Critical Reflection Humiliating Clinical

Question: Discuss about the Critical Reflection for Humiliating Clinical. Answer: The article is a critical reflection based on a case study where an eighty six year old female was suffering from heel wound, advanced dementia and contractures arrived at the emergency department. The resident medical officer and a medical student were observing her making her gown in an awry position and examining with the gloved finger and were focused on the wound and not on the patient. She was screaming out of pain but they were desensitized towards the patients dignity, her pain and provision of care. During the evening shift at the emergency department, the new graduate nurse was on a rotation. During her rotation, the nurse heard a screaming sound from the patient assessment bay. The nurse saw the resident medical officer and a medical student examining a patients heel. The patient was an eighty six year old female who was suffering from advanced dementia and had contractures. The patient arrived at the emergency department without the assistance of any family member or guardian. The patients gown was awry as the medical student was examining the patients heel. While he was examining her heel, he held the female patients leg straight up in the air and her perineal area was clearly exposed. Moreover, the medical resident was closely examining the heel wound with his gloved finger. The female patient was screaming aloud due to pain. The resident medical officer and the medical student were clearly focused on the heel wound of the patient and not on the patient. They were negligent towards her screaming pain and did not keep in mind the dignity of the patient. When the incident was reported to the clinical preceptor, he was ignorant saying that these incidents occur on a daily basis in nursing homes. I chose this clinical incident as it was demeaning and insensitive. It was disrespectful on the part of the female patient hampering her privacy and dignity. The response of the resident medical officer and the medical student was dissatisfying regarding the patients privacy and her honor. They were desensitized towards her screaming pain and were more focused on the heel wound. Moreover, the attitude of my clinic preceptor was not satisfactory. He was ignorant towards the incident and behavior of the nursing home resident medical officer conveying that in nursing homes, the patients scream and in a doctor profession, this act is normal. This incident is relevant to my future nursing profession. The clinical incident gives a clear idea of the unethical clinical practice, desensitized provision of care, disrespecting patients dignity and privacy and demeaning actions in medical profession. The incident shows the loopholes in the learning and ethical practices in medical profession with respect to desensitized attitude towards a patients dignity and privacy, violation of human rights and nursing profession, ignoring a patients response during the course of examination and treatment and negligent towards the behavior of the medical officer considering it normal in medical profession (Johnstone, 2015). There are many relevant factors that led to this humiliating clinical incident. There was lack of sensitized behavior towards the patient, unethical practice harming the patients dignity and respect, unresponsive behavior of the clinical preceptor and violation of human rights. The medical student and the officer were oblivious towards the patients screaming pain and privacy. The medical officer and the student were more focused on the heel wound rather than on the patient and her screams. They ignored the excruciating pain of the patient and while examining her heel they were negligent towards the patients privacy making her too awry. The medical officer was observing the heel wound with his gloved finger that added to her pain and infection risk. The patient was eighty year old female suffering from contractures and advancing dementia and was in distressed pain but the medical officer was concerned about the wound that led to the unethical clinical practice. According to the Nation al Safety and Quality Health Service Standards, under the standard eight of prevention and management of pressure injuries, it is stated that there should be an evidence based practice of wound management (safetyandquality.gov.au, 2016). There should be a proper documentation and best practice for the management of pressure injuries. The RMO was applying pressure on the wound with his gloved fingers ignoring the ladys screaming pain. According to standard nine of recognition and responsiveness to clinical deterioration in acute pain and health care under NSQHS, the clinicians ensure a patients deteriorating condition and take prompt action to escalate care (safetyandquality.gov.au, 2016). The RMO and medical officer lacked skills in managing a patient, formal systems in response to deterioration and not monitoring the physiological observations. There was unethical clinical practice and violation of human rights. They hampered the patients inherent dignity and safeguard the rights o f the patients in improving the health outcomes. They made the female patients gown in awry position making her perineal area exposed. It is the duty of the medical profession to acknowledge the dignity and respect of the patient to ensure the best quality of care. As a newly graduate nurse, I would act differently if I would have encountered with such a clinical incident. I would handle the situation under three main domains of wound management, safeguard patient dignity in provision of care and reflective and analytical practice mentioned in code of ethics by the Nursing and Midwifery Board of Australia (Cashin et al., 2016). Firstly, I would look into the monitoring of the heel wound keeping in mind the excruciating screaming pain of the patient. I would look into the cause of the screaming pain and provide proper medication for managing her pain. Under the NMBA code of ethics, the nurses should deliver quality nursing care to the patients (nursingmidwiferyboard.gov.au, 2016). The patient required intrinsic care regarding her pain management, empathetic attitude towards the aged female patient as she was already suffering from contractures and advancing dementia. Under the NMBA code of ethics, it is stated that the nursing profession should recognize the human rights and dignity (Butler, 2016). The nursing profession should acknowledge and accept the critical relationship between the human rights and health. The patients dignity that would help to encompass the well being of the people and while examining the lady her inherent dignity and privacy should have been protected. Nurses have a responsibility to understand the code of ethics and human rights, clarify issues during their practice to promote best quality of care to their patients (Cusack, 2016). The clinical preceptor ignored the seriousness of the incident that demanded immediate action. Under the NMBA standards of practice, the nurses have the responsibility to reflect on the evidence based practice, employ essential knowledge and skills, and provide patient care to meet the physical, personal and psychological needs of the patients (Jefford Jomeen, 2015). References Butler, A. (2016). Moral duty to stand up for what matters.Australian Nursing and Midwifery Journal,24(3), 48. Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., ... Fisher, M. (2016). Standards for practice for registered nurses in Australia.Collegian. Cusack, L. (2016). A busy year so far for NMBA...Australian Midwifery News,16(2), 12. Jefford, E., Jomeen, J. (2015). Midwifery Abdication: A Finding From an Interpretive Study.International Journal of Childbirth,5(3), 116-125. Johnstone, M. J. (2015).Bioethics: a nursing perspective. Elsevier Health Sciences. nursingmidwiferyboard.gov.au,. (2016). Nursing and Midwifery Board of Australia - Professional standards. Nursingmidwiferyboard.gov.au. Retrieved 23 December 2016, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx safetyandquality.gov.au,. (2016). Resources to implement the NSQHS Standards | Safety and Quality. Safetyandquality.gov.au. Retrieved 23 December 2016, from https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/resources-to-implement-the-nsqhs-standards/ safetyandquality.gov.au,. (2016). Retrieved 23 December 2016, from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf

