Effective Communication And Time Management For A Patient...

Adult Case study – Effective communication and time management for a patient with an Acute ST-elevated Myocardial Infarction. Case study The NMC code of conduct states â€Å"As a nurse or a midwife, you owe a duty of confidentiality to all those who are receiving care† (NMC; 2015 p.5). In accordance with the NMC code of conduct I shall be using a pseudonym to discuss my patient. Mr Alpha is a 55 year old paramedic who started complaining of chest pain, nausea and shortness of breath at 08:00 which improved with Paracetamol and Aspirin. Whilst at the Royal London hospital his colleague conducted an ECG at approximately 11:45 which showed ST-elevation in leads V3 and V4 and was brought into the Emergency Department (ED) as an ST-Elevated†¦show more content†¦Introduction A STEMI is caused by an acute interruption of blood supply to an area of the heart that develops into full thickness cardiac muscle damage to the area that the vessel supplies blood to (Wadud, A; 2014). It is defined by having ST-segment elevation with pathological Q-wave formation and is condition under the umbrella term Acute Coronary Syndrome (ACS) (Wadud, A; 2014). The lack of oxygenation to the myocardium also causes the cardiac markers troponin T, troponin I and creatinine kinase myocardial brand (CK-MB) start to rise in the blood. Troponin rises within 4-6 hours and remains raised for up to two weeks whilst CK-MB starts to rise within 4-6 hours and returns to normal within 48-72 hours (Wadud, A; 2014). Nice guidance identifies that â€Å"nearly half of potentially salvageable myocardium is lost within 1 hour of the coronary artery being occluded and two thirds are lost within 3 hours† (NICE; 2013). The end of the 20th century showed the best way to re-perfuse and improv e oxygenation was using a fibrinolytic drug however in recent years the use of Coronary Angioplasty, thrombus extraction catheters and stenting which are under the umbrella term Percutaneous Coronary Intervention (primary PCI) (NICE; 2013). The National Infarct Angioplasty Project (NIAP) interim report found that primary PCI will be feasible in a variety of geographical settings, will be most effective and cost-effective if delivered within 120-150 minutes from a patient’s initial call for

