Tuesday, December 31, 2019

My Communication Experience With Patient - 791 Words

I would like to discuss my communication experience with patient that happened in nursing home during placement. To describe the situation, I will use Gibbs’ (1988) Model of Reflection. Pete Lindsay, Jeff D. Breckon, Owen Thomas, Ian W. Maynard, 2007, pg. 340 explained this model as a cyclic approach which facilitates the continual development of practitioners as they progress through each six stage involved in it. It was my first placement and I was gleeful. I was given an opportunity to work independently on the third day. To begin with, I will describe about the condition of my patient, my feelings when I met him, good things which I learnt, impact of this communication on our relationship, discovered innate trait of myself and the areas in which I thought I need to improve. Communication is considered as nitty-gritty of nursing care which requires clear communication with client, the family and health care members. It has been stated by Peggy Rupp Wysong, and Evelyn Driver, 2009, p. 25 that communication with patient is a vital nursing skill. I also encountered significance of communication with paralysed patient having aphasia after stroke. I was given an opportunity to take care of him and assist him in his daily activities. I washed my hands and introduced myself to him and greeted him after entering into his room. He also responded nicely but could not speak clearly. He then pointed towards toilet and I put him on wheel-chair and took him to toilet. Intermittently,Show MoreRelatedEffective Communication Within A Workplace854 Words   |  4 PagesCommunication skills are very important no matter where or who you are. Communication within a workplace can determine whether a business or individual is successful or not. Understanding effective communi cation in a medical setting helps hospitals and doctor offices develop a work environment that is able to communicate effectively with coworker, patients and doctors in order to take of the patients needs. Listening, clarity and Patience are three main keys to effective communication within aRead MoreThe Importance Of Rapport Building For Effective Communication1527 Words   |  7 PagesEffective Communication Communication is a fundamental constituent of workplace operation, particularly for those working in health care. For health care professionals, this is extremely important as verbal and non-verbal communication are critical for ensuring that correct diagnosis and treatment is provided. This was reinforced when I had the opportunity to speak to a psychiatric nurse about the communications skills she considers to be essential for building relationships with patients and colleaguesRead MoreReflective Reflection On Reflective Practice1474 Words   |  6 PagesReflection is a form of personal response to experiences, situations and events. Reflective practice therefore is based on experience and instinctive learning that one may not aware of it until responded to the situation. It demonstrates how to combine with ones qualities and clinical knowledge and skills in order to .deliver safe and effective patient care. (Jones, 2016).Individuals reflects because issues arise that needs to be considered both before and after one performs. The piece of reflectionRead MoreNursing Reflection1649 Words   |  7 Pageshappened in my earlier years of working as a professional nurse. The incident I am sharing and the subsequent learning I have gained by reflecting it helped me in the later years of my nursing career. During my career as a professional nurse I have worked in several hospitals also attended several cases and those provided me with lot of insights and leanings. As per NMC 2002 guidelines, for protecting identify of the patient, names have been replaced with pseudo names. For structuring my experience and theRead MoreRole As A Student Of Higher Education, By Rosemary Keogh R David Walker1495 Words   |  6 Pagesessay based on my experience in communicating in a group setting and the importance of communication in my future role as a mental health nurse. The reason for choosing communication is because throughout my three years of studying it will be a recurring skill that I will require in order competent and confident in delivering the best care to the patients, carers and their families. In this essay I will be using Gibbs (1988), to assist me to reflect in a clear way, to challenge my assumptions, exploreRead MoreEffective Communication For The Nursing Profession1493 Words   |  6 Pageson Effective Communication Skills in the Nursing Profession. Name: Carmela Alitin Student Number: n9713271 Unit: PYB007 Communication for Health Professionals Tutor: Aleana Green Tutorial: Thursdays 11am-1pm, Z-607 Word Count: 1,380 A Reflective Essay on Effective Communication Skills in the Nursing Profession â€Å"Effective communication is integral in every profession, but in nursing, it could mean the difference between life and death,† (E.S Alitin, personal communication, 31 March, 2016)Read MoreClinical Practice Reflection1592 Words   |  7 PagesA REFLECTIVE CLINICAL PRACTICE EXPERIENCE Introduction My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward. Reflection is a process ofRead MoreReflective Essay1432 Words   |  6 Pagessetting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and communicate with each other to achieve the best patients outcome. Reflection is an everyday process and is very personal matter. Jasper (2003) suggests that reflection is one of the key ways in which we can learn from our experiences. Reflective practice can be defined as process of making sense of events, situations and actions that occur in the workplace (Oelofsen, 2012). There are aRead MoreReflective Account on the Importance of Non Verbal Communication in an Acute Setting1584 Words   |  7 PagesIntroduction This assignment is a reflective account of my first experience when assisting a patient to eat lunch. For the purpose of this assignment I will refer to this patient as Mrs C to maintain confidentiality and comply with the NMC code (2008). It will discuss the importance of non-verbal communication when providing effective nursing care to the elderly. As a framework for this reflection I am going to use the Gibbs (1988) Reflective Cycle which uses 6 stages; description, thoughts andRead MoreNursing Reflection on Clincial Prcatice Essay1290 Words   |  6 Pages Reflection on Clinical Practice – First Placement (Year 1) The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008). Throughout this essay I shall be using Gibbs model of reflection. The following reflective account also forms one aspect of the EC hour’s directive, namely

