grow older, I was faced with some challenging decisions. Some of them dont have a clear right or wrong answer. Meaning I dont really know if what I was doing was really good for me. I realized that making decisions on my own was hard enough, but when people got involved and tried to pressure me one way or another, it was even harder. People, who were my age, like classmates and gangs. They tried to influence how I act, to get me to do something I do not really want to do. But because I want to stay in the gang, I was pressured to do things and sometimes overdo them to impress my gang. The peer pressure during my adolescent years was really something I had to deal with, maybe even adults too. I underwent a peer mentoring program, which matches older youths with younger ones. The former provide the latter with guidance, advice, and all forms of support I need to be able to meet challengers of my adolescent life. The older youth do not only serve as mentors but as role models to the younger ones like me. They were not perfect but having been through the same stage and most likely, the same problems, predicaments, and challenges in their homes, school and community; they are in the position to provide friendly advice, positive influences, attention and moral support to me and other younger teens. I learned to choose my friends wisely. Focus on developing firm friendships with people with the same values and ideas like me. Even having one friend who will back me up when I want to go against the group will help. I learned to be strong and just go with what I know is right. Good friends respect my individuality and I stood up for what I believe in and learned to respect myself more. Giving in to peer pressure tapers off later in life. If adolescents realize that social interaction is important but only to a certain point, then they will have the strength to say no to their friends. Similarly, if parents and teachers somehow found a way to better communicate with their children and students respectively, these adolescents would most likely come to share their feelings with them and not rely so much on their peers for feedback. (Havelin, K. 2000) And lastly, if parents and teachers became aware of the unrealistic expectations they place on teenagers, the result would be a decrease in conflict as well as a decrease in the number of adolescents who feel the need to rebel through conformity to peer pressure. In other words, examining the ways in which family and school cause adolescents to give in to peer pressure leads to a resolution of the causes. What is the overall result? Adolescents have a healthier sense of the meaning of friendships, they have an alternative other than peers to whom they can turn to and they are freed from any unrealistic expectations that they themselves cant understand. But most importantly, they become less susceptible to the traps of peer pressure, thereby, giving in to peer pressure is narrow (Kaplan, 1983). Learning about human development should give you a deeper understanding of the many different pathways humans can take as they grown and develop through the lifespan. It is important to understand child life from the childs point of view. This means understanding how the way we see and make sense of the world is affected by cognitive-developmental factors. The same applies to understanding adolescents and adults or all ages. Physical, cognitive and social capacities are intertwined. A change in how we understand the world has implications for how we interact with others which in turn has an impact on physical development. Conversely, playing games provides experiences with groups that foster new understandings about the physical and social universe. Development is profoundly affected by social context (culture and social institutions). Our beliefs about the nature of development what is normal and what is not normal are anchored in a particular social, historical and cultural conte xt. Understanding human development can help you better understand your own life experiences and life course. It can foster enhanced self-understanding and personal growth. Beneficial societal change is possible and individuals and groups can change social institutions and policies for the better. Understanding human development deeply and in context can help us better appreciate human wisdom and human fallibility. This, in turn, can help us become more creative, innovative and effective teachers. Peer pressure can be described as a positive or negative reaction that occurs when one is influenced by certain people or peers. Peer pressure is constantly surrounding us. One can first be introduced to peer pressure at a very young age and young people can be influenced easier then mature adults. I believe family members, friends and religious institutions have the strongest influence of peer pressure on society. But from past experiences, friends have the strongest influence on teenagers. With the proper guidance and right choice of friends, one will not have any trouble with lifes difficult decisions, and will hopefully, do the right thing. Ayres, I., Nalebuff, B. (2005). Peer Pressure. FORBES. 175 (7), 118-118. Cabot, M. (2007). Pants on fire. New York: HarperTeen. Havelin, K. (2000). Peer pressure: how can I say no? Perspectives on relationships. Mankato, Minn: LifeMatters Healey, J. (2007). Peer pressure. Thirroul, N.S.W.: Spinney Press. Kaplan, L. S. (1983). Coping with peer pressure. New York: Rosen Pub. Group. Hersch, P. (1998). A tribe apart: a journey into the heart of American adolescence. New York: Fawcett Columbine.

Human Migration Factors Essay -- essays research papers

Human Migration Factors   Ã‚  Ã‚  Ã‚  Ã‚  Migration, the movement of people from one place, origin or country to another1. For as long as man can remember migration has been a big part in our lives. People have migrated continuously since their emergence as a species.   Ã‚  Ã‚  Ã‚  Ã‚  The art of migrating is to move from place to place or country to country, to find what we searched for, A suitable environment for our families and us to live in. It is vital for humans to keep on the move or migrating. Many people migrate to different places around the world, like Europe, Africa, The Americas, Australia, and the Soviet Union. Humans migrate because they feel that they need to have stable and suitable environment in which to live in and bring up their families. Pe...

