This Assignment Is About Collaborative Practice Nursing Essay

This Assignment Is About Collaborative Practice Nursing Essay The first part is this one (part A). It includes a practice scenario which I have been exploring in classroom sessions, to be discussed in terms how a policy likeour health our care our say, which influences service user involvement and integration of services; and how this relates to interprofessional working. For the second part (part B), a self-assessment of my level of development is required, using the provided self-assessment document which is related to the Interprofessional Capability Framework through reflections. Our health our care our say is the National Policy that I am going to examine in this assignment, to show how it influences interprofessional working with service users. It was published in January 2006 and it is aiming for more effective health and social care services outside hospital. Its logo is This policy is a new direction for community services. It sets out the governments vision for high quality support meeting peoples aspirations for independence and greater control over their lives, making service flexible and responsive to individual needs. That means that it targets for a person-centred environment in the health and care area. The scenario that I chose concerns Jane, a single young mother of two children, who was diagnosed with locally advanced carcinoma of the cervix. She underwent a radical hysterectomy with pelvic lymph node sampling and she is currently undergoing radiotherapy and chemotherapy. Jane habitually smokes and drinks. In the following part, the consequences of this patients behaviour are going to be analysed, since it seriously influences the results of her health care. ? MAIN PART As it was previously stated, this assignment is about the service user involvement and integration of services. A service user is essentially any individual who receives the impeccable, selfless and person-oriented service from the health and social care policy; if that policy is as perfect and person centred as they claim it to be, is a topic that will be analysed further along in this assignment. The level of the users involvement is heavily fluctuated. People should be encouraged to be involved in health care at levels that they are comfortable with, but at the same time be empowered through information, training and other support to get to the level of involvement to which they may aspire. (session) the service user should be able to make choices from a range of options. They cannot do this if they do not know what is available and whether they are entitled to it. For effectively delivering health and social care services, it is essential that professionals must work collaborative and the service user to be involved in their care. According to Hippocrates in the 5th BC; the role in the patient care is not exclusively part of physicians work, but patients must also participate in order for a smoother and less problematic cure to take place. This argument can be explicitly justified when observing a patient that displays non-compliance behaviour, since it makes the work for the cure of that patient almost impossible. In this case, Jane is the service user since she has been through a variety of services (assessed and treated by a physiotherapist, join a local smoking cessation group which is run by a small team of nurses and physiotherapists to support her in giving up smoking on a permanent basis, begin radiotherapy treatment and chemotherapy with cisplatin). Though, she is not active at all. With her attitude like missing her appointments in t he radiotherapy treatment, stop attending in the local cessation group for giving up smoking, she shows that she doesnt want to understand the importance of her treatment and how much is going to help her the cessation group to become well, in order to raise her children. Through interprofessional and collaborative working, professionals can take on a number of roles to promote this involvement. Collaborative working is about engaging in partnership with other professionals and those we care for (Whittington, 2003). Furthermore it can be argued that no profession by its own can meet all the needs of its service users. Nevertheless, by using the skills and expertise of all members of the multiisciplinary team in an integrated way, it can be ensured that all the needs of those people using the services are met. The significance of mutual respect in a working environment, as well as understanding and co-operation, with the combination of good communication and collaborative working is really important. It inevitably offers a person-centred environment, in which users of services experience high quality care that minimises risk and prohibits as far as possible serious mishaps and service breakdown. Wittington states in his work that, if there is no collaborative working between the health care professionals service isolation and fragmentation can result in lack of co-ordination, poor communication with service users, users spending longer periods away from home and increased service costs. (Wittington, 2003) Subsequently, for the Governments drive to shift the ideology from the requirements of the service to needs of the user, various key policy advancements have been established during the last few years, that altered the structure of the health and social care. Each development has greatly influence the manner that health and social care professionals conduct their service, the way the provision of services is provided and the experience of this service for the service user Our health our care our say is aiming to achieve four main goals. Firstly, it is aiming to provide better prevention services with earlier intervention in the health and social care services. This is going to be achieved by collaborative practice between the GP and Primary and Care Trusts (PCTs) with local government services, by having a personalised service which is going to advice and support the public (Makely, 2005). For example, cancer support services are