Monday, December 23, 2019

How The Van Pulled Into The Staging Area Where Charlie Team

The van pulled into the staging area where Charlie team was already waiting. Taryn and Marco rushed over to help Wilhelmina from the van. â€Å"You’re okay!† Taryn exclaimed, wrapping her sister in a tight hug. â€Å"Come on, let’s get you to Medical.† Brad hopped out of the van behind them and ran ahead to open the door. Nikolas climbed out of the van and started to follow, but Ayana held out her arm to stop him. â€Å"Come with me.† Nikolas reluctantly followed his eldest sister from the room. Wilhelmina glanced back at them; concerned, but Nikolas just rolled his eyes and pointed at Ayana. â€Å"What do you want, Ayana?† Nikolas asked, a couple of minutes later. They had been walking in silence and he was getting more and more annoyed by the second.†¦show more content†¦He was hurt that his own sister could say something so horrible to him. She had no idea what he had done to make sure that Brad was safe. Eris had started teaching him how to phase objects by vibrating their molecules; allowing solid objects to pass through each other. He’d only been able to do it once in class and he had no clue what had made him attempt it at the mansion. All he knew, was that the second the gun had gone off, he d simply reacted on instinct; phasing the bullet enough to pass harmlessly through Brad. Eris had warned Nikolas against phasing denser objects before he was strong enough, and the bloody tears seemed to validate Eris s insistence that he wasn t ready. At that moment, however, he wasn t going to explain; he wanted to hurt Ayana too, and he could only think of one way. â€Å"Careful, you’re starting to sound like our dear old dad,† Nikolas spat with as much venom as he could. He saw it on her face before she punched him, but he didn’t try to stop it. The blow knocked him back another step. Nikolas wiped blood from his mouth with the back of his hand. â€Å"Daddy hits harder, though.† Enraged, Ayana hit him again; grabbing the front of his shirt to keep him standing. Nikolas spat a mouthful of blood on Ayana’s white carpet. He looked up at his sister. He could see the pain and anger on her face, but he didn’t care. â€Å"You can do better than that... mom.† NikolasShow MoreRelatedStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesEducation, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290. Many of the designations by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and the publis her was aware of a trademark claim, the designations have been printed in initial caps or all caps. Library of Congress Cataloging-in-Publication Data Robbins, Stephen P. Organizational behaviorRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 Pagesplease submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458. Many of the designations by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and the publisher was aware of a trademark claim, the designations have been printed in initial caps or all caps. Library of Congress Cataloging-in-Publication Data Managing information technology / CarolRead MoreProject Mgmt296381 Words   |  1186 PagesLeadership skills G.1 Project leadership 10.1 Stakeholder management Chapter 11 Teams Chapter 3 Organization: Structure and Culture 2.4.1 Organization cultures [G.7] 2.4.2 Organization structure [9.1.3] 9.1.1 Organization charts 1.4.4 Project offices Chapter 4 9.2 Building the team (.1.3) [3.5.3] [App G.2 Building teams] 9.4 Managing the team 9.3.2 Team building activities 9.2.4 Virtual teams 9.3.3.1 Team performance [9.4.2.2] 9.4.2.3 Conflict management 9.3.2.6 Recognition and awards Read MoreProject Managment Case Studies214937 Words   |  860 Pagesfitness for a particular purpose. No warranty may be created or extended by sales representatives orwritten sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. For general information on our other products andRead MoreMetz Film Language a Semiotics of the Cinema PDF100902 Words   |  316 Pagesis usually used to translate plan sequence rather than shot sequence. Simi ´ xi x A NOTE ON THE TRANSLATION larly dolly in and dolly out are used rather than forward and rear. Mise en scà ¨ne is also retained in its filmic use, while staging is used to describe a stage production. The term constantif, which Metz borrowed from Austin, should be rendered by constantive and not by ascertaining (p. 25). Finally, actor to translate Greimas s concept of actant is misleading and actant

