Capstone - Non-Compliance Essay Example | Topics and Well Written Essays - 2500 words

Capstone - Non-Compliance - Essay Example the outcomes include; full compliance or adherence to treatment and change in life that promotes good health depending on the treatment recommendations. Non-compliance is a complex problem that can affect and is also affected by economic status, change in lifestyle, and group approach interventions among other factors. Nursing interventions are successful and can yield tangible outcomes. However, effective interventions require identification and counteraction of factors that lead to non-compliance. Telling examples of these factors are unsatisfactory discharge instructions, economic difficulties, a language barrier, and cultural believes. Proactive attitude by nursing staff to counteract these factors yields desirable outcomes. Noncompliance is the opposite of compliance (the degree to which patients follow medical advice) plagues patients with a diagnosis such as diabetes, renal failure, and hypertension (Fischer, Stedman, Lii, Vogeli, & Shrank, et al, 2010). Noncompliant patients inhibit appropriate treatment of their general health care and thus pose a medical hazard at a wide scale (Fischer, et al, 2010). Noncompliance does not imply to therapeutic medications, but also general medical advice such as self-supervised physical exercises and therapy sessions. Dealing with noncompliant patients is a challenge that nurses face on a daily basis while carrying out their duties. However, addressing these challenges proactively (by the nurse) can bring about positive outcomes among affected patients. This capstone project covers the approaches of identifying and dealing with noncompliant patterns in patients affected by various health issues on a nursing perspective. Emerging literature on this subject suggests an increasing interest by researchers to delineate the problem. Noncompliant patients are difficult to research owing to their negative attitude towards healthcare givers (who are also the researchers). Consequently, this area is still gray and only limited

Simone de Beauvoir's Masterwork Essay Example | Topics and Well Written Essays - 1000 words

Simone de Beauvoir's Masterwork - Essay Example The Second Sex introduction contends against the edge of the woman question of why they are down casted. It argues for ladies correspondence while demanding the truth of the sexual differences between men and women. Beauvoir thinks that it unreasonable and indecent to utilize the sexual differences as a contention for ladies subordination. She discovers it un-phenomenological to overlook this pertinent issue. As a phenomenologist, she is obliged to look at ladies remarkable knowledge of their bodies and to decide how these encounters are controlled by what phenomenology calls the regular demeanor. It is a practical judgment skills and suspicions that people unreflectively bring to their experience. In the excerpt of Baby you are great by Wilhem surely lays concrete evidence to the introduction to the second sex by viewing women as commodities, split personalities, altered humans, post -humans, and judged and manipulated by media. Women are portrayed as weaker sex as tools for sexual satisfaction use. Women appear to be rated to youth and youth to be dressed in the same social poise as the grown-up guys. Later on, the young person, coveting and cherishing, encounters the safety, the freedom of the lady sought and cherished; in marriage, he regards lady as wife and mother, and in the solid occasions of marital life she remains there before him as a free being. He can thusly feel that social subordination as between the genders no more exists and that all in all, notwithstanding contrasts, lady is an equivalent. As, nonetheless, he watches a few purposes of second rate quality the most essential being unfitness for the callings he credits these to regular reasons. When he is in a co-agent and kindhearted connection with lady, his subject is the rule of theoretical equity, and he doesnt base his state of mind upon such imbalance as may exist.

