Wednesday, November 27, 2019
Development through the Implementation of Physical Activity to Patients Suffering from Mental Illness. The WritePass Journal
Development through the Implementation of Physical Activity to Patients Suffering from Mental Illness. Introduction Development through the Implementation of Physical Activity to Patients Suffering from Mental Illness. ). In this report, Robert Francis revealed the failure among nurses and healthcare assistants to feed patients and give them the basic elements of care such as dignity and respect. Initiatives to combat such behaviour in the future included holding nurses personally and criminally accountable, as well as holding hospital boards responsible should they fail to ensure that all patients are receiving high quality care (Wright, 2013). As I am a student who is in the transition period to a staff nurse, I am aware of the changing responsibilities and accountability that are inherent to being a nurse. Personal Development Plan Nagelkerk (2005) highlights the importance of setting and identifying goals that are intrinsic to your personal development, as it allows you to reflect on your practice and also highlight your strengths and weaknesses, which gives you the opportunity to initiate and implement change. With this in mind, I plan to draw on Snowden’s â€Å"clusters on essential skills for medicine management†. This is relevant to the current service improvement initiative as it highlights the need for newly registered nurses to be completely briefed on patient history and able to responsible administer medicines (Snowden, 2011). Moreover, I will draw on the SMART (Specific, Measurable, Achievable, Realistic and Time) bound framework to set a time scale for my action plan. I will also draw on Snowden’s clusters on essential skills for medicine management as it is a parsimonious model that allows me to evaluate educational needs and professional development. During the first month of the programme, I will ensure that I am completely knowledgeable of the commonly administered medicines that the patients are taking, their actions and side effects. I will do this by liaising with doctors and psychiatrists, and also attending weekly ward rounds. Within the second month, I intend to increase my confidence when it comes to managing my medication round effectively using the eight rights checklist: â€Å"right medication†, â€Å"right patient†, â€Å"right dose†, â€Å"right time†, â€Å"right date†, â€Å"right route†, â€Å"right preparation†and â€Å"right documentation†(Morgan, 2000). I will also develop my knowledge of pharmacology such as the interaction of medicines with different systems of the body. In the third and fourth months of training, I will build up my knowledge on the necessary techniques for administering medicine. I will attend a series of sessions on medicine management as well as observe trained professionals. This is in line with research that nurses must constantly build their body of knowledge and develop their professional skills (Burton Ormrod, 2011). The fifth and sixth months will focus on the application of the knowledge I acquired. This is where safety management, administration and monitoring of drugs come in. I will practice my skills in ordering medication, their storage and disposal of used medication. I intend to keep a reflective diary about all that I learnt from my own experience and experience of colleagues. The support and assistance of an experienced professional is very important and vital for a newly qualified nurse to gain confidence and practice effectively (NMC, 2008). With the right support and guidance from experienced colleagues, I should be able to manage medications safely and effectively. This will greatly enhance my professional confidence. Having clearly identified my goals and assigned a time limit to achieve them will help me to monitor my progress. I will work hard to make sure that my goals are achievable within the clinical setting. Conclusion Over the course of this paper, it has become clear that the responsibilities of a newly registered nurse are vast. The transition from a student to a nurse is not without its challenges and requires continuous training, support and guidance. To ensure that I am progressing in my knowledge of nursing, I will constantly engage in evaluations and assessment of my learning. For example, I will verify my learning in accordance with the standards of the Nursing and Midwifery Council.  APPENDIX A Service Improvement Activity Notification Proforma Details of service improvement project/activity: The main aim of the Service Improvement Initiative is to provide physical activity to mentally ill adolescents aged 10-17 years. The initiative will assess the clinical outcomes following the physical activity intervention, as well as the development of nursing skills needed for the efficient and effective delivery of care. Reason for development: Based on my observations in a psychological ward for adolescents aged 10-17 years, there are no opportunities to be involved in activities such as sports (darts, snooker, etc.). These activities are proven to provide multiple benefits to the service users, both in terms of physical fitness and mental health. Time spent on the project/activity: The program will take place over a span of six months. Resources used: There are a number of resources needed for this initiative. Resources include sufficient funding for paying for the services of team members and experts, as well as a range of sporting equipment, such as table tennis tables. Who was involved: A multidisciplinary team consisting of a group of nurses a physical therapist, psychiatrists, mental health practitioners, and other experts will be set up. Future plans: The initiative will be implemented in six (6) months. It is hoped that the program will become successful and beneficial for the service users and the multidisciplinary team. APPENDIX B Strengths  ·Ã‚        Good communication skills,  ·Ã‚        Good team player  ·Ã‚        Positive attitude  ·Ã‚        Good interpersonal skills  ·Ã‚        Motivated and enthusiastic  ·Ã‚        Responsible Weaknesses  ·Ã‚        Assertiveness  ·Ã‚        Medicine management skills  ·Ã‚        Professional boundary issues Opportunities  ·Ã‚        Access to training  ·Ã‚        Learning from other members of inter-professional team.  ·Ã‚        Education, development and research  ·Ã‚        Effective supervision  ·Ã‚        Effective feedback Threats  ·Ã‚        Lack of time  ·Ã‚        Staff attitude on ward  ·Ã‚        Staff shortage  ·Ã‚        My inexperience       APPENDIX C  Objective  1. Improve my knowledge of medication management. Where I am now Insufficient knowledge about medication.       Goal To become competent in medication management. Action plan Read British National Formulary Check NICE guidelines on medication Work with colleagues on the ward. Administering medication regularly with supervision Time 2 weeks 1- week 1- week continuously Evaluation Self-evaluation and evaluation by experienced professionals 2. Develop good knowledge of NICE guidelines on medication and current government policies on medication. Insufficient knowledge of NICE on medication management. Competency and ability to practice independently. Read through NICE guidelines on medication (internet, Nursing publications) Administering medication regularly with supervision.  2-month. Self- evaluation and evaluation by experienced professionals 3. Attend training on medication. Insufficient knowledge of certain medicines Good knowledge about drugs, their use, dosages and side effects Attend training and seminars on medication  4-month Reflects on the experience gained, discuss with mentor 4. Develop confidence in ordering medication, organising its storage and disposal. Inadequate knowledge Ability to practice with confidence Actively participate in the daily running of the ward  6-month Evaluation by mentor and reflecting on practice REFERENCES Andalo, D. (2006). Medicines management in English care homes: a grim and chaotic picture. The Pharmaceutical Journal. 276, 198-199. Barker, P., (2005). The tidal model: A guide for mental health professionals. London: Routledge. Barr, J. Dowding, L. (2008). Leadership and Healthcare. London: SAGE Publications Limited. Beebe, L. H., Tian, L., Morris, N., Goodwin, A., Allen, S. S., Kuldau J. ( 2005) Effects of exercise on mental and physical health parameters of persons with schizophrenia. Ment Health Nurs, 26, 661-676. Benloucif, S. (2004). Morning or Evening Activity improves neuropsychological performance and subjective sleep quality in older adults. Sleep, 27(8), 1542-1550. Briles, J. (2005). Zapping Conflict Builds Better Teams. Nursing Times, 35(11), 32. Burton, R., Ormrod, G. (2011) Nursing Times: Transition to Professional Practice. London: Oxford University Press. Callaghan, P. (2004). Exercise: A neglected intervention in mental health? Journal of Psychiatric and Mental Health Nursing, 11(4), 476-483. Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23–39. Caulfield H. (2005). Accountability. Blackwell Publishing, Oxford, 3. Cohen, S. (2004) Social Relationships and Health. American Psychologist, 59(8), 676–684. Daley, A. (2002). Exercise therapy and mental health in clinical populations: Is exercise therapy a worthwhile intervention? Advances in Psychiatric Treatment, 8, 262–270. doi:10.1192/apt.8.4.262 Department of Health (2004). Choosing Health: Making Healthy Choices. Diamond, B. (1995). Legal Aspects of Nursing. Hemel Hempstead: Prentice Hall. Ekeland, E. (2009). Exercise to improve self-esteem in children and young people. Cochrane Database Syst Rev, 1. Elavsky S. et al., (2005). Physical Activity enhances long-term quality of Life in Older adults: Efficacy, Esteem, and Affective Influences. Annals of Behavioral Medicine, 30(2), 138–145. Folkins, C. H, Sime, W E. (1981). Physical fitness training and mental health. American Journal of Psychology, 36, 373-389. Frost, S. (2010). What are the benefits of activities in nursing homes? Livestrong Publications. Accessed March 21 2013 from: livestrong.com/article/151544-what-are-the-benefits-of-activities-in-nursing-homes/ Goodwin, R, D. (2003). Association between physical activity and mental disorders among adults in the United States. Preventive Medicine, 36(6), 698-703. Hainsowrth, T. (2006), The benefits of increasing levels of physical activity. Nursing Times, 102(20), 21. Hersey, P., Blanchard, K. Johnson, D. (2001). Management of Organisational Behaviour: Utilising Human Resources. 8th ed. Upper Saddle River, NJ: Prentice-Hall. Gopee, N., Galloway, J., Eds. (2009) Leadership and Management in Healthcare. London: SAGE Publications Limited. Huczynski, A., Buchanan, D. A. (2010). Organisational behaviour. 7th Ed. Harlow: Prentice Hall. Inter-professional Education Collaborative Expert Panel (2011). Core competencies for inter-professional collaborative practice: Report of an expert panel. Washington, D.C.: Inter-professional Education Collaborative. Kirkcaldy, B. D. et al. (2002). The relationship between physical activity and self-image and problem behavior among adolescents. Social Psychiatry and Psychiatric Epidemiology, 37, 544-550. Koontz, H., Weihrich, H. (2008). Essentials of Management: An international Perspective. New Delhi: Tata Mcgraw-Hill. Marquis, B., Huston, C. (2009). Leadership Roles and Management Functions in Nursing: Theory and Application. 