Team Working Essay Example for Free

Team Working Essay Outcome 6. The importance of accurate record keeping. Accurate record keeping is very important for few reasons. First of all, different health professions are involved in patient care delivery and clinical process. All these professional have to communicate about patients and records is one of the best ways of doing it. Secondly, records reflect all procedures and manipulations with a patient in a chronological way so that members of staff know exactly the situation with patients to provide 24 hours care for patients. . Thirdly, accurate record keeping is important for investigating complaints and claims. The best care provided will not be counted if it was not recorded in patient’s notes (McGeehan 2007). Records should be written briefly but informative at the same time. It should be focused on the patient, factual, measurable and realistic. It also should be written strait away after an event. The nurse should put date, time of the note and write her name. Handwriting should be easy to understand. The language should be appropriate without abbreviations or jargon. Poor note taking can be regarded as negligence (McGeehan 2007). As every patient has different reasons for admission and different pathway on a ward, it is important to work out care pathways. It includes clinical risk assessment and outlining the care that this patient should be given recording to conditions. All members of the staff must sign when they use a pathway for a patient (McGeehan 2007). . Trusts can be assessed by The Clinical Negligence Scheme for Trusts (CNST) by the way records were kept. As there are many complains and claims, every nurse should follow high standard record keeping so that records can be used as an evidence of care provided in a court (McGeehan 2007). References: McGeehah R (2007) Best practice in record keeping. Nursing Standard 21(17), 51-58 Outcome 7. Informed Consent. The concept of informed consent has been broadly discussed in medical literature. Indeed, gaining consent is very important for all health professions, including health care assistants, nurses and doctors. Medical process includes few documents where a patient signs his consent. However, in some cases the patient signs the forms without appropriate explanations. Or, explanations can be poorly understood by patient due to a difficult language (Erlen 2010). Consent should be valid which means that the patient should be over 18, have the capacity and give consent voluntarily (Department of Health 2004). Any form of consent is valid, but only a written consent can be an evidence of the fact that consent was gained. Also, consent can be verbal and non-verbal, when for example, a patient holds out an arm for blood pressure to be taken (Department of Health 2004). In English law no one has any right to touch another person without consent. As nurses deal with many patients daily, it is vitally to gain consent for every intervention. Additionally, a nurse should inform a patient about any procedure In some cases patients give implied consent. For instance, the same injection is given few times a day. However, it is important to gain verbal consent before every injection (Edwards 2010). References: Department of Health (2004) Reference Guide to Consent for Examination or Treatment. Erlen J (2010) Informed Consent. Orthopaedic Nursing. 29 (4), 276-279) Edwards M (2010) An introduction to consent. Practice Nurse 39(6), 13-15) Confidentiality. Confidentiality is a core subject in health care. It is easy to lose patient’s trust by ignoring patient’s right to confidentiality. Confidentiality preserves personal dignity, prevents information disuse and protects autonomy of patient. All professionals in health care have to communicate about patients and it is difficult to avoid information disclosure as at any times there can be unwanted listeners. For instance, when a nurse tries to make an appointment for her patient on the phone, she has to provide some information such as the name, age, address and a condition. There could be people near her at this point who will use the information. Outcome 12. Signs and circumstances associated with aggression and violence. Nurses they are reported to be at a high risk of dealing with patient aggression. Over 76 per cent of newly qualified nurses in South Wales for instance experienced patients’ aggression within first three months of employment. In most of cases the aggression was in a form of verbal abuse. Other forms of patients’ aggression are verbal or physical threats or intimidation and physical violence. As a result, nurses are at an increased risk of emotional suffering and depression (Hills 2008). The research shows that female nurses experience aggression and abuse from patients more often than male nurses. It was suggested that nurses experience aggression and violence more frequently because they deal with patients more often than other health care professionals Mullan 2007) What is more, some nurses have to take days off or sick time off after episodes of patients’ violence and aggression (Hills 2008). The study shows that aggression management training programs for nurses could be an effective way to decrease incidents of violence in clinical area (Hills 2008). Most of nurses who experienced violence or any form of aggression from patients reported that they were powerless avoid that and felt having lack of confidence (Mullan 2007). References: Mullan B Badger F (2007) Aggression and violence towards staff working with older patients. Nursing Standard 14(21) 35-39 Hills D (2008) Relationship between aggression management training, perceived self-efficacy and rural general hospital nurses’ experiences of patient aggression. Contemporary Nurse 31(1), 20-31