Short Term Goal Next Portfolio Course - 915 Words

Short Term Goal (Next portfolio course) 1. Specifics †¢ Who: I will be attending an career job fair that is being hosted by companies in Seattle’s that are fortune 500 companies. The name of this event is Seattle’s Premiere Sales and Professional Job Fair †¢ What: My main goal I plan to accomplish by attending this event is to for a couple of reasons. First, I plan to research a few companies. I plan on asking questions to find out about entry level positions. I will also be able to go over my rà ©sumà © with them, and explain how I can be an ideal candidate for any position that I would qualify for. †¢ Where: This job fair will be held at the Westin Seattle Hotel, on September 21, 2016 from the hours of 11:30 am – 2:00 pm. †¢ Why: I am doing this to 2. Measurable †¢ I am not sure this can be tracked, but I believe if I can 10 rà ©sumà © in with me and all 10 have been handed out to employers I feel this is the best progess that can be made 3. Attainble/Achievable †¢ This goal is very reasonable given the time frame I gave myself, as long as I am utilizing all of my time there conveying my personal brand to the companies that I speak with 4. Relevant †¢ I do believe all of my goals are like stairway, each being a step up from the other, each opportunity leads closer to obtaining a job that I will feel truly comfortable and passionate about 5. Timely †¢ This will be done in the given time frame, because the date for this event is set and I have reserved my spot for attendanceShow MoreRelatedCase Study Of A Private Card Business1258 Words   |  6 PagesThis paper is about a private card business HowRu and its subsidiary. Of course as all card companies business is seasonal and the best time is holiday season. This paper will discuss steps the company can take to diversify its portfolio. Next the definition of diversification and its necessity in risk management will be given. Then there will be five steps listed to diversify the card business. Each step will be discussed in detail. Last at least six suggestions will be given to know where and howRead MoreLet s Simplify Portfolio Performance Evaluation By Using Information Essay1665 Words   |  7 Pageswhen it will change direction. Too much investor time and analytical effort is wasted trying to predict course corrections... even more is squandered comparing portfolio Mar ket Values with a handful of unrelated indices and averages. If we reconcile in our minds that we can t predict the future (or change the past), we can move through the uncertainty more productively. Let s simplify portfolio performance evaluation by using information that we don t have to speculate about, and which is relatedRead MoreMy Campaign For A Senior Executive Service1750 Words   |  7 PagesMy primary short-term academic goal is to earn my Associate of Applied Science degree in Business Administration with a concentration in Event and Meeting Planning before the end of 2016. My short-term plan includes reducing and eliminating the academic tuition cost from out of my pocket by obtaining scholarships, grants and tuition assistance from my employer and sponsors. Further, I plan to reduce the time required to obtain the degree, to quickly have the necessary skills and education to jump-startRead MoreThe Pros and Cons of Standardized Testing1050 Words   |  5 Pagespercent age of schools improvement that shows the â€Å"average test scores from one year to the next was temporary and was caused by fluctuations that had nothing to do with long-term changes in learning or productivity† (Olson, 2001). This shows that the tests are not a reliable source to judge students’ academic achievements. Another tool to incorporate into a students daily learning are portfolios. A portfolio is a collection of each students educational assignments and assessments which effectivelyRead MoreThe Goals Of Managers And Shareholders Are Not Always Aligned1292 Words   |  6 PagesThe goals of managers and shareholders are not always aligned. Agency theory suggests This misalignment creates the need for costly monitoring through compensation contracts(Jensen And Meckling, 1976; Fama and Jensen, 1983). To align the goals of the two parties, Compensation contracts should be designed to motivate the executive to make decisions that will Not only increase his or her wealth, but will also increase shareholder wealth. Steps taken to Increase shareholder wealth should be reflectedRead MoreLeadership Portfolio1448 Words   |  6 PagesLeadership Development Plan Goal: To become a successful Product Manager; lead teams using transformational leadership model; and network effectively with professionals of my field. I am new to the field of Product Management and while my previous experiences leverage this decision, it still remains a challenging proposition to succeed in this field. In this regard, I am writing this leadership plan which will be my guiding force throughout my professional life. The document will be updated asRead MoreThe Role Of E-Portfolio And MSN Learning Outcomes1256 Words   |  6 Pagese-Portfolio and MSN Learning Outcomes Degie Gelaw American Sentinel University e-Portfolio and MSN Learning Outcomes While, balancing work, family life, and education can be extremely challenging, the ability to obtain an advanced degree and practice at a level that allows one to utilize evidence and research is a reward that can only be achieved through education. The Masters of Nursing (MSN) program at American Sentinel University (ASU) has been a journey that is worth embarking. Further, anRead MoreReport On The Stock Market Essay1572 Words   |  7 Pagesfound that this helped provide me with a hands on experience which helped familiarize me with stock trading and learning how to manage and use my money efficiently. I continued to play this simulation for about two months and during this time my portfolio grew about 4%, which provided me a confidence boost and motivated me to invest in my real money into the stock market. In March of 2015, I officially began trading in the stock market and I continued to learn along the way. As of now, I have roughlyRead MoreTerm Paper1522 Words   |  7 P ages The Team Paper was to be approached in two parts: Part I presented us with the challenge of designing a Portfolio Management process by which our Strategic Business Unit (SBU) would make decisions on what projects would fit into its current portfolio. Part II followed with the inclusion of an important new project bringing a twist to the existing portfolio process. Using the portfolio management process we had proposed, we were to determine whether to proceed with the additional project as wellRead MoreEssay Strategic Operations1447 Words   |  6 Pages2    Peapod    External   view   of   the    organization’s    operations.       Risk   assessment    Operational   hedges    Sourcing   challenges    Plan   for   next   steps    3    4    Seagate   Technology                  (Ch.   12,   p.      405)          Simulation    preparation    Course   Description   and   Objectives    THE    GOAL    OF    THIS    COURSE    is    to    understand    how    strategic    operations    decisions    impact   the   performance   of   the   firm.   The   key   will   be   to   understand   the   link

