Friday, January 31, 2020

Quality Indicators for Safe Medication Preparation and Administration Essay Example for Free

Quality Indicators for Safe Medication Preparation and Administration Essay Being passionate about caring and helping others has influenced and inspired me to enter the medical field and has then encouraged me to become a registered nurse in the Philippines. I have worked in a public hospital located in Manila which caters health care services for people presenting infectious and tropical diseases. One day, I had an admission who was diagnosed with an Acute Gastroenteritis secondary to Acquired Immunodeficiency Syndrome. The doctor ordered a new antibiotic that should be given intravenously. When the antibiotic was already at hand, I administered the medication with the 100ml solution of normal saline to the patient. Afterward, because of a lot of toxicity in the area caused by a large number of patients, I forgot to reassess the patient whom I gave the antibiotic initially. I was surprised when I got back, the patient was already experiencing an allergic reaction to the antibiotic that the skin was flushed and generalized rashes were observed. I referred the patient immediately to the resident on duty and anti-histamine medications were given right away. Because of the incident happened, I felt overwhelmed with fear due to the possible consequences I had in my mind that the patient might suffer. I had been administering antibiotics many times in the past, but this situation made me feel guilty and uneasy. I even questioned myself if I am really that competent enough to do medical interventions to the patients. A nurse’s role is to render a high quality of care at all times. The reactions of the antibiotic would have been prevented if the proper assessment has been executed. Being knowledgeable in interventions especially medication administration is essential in my role, that I felt I didn’t accomplish fully. I documented all that happened to the patient and I made an internal incident report so that the other team members would be well-informed about the situation and also proper endorsements were done. Further errors and complications will be prevented through active management and effective reporting system would ensure patient’s safety. Administration of medicines to individuals who are ill is part of nurse’s responsibility to deliver holistic and optimal care (Veitch Christie 2007). In the Philippines, nurses are required to practice methodical approach that follows local polices. In regards to my own experience, nurses practice 10 rights of medication administration that are intended to protect patients from any misconduct in promoting health. Some of the key things I have learned include developing my time management, multi-tasking, and organizational habits. One of the ways I would change what I did then would be to assess before and after administering certain medication to the patient especially if it’s an initial dose. I am now more cautious and responsible for my actions when delivering holistic care. Although I should’ve reassessed the patient, the experience I have gained from this has made me more mindful of patient’s rights that safeguard patient’s well-being. In the future, I think I would try to deal with this by improving the level of my competence and not neglect the aspects of nursing as a caring profession. I will continue to provide genuine care to the patients through further developing my skills in performing the 10 rights of medication administration. I intend to become more careful and as well as confident when protecting the health of my patients from possible risks of any treatment and health practices. As a registered nurse, I aim to advance my knowledge and skills that will befit the needs of the clients. Therefore, even if this experience for me was a challenge, I took it as an advantage to help me understand the importance of values in nursing and will guide me in tackling different instances and situations in the future.

Thursday, January 23, 2020

Labour Party and the New Liberalist Ideas Essay -- social democracy, gr

Social Democracy is a political ideology referring to multiple areas in Europe during the early 20th century. Democracy is a term founded in Greece. A democracy is rule by the people, for the people. A social democracy was formed in the 1870s up until the time of World War I, the ultimate goal of a social democracy in Europe during the time between the end of World War I and the beginning of World War II was to create equality through human change and help the people lead themselves into lives of equality. Equality is a goal many nations during the early 20th century were trying to achieve. Social democracy after William returned from World War I and during the interwar period was largely comprised of the New Liberalist ideas and the Labour Movement. England: 1935. Just seventeen years after the ‘end ’ of World War I and less than four years away from the beginning of World War II, England was in the midst of great growth. England had experienced changes in their economy, their politics, and the ways of life of the British people (reword?). Whether these changes were positive or negative, the lives of the British population would have changed immensely. Throughout William’s young adult life, he has lived in different places, and had different jobs. But before World War I, William left France and came back to his homeland, England hoping to find a job. William worked as a shipbuilder while he was in France, but he eventually lost his job . While the cost of living continually rose , William suffered. During the height of World War I, William enlisted in the British army. Years after World War I came to a halt, William was living in England. In the years prior, when William was traveling for work, he felt he ha d no sense of belong... ... . Accessibility: 5 Reliability: 5 Note: This is accessible when one has internet access. The website is very easy to use and it is very reliable. Michie, R. C., and Philip Williamson. The British Government and the City of London in the Twentieth Century. New York: Cambridge UP, 2004. Print. Accessibility: 4 Reliability: 5 Note: I had not heard of this author, but the publisher is very well know, which established credibility. I received a copy of this source through the Xavier Library. Overy, Robert. "Strategic Intelligence and the Outbreak of the Second World War." War in History 5.4 (1998): 451-80. Print. Accessibility: 5 Reliability: 5 Note: I had not heard of this author, but after some research I found he is a well know British historian. He has spent most of his time studying World War II.

