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Effective changes in Institutional and Patient Policy, 2008.
A discussion on the best way to get nursing staff to support decisions about the use or non-introduction of medical innovations.
892 words (approx. 3.6 pages), 1 source, MLA, $ 31.95
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Abstract
The paper discusses hospital and health policies with regard to the implementation of new directives. The paper outlines the areas to which these new directives relate and suggests that the best way to have the nursing staff support decisions about the use or non-introduction of medical innovations is to implicate them in the decisions for use or non-use. The paper concludes that by giving everyone a voice in putting together procedures, the hospital and the patient will benefit.
From the Paper
"Finally, therapies have grown more complex in response to two factors: (1) patients are generally sicker during the time they are in the hospital, as hospitals seek to discharge less-sick patients to other forms of non-hospital care, and (2) the number of choices for therapy, whether pharmaceutical, surgical or devices, has grown over time. While each of the innovations has been tested and approved by the FDA, the interaction of drugs, devices and surgery has not, in many cases."
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Multimodal Pharmacological Therapy, 2008.
A case study analysis of the use of multi-modal pharmacological therapy in the management of post-operative pain.
2,055 words (approx. 8.2 pages), 8 sources, APA, $ 64.95
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Abstract
This paper discusses the importance and use of multi-modal pharmacological therapy, particularly in the management of post-operative pain. The paper presents a case study of a patient who has recently undergone surgery and describes the use of multi-modal pharmacological therapy throughout the patient's recovery period.
Table of Contents:
Introduction
Analgesic Agents Used
Patient Assessment and Safety Considerations
Conclusion
From the Paper
"However, the patient must be made aware of all that was, and is being done to her, as it would be futile to expect expedient recovery without informing the patient (ideally beforehand) regarding what she could expect post-operatively. The aim of this is self-empowerment. Orem's theories, particularly on self-care have played pivotal roles in accomplishing patient empowerment. Orem's Theory of Self-Care is significant in the realm of patient education, especially in this case because events such as pregnancy and birth are often life-altering. It is essential that the nurse also take on the role of the learner as well. In the process, the nurse becomes more introspective about herself and can more adeptly communicate the tools needed by the patient to carry on with guided self-care requisites."
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Nurse and Patient- A Conversational Analysis, 2008.
A tabulated question / answer report between patient and interviewer to confirm the disorder of depression and the manner in which to address it.
1,399 words (approx. 5.6 pages), 6 sources, APA, $ 46.95
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Abstract
The paper describes an interview with a hospitalized patient detailing the responses to a listed range of questions. The paper presents the interview questions and the patient's responses in a tabulated report and then presents the writer's conclusions about the patient and the care he requires based on the report.
Outline:
Nurse
Patient verbal
Patient non-verbal
interpretation
Evaluate
From the Paper
'Knowing that CHF and depression are linked, I wanted to understand if the depression had lasted for a long time, prior to the death of his wife and the moving away of his family. While it appeared that he had been overweight for a long time, the depression did not seem to have existed at this level before the death of his spouse two years ago."
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The Most Effective Pain Assessment Methods, 2008.
An analysis of the most effective pain assessment methods to use with infants as compared with the Wong-Baker Pain Scale.
1,863 words (approx. 7.5 pages), 6 sources, APA, $ 59.95
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Abstract
This paper proposes the best pain assessment method for infants in the neonatal ward of a hospital. The paper assumes that the Wong-Baker standard is the comparator, and evaluates several techniques as addressed in a number of clinical studies performed over the past few years. The paper points out that the lack of ability of nurses to consistently judge infant pain can lead to inconsistent application of anti-pain medications, and variability in the amount of pain caused to an infant during necessary procedures. The paper also explains that diagnosis generally precedes therapy in medicine. Good, consistent diagnosis of situations that cause pain can lead to novel methods to reduce that pain. The writer believes that nurses do not intend to be either inaccurate or to judge differently than their fellow nurses.
Outline:
Introduction
The Wong-Baker Pain Scale
Measuring Neonatal Pain is More Difficult
The Need for More Objective Infant Pain Measurement
PIPP: The Most Comprehensive and Complicated Method
Analysis of the PIPP for the Neonatal Ward
CRIES Method to Assess Pain
High Variability Questions Accuracy of PIPP
Conclusion
From the Paper
"There was an interesting mid-level 'pain' measurement included in the Kritjansen study: movement which should not have caused pain. It was interesting to note that the PIPP score was significantly higher than the resting state, and lower than during the time that the infants should have felt pain. This suggests that the PIPP is measuring more than pain, or conversely that activities like changing diapers cause pain to the baby (probably less likely). Two other limitations of the study should be covered when evaluating PIPP as an indicator of pain: the difficulty of measuring all seven elements in a busy neonatal ward, and the variability between nurses."
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The Biological Basis for Personality, 2008.
