Family Centered Care in Acute Care Assignment Example | Topics and Well Written Essays - 1000 words

Family Centered Care in Acute Care - Assignment Example The following paper identifies, summarizes, and critiques three recent research articles concerning family centered care in acute care. I chose this article because it is a qualitative research focused on the needs of the relatives of patients during acute care. The researchers chose a setting that has been neglected for several years in a developing country. The setting is suitable for this research project as it helps to define family centered care in the presence and absence of patient education. Bastani et al researched ways to set up family-oriented health guidelines for patients in a neurosurgery ward and assess its effect on the fulfilment of patients and their relatives. The study took on the design of a collaborative participatory experiment that involved a set of medical nurses and an educational researcher. Bastani et al carried out the research in a neurosurgery ward within a campus hospital with 26 beds (Bastani et al., 2013). Bastani et al use of parallel combined techniques to collect and review information was appropriate. This method allowed the study to discover three key barriers to setting up family centered health guidelines: intra-professional, inter-professional, and institutional. As a result, the full gratification of patients and their relatives showed the effectiveness of the nurses in realizing health informational goals. I chose this article was present a sharp comparison of individual experiences that serve as a paramount trigger the fundamental concept of my project. The findings and method used in this article is suitable for examining the effect of encouraging family centered care inside an acute adult clinical environment. Ewart et al underline the service enhancement project started in a single acute cardiac unit inside a regional hospital trust in the East of England. Here, Ewart et al examined the effect of improving family centered care inside an acute adult environment. The study found over nine months

Annotated Review of Literature Essay Example for Free

Annotated Review of Literature Essay Annotated Review of Literature to Support how Differentiated Instruction Workshops can Improve Instruction Hawkins, V. (2009). Barriers to implementing differentiation: Lack of confidence, efficacy and perseverance. The New England Reading Association Journal, 44(2), 11-16. Retrieved from Education Full Text database. Annotation: In this article, Hawkins exposes three major reasons why implementing differentiated instruction (DI) if a difficult task for most teachers. Hawkins states that districts advocate for professional development of DI as a reactive response to current data trends in education. The goal of this article is to provide classroom teachers with the necessary skills to be able to implement DI into their curriculum. The researcher found that a lack of teacher confidence, lack of teacher efficacy, and a lack of perseverance are three factors in which teachers most often struggle with when trying to differentiate lessons. Support for Project: This article gives important information for teachers on how to overcome the barriers of implementing effective DI into their curriculum. So many of us face the same problems when trying to differentiate our lessons, therefore, it is important for teachers to understand how to overcome these barriers and also to understand that they are not alone in this daunting task. Hawkins goes on to describe each barrier in detail to help teachers overcome them so they can become effective DI instructors. Tomlinson, Carol Ann. Carol Ann Tomlinson explains how differentiated instruction works and why we need it now. Making A Difference, September 2007. Annotation: In this article, Carol Ann Tomlinson, who is a leader in the field of education on Differentiated Instruction, explains what DI is, why it is so important in education today, as well as in the future, and the characteristics of an effective differentiated classroom. Tomlinson also reviews some key points that teachers need to think about when developing a differentiated lesson plan. The researcher goes on to explain that the reason DI is so important is that students vary in so many ways, and our student populations are becoming more and more academically diverse. Support for Project: This article is important for my project because the researcher explains how to deal with student differences. Today’s classrooms are so diverse and teachers need to know how to deal with these differences on a daily basis. Tomlinson states that there are three ways to deal with differences: ignore them, separate or â€Å"track† them, or keep students together in the context of high-quality curriculum (differentiated instruction). Obviously the third one should be the way to go, but unfortunately, it is the road least traveled. This article also describes the characteristics of a well-run DI classroom and what teachers need to do in order to be successful when creating differentiated lessons to improve instruction. Tomlinson, C. (2005). Traveling the road to differentiation in staff development. Journal of Staff Development, 26(4), 8-12. Retrieved from Education Full Text database. Annotation: In this article, Tomlinson explains how teacher leaders can help educators hurdle four key barriers teachers face when trying to implement DI into their classrooms. The researcher describes the need for DI in the United States education system and also reviews six strategies of effective differentiation. Tomlinson goes over current research findings about student achievement and differentiation in response to readiness, interest, and learning profiles. Support for Project: This article is important for my project because when trying to convince educators to change their way of thinking and pedagogical practices, you must have solid evidence that the new practice; in this case, DI, will work. This article goes over the latest research findings to support DI and it also gives effective strategies for implementing DI practices as well as ways to overcome barriers of incorporating DI into the curriculum. The goal of my project is to design a workshop to inform educators about differentiated instruction; what it is, why we need it, what effective DI practices look like, what the keys aspects of DI are, how to overcome the barriers of DI, and what the current research of DI is. This article does a good job of reviewing these topics. Wormeli, R. (2007). Differentiation: From planning to practice grades 6-12. Portland, ME: Stenhouse. Annotation: In this book, Wormeli provides a practical way for teachers to create a differentiated lesson from start to finish. He walks educators through the lesson, giving details on what steps to take before, during, and after to make deep connections for students. He gives effective strategies and advice on how to reach â€Å"all† learners within one classroom. Wormeli presents models of effective differentiated instruction, so that teachers can extend what they learn to any subject and any classroom. Support for Project: When creating a workshop for educators on differentiation, it is important to include models of instruction for teachers to reflect upon and use as examples for the future. That is just what this book does. Wormeli gives annotated models of effective differentiated instruction, such as tiering, flexible grouping, how to make adjustments based on formative assessments, and interdisciplinary examples for teachers to learn how to do. Once educators feel comfortable using these strategies, they can extend these procedures throughout their careers.

Unilateral Peters Anomaly in a Nigerian Child

Unilateral Peters Anomaly in a Nigerian Child Case report Abstract 10-week-old female infant presented in our clinic in March, 2013 with history of small right globe since birth. There is associated history of whitish speck in the affected eye. The child is a product of term pregnancy which was uneventful. Mother denied any history of febrile illness during pregnancy. Nil history of maternal rashes, nil hearing or visual challenges, nil use of any drug apart from routine ante-natal haematinics. No history of use of traditional medicine in the course of her pregnancy. The patient is the second child of her parents. There is no similar occurrence in the other sibling or in any other member of the monogamous family. Ocular examination revealed right microphthalmos, microcornea and cornea opacity with pannus. The whole extent of the cornea was affected. An assessment of right Peters anomaly was made. The ocular ultrasound done revealed that the right globe measured 16.1mm in its AP diameter and the left globe measured 16.9 mm. There was cataract in the right eye and the anterior chamber was absent with adherence of the iris to the cornea. Patient was to be placed on cosmetic contact lens in