The Management free essay sample

A Comparative Examination of Japanese and American Management Styles, and Their Respective It is widely recognized that Japanese and American styles of business management practice differ broadly across the range of supervisory style, decision-making, communications, management controls, and interdepartmental relations. These specific distinctions are rooted in the contrast between Japanese paternalism, which has sometimes been characterized as giving rise to industrial feudalism, and American individualism, which might more accurately be characterized as personalism. It is proposed that the underlying factor in all of these distinctions is the Japanese group orientation, in which an individuals self-esteem is based upon group perceptions, or what has sometimes been called saving face. The Japanese manager sees himself as a samurai, having duties and loyalties running up and down. In contrast, American managers self-perceptions are far more internalized, and less shaped by the reactions of colleagues. The lone cowboy, reliant only on himself, is the underlying American business ideal, and his obligations to others are ultimately secondary to his duty to himself. We will write a custom essay sample on The Management or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Beginning in the 1970s and early 1980s, the successes of Japanese industry in penetrating American markets, and in providing American consumers with affordable products of superior quality, focused great attention upon Japanese styles of industrial most minute difference in the depth of a bow is significant in establishing relative place in the hierarchy. The paradox of hierarchy is that it makes it easier for seniors to accept input from juniors (to borrow from military terminology, the military being the most hierarchical walk of American life). Because the hierarchical ranking is so clearly understood by all, a senior can adopt a juniors ideas without his own place in the hierarchy being threatened. In contrast, in the more individualist culture of bossdom, there is at least for the intermediate boss always a latent threat of usurpation in accepting suggestions from below. If the subordinates suggestions are adopted, the question is raised as to whether the boss is really necessary. If X simply follows Ys suggestions, perhaps Y should really have Xs job. Communications Patterns American managers at one Japanese-owned corporate subsidiary in the United States found themselves effectively shut out of the management communications loop by a subtle mechanism of exclusion: Eventually, some of the Americans concluded that the real business of running the company was taking place after-hours in meetings among the Japanese in local restaurants (Byham, 1993,

Concept of Learning Sample Essay - Is it Worth the Money?