An analysis of the impact of environmental cues on the genetic predisposition of personality development.
2,561 words (approx. 10.2 pages), 5 sources, APA, $ 77.95
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Abstract
This paper is based on the premise that personality development is affected by the environmental cues an individual experiences throughout his or her life, within the confines of the genetic predisposition. It analyzes this perspective by focusing on two critical points. It discusses that there is an emerging consensus as to what constitutes the fundamental dimensions of personality traits and it suggests that these traits have a strong biological and evolutionary basis.
From the Paper
"Though it can be difficult to accept from a philosophical perspective, the evidence gleaned from several large twin studies clearly concludes that genetics plays a significant role in determining personality, accounting for roughly two-thirds of all observed personality differences. With such a significant influence, it becomes evidence that the role of the environment is greatly diminished and likely only affects how biological personality traits will express themselves, not which traits will develop. From a practical perspective, this means that clinicians must shift from an environmental control model of treatment to one that more fully addresses the basic biological underpinnings of personality development and personality disorders."
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Health Educator Strategic Plan, 2008.
Creates a student's personal strategic plan to become a competent health educator.
870 words (approx. 3.5 pages), 2 sources, APA, $ 30.95
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Abstract
This paper presents an objective overview of a student's critique regarding her standing as a competent health educator. An objective overview of the different competencies obtained, relative strengths and opportunities for improvement are presented. An outline of the student's strategic plan over the next three years is also presented.
Table of Contents:
Introduction
Competencies, Strengths, Weaknesses and Professional Development
Strategic Plan
Overall Goal 1
Sub-objective #1
Date
Action Plan
Resources needed
Sub-objective #2
Date
Action Plan
Resources needed
Overall Goal 2
Date
Sub-objective #1
Date to be accomplished
Action Plan
Resources needed
Sub-objective #2
Date to be accomplished Action Plan
Resources needed
From the Paper
"The comprehension of concepts is key in health education, especially in an evidence-based field such as health. However, opportunities for this type of professional development are demanding on time and resources, particularly busy academic institutions. Banning (2005), in a qualitative study, found that different levels of evidence were utilized according to one's appreciation of them, suggesting that prior training in the use of these resources for continuing education can influence users' perceptions and appreciation of evidence-based practice."
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The Heelstick Method of Testing in Neonates, 2008.
A review of a published paper titled "Longitudinal Comparison of Preterm Pain Responses to Repeated Heelsticks" by J.C.Evans et al.
902 words (approx. 3.6 pages), 2 sources, MLA, $ 32.95
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Abstract
The paper comments on an article presented on the evaluation method of testing pain in neonates. The paper "Longitudinal Comparison of Preterm Pain Responses to Repeated Heelsticks" by J.C.Evans et al, concludes that babies above a certain age after conception experience pain in a way that younger, earlier babies don't.
Outline:
Introduction
Are the essential components presented?
Is the problem stated with adequate background?
Is there justification for the study?
Is the problem researchable?
Variables
Conceptual framework
Literature review
What Type of Study was used?
Does the Research Design Fit?
Sample and Setting
Conclusion
From the Paper
"It was difficult to tell if the study was oriented towards the use of a specific type of heel-stick method (the QuickHeel device) or heel-sticks in general. It was clear that there had been a lot of previous study of infant pain with the old, lancet-style heel stick. The authors admitted that this can skew the results. It sounds from the paper as though the old 'slice and bleed' method caused a good deal more trauma."
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Article Critique on Sucrose in Neonates, 2008.
An article critique and research methods analysis for the article, "Utilizing an Oral Sucrose Solution to Minimize Neonatal Pain" by D. G. Thompson.
852 words (approx. 3.4 pages), 3 sources, APA, $ 30.95
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Abstract
The paper critiques the article, "Utilizing an Oral Sucrose Solution to Minimize Neonatal Pain" by D. G. Thompson. The paper analyzes the research methods of the study and specifically discusses whether the stated object fits with the data presented. The paper then argues that the author of the article missed his primary target and should have aimed at a different conclusion.
Table of Contents:
Introduction
Are the Essential Components Presented?
Is the Problem Stated with Adequate Background?
Is There Justification for the Study?
Is the Problem Research-able?
Variables
Conceptual Framework
Literature Review
Does the Literature Review Present Theories that Support/Oppose the Expected Study Results?
Does the Literature Review Conclude with a Brief Summary?
What Type of Study was Used?
Does the Research Design Fit?
Sample and Setting
Conclusion
From the Paper
"This was not a double-blind study, and it would have been difficult to do so. A sham was established in previous cited studies, in which some pacifiers were dipped in water rather than sucrose solution. We do not know from the description if the neonatal nurses were aware of which pacifier was which."
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Eating Disorders, 2008.
An overview of the causes, symptoms and treatment of eating disorders.