providing advice and support, not only in the cancer patients but also to their families. In the cancer support services, there should be work specialist who can provide individual support. Secondly, it aims to give to people more choice and a louder voice by providing them the ability to choose and influence social and primary care. Briefly, one of the suggestions is to present a GP practice list to the public, thus giving them the choice to get the information they want and understand what services are available in their ar ea. For the people who are not so confident using this list there are going to be GP practices to offer face to face communication in opening times. According to the NHS website (NHS The National Centre for Involvement, 2008), on April 2008 the LINks (Local Involvement Networks) was set up. These are networks that are run by local people and groups, who inquire peoples opinion, whilst monitoring the delivery of care and using their authority to oblige service to account on their actions. This is helpful in the better understanding of what the community necessitated from the commissioners and the managers of health and care services. The other aim is to try to do more on tackling inequalities and improving access to community services. That means that local health and social care commissioners will work together to understand and address local inequalities. Again, forums, websites and networks like the LINks are going to help these care providers, allow councils to access a wide rang e of views, helping to develop care pathways and with this way is going to improve the services and help people who need specific care and support such as people with particular needs like mothers, ethnic minorities, people at the end of their lives and others to get the service that they require (NHS The National Centre for Involvement, 2008). And the final aim is to support more the people with long-term needs like people with disabilities. Because they need to have a clear understanding of their condition and what they can do, so they are more likely to take control of their lives. This aim is going to be achieved by developing a programme which is going to give the information that the people with longterm health and social care needs and by developing assistive technologies to support these people in their own homes. For this aim, collaborative working will be necessary, since they have to deal with not only with health problems of the people with long-term needs but also with social problems. (Makely, 2005) A variety of professionals like psychologists, physicians, social supporters, counsellors are going to contribute in the best support of these people. Our health our care our say policy explores a variety of aspects on Janes story. It mostly covers general health and social issues. For example, the fact that Jane is a single mum and she does not work, the above policy is aiming to help these kind of people, by supporting them and finding them the appropriate service to help them. Despite the fact that Jane believes that she does not need any help from any support worker, I think a guidance and some financial support, will enable her to trust the system and make her keen in listening the professionals. Moreover, Jane smokes and drinks which aggravates her health problems considerably. It has been suggested to her, to go to local cessation group which was running by small team of nurses and physiotherapists, but she stopped attending to that appointments. Collaborative working between the services is necessary since they inform each other that Jane does not attend to that local group and in the radiotherapy treatment she misses a lot of appointments. The professionals that have worked with Jane, observed that changes mood and she sometimes goes to treatment drunk and she has an non- compliance behaviour. All this information is probably going to be discussed in MDT meetings, so they find some ways to help this mother so that she can realise the importance of her treatment. From Janes story, it is evident that even the radiotherapists want to help her, but they cannot, because as a free-will individual she demonstrates her unwillingness to not follow the instructions of the professionals and not listening at all what the professionals are telling her. It is evident therefore that, for effectively delivering health and social care services, is vital that professionals must work collaboratively and the service users to be actively involved in their own personal care. This position has been empirically accepted as a better method for conducting health and social care. The abovementioned, can be observed in the advancements made during recent years, as a result of carefully driven policies which tend to support public awareness of their medical condition, and encourages patient involvement in the process of their care. These policies also sustain that local inequalities should be eradicated, mainly through giving a stronger voice to patients; in this way enforcing patient involvement in their personal care. Nonetheless, despite the fact that these reform policies have introduced a considerable level of improvement towards a better health and social policy, the idea of a service user receiving the impeccable and ideal health care (ment ioned in the begging of the assignment) is still a long way to go. This is proven by genuine case studies like Janes, which is a great example of the ineffectiveness that some parts of the social and health care currently display. But one must take into account the progress of these policies, and anticipate even more improvement in the health care plan with the introduction of new policies, so that people like Jane can enjoy an effective health care. ? PART B REFLECTION ON MY DEVELOPEMENT NEEDS DOMAIN: Collaborative Working Description: During my placement, I had been asked to take an old lady in the transport services, since the support workers were busy. In the way to the transport services, the old lady said that she was feeling sick, and she threw up. At the same time a radiotherapist came