Sunday, December 15, 2019

Stefan’s Diaries The Craving Chapter 20 Free Essays

string(116) " or something too large and dangerous for its surroundings, like the pace of a panther around its tiny circus cage\." The New York Halls of Justice and House of Detention was a slablike stone structure that rose heavily from the street like an old tombstone. The interior was a portrait in gray, with grim-faced policemen and haggard criminals. And us. We will write a custom essay sample on Stefan’s Diaries: The Craving Chapter 20 or any similar topic only for you Order Now Vampires caught in a human system for a bloody crime we didn’t commit. The twistedness of it all was remarkable, but it did nothing to alleviate our current situation. With our hands tied behind our backs, a young policeman marched Damon and me up several flights of worn wooden stairs and into the chief’s office. He commanded a small square of the larger floor. Sketches of wanted men lined his walls, one man’s eye struck through with a large nail. The chief himself was a grizzled veteran with a full black beard, except for where a smooth, diagonal scar cut through his skin. He looked at our rap sheet and let out a low whistle. â€Å"The whole Sutherland family? That’ll be in the papers tonight.† I flinched at hearing such insensitivity coming from the lips of a normal human. What sort of monsters did he deal with that the death of an entire family was no more than a news item? â€Å"We didn’t do it,† I said. â€Å"No, of course you didn’t,† the chief said gruffly, running a finger along his scar. â€Å"No one who ends up here has ever done it. But the courts will get it sorted out, and everyone will get what they deserve.† We were unceremoniously dumped into a holding cell that was larger than the entire one-person jail back home, where Jeremiah Black spent many a night sleeping off his drunken stupor. I never expected to see the inside of a cell myself. â€Å"We didn’t do it,† Damon whined, imitating me and shaking his head, as soon as the guard left. â€Å"Could you make us sound any more ridiculous?† â€Å"What, are you afraid of us coming off as sissies?† I asked. â€Å"Would you rather I just bared my fangs at him?† A rasping chuckle came from the corner of the cell, where another prisoner sat slumped against the wall. His hair receded from his forehead in a deep V and he had the arms of a dockworker. â€Å"Nice clothes,† he said with malicious growl, eyeing our formal suits and clean-shaven cheeks. â€Å"What are you in for, rich boys?† â€Å"Killing a family,† Damon answered without pause. â€Å"You?† â€Å"Beatin’ in the heads of the likes of you,† he answered back just as quickly, cracking his knuckles. He took a swing at Damon, but my brother reached up and, with hands faster than the human eye, deflected the blow, and pushed the man against the wall with a loud crack. The giant didn’t so much topple as just crumple straight down, falling into an unconscious puddle around his own feet. None of the officers came running, and I wondered if fighting in the cells was an ordinary occurrence. Damon sighed as he stepped around the man. He sat down on the floor in a moment of exhaustion that was almost human, almost like the old brother I used to know. â€Å"Why is it we always end up locked behind bars with each other?† â€Å"Well, at least this time you’re not being starved,† I answered drily. â€Å"Nope. No chance in that,† Damon said. His eyes surveyed the police standing on the other side of our bars, taking in each person. Then he leaned his head up against the wall and gave the peeling paint a grudging sniff. â€Å"And I think there’s more than a chance that there are a couple of rats in here for you, too.† I sighed, sliding down the wall and sitting next to him. I did not understand this new Damon. His shifts in mood were frightening. One moment he was the soulless vampire who killed without remorse, the next he was someone who seemed like my old childhood companion again. â€Å"What’s the plan?† I asked. â€Å"You’re looking at it,† he said, getting up and indicating the dead man at our feet. â€Å"Guard! Man down in here.† When the guard approached and saw the body on the ground he seemed annoyed, but not surprised. The guard didn’t lean too close – he had survived long enough to know not to. But it was close enough. Damon flared his eyes. â€Å"Forget we were ever here. Forget what we look like. Forget who brought us in, our names, and everything about us.† â€Å"Who’s us?† the guard asked, hypnotized but slow on the uptake. â€Å"The man I came in with,† Damon snapped, pointing at me. The guard nodded faintly. â€Å"Forget everything about us. And then – send over the other guard, all right?† The guard wandered back to his post, somewhat dizzily at first, then cocked his head as if he had just remembered something. He went to one of the guards on patrol and pointed at the jail cell. Not at Damon, through Damon. It was like Damon didn’t exist anymore in his reality. â€Å"One down,† Damon muttered. He looked tense. Again I wondered how many people he really could control at once. The second guard approached. He had a scar across his face that twisted one eye shut, and he smacked his billy club as he walked. But before Damon could compel him, he said the absolute last thing we expected. â€Å"Your lawyer is here.