1,399 words (approx. 5.6 pages), 8 sources, MLA, $ 46.95
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Abstract
This paper discusses how an important issue affecting many young women in Western society is eating disorders, such as anorexia nervosa (AN) and bulimia nervosa (BN). It examines how with accurate diagnosis and treatment, the hope for recovery is great. It also contends that the societal issues that drive young women into such disorders need to be addressed before a complete eradication of such a disorder can be had.
Outline:
Introduction
Anorexia Nervosa and Bulimia Nervosa
Risk Factors for Eating Disorders
Anorexia and Bulimia: Symptoms and Diagnosis
The Causes of Eating Disorders
Health Complications of Eating Disorders
Eating Disorders and Relevant Treatments
Conclusion
From the Paper
"CBT is often used to treat eating disorders because cognition and affect is related to the behavioral manifestations of the eating disorder. CBT works by attempting to modify the "negative automatic thoughts and dysfunctional assumptions relating to food, weight and shape, and the breaking of behavioural and physiological chains that maintain the unhealthy eating behaviours and cognitions" (238). CBT does not appear to be as effective for AN patients as it is for BN patients. Nonetheless, research has indicated that certain aspects of anorexia do react well to such treatment, such as "body image disturbance...to exposure and cognitive challenge" (citing e.g. Norris 1984; 238)."
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Nursing Interview, 2008.
An analysis of an interview with the author's aging client.
1,570 words (approx. 6.3 pages), 8 sources, APA, $ 51.95
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Abstract
This paper presents an analysis of the author's interview with an aging client, called Mrs. S. The main part of the analysis focuses on the section of the interview where Mrs. S mentions her arthritis and the dialogue that followed. The author relates that, during the interview, she discovered, that Mrs. S has another chronic condition, diabetes, but is coping well with both illnesses. The author further relates that the purpose of the interview, in this case, was to learn about a client and she learned that this client has not only lived a full life but is also maintaining her quality of life.
Table of Contents:
Introduction
Analysis of Interpersonal Skills and Communication Style
Strengths in the Interview
Challenges in the Interview
Use of Self during the Interview
Learning Goals
Summary
From the Paper
"Jourdain (2004) discusses four communication styles, the first of which is the sanguine or expressive and spirited style of communication. That style would best describe my own approach. I made use of encouraging words and phrases such as 'um hum' and 'I understand'. I was careful to remain nonjudgmental and to try to have empathy by placing myself in her position. I tried to guide the interview but was careful not to control the responses offered by Mrs. S."
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Nursing and Renal Failure, 2008.
This paper examines how patients cope with chronic renal disease and provides a personal view.
1,015 words (approx. 4.1 pages), 1 source, APA, $ 35.95
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Abstract
The writer discusses the coping abilities, beliefs and relationships of clients dealing with chronic renal disease as well as her personal beliefs about family, health and hope. The writer focuses on a case study of a client with renal disease undergoing hemodialysis and shows how patients face a lot of challenges in their lives, notwithstanding the physiological and psychological stress of this condition. The writer also offers several personal reflections regarding the experience.
Outline:
Introduction
Patient Case
Conclusion
From the Paper
"Currently, her problems during dialysis include leg cramping, for which hypertonic saline and locally applied pressure were given and done, respectively with relief of cramping. She also complained of easy fatigability of her left forearm and hand, especially when doing repetitive tasks, which was also the arm used for hemodialysis vascular access. This was also associated with blanching of her fingers. Other problems include being underweight, for which IDPN at each dialysis session was given. She was also advised by her physician of the need for a sufficient calorie reserve due to her increased risk for systemic infection and fractures, the former exemplified by a recent bout of pneumonia. "
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Wrong Site Surgery, 2008.
An analysis of the incidence and implications of wrong site surgery.
932 words (approx. 3.7 pages), 5 sources, APA, $ 33.95
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Abstract
This paper focuses on wrong site surgery. The paper establishes the scope of wrong site surgery and the issues that pertain to wrong site surgery in the health care community. The paper also establishes the fact that there is a history of wrong site surgeries, with more being evidenced abroad than in the United States. Finally, the paper provides evidence that wrong site surgeries have the ability to negatively impact life, as well as end life that may have flourished.
Table of Contents:
Abstract
Description of Problem
Method for Resolution
Objective
Support for Resolution of Problem
From the Paper
"Although there is a concern for law suits, the quality of life of the patient and the trust between the community and the health care system in relation to wrong site surgeries, there must also be a concern for ethics (Kapp, 1998, p. 142). According to Kapp (1998), medical practitioners can create any number of excuses to justify why errors occur in the operating room, but it is the responsibility of all within the health care system to ensure that resolutions to the issue be discovered and implemented to ensure that mistakes are erased (p. 142). It is evident, therefore, that an effective solution must be developed that is ethically sound and that considers the needs of patients above all else."
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