and she asked me to help her with the care of this patient. I brought her some medication from the pharmacy. The radiotherapist then assigned me the responsibility to stay with her and take care of her, because she was needed to work back in the treatment machine. When I was sure that the patient could be left alone for a couple of minutes, I went to the reception and informed them on what happened and made sure that they were going to contact the transport services. The transport services arranged it and when the patient felt better, they took her home. Feelings: I felt proud for myself since I acted responsibly. I used my interpersonal skills and communicated successfully with the reception, so the transport services would be aware of the situation in time and arrange transport for the patient. Evaluation and analysis: Feeling the need to take the responsibility and take care the old lady, shows that I am more confident about myself and my skills. Also, the fact that the radiotherapist assigned me the care of the patient, demonstrates that she knew my skills and she believed in me. By accomplishing successfully this task I showed that I develop my interpersonal skills by communicate reception and make sure that the lady will go home safely without causing any trouble to other patients. Now I am able to say that I met the capability CW2 L1 Recognises the need for effective interpersonal skills to enhance person focused service. In the action plan (appendix) I introduced a series of actions to accomplish the Level 3 of this capability. DOMAIN: Reflection Description Feelings: I was observing, a radiotherapist doing a first day patient chat when the radiotherapist realised that the patient was not well informed about the side effects of the treatment since the doctor never talked about it. I was annoyed , when I realised that the patient signed the consent form but he did not know about the side effects since it is a big impact in patient life during and after radiotherapy, so I asked the radiotherapist after the patient left, why the doctor did not inform the patient and if that was appropriate. The radiotherapist told me that the specific doctor does it, because he knows that the radiotherapists are going to repeat the side effects. But it is still not appropriate since the patient must be well informed and fully aware before signing anything. Evaluation and analysis: I was aware of what the patient should know about his treatment when he is coming for the first day chat, is because I have seen a variety of first day chats and I had been in the clinics for a while with the doctor and the patients will they were signing the consent forms. It is showed that the experience I had help me to critical appraise the situation and ask for explanations why the patient was not aware properly. After this incident, I can prove that I am able to say that I met the capability R2 L1 Is aware of evidence-based practice in service delivery. DOMAIN: Cultural Awareness Ethical Practice Description: A patient needed a translator to communicate with us in the department. It was the first time I was in that situation and I observed what everybody did for that. They were using body language while they were speaking slowly. I was the one who brought the patient in the room. I was not aware of the situation of the patient and when I realised that he did not know any English I was shocked, however I did not show it and I waited to see how that situation would continue and how the staff and doctors would react. I escorted the patient into the room and identified him (Name, date of birth and first line of his address). Feelings: In the beginning, I did not know how to react in this kind of situation. When I was identifying the patient, I did not know where I should look at when I was making the questions, the patient or the translator? So I thought carefully what was more appropriate and I tried to watch both of them while I was identifying the patient, but mostly I was looking the patient since he was the service user. Evaluation and analysis: I found it quite a nice experience, mainly because it was surprised me the whole situation. In clinic room I was observing carefully what is going around me and how everybody was reacting so by the end of the meeting between the patient and the doctor, I would know how to react properly, too. I liked the way I reacted when I realised that the patient was not speaking English. I stayed calm and I reacted the way I was going to react with every other patient. I checked his ID and asked how he was feeling. I just felt a little uncomfortable when I didnt know where to look, the patient or the interpreter, so I was trying to look both of them. From the way that the doctor was reacting I learnt that I should look directly at the patient and talk to him. Nevertheless, there is a need to speak slower with more pauses so that the interpreter can translate correctly. Now I am able to say that I met the capability CAEP2 L1 Recognises examples where participation and inf ormed decision are critical in promoting the well being of people who use services and I have made an action plan for further development. DOMAIN: Organisational Competence Description Feelings: Last year, in the IIP module we worked through some activities. One of the activities was to get a scenario of a patient story and from there to conclude which services the patient should visit. With this activity, every member of the team was identifying his role in the scenario and from there we understand each others role in order to treat the patient. I was surprised by the knowledge that I gained with that activity. I learnt about the other professions role in the health and care community. Evaluation and analysis: It was satisfying gaining knowledge through activities. Now I am able to suggest to a patient which of the services to use to get the appropriate care for his/her problem. In addition for further development of my skills I made an action plan. (appendix). I met the capability OC2 L1 Is aware of team structures within the community of practice. ?