† I looked at my brother. He looked back at me in equal surprise. He raised an eyebrow as if to say: Did you arrange this somehow? I very slightly shook my head. Damon straightened his shoulders as a clang sounded and the door to the stockade opened. The smell of rotten eggs and death filled the room as another man walked in – the lawyer. He was huge. Larger than the prisoner Damon had knocked out, with long arms and a huge chest. His hands were monstrous, with stubby fingers that gripped a leather portfolio. He came into the room slowly, with the careful tread of someone or something too large and dangerous for its surroundings, like the pace of a panther around its tiny circus cage. You read "Stefan’s Diaries: The Craving Chapter 20" in category "Essay examples" His clothing was of a foreign cut, comfortable, rich linen and silk that allowed his massive body to move easily beneath its folds. And his eyes†¦ They were small and blue, but not the clear blue of my brother’s. They were mottled, milky almost, and too ancient for the rest of his body, moving quickly but incorrectly, like a bird’s or a lizard’s gaze, but with a powerful intelligence behind it. This man was not human. He didn’t feel like a vampire, not exactly. But there was something just below his surface waiting for a chance to explode. The Power radiating from him was greater than anything I had experienced. And my instincts told me that even though he had come under the auspices of being our lawyer, this man was not here to help us. He surveyed us in the jail cell and smiled slightly. â€Å"You may go,† he said to the guard behind him. His voice didn’t even rise, but quietly reverberated in a way that carried to the far end of the empty holding cells. And yet they went. Quickly, and with something like relief on their faces. We were left alone with this beast. â€Å"Good evening, gentlemen,† he said, smiling in a way that made me sick. â€Å"Who are you?† Damon asked, clearly trying to sound bored. But I could hear the fear in his voice. â€Å"Who am I?† the man repeated in a heavy accent. â€Å"Does it help to know the name of the one who will kill you? It didn’t seem any comfort to your wives.† The words fell like stones to the floor, heavy and final. The man casually put a giant hand up to rest on a bar. â€Å"You killed the Sutherlands,† I whispered. â€Å"Yes.† He smiled and pursed his lips. â€Å"It was fun.† â€Å"You tore them apart like paper dolls,† I said, even though I knew he could tear me apart, too, could scatter my limbs like the petals that had lined my wedding altar. â€Å"You†¦ broke them.† â€Å"Young vampire, you must know the hunger of the beast,† he said with a smile that wasn’t at all amused. â€Å"There are other hungers, for other things, that once awoken cannot rest until they are satisfied.† The whites of the man’s eyes glowed red, and there was a hush in the air, like great Power was being summoned. I could practically smell the fear coiling off Damon in large strips. But I began to grow angry. Rage boiled in my stomach and shot out through my body. This man had butchered an innocent family and enjoyed it. This was what my new life as a vampire meant – layers and layers of evil, and even more horror and destruction, just when I felt I had reached the very bottom. â€Å"Why?† I demanded, coming forward as far as the bars would let me. â€Å"What did they ever do to you?† â€Å"Why?† the beast asked. He leaned forward, mocking my bravado. As he neared, mere centimeters from my face, a sickening stench of old blood and decay swept over me. It was like a thousand years of death and dismemberment followed him around, a trophy from each corpse he was responsible for. â€Å"Recompense.† He said each syllable carefully. â€Å"Recompense?† I echoed. He bared his teeth. â€Å"Yes, recompense. For taking Katherine. And destroying any chance to break the curse.† Katherine? What did she have to do with all of this, with this abomination in front of us? With the Sutherlands? And what curse? I looked over at Damon. She had always shared more details of her life, of being a vampire, with him. But my brother was wide-eyed and gaping like a fish, even more stunned by hearing her name than I was. I thought about the blissful, ignorant weeks I spent as her slave and lover, never imagining that she would lead me straight into hell. The man backed up a few steps, including Damon in his foul stare. â€Å"Yes, you understand now,† he said, nodding. But we didn’t. â€Å"I – † Damon began to speak. â€Å"SILENCE!† the man roared. Suddenly he was pressed up against the bars, a blackened fingernail inches from Damon’s throat. â€Å"Do you dare deny it?† With a chilling deliberateness, he pushed an iron bar aside like it was a curtain. The metal screamed in agony. In a flash of darkness he had stepped through, and wrapped a giant hand around each of our throats. â€Å"You took Katherine. I take your new life from you. An eye for an eye, as you people are fond of saying. Right?† â€Å"I†¦ don’t know what you’re talking about,† I said, choking. The monster threw back his head and laughed. â€Å"Of course you don’t.† He snapped his head back, suddenly fixing me with his eyes and a sneer on his lips. He didn’t believe me. â€Å"Katherine never mentioned Klaus?† Even after her death, Katherine continued to haunt us. I looked over at Damon. There was a pained, heartbroken look on his face. It was gone in an instant, but for that one moment I thought I saw through to my old brother. He was shocked by the fact that Katherine, the love of his life, had been involved with a creature as heartless as the one that stood before us. I felt for him. Unbidden, half a dozen images of Katherine came to my mind. Her amber eyes that commanded attention. Her long black hair hanging in waves around her neck, as if she had just done something that might have disheveled it. Her tiny waist and mischievous smile. She had been irresistible. And Damon and I weren’t the only ones to have felt her pull. The man tightened his grip on my throat, and I could hear the groaning of vertebrae. In a moment we would be on the floor, our necks snapped as easily as that of the prisoner Damon had killed. Then suddenly I was free. Damon fell to the ground beside me, also released from the stony grip that held him. From outside the cell, the monster smiled viciously. â€Å"I will see you two later,† he promised. And then, almost as an afterthought, he used a delicate finger to push the jail bars back into place. â€Å"And remember, I am always watching.† How to cite Stefan’s Diaries: The Craving Chapter 20, Essay examples