Colonial School vs Modern Era Free Essays

Colonial School vs. Modern Era The impact of schools has been ever changing. From their New England traditions, to civilizing of western settlers, and finally the requirement of educated individuals what schools and education have to do in society is constantly being molded and remolded. We will write a custom essay sample on Colonial School vs Modern Era or any similar topic only for you Order Now New models, ideas, ideals, and requirements for schools are constantly being established and have come a long way from the colonial period to the modern era. During colonial times school and education was used to â€Å"maintain the authority of the government and religion† (Spring 13) as well as to maintain social distinction and uphold morals. Unlike today, many schools in the New England colonies relied heavily upon religious and racist teachings. And many people agreed that it was important to include religion in schools just as it was included in many other practices at the time. This however created a major problem for the growing country as schools not only excluded all religions besides Protestant Christianity but also as a result were racist against peoples of other beliefs. Many new immigrants to the United States were shocked and upset that a nation boasting freedom of religion was forcing one specific religion through the use of schools and even discriminating against the people of different religious backgrounds. As pointed out in the film School: The Story of American Public Education, Part 1 early Irish settlers, who were mostly devout Catholics, came to find that the primers used in schools forced children to not only learn and recall Christian beliefs and proverbs but also painted Irishmen in an undoubtedly negative light going even so far as to call them â€Å"foul† and even the â€Å"lowest of people†. As a result of this discrimination Catholic groups in the nineteenth century rebelled and reform of schools began to take place. Schools were also means to teach children to obey the laws of society and the government. Much of colonial society was based upon class and the distinction between them. It was not only important to the puritan society that children read the Bible but also become good workers and members of society. First thanks to the Massachusetts Law of 1642 and then in 1647 the â€Å"Old Deluder Satan Law† (Spring 17) a system was established that required towns to be concerned with the literacy and education of their children. It also required towns with over fifty households to appoint a teacher to teach reading and writing in the community and those with over one hundred households to also establish a grammar school, which emphasized Latin and Greek, to prepare students for higher education. During the colonial period apprenticeship was common but because the nation was small many of the apprenticeships were either cut short or unavailable. It was one of the jobs of a master to teach literacy and maybe arithmetic to his apprentice but because of the unavailability many fell short of this requirement. It then fell upon the law to create the aforementioned schools and educate children to not only teach them the ability to read the bible and the laws of the nation but to also educate them in the proper way to conduct themselves in social and formal work settings. Much of the actual teaching of morals and way of conducting oneself was taught in the literacy schools, once a child was able to adhere to the rules and was sufficient enough in reading and writing they were able to attend grammar schools, with enough money in some cases, so that they may be able to move onto college and careers beyond. It comes as no surprise that English colonists thought of the Native Americans as uncivilized, lawless, and godless and attempted to introduce all of these elements to them through schools and religious institutions for their own benefit. Here education served an entirely different purpose, as cultural imperialism. Despite the disinterest from Native Americans, and cultures worldwide, the English refused to give up their hopes on instilling their culture and beliefs upon other peoples. In North America these efforts were accompanied by genocide and â€Å"it is estimated that ninety percent of the Native American population on the East Coast was lost during the European invasion† (Spring 24), largely due to diseases brought by settlers but also due to the feelings of cultural and racial superiority that white settlers heavily believed in. Benjamin Franklin even believed that there needed to be more white people in the world and that â€Å" ‘the principle body of white people’ should populate North America†¦[and] ‘why increase the Sons of Africa, by planting them in America, where we have so fair an opportunity, by excluding all Blacks and Tawnys, of increasing the lovely White? ’† (Spring 25) This overwhelming feeling of superiority by the white settlers brought them to see the Native Americans as an obstacle they needed to overcome. Some of the things that they wanted to change about the Indians were their work habits, views on sexuality, family organization, and women’s power. All of these things directly contrasted to the puritan beliefs of a male dominated authoritarian modest culture. Early education of the Native Americans was completely unsuccessful with many of the teachings being simply laughed at by the Natives and forgotten. After passing an execution law for those who were not civilized and God-fearing people, schools began to be established specifically for the process of civilizing Native Americans. Eleazar Wheelock founded the Dartmouth College in 1769 (Spring 28) where Indian children were â€Å"removed from their tribes†¦and plac[ed] into boarding schools for cultural conversion. (Spring 28) Wheelock believed that if the Native Americans were deterred from their native culture and taught to live like the colonists and educated into specific roles such as farming and cultivation for boys and homemaking for girls they would be able to successfully convert and that Indian Wars would no longer be a problem. This system seemed to have worke d when Samson Occom, a Mohegan Indian, not only successfully passed through the school but also went on to travel to England to advocate for the system and the establishment of more â€Å"Praying Indian† schools. Obviously today’s schools are much less grounded in religious and white superiority traditions. Although some themes do continue to the present such as education being a means of preparing children to obey government laws, that education will eliminate crime, immorality, and poverty, and that education is a source of social mobility. (Spring 14) In the home children today are nurtured and while they are taught social conduct and what is right and wrong it is in the classroom that children learn to sit still, obey people outside their family, work with others, and to complete tasks on time. These are all requirements any job will entail and are best experienced in an educational setting. Many people also believe that education for their children will give their children a better life than them. Today’s parents want their children to grow up to be better, to be more prosperous, and more educated than themselves. Schools promise to provide the means for children to excel in life. Not only will the education of children allow them to obtain better jobs and more rewarding careers but it is considered that by acquiring knowledge people will inherently choose to â€Å"be good† eradicating immorality and crime. As previously mentioned modern education frowns upon the inclusion of religion in the classroom, except in cases such as Catholic or other religious or private non-publically funded school. Schools today are for knowledge only, a place where all the findings, ideas, and information of the world is attempted to be taught to the young and bright minds of today. Another stark difference between colonial education and today’s society is that culture and difference are celebrated. While cultural superiority may never fully die out today’s schools advocate for acceptance and pride in the diversity of students. Rather than suppress the cultural individualism many classrooms explore and exhibit the as many cultures as they can and bring light and information to everyone about each other. Much of education today leads toward higher education, whereas during colonial periods higher education and prestigious jobs were delicacies for the elite. In some cases this is still true, where students who may be deserving of quality education may not be able to pay the tuition of prized private schools such as Harvard, Stanford, or MIT. But for the most part educations at non-Ivy league schools are still highly regarded and sometimes even praised as those who may attend them have more â€Å"real life experience†. Employers today not only worry about where one went to school but what he or she did there and what type of person they are. This makes schools in the modern era a place for equality, where anyone can become their wildest dreams. Bibliography Spring, Joel H. The American School: A Global Context from the Puritans to the Obama Era. New York: McGraw-Hill, 2011. Print. How to cite Colonial School vs Modern Era, Papers