The Historical Progression of African Americans Essay -- American Hist

Permanent struggle for civil rights by the African Americans accompanied the historical progression of the African American society (Booker T. and Fitzhugh W. 2002). The African Americans had struggled for many years to have the same opportunities as the white Americans. During this time, there was a civil war aimed at liberating the African Americans who had been made slaves by the principal white Americans. However, the civil war did not improve the lives of the African Americans in America. The struggle for equal liberties was a journey that began in the year 1865 and ended in the year of 1876. Today, America is a powerful nation with a difficult past that holds a bright future. People of diverse ethnicities and backgrounds can share the same rights, positions of power, education, and all other functions that were once only for the white people of America. Though African Americans suffered tough injustices in previous years, their commitment and determination enabled them overcome the adversities that they faced on a daily basis and win their battle. Many aspects of African American life such as politics, culture and social development allowed African Americans to gain power in the United States over time. They had displayed much of the same qualities as the white workers in America and would prove that their former life as a slave would not deter them from becoming economically independent and successful in America. Although this did not happen immediately, it shows that they were determined and ready to lead normal lives and take their rightful places in society and in th e economy. Several factors had contributed to the historical progression of African Americans. Many social, cultural, eco... ...Nazarene movements. The African Americans built many churches and schools that further expanded their religious faith. Several changes took place during the historical progression of the African Americans. During the historical progression that started in 1865, changes occurred in social, political, economic and religious aspects of the African Americas. These changes took place at different times and each had different impacts to the lives of the African Americans. At first, African Americans were facing political, economic and social oppression from the white Americans. After a long period of struggle and determination, changes appeared in different aspects that made the lives of African Americans better. Oppression ended and the economic position of the African Americans improved since they had gained high literacy levels and could access better paying jobs.

Internal Conflict in a Tale of Two Cities †Sydney Carton Essay

Every novel in history has conflict. Without it, the plot is boring, and uninteresting. In the novel A Tale of Two Cities, a character that has conflict within himself is Sydney Carton. Sydney Carton takes a backseat to Mr. Stryver in the novel. In reality, he is much more than that. He falls in love with Lucie Manette, but many others do as well. Sydney has to fight to win Lucie’s love, but there is still a chance that none of it will matter. Sydney Carton is the assistant to Mr. Stryver, an attorney. Also, Sydney is an alcoholic. Sydney has basically wasted his entire life, which he regrets. In the novel, Sydney falls in love with Lucie Manette. Lucie is a young lady who is desirable to many of the young men in the novel. Sydney doesn’t openly admit that he is attracted to Lucie at first. Eventually, Sydney admits to himself, and even to Lucie, that he loves her. The only problem with Sydney being in love with Lucie is that she is sought-after by many men. The fact that Lucie is wanted by so many other people makes Lucie nearly impossible for Sydney to win over. The cause of the conflict with Sydney is that he loves Lucie, but many other men do as well. Not only is Sydney not good enough for her, but she has lots of choices. Sydney Carton is someone who is looked down upon by many of the characters in the novel. Sydney is an assistant to Mr. Stryver, another of Lucie’s suitors, Sydney is an alcoholic, and he regrets wasting his life and not making more of it. Nothing Sydney does now will change it, making it hard for him to win Lucie’s love. Also, Sydney has many people to compete with for Lucie’s love. Many of the men who want to win Sydney over have a better reputation than Sydney. Together, these create a big problem for Sydney in his quest to win the love of Lucie Manette. Although Sydney could have resolved the problem of not being good enough for her by completely changing who he was earlier on, there is no way he could have gone back and changed how he acted in the past. Sydney is a bright person, and he is much brighter that his boss, Mr. Stryver. Sydney is a lot smarter than Mr. Stryver, and basically does all of Mr. Stryver’s work for him. Sydney needs to step up and show Lucie who he truly is. He needs to show her that he is smart, and that he is worthy of her. If Lucie had known who Sydney Carton truly was from the beginning, her thoughts and feelings about him would most likely have been a lot different. If he really wanted to win Lucie over, Sydney should have broken away from Mr. Stryver, shown Lucie who he truly is, and swept her off her feet. Sydney Carton falls in love with Lucie Manette. Lucie does not love Sydney back, and not being good enough for Lucie creates much internal conflict for Sydney. If he had become a better person earlier on in his life, he might have a chance with her. Sydney is not happy with himself for wasting his life and messing up his chances of pleasing Lucie.