Promoting Family Values in Macbeth Essay example -- Macbeth essays

Promoting Family Values in Macbeth  Ã‚     Ã‚  Ã‚   The play Macbeth, by William Shakespeare, was first printed in 1623, and is a play that is confrontational and disturbing to the values of the audience. Values such as truth, masculinity, security and goodness are all implied in the play, as their opposites are shown to be destructive and life shattering. Of all of Shakespeare’s plays, Macbeth is the one most obsessively concerned with evil. It is dark, brooding and bloodthirsty; by way of illustration, the only function of the messenger to Lady MacDuff is to prepare the audience for bloodshed. Blood in itself is considered an evil image and it aids in character development, as seen in the description of Macbeth at the start. According to Duncan, gutting someone like a fish is worthy of praise such as â€Å"Oh valiant cousin, Oh worthy Gentleman!† To the people of the age, being able to kill someone with such skill is a good thing†¦ of course, it does mean that Macbeth has the potential to snap. The evil imagery in the play also helps with the rising tension – the old man’s description of the horses devouring each other is a prime example of this. Macbeth himself is essentially evil as well; when he knows he is going to die, instead of taking the honorable way out by committing suicide he decides to take as many people with him as he can. It is somewhat ironic therefore that â€Å"Macbeth† means â€Å"son of life†. The evil that Macbeth and Lady Macbeth create within themselves means that the audience is made to experience the psychological emptiness involved in committing a murder. Evil is inevitably destructive, but it is also self-destructive. By murdering Duncan, Macbeth is destroying himself; his â€Å"single state of man† is shaken by his... ...elm.   Criticism on Shakespeare s Tragedies . A Course  Ã‚     of Lectures on Dramatic Art and Literature. London: AMS Press, Inc., 1965.  Ã‚   Shakespeare, William.   Tragedy of Macbeth . Ed. Barbara Mowat and Paul  Ã‚   Warstine. New York: Washington Press, 1992.  Ã‚  Ã‚   Steevens, George. Shakespeare, The Critical Heritage. Vol. 6. London:  Ã‚   Routledge & Kegan Paul, 1981.  Ã‚   T.W. Shakespeare, the Critical Heritage. Vol. 5. London: Routledge & Kegan  Ã‚   Paul, 1979.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Wills, Gary. Witches & Jesuits. Oxford: Oxford University Press, 1995.     Epstein, Norrie, The Friendly Shakepeare, New York, Viking Publishing, 1993. Harbage, Alfred, Macbeth, Middlesex England, Penguin Publishing, 1956. Magill, Masterplots- Volume 6, New Jersey, Salem Press, 1949. Staunten, Howard, The Complet Illustrated Shakespeare, New York, Park Lane Publishing, 1979.      

Essay on Pride and Prejudice: Theme Essay

In this novel, the title describes the underlying theme to the book. Pride and prejudice were both influences on the characters and their relationships. Darcy alienated himself from the others at first because of his intense pride. His prejudice against the Bennet’s because of their poverty was also something that he would have to overcome. For Elizabeth, her prejudice against Darcy came from his snobbery. It caused her to not see his feelings for her and to believe whatever Wickman said. Darcy’s fierce pride often alienated him from others. For example, he acted so snobby and superior at the first ball with the Bennet’s that they were all turned off by him. His eventual love, Elizabeth, was disgusted at his behavior and formed a prejudice against him. Even after he fell in love with her and proposed to Elizabeth, he completely debased her family. Darcy realized eventually that he was going to have to change. He tried to look at his behavior and analyze why he acted as he did. In the end, he fought his intense pride so that he and Elizabeth could be happy together. Prejudice was also an issue for Darcy in that he disliked Elizabeth in the beginning because of her low social status, poverty, and socially inept family. Darcy was forced to deal with his prejudice when he fell in love with Elizabeth. This was not easy for him to do but it was necessary. His snobbery was countered by his love for Elizabeth. In the end, he overcame his pride and gave in to his feelings by marrying her in spite of her and her family’s shortcomings. Elizabeth had her own issues with prejudice with which to deal. Darcy’s cold arrogance and snobbery prejudiced her from him from the beginning and it took Elizabeth a lot longer time to overcome her prejudices than it did Darcy. This was because Elizabeth was a very caring person and did not like the things that Darcy had said about her and her family. When given the chance, Elizabeth loved to hear about how awful Darcy was, such as when she met Wickman, who was eager to slander Darcy. However, Elizabeth gradually came around and began to fall in love with Darcy, but it was difficult for her to overcome the prejudices that had been imposed on her by both herself and Darcy. This novel’s theme was tied up in the title of the book, Pride and Prejudice. The pride that Darcy felt and his initial prejudice against all of the Bennet family was eventually overwhelmed by his love for Elizabeth. For Elizabeth, she needed to overcome her prejudices about Darcy and see through his snobbery. In the end, all the pride and prejudice was dealt with and Darcy and Elizabeth were left in love.

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