Wednesday, January 15, 2020

A raisin in the sun coursework Essay

In this essay I am going to analyse how Lorraine Hansberry presents the transformation of Walter in the play ‘A raisin in the sun’. The pages I’m going to concentrate on are pages 1787 and 1788. A raisin in the sun portrays a few weeks in the life of the Youngers, an African-American family living on the South Side of Chicago in the 1950s. When the play opens, the Youngers are about to receive an insurance check for $10,000. This money comes from the deceased Mr. Younger’s life insurance policy. Each of the adult members of the family has an idea as to what he or she would like to do with this money. The matriarch of the family, Mama, wants to buy a house to fulfil a dream she shared with her husband. Mama’s son, Walter Lee, would rather use the money to invest in a liquor store with his friends. He believes that the investment will solve the family’s financial problems forever. Walter’s wife, Ruth, agrees with Mama, however, and hopes that she and Walter can provide more space and opportunity for their son, Travis. Finally, Beneatha, Walter’s sister and Mama’s daughter, wants to use the money for her medical school tuition. She also wishes that her family members were not so interested in joining the white world. Beneatha instead tries to find her identity by looking back to the past and to Africa. Later on in the play, the Youngers fight over their competing dreams. Ruth finds out that she is pregnant and starts to worry about the financial problems that may happen if she keeps it. Mama puts $3,500 down payment on a house and gives $6,500 to Walter from which he has to give Beneatha some for her medical school tuition. Walter on the other hand doesn’t give Beneatha her share of her money, instead gives it to Willy his friend who runs away with it. The house is in Clybourne Park, an entirely white neighbourhood. When the Youngers’ future neighbours find out that the Youngers are moving in, they send Mr Lindner, from the Clybourne Park Improvement Association, to offer the Youngers money in return for staying away. The Youngers refuse the deal. In the meantime, Beneatha rejects her suitor, George Murchison, whom she believes to be shallow and an assimulationist. Subsequently, she receives a marriage proposal from her Nigerian boyfriend, Joseph Assegai, who wants Beneatha to get a medical degree and move to Africa with him. The Youngers eventually move out of the apartment, fulfilling the family’s long-held dream. Their future seems uncertain and slightly dangerous, but they are optimistic and determined to live a better life. They believe that they can succeed if they stick together as a family and resolve to defer their dreams no longer. Various stage directions are used to show Walter’s feelings for example, when Ruth informs Walter that Mr Lindner is here ‘a long minute passes and Walter slowly gets up’ from his room. This shows that Walter is not eager to meet Mr Lindner so he takes his time. When Walter ‘slowly and awkwardly’ walks out of his room ‘passing the back of his sleeve across his mouth from time to time’ makes him seem as if he is a small chid who is sloppy and awkward. This is how he behaves throughout the play and shows the childish side of him. When Walter ‘looks down at his boys eyes’ he realises that Travis is the 6th generation in his family to live in America and should look to set an example for future generations. While Walter talks to Mr Lindner ‘he looks around and shifts from one foot to the other’ and makes short pauses in his speech showing that he is unsure and frightened about speaking out aloud in front of his family. He tries to get the point across that they are ‘very plain people’. Walter again looks away from Mr Lindner and ‘down at his shoes’ and then back up at him. This shows that he can’t maintain eye contact with Mr Lindner. This makes Walter feel shy because he is speaking to someone who is higher classed and who he feels is superior to him. He again tries to get the point across that they are plain people by telling Mr Lindner their current situation such as how he has been ‘a chauffer’ most of his life and how Ruth is a domestic worker in people’s kitchens. All this confuses Mr Lindner as he doesn’t know what Walter is trying to get across instead he listens to him and see what he has got to say. Walter now starts to tell Mr Lindner how his father ‘almost beat a man to death once because this man called him a bad name or something’. Walter asks Mr Lindner if he knows what he is talking about, he replies ‘no, I’m afraid I don’t’ this makes Walter feel as if he is the only one that understands what it feels like so he gains confidence in himself and straightens up. Walter tries to get another point across by saying that he came from people who had a lot of pride and now they don’t have the same pride. Walter tries to make out that they are still very proud and how his sister is going to be a doctor. Walter contradicts himself as in the beginning when he was arguing with Beneatha he mentioned that being a doctor is more of a males’ role and she wouldn’t be able to become one. Walter now starts to cry while facing Mr Lindner ‘eye to eye’ this makes Walter feel bad about what he has done with the money. Walter now decided to tell Mr Lindner that they are moving into the house because his father had ‘earned it’. This shows that Walter has recognised his responsibility and best interest for his family at heart. Walter’s character has evolved from a young child into manhood making him a hero of the family. Walter now has all the confidence to look Mr Lindner ‘absolutely in the eyes’ and tell him ‘we don’t want your money’. Walter finishes with a very definite statement. Doing this makes Mr Lindner feel as he is an obstruction and so should leave. The family are all excited about the wise decision Walter has made. The audience feel that in the beginning of the play Walter is selfish and money hungry because he doesn’t listen to any member of his family and only thinks about trying to get rich quickly. In the end Walter had realised what a fool he had been after losing the money his mother had trusted him with. Now he should listen to his families needs and do what he thinks is right. By making the wise decision of moving into the house he makes the audience feel as if he has become a true man and a hero to his family. Walter is virtually a new person now which people like more than what he was before. The character of Mr. Lindner makes the theme of racial discrimination prominent in the plot as an issue that the Youngers cannot avoid. The governing body of the Youngers’ new neighbourhood, the Clybourne Park Improvement Association, sends Mr. Lindner to persuade them not to move into the all-white neighbourhood. Mr. Lindner and the people he represents can only see the colour of the Younger family’s skin, and his offer to bribe the Youngers to keep them from moving threatens to tear apart the Younger family and the values for which it stands. Ultimately, the Youngers respond to this discrimination with defiance and strength. The play powerfully demonstrates that the way to deal with discrimination is to stand up to it and reassert one’s dignity in the face of it rather than allow it to pass unchecked. In my opinion I think Walter is like any other American- African in that time. He believes that money is the only thing he needs to solve all his problems but little does he know that he needs to listen to his family and not just himself. I also think that all the male roles such as Willy and his friends are bad influences on Walter as they persuaded him to give them his money which they ran off with. However the female roles such as mama and Ruth were a good influence as they all stuck together even when Walter was against them and helped Walter to see what he is throwing away. Lorraine Hansberry is trying to say that Black people in the 1950s experienced a life of discrimination in one way or another. They got here today by having defiance and strength in themselves. Even though they were not treated as equals by some white people, however they made a stand which gave them dignity and the power to be treated as equals. Though black people try to fit into a white neighbourhood they should still remember their roots and how they got here.