Explain the Problem of Evil Essay

The problem of evil refers to the nature of God. Many assume that God is benevolent but hardly anyone really considers the possibility that God is not all good but rather an all evil, malevolent God. The question is if God is all good and all powerful, then why did he create a world full of evil and suffering? There is so much suffering in this world that a lot of people find it hard to believe that, if God does exist, he is good. There is the argument that an all good, all powerful God would create some suffering in the world to perhaps allow people to achieve greater goods. However, in all honesty, there is more evil than good in the world and so the likely hood of that isn’t very high. So in order to explain the nature of the problem of evil, then one has to consider the possibility of an evil God as well as a benevolent one. Is God willing to prevent evil, but unable to? Is God able to prevent evil, but unwilling to do so? Or is God able to prevent evil and willing to? If everyone goes along with the assumed theory that God is all good, it is harder to come up with reasons and theories that would explain Gods reason for allowing evil and suffering in the world. However, if you consider the idea that God is not all good but rather evil, then everything becomes clearer. Then again, there is the question of if there is an all evil God, then why did he create beauty and happiness in the world? Or why did he bother creating the world in the first place if he was just going to see it destroyed by the evil within human nature? The answer is this; he simply created beauty and goodness so that he could take it all away, to see us all suffer. This theory however, only seems to raise new questions rather than just answering the old and so it still leaves the question, is God good or bad? Another argument would be free will. The Bible states that God granted humans the gift of free will. However some would say that as a result of this, we have created our own evil and suffering. We start our own wars; we are the reason so many people are dying of starvation. But then there are those who would argue that it is better to have free will because it is a good that ‘far outweighs the evil it produces’. The Ireanean theodicy attempts to explain natural evil as well as moral evil. This theodicy states that things like bad experiences can make a person stronger. For example people who have suffered through a life threatening disease and survived may say that they have actually gained something from it,  regardless to how much pain it brought. Similarly, by creating natural evil, God is allowing us to ‘grow and develop morally and spiritually’. However the issue with this theory is that it fails to explain why God allows suffering to be distributed to some, while others enrich themselves in luxury. Therefore we are again brought to the question ‘is God good or bad?’ There are other ways of explaining why evil happens. One is Augustine’s theory that evil is the result of angels who turned away from God. Generally, Augustine’s theodicy is the traditionally accepted one. He based his theory on two key passages from the bible: Genesis 3 and Romans 5:12-20. Augustine believed in a good God who created the world with goodness and evil is a ‘privation of good’, not an entity itself but something that lacks goodness.

How to Enjoy Your Job Search

How to Enjoy Your Job Search One important aspect of searching for a new job is maintaining a positive attitude- believe it or not, your attitude can reflect on your ability to get a job. Taking the time to care for yourself and keep your spirits up, even with the situation may seem desperate, can lead you to job positions that you may not have thought of and a lifetime career doing something you really enjoy. Keep Having Fun While Job SearchingMaybe money is a little tight, but you don’t have to let it cramp your style. Take a walk, go jogging, or do some volunteer work that makes you feel fulfilled. Do you like animals? Volunteer at an animal shelter, and spend some time with other animal lovers. If you’re into sports, you can join a league, or coach a children’s team at school. When your normal idea of a night out is to go to a movie, rent a movie and invite friends over for an evening of camaraderie. Fun doesn’t have to cost a lot of money.Get a Part-time JobWhile you’re wa iting for that perfect job opportunity to come along, you can look for part-time jobs doing something else. It gives you a reason to leave the house every day, keeps you on a schedule, and you will meet new people. It also helps you focus energy in a positive way and gives you spending cash while you wait that you can use to pay bills and have a little fun.Focus on the PositiveLooking at the jobs you had in the past can bring negativity into your life. Now is the time you can reinvent yourself and head in a new direction. Make a list of your skills, and choose a new career path that you find interesting and would enjoy doing. Just because you have worked in one area doesn’t limit you from branching out. While it’s great to have a job, it is even better when you are doing something you really enjoy.Target Your Job SearchThese days you might not hear back from potential employers when you submit a resume, but that represents modern times and is not a reflection on you or your abilities. Keep focused on the type of job you want and apply for a certain number of jobs per week. Look at it as a game that you can win.Interviews Where You Didn’t Get the JobWhen this happens, it is far from a negative experience. Being called for an interview, even if you don’t get the job, means you have the qualifications the employer is seeking for the position.That means you are on the right track to finding the job you want. Make a game of practicing your interview skills. You can prepare a statement that you can practice in front of the mirror, so you will appear confident and relaxed during your next interview. Have a friend conduct a practice interview and ask for feedback or record it, so you know how you sound and where your interview skills could use improvement.Keep on Top of Job Listings with Job Search SitesSeeing an advertisement for a job you want and not responding quickly may mean the position has already been filled. While looking online f or a new job can be helpful and might result in possible employment, you might want to take the easier route and have a company do the job search for you.TheJobNetwork is a free website that does your job search for you and sends you appropriate listings by email when those jobs become available. In this way, you don’t miss any job opportunities and can be happy knowing you won’t miss getting that great job.