Concept of Learning Sample Essay - Is it Worth the Money?A concept of learning sample essay is required by all candidates for higher studies. It also helps the teachers in the process of teaching as this would help in recognizing each student's knowledge level and hence could be used to guide him with his answers. The study guide would guide the student to the right places to find the right answer.One of the best ways to get rid of homework is to find a concept of learning sample essay for these essays and send them to your school teacher. Since homework is meant to be an extra lesson for those who have not enrolled in classes, it can be really tough to find the right answer to a single question in such a case. The essay helps a candidate to find out the solution to the problem or the right way to resolve it. There are times when the teacher asks you to find the answers through reading the question or the previous one. It would be an easy task for you to find out the solution in such a case.Through the concept of learning sample essay, you would know what the answer is to the question. In this type of essay, you would find out the most obvious answer. You would know that if you take a pencil and paper, you can easily do the math problem, the science problem and the essay question. Therefore, there would be no difficulty in solving the problems.This essay helps in identifying your knowledge, interests and ability among other various sections of studies. In addition to that, you can use this to learn about how you have come to know about the subject matter that you are studying in the first place. There are people who are not able to understand why they have studied certain subjects. The concept of learning sample essay will help you know that you have studied the subject because you find it interesting.The essay is easily available on the internet. Many of the websites even provide help for you in writing the essay yourself. Hence, you can choose from the differ ent category of topics available for you to write about. One could even write his own essay.Writing an essay is not that easy. You have to learn about the subject matter carefully select the correct words and correct sentence constructions. In writing an essay, you need to follow certain rules. You have to use proper grammar to give a proper explanation about the topic.You have to remember that you do not learn anything for free. As it is a part of your education, you have to spend some time and effort in order to master it. It is really tough to find the right answer to the question asked. If you are not able to master the concept of learning sample essay, then you could try to take the test for further studies. This could be one of the best ways to end up spending some money to get a better education.

Online learning and classroom learning

Challenge situation.

Challenge situation. The challenging family situation I would like to share with you is our move from Korea to the United States. In 1989, my life was changed when my family immigrated to a new country, hoping for a better future. My life in Korea was hopeless, because I was a failing student with not much interest in school. I spent the majority of my time in Arcades, wasting my coins on video games. Rather than studying with my friends, as I had told my parents I would, I obsessed over the games. The only positive aspect to my life was my private computer programming lessons. Programming in Apple BASIC presented me with an opportunity to create my own world. One day, my parents told me that we were going to move to the United States of America, and I developed a strong feeling that my life soon would change forever.United StatesAfter spending eleven years in Korea, our family moved to a totally different environment. This I knew would be my toughest challenge to date. As a fifth grader attending a new elementary school in a new country, I felt left out because of my inability to communicate. Some kids assumed that I did not understand them at all, so they made rude remarks about me. I understood them, maybe not completely, but I knew the intent of their messages. All that I had was my Apple II computer at which I just sat and programmed when I came home from school. At home, my parents pressured me to study all of the time, but I was frustrated and wanted to return to Korea. I wanted to go back and talk freely with my friends and play games with them. My parents often told me that they decided to move here...