Saturday, December 7, 2019

Product Design Process free essay sample

Product design process There are various product design processes and they are all focused on different aspects. The process shown below is The Seven Universal Stages of Creative Problem-Solving, outlined by Don Koberg and Jim Bagnell. It helps designers formulate their product from ideas. This process is usually completed by a group of people, designers or field experts in the product they are creating, or specialists for a specific component of the product, such as engineers. The process focuses on figuring out what is required, brainstorming possible ideas, creating mock prototypes, and then generating the product. However, that is not the end of the process. At this point, product designers would still need to execute the idea, making it into an actual product and then evaluate its success by seeing if any improvements are necessary. The product design process has experienced huge leaps in evolution over the last few years with the rise and adoption of 3D printing. We will write a custom essay sample on Product Design Process or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page New consumer-friendly 3D printers can product dimensional objects and print upwards with a plastic like substance opposed to traditional printers that spread ink across a page. The design process follows a guideline involving three main sections:[4] Analysis Concept Synthesis The latter two sections are often revisited, depending on how often the design needs touch-ups, to improve or to better fit the criteria. This is a continuous loop, where feedback is the main component. [4] To break it down even more, the seven stages specify how the process works. Analysis consists of two stages, concept is only one stage, and synthesis encompasses the other four. [edit]Analysis