Free Essays on Theology And The Clash Of Civilizations

THEOLOGY AND THE CLASH OF CIVILIZATIONS Peace will come not when any one terrorist and his network of secret agents have been "surgically" excised but when an authentic alternative vision has emerged within the House of Islam. JACK MILES, Senior Advisor to the President at the J. Paul Getty Trust and a member of the Pacific Council on International Policy, is the author of Christ: A Crisis in the Life of God (Alfred A. Knopf). In the 1940s, the most important foreign policy intellectual in the United States was George F. Kennan. Kennan, who served briefly in the Truman Administration, was among the first to recognize that the United States could not defeat communism outright but could contain it and the nations infected by it, beginning with the Soviet Union. What came to be called the Cold War seems in retrospect to have been inevitable, but it was not inevitable at all. Instead of the Cold War, the world could all too easily have fought World War III. Containment was the bold and politically creative alternative to that war. The 1947 article in Foreign Affairs in which Kennan, writing as "X," first laid out containment as a strategy remains, unsurprisingly, the most popular article ever published in that periodical. In the 1990s, the most important foreign policy intellectual in the United States may yet prove to have been Samuel P. Huntington. The second-most-popular article in the history of Foreign Affairs has been his controversial 1993 "The Clash of Civilizations," an attempt to see what lay beyond the end of Kennan's Cold War. What Huntington saw was, on the one hand, economic and cultural globalization and, on the other, resistance to it by those who saw it as merely the latest form of Western, historically Christian, and at this late date specifically American imperialism. Though Huntington noted that many non-Western powers had cast their lot with the emerging global order, it seemed equally clear to him that China and ... Free Essays on Theology And The Clash Of Civilizations Free Essays on Theology And The Clash Of Civilizations THEOLOGY AND THE CLASH OF CIVILIZATIONS Peace will come not when any one terrorist and his network of secret agents have been "surgically" excised but when an authentic alternative vision has emerged within the House of Islam. JACK MILES, Senior Advisor to the President at the J. Paul Getty Trust and a member of the Pacific Council on International Policy, is the author of Christ: A Crisis in the Life of God (Alfred A. Knopf). In the 1940s, the most important foreign policy intellectual in the United States was George F. Kennan. Kennan, who served briefly in the Truman Administration, was among the first to recognize that the United States could not defeat communism outright but could contain it and the nations infected by it, beginning with the Soviet Union. What came to be called the Cold War seems in retrospect to have been inevitable, but it was not inevitable at all. Instead of the Cold War, the world could all too easily have fought World War III. Containment was the bold and politically creative alternative to that war. The 1947 article in Foreign Affairs in which Kennan, writing as "X," first laid out containment as a strategy remains, unsurprisingly, the most popular article ever published in that periodical. In the 1990s, the most important foreign policy intellectual in the United States may yet prove to have been Samuel P. Huntington. The second-most-popular article in the history of Foreign Affairs has been his controversial 1993 "The Clash of Civilizations," an attempt to see what lay beyond the end of Kennan's Cold War. What Huntington saw was, on the one hand, economic and cultural globalization and, on the other, resistance to it by those who saw it as merely the latest form of Western, historically Christian, and at this late date specifically American imperialism. Though Huntington noted that many non-Western powers had cast their lot with the emerging global order, it seemed equally clear to him that China and ...