Financial Report for Custom Snowboards Inc Essay

Financial Report for Custom Snowboards Inc - Essay Example At present the company is funded with $750 of debt to $903.8 of equity representing a debt to equity ratio of 0.83 or 83 cents of debt funding for every $1 of equity funding. Other considerations may consider the liquidity of the company, while many companies have a great business model and represent a good long term investment, many fail simply due to an inability to meet short term cash flow needs (Brealey et al 2006). At present, the liquidity position of Custom Snowboards Inc would appear to be healthy with a current ratio of 6.12 and an acid test of 3.91. The concern here on the behalf of the bank may be that Custom Snowboards Inc is not actually making best use of its current assets, rather than a concern over the liquidity of the company at this stage (Arnold, 2007). Further issues which the bank may consider is the long term prospects of the company, here the bank may choose to analyse both various measures of profitability as well as the underlying sales of the company which ultimately driver profitability. At present, the bank may highlight key concerns over both falling sales revenue and sharp falls in the operating and net profit margin. 2 In attempting to reduce perceived levels of risk, Custom Snowboard Inc may undertake a number of measures: Payback Debt – As has been noted, at present the company may be seen as having too high a level of liquid assets, indicating that the company is not using its assets in an efficient way. One way to reduce the perceived risk of the company would be to use such assets to reduce the amount of debt the company has. This would have a double effect on the company, on the one hand, the debt to equity ratio would reduce, making the company a less risky proposition for investors from a capital structure perspective. In addition, the liquidity ratios would be reduced to what the literature (Arnold, 2007) defines a more reasonable level. Overhead Reduction – One of the issues for Custom Snowboards Inc has been that while sales have fallen in recent years, fixed overheads have remanded the same thus resulting in a falling gross profit margin and presenting investors with a profitability risk. In seeking to address the problem, Custom Snowboards Inc should begin a program of overhead rationalisation. Here the company should seek to undertake a significant program of cost cutting with the aim of reducing overhead costs in line with the reduction in sales revenue seen. 3 In considering weather Custom Snowboards Inc is able to pay back the principal and loan it may be prudent to analyse a number of key ratios and tends. At present the company is paying an interest charge of $75,000 per year, if the company were to take on an additional $1m of debt at 6.75% this would add an additional cost of $67,500 PA to the company’s interest charges. Recent years have already seen key ratios declining with the net income ratio falling from 1.7% to 0.5%, and times interest earned reducing from 2 .91 to 1.53. It is believed that by increasing the amount of debt in Custom Snowboard Inc’s capital structure and thus adding greater costs of financing, these key ratios will be reduced further thus questioning whether the company can afford the additional interest charges and principal payments. In considering the net income ratio and times interest earned, it should already be noted that in year 14, Winter Sports outranked Custom Snowboard

Secondary Research Paper Essay Example | Topics and Well Written Essays - 1750 words

Secondary Research Paper - Essay Example And most of the time, service provide are seen taking the lead to offer exceptional plans which may include abundant amounts of air time and even less rates with regard to international roaming. Further, getting online too is being made easy through the cellular handset, which the fixed line telephone user can never dream of. With the internet turning out to be an important part of everyday life, mobile phones most of the time, while on travel or on holiday, help the customer log on to the World Wide Web without much hassle. Customer experiences have also given the thumbs on this, complaining that the fixed phone lines often turn out to be too noisy to allow a modem connection at any speed.   Ample research done on this suggests that the mobile telephones have overtaken fixed telephones in terms of subscribers. So is the case with traffic and revenue. Besides, fixed-line operators have begun having to face competition from new entrants in local, national and international long-distance telecommunications and Internet markets, as well as substitution from their mobile counterparts. In such an event of fixed line phones facing an era of being obsolete in the near future, it would be important to study what causes this phenomenon, and to look at what really ails the fixed-line telephone sector. The ever increasing spread of mobile phones and easy access to voice over internet protocol (VoIP) facilities have stood in the way of fixed line operators, ever since these technologies began to blossom. More subscriptions meant more revenue for service providers. As more customers began logging on to these new-age technologies, users diminished with regard to fixed line operators. More important was the cost involved. Long distance calls came for peanuts, as compared to the costs involved in making such calls over the fixed phone. Many a mobile phone company took the leap toward more revenues seeing the vast opportunity before them. More customers