Q-syte Connector on Prevention of Thrombophlebitis

Q-syte Connector on Prevention of Thrombophlebitis CHAPTER I INTRODUCTION â€Å"To do what nobody else will do, a way that nobody else can do, inspite of all we go through; is to be a nurse.† Rawsi Williams.RN. The first principle to enunciate in a hospital is â€Å"do the sick no harm† (Florence Nightingale, 1859). Curing is a part of doctors and caring is in nurses’ domain. The intravenous (IV) cannulation is a very common procedure which is performed by nurses to save the lives of the patients. Though IV therapy saves the life if it is not handled well it will result in many complications. Carson.D. et al, stated in 2012 that the history of IV therapy was trailed during the Middle Ages. The first experiments using IV therapy were carried out in the 17th century using quills and animals bladder. In 1831-1832, Dr. Thomas Latta pioneered the use of the IV saline infusion for the cholera epidemic. It was then established as a routine medical practice during World War II. By the 1990s, it was estimated that 85% of hospitalized patients in the US received IV therapy.A nursing survey in 1990 found that 75% of a nurses hospital time was spent providing IV therapy related services. The most frequent complication of peripheral intravenous (PIV) infusion is phlebitis, which may occur at rates as high as 50%,or even 75% for patients with infectious diseases; however, the incidence rate of urgent catheter insertion is approximately 20%. Although the incidence of IV infusion-related infections is difficult to determine, studies have shown that between 5% and 25% of peripheral cathet ers are colonized by skin organisms at the time of removal.(Aston 1990). Ortega, et.al, (2008) observed that the ability to obtain PIV access is an essential skill for all nurses. Although this technique is considered as a simple invasive procedure, mastering the skill requires experience and is of substantial significance in life-saving intervention. According to Waitt ,C. and Waitt, P., approximately 80% of patients are receiving IV therapy during their hospitalisation. The IV therapy is commonly used to correct fluid and electrolyte imbalance, for medication administration, for blood transfusion, etc. When comparing with other routes, the IV route is faster for fluid resuscitation and medication administration. In 2003, Macklin found that IV therapy has some common complications like phlebitis, infiltration, hematoma, extravasations, embolism, catheter related blood stream infections, etc. Drug induced thrombophlebitis is 25% to 70% comparatively higher in clinical setting for patients who are receiving IV therapy. Luer Access Split Septum (LASS) eliminates the internal complexities of mechanical valves, and with them the places that may harbour microorganisms. Studies found that patients are on average three times more likely to develop a Catheter Related Blood Stream Infection (CRBSI) with the use of mechanical valves vs. a split-septum needless access system. NEED FOR THE STUDY PIV cannulation is a very common invasive procedure performed by nurses throughout their duty schedule. The IV cannulation procedure is simple but it requires a lot of skills. If the cannulised site is disturbed or not maintained properly it may result in many other complications which increase the number of days in hospital as well as the cost of treatment. The intravenous catheter related infections (CRI) come under the quality indicators of a hospital. As nurses we should therefore follow our ethics and improve the quality of our nursing care by implementing evidence based innovative principles. In 2001, Reineck observed that maintenance of IV cannula patency is important to reduce the patient discomforts like visible scaring and CRI. Black et al., in 1997, found that blood clots may form in the IV line as a result of kinked IV tubing, very slow infusion rate, solution administration, etc. The CDC recommends according to 2011 guidelines, that when needleless systems are used, a split septum valve may be preferred over some mechanical valves due to an increased risk of infection with the latter ones. Recently, updated guidelines from the CDC provide a critical new evidence based intervention of Q-Syte which helps to overcome the challenges of CRBSI. When compared to the other connectors, the Q-Syte or the mechanical valve split–septum devices have 64% to 70% lower CRBSI rates. Salgado, D.C., et al , conducted a study to determine whether needleless mechanical valve device have any influence on catheter related blood stream infection among patients with a central venous catheter . He found that there was a marked decrease in the incidence of CRBSI . The investigator during her clinical experience observed that many patients who received intermittent IV drug therapy suffered from thrombophlebitis, being thus the primary cause of infection. Some studies as well as the CDC recommend to use of luer lock access along with the IV cannula. This motivated the researcher to study and to found more alternatives for preventing thrombophlebitis. STATEMENT OF THE PROBLEM Effectiveness of Q-Syte Connector on Prevention of thrombophlebitis , IV Line Patency and Ease of Administration of Medication Among the Patients with Peripheral IV Cannula in KMCH, Coimbatore. OBJECTIVES The objectives of the study are to: assess the magnitude of occurrence of thrombophlebitis and IV line patency among patients with a Q-Syte connector; compare the occurrence of thrombophlebitis and IV line patency among patients with a Q-Syte connector and those who do not have a Q-Syte connector; compare the ease of administration of medication for patients connected with Q-Syte and those without Q-Syte connector; associate the occurrence of thrombophlebitis and peripheral line occlusion with demographic variables. OPERATIONAL DEFINITION Q- SYTE: A Luer Access Split Septum device connector which can be connected to the peripheral IV line. PATENCY: An absence of blockage in PIV line as observed by the flow of fluid without resistance. THROMBOPHLEBITIS: An inflammation of blood vessel due to blood clot. HYPOTHESIS H1 There is a significant difference in the occurance of thrombophlebitis between the patients with Q-Syte and those who are without Q-Syte in preventing of thrombophlebitis. H2 There is a significant difference in maintaining the IV line patency between the patients with Q-Syte and patients without Q-Syte. H3- There is a significant difference in easing the administration of medication between the patients with Q-Syte and patients without Q-Syte . ASSUMPTION Occlusion of a PIV line may result in the development of thrombophlebitis. Q-Syte prevents the occlusion of PIV line by preventing air entry and backflow. CONCEPTUAL FRAMEWORK The conceptual framework of this study was based on the modified Kolcaba comfort model. This theory was developed by Katharine Kolcaba in1990 and modified again by her in 2010. HEALTH CARE NEEDS Health care needs are those identified by the patient or its family in a particular practice setting. In the present study, the health care needs were the prevention from thrombophlebitis and the maintenance of IV line patency among the patients receiving IV drugs. HEALTH SEEKING BEHAVIOUR When patients and families are accustomed to the actions of the health care personnel (i.e. nurses), they can involve better in the health seeking behaviour which can be internal or external. In the present study, health seeking behaviours were internal when about the prevention of thrombophlebitis and external behaviour when about the functional outcome. INTERVENING VARIABLES Intervening variables are those which are not likely to change and over which the providers have a very little control such as prognosis, financial situations, the extent of social support, etc. In the present study, the intervening variables were prognosis and the extent of the social support system around the patient. COMFORT INTERVENTION Comfort is an immediate desirable outcome of nursing care. Nurses traditionally provide comfort to patients and their families through interventions that can be called comfort measures. The intentional comforting nursing actions strengthen the patients and their family. In the present study, the comfort measure was the setting of Q-Syte connector along with the IV cannula in the experimental group and not in the control group. ENHANCED COMFORT Enhanced comfort is an immediate desirable outcome of nursing care. In the present study, the enhanced comfort was the relief from thrombophlebitis by maintaining the IV patency. INSTITUTIONAL INTEGRITY Institutional integrity is defined as the values, the financial stability and the wholeness of health care organisations at local, regional, state and national levels. In the present study, the institutional integrity was the financial stability and the wholeness of the health care organisation. 7. BEST PRACTICE Best practices are the protocols and the procedures developed by an institution after collecting evidence on specific applications on the patient. In the present study, the best practice was the setting of Q-Syte connectors along with IV cannula for patients receiving such injections. 1