Tuesday, January 7, 2020

Freedom Is Never Equal By Harriet Jacobs - 2085 Words

‘Murica!!! The land of the free! The home of the brave! Call it what you want! Dream about it, celebrate it and worship it! Just know, you’re worshipping one of the most hypocritical countries there is! How do I know!? One word: Slavery! Freedom is never equal. That’s always been the reality. Let’s go back to the 1800s. Slavery was the basis of Southern society and robbed millions of African Americans of their freedom. So what did they do? They got it back. But, not every runaway slave dreamed of the same freedom. Between those who made it North and out of the Cotton Belt, there were various different perceptions of freedom. Two examples of this are Harriet Jacobs, a female slave from North Carolina who eventually runs away to the North and Frederick Douglass, a Maryland slave who escapes and becomes a leading abolitionist. To document their lives, both would go on to write autobiographies, with Douglass penning Narrative on the Life of Frederick Douglass, An American Slave and Jacobs writing Incidents in the Life of a Slave Girl under the name Linda Brent. Each books tell the story of how the author became free and the journey they took to get there. Even though they both encounter the harshness of slavery and experience similar successes once they escape it, the circumstances regarding their situations are completely different. These circumstances play a huge role in deciding their fates. Stemming from that fact, the types of freedom each is looking for becomes differentShow MoreRelatedSharing The Same Fate in The Adventures of Huckleberry Finn by Mark Twain1212 Words   |  5 PagesIs it possible for two people who have never interacted with each other throughout their lives to share the same fate? 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For both Harriet and Phillis, both women used literacy as their voice to raise concernRead MoreSummary Of Incidents In The Life Of A Slave Girl1785 Words   |  8 Pages Introduction ‘Incidents in the life of a slave girl’ written by Harriet Jacobs and published by L.Maria Child (in 1831), is an autobiography by the author herself which documents Jacobs life as a slave and therefore The book starts when Jacobs is born as a slave in a city of North Carolina and then continues through her escape, her status as a runaway fugitive in the North, and finally her path to freedom when one of her northern white friends buys her in the year 1852. Incidents in the Life