6th Ed. Philadelphia: Wolters Kluwer/Lippincott Williams and Wilkins. Martinsen, E. (2008). Physical activity in the prevention and treatment of anxiety and depression, Nord Journal of Psychiatry, 62, 25-29. Morgan, S. (2000). 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Integrating physical activity into mental health services for persons with serious mental illnesses. Psychiatric Services, 56(3), 324-41. Roussel, L. (2011). Management And Leadership For Nurse Administrators. Burlington: Jones and Bartlett Learning Savard J., Simard S., Ivers, H., et al (2005). Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, Part II: Immunologic effects. Journal of Clinical Oncology, 23, 6097-6106, Schmitz, N., Kruse, J., Kugler, J. (2004). The Association between Physical Exercises and Health-Related Quality of Life in Subjects with Mental Disorders: Results from a Cross-Sectional Survey. Preventive Medicine 39, 1200–1207. Scrivener, R. et al. (2011). Accountability and responsibility: Principle of Nursing Practice B. Nursing Standard, 25(29), 35-36. Sharma, R. (2008). Change Management: Concepts and Applications. New-Delhi: Tata McGraw Hill Publishing. Smith, S. et al. (2007). 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Saturday, November 23, 2019
Lady Want and People Essay
Lady Want and People Essay Lady: Want and People Essay Essay If you are lucky enough you’ve had people in your life who support you through thick and thin and love you no matter what and help you find your meaning in your life. Whether these people are your parents or friends, many people crave a support system in which people help and guide them to find and understand what their meaning is in life. When you do have a reliable and strong support system it helps you find things about yourself to lead a more successful life, and the things a great support system can provide you can’t buy confidence, loyalty and many other things. Also another thing a support system can provide is a place to relive stress and the pent up anger you have in yourself, which leads to avoiding a life of depression and anger which helps lead a positive life. Also another benefit of having a strong support system is accountability, if you think about it if I got a F on this essay I wouldn’t care if my parents weren’t here and I could care les s to go to college and pursue a better life if my parents didn’t drill it in my head and told me that every day. In many cases when people don’t receive some type of support or assistance, they lead a life wanting one and lead them to gangs and other negative groups and people. Of course when you join a negative situation, you make negative decisions which lead to negative consequences and that leads to a negative life. Many people also take for granted their support system which like I said many people crave
Thursday, November 21, 2019
The Derivation of Public Law and Government Levels of Preemption Assignment
The Derivation of Public Law and Government Levels of Preemption - Assignment Example This paper illustrates that the law dictates that public health personnel play the role of promoting and protecting the health as well as protection of the individual's rights in the process of protecting the health. This law is very crucial in creating a boundary between those who seek help from public health workers, since others may abuse their rights towards caring for patients or those in need. For this reason, the public health workers must ensure that they observe ethical values of the population they are serving in a manner that protects their rights. Similarly, they must help the population they serve by promoting and protecting their health since this is the course they undertook. Serving the population is their primary duty, to ensure that the people have a good health, and are free from any illness that might interfere with their well-being. Hence, the rules were derived following the mandate was given to the public health workers in serving the population and promoting t heir well-being. Civil liberties are rights that individuals enjoy and are inevitable under any circumstance. For this reason, public health care laws cannot interfere with them but instead should protect them by giving the necessities required to promote life. One of the civil liberties people enjoy is the right to life, and no public health care law can deny any individual of the right. Because of such civil liberties, public health care laws must work at protecting them since they are above board. The government plays an essential role in controlling and promoting the provision of health care throughout the states. Their role is important because it regulates the health sector as well as the conducts of the different players in the market, such as health professionals. In many cases, the government sets a standard under which all the practices have to align and adhere to. Because of this attempt, governments pre-empt competitiors in some circumstance and become the only player in the market or in healthcare for that matter. This happens because of the supervisory role of the government in the lower level agencies or hospitals with the aim of maintaining order and productivity. Similarly, the pre-emption of the government has made it possible for lower level hospitals or agencies to act within their capacity, making them leave other services for higher agencies or government.
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