History and Future of Music Storage Methods :: Audio Technology Essays

History and Future of Music Storage Methods Music is all around us. It is interesting to see the progress of technology in music and how it has shaped our culture. Wax Cylinders Wax cylinders (vinyl) have a mechanical method of recording and playing music. The data on the cylinder is stored linearly. It senses the transducer signal (vibrations) of the record and transmits it to a diaphragm. Sound was recorded onto a tin foil cylinder when the idea of a phonograph was first conceived. This was done by a diaphragm. The diaphragm captures the vibration of the soundwaves, which makes the needle (or stylus) imprint a mechanical form of the soundwave in an analog form onto the tin foil. When playback is desired, the impressions left on the tin foil from the original sound would then cause the needle to move, causing the diaphragm to vibrate, displacing the air and replicating the original sound. Before the phonograph, invented by Thomas Edison in 1877, was the phonautograph by Leon Scott. I could record sound, however, not reproduce it. Audiocassettes Howstuffworks.com Audiocassettes are a magnetic form of storing music. They proceeded vinyl records due to their compact design and lowered risk of being damaged. Cassettes are recorded linearly. Unlike the vinyl record, it uses a ferromagnetic substance to create a magnetized medium on the tape. It was popular because of its’ simplicity, one could record over the tape and it would retain it’s data. The transmitter is an electromagnet, which is used to record the tape. There are two sides to a tape, each side containing memory for 2 channels (stereo). The audiocassette is an easier and flexible method of storing data than that of the phonograph. A phonograph is easier to damage than the cassette because it is not protected against the elements of everyday wear and tear. Scratches damage the phonograph’s ability to playback the recorded data on the phonograph. However, the audiocassette is prone to other types of damage than the phonograph. If left near a magnetic item, the fidelity of the data in the cassette may be at risk. â€Å"This electromagnet is tiny - perhaps the size of a flattened pea. The electromagnet consists of an iron core wrapped with wire, as shown in the figure. During recording, the audio signal is sent through the coil of wire to create a magnetic field in the core. At the gap, magnetic flux forms a fringe pattern to bridge the gap and this flux is what magnetizes the oxide on the tape.