Ideas of Yet Unknown Origin essays

Ideas of Yet Unknown Origin essays A Critical Analysis of David Humes Of the Origin of Ideas The second sort of philosophy, practiced by Aristotle and Locke, among others, is abstruse and accurate. It studies the human being as a reasoner rather than doer. Its issue is metaphysics, which yields the most general first principles of things. Unfortunately, it is not popular for several reasons. One is that the deep thinking it requires plunges people into melancholy. Hume himself was afflicted with this depression, which he found he could only relieve by socializing with his friends. Another is misunderstanding. Abstruse philosophy is seen as a cover for ignorance or superstition. The solution is to keep the spirit of accuracy but make it easy, not abstruse. Such was Hume's goal. David Hume, seemingly striking the anvil between the descent of the popular philosophical pursuits of the day and the birth of Newtonian Science, was an outstanding philosopher not because of his achievements, but because of his mode. He was a dedicated historian particularly to Great Britain, and compiling various volumes, he maintained a soldiers strife, but ironically died the year of 1776. His closest critics called him irrational, a man of positivism, and worst, an atheist, which was near damnable in his days, but commitment to his pursuit of empirical truths have come to revere his name since. Compared to the brilliant Roger Bacon because of his similar use of the English language as his main utility, and of the same likes as Locke and Berkeley in his progression towards mapping out humanitys mental geography, Hume came to oppose Plato and Descartes concluding that sensory perceptions were the most certain of our experiences. Within one of David Humes greatest works, An Enquiry Concerning the Human Understanding, in Section II: Of the Origin of Ideas, he expresses a more concise and simplified version of John...

The Business of Sport and Entertainment Essay Example | Topics and Well Written Essays - 750 words

The Business of Sport and Entertainment - Essay Example (Fullen, pg 287, 2006) The PESTEL analysis for this theatre is one of an important task, which should be done in an orderly manner in order to generate better outcomes. (Grant, pg 551, 2002) All the external factors should be properly measured and all the areas should be covered in order to know all the external factors, which can harm this theatre, and those factors, which can be the positive as well as useful for this theatre. All the factors should be considered well before the working of any project, in order to overcome any upcoming problem. (Babette, pg 228, 2008) The political element directly refers to political stability in any nation or country and also explains the political support for any business, direct or indirect. Main issues concerned with Rose Theatre are funds related, the theatre management has asked Kingston Council for around  £600,000 a year of council taxpayers’ and there are political pressures against proposal also (Surrey Comet, 11th November 2008). On the other hand, an economic element refers to the degree of market stability as well as freedom. There are other factors also to understand like how much the business is costing and how much it can generate to keep competitive. In the case of Rose Theatre the Kingston Borough Council has been supportive and has provided funds worth  £5m and also supported in other ways, now is the turn for the theatre to generate audience and money to keep running (Billington, 6 December, 2004). The social element refers to the demographic factor of any country or nation. Rose Theatre has one feature which is uncommon, it accommodates people at low prices to take front space and settle on cushions to watch plays. It attracts a large audience because of its status as one of the best theatres in town and has had many big names step onto its stage for productions (Britton & Worthington, p.181, 2009). The

Dark Tourism in Prague Essay Example | Topics and Well Written Essays - 500 words - 1

Dark Tourism in Prague - Essay Example ke the basic scenario of a fire in an apartment, it is just normal many people will run towards the scene to either assist, get answers or simply just look. Such is the attention dark tourism has achieved amongst scholars, humanitarians and adventurers all over the world. In Prague, the Church of SS Cyril and Methodius is one such site and has even been ranked Best Dark Tourism site by the country’s Tourism authority. (Hannam & Knox 2010, 28).the site acted has a rich history content regarding the assassination of Reichsprotektor Heydrich. These are not the only centres in Prague. Evidently, the increased demand in dark tourism in Prague has been boosted by the number of the sites this country harbours (Martina 2011, 02). An increase in these centres simply means more place s to visit for the tourists. In a bid to access the rich history in Prague’s dark sites, tourists have flocked the country to have a piece of these fascinating stories. Some of these Dark sides include: The aim of this research is to explore dark Tourism in Prague, view all the effects of this practice of economic, social and political life in Prague. This is because of the vast stories every center holds therefore tourists are bound to learn a lot from their visits. Therefore, the ability of these sites to attract tourists must be outlined to discuss the increase demand for tourists in Prague. I am interested in dark tourism in Prague because I find it quite intriguing that areas associated with death could spur interest in people. Furthermore, I think these places harbor vast historical content that I aim at making