Achilles, Aeneas, and Roland

Imagine living in a turbulent world, where people lived their day to day lives praying that they would see the next sunrise. That was life for villagers that lived during the times of the ancient Greeks and Romans, as well as during the medieval period when Germanic tribes ruled Europe. To help them get through their very insecure days, people would tell oral stories of great heroes, like those of Achilles, Aeneas, and Roland. Achilles was a Greek war hero who fights in the Trojan War, a ten year long war between Greece and Troy (present day Turkey). Aeneas was an epic hero in ancient Roman folklore. He was a soldier who fought in the Trojan War and after surviving the destruction of Troy, he later founded the city of Rome. Roland was an epic hero of the Franks, a Germanic tribe in present day France. All three of these heroes played vital roles in giving strength and hope to the peoples of their respective cultures. The Illiad was an epic written by a Greek poet named Homer. It takes place in the last days of the Trojan War. Achilles was an integral part of the war. He helped raise the Greek soldiers’ moral, he was an excellent fighter and swordsmen, and he killed Hector, who was the leader of the Trojan forces and son of the King of Troy. It is said that Achilles was half man and half god. He is the offspring of Peleus, King of Thessaly, and the sea nymph Thetis, who had dipped her infant son in the river Styx, thus making him invulnerable except for the hell by which she held him. In the epic, Homer gave Achilles many human characteristics, including revenge, anger, and love. He even gave him many challenges to overcome. In the beginning of the war, he did not fight because of an affront to his honor that angered him. However struck with grief when his dearest friend Patroclus is killed by Hector, he in revenge joins the war. Throughout the Illiad, this male protagonist is on a quest to reconcile selfhood and communal responsibility. After killing Hector, Achilles shows his humanity by sparing Priam, the King of Troy, when he sneaks in to the Greek camp. He even grants the kings request by giving back his dead son’s body, so that he can have a proper burial. He could have killed Priam and ended the ten year long war, however he chose to act on good virtue and morals and that showed his humanity. Aeneas, the Trojan born epic hero in Virgil’s Aeneid, was Rome’s mythical founder. His father was Prince Anchiseses, who was the second cousin of the King of Troy, King Priam. His mother was Venus, the god of love, beauty, and procreation. Like Achilles, Aeneas was also part god, part man. His mission was to gather any survivors from Troy and take them on a journey to Italy, where he will establish the city of Rome. On his journey however they end up settling in Carthage where he meets and has a long affair with the beautiful Carthaginian princess, Dido. While in Carthage, the messenger god, Mercury, leaves Aeneas a message. The message was to remind him to leave Carthage and proceed to Italy and end his love affair with princess Dido. Despite the fact that he loved Dido very much, his Stoic sense of duty overcomes his desire for personal fulfillment. That is the characteristic of a true hero. He told Dido that he never asked for any of what happened. He said if he had his way, he would be watching over the city of Troy, and caring for his people. Also, Priam’s palace would still be standing. The last thing he tells her was that he goes to Italy not because he wanted to. He was asked by the God’s to move to Italy and he will not fail the duties that are installed for him. That is what makes him a pious man. Roland, the last of the greatest epic heroes, was the nephew of Charlemagne, a Frankish chieftain who was crowned by the pope as â€Å"Emperor of the Romans. † In The Song of Roland, Roland was described as a very modest yet arrogant man. He said that he could strike great blows to the pagans with his sword, Durandel. In the story, he faced the challenge of halting the Muslim invasion of France. The Saracens were the Muslims invading France. He was described as a model medieval hero, because he was a natural Christian leader who was sent on a holy war to stop the Muslims from invading and converting France. He was a noble Frenchman, who died at the hand of power and land hungry, Islamic forces. At the end of the story, it is said that he died while he was chasing away the pagans. To this day, in the 21st century, homo sapiens still write stories about heroes that will save them and society. The number one characteristic that describes a hero is one that has a Stoic sense of duty that can overcome the desire for personal fulfillment. Achilles, Aeneas, and Roland were all created to create personal comfort for their people that lived in such a hectic and dangerous world. These three protagonists who were viewed by their cultures as gods also showed their people that they did portray human characterists (two out of the three even die) and that anyone can be like them if they tried. In a way they were used to inspire their respective residents to be better civilians in their community. If everyone could follow that, than living in a turbulent world would go from reality to fiction.

Conclusion on Smartphone Essay

As the conclusion, the university students nowadays prefer to improve their vocabulary skill through smartphones rather than other devices especially in this era. This because through the smartphones they can easily download application such as dictionary besides can work the vocxabulary lesson through offline or outside the class. At the same time, these can make students’ life more flexible to improve their vocabulary at anywhere and anytime they want it without sticking at one place to learn it. According to Sarmiento (2002), the excited students said mobile device helped them to learn math and science better. It is proven, as we can see, students get more interested to learn any subject through their mobile devices rather than going to class or get it from books. Therefore, we hope the government will allow the students to bring the mobile devices to schoolto give them opportunities to experiments and discover the mobile technologies. However, the school has to impose some rules so that the students will not misused the device in wrong way. Firstly, the advantage of using smartphones in vocabulary skills among university students is students can download English language materials through their smartphones. These can be divided in two methods which is the first one is by downloading a dictionary which can help improving students’ vocabulary. According to Song and Fox (2008), in today’s technoly era, more students prefer to bring a downloaded handheld electronic dictionary or a mobile device rather than bringing along a thick dictionary to class or places of study. This true as we can see, many students use their smartphones to download dictionary to enrich their vocabulary for them to learn the pronounciation of unfimiliar words even it is outside of the class. Furthermore, it also provides opportunities for them to solve vocabulary problems during their lecture. For example, when the students look up for a new word or expression from hard copy handouts by the lecturer, most of them prefer to use their dictionary in their smartphones to search for the meaning of the word rather than searching in the thick dictionary which is heavy. The next method, is by using internet access to download dictionary for supporting education. Sophisticated mobile devices have been upgraded upgraded and used to support education through personal and social enrichment (Roschelle,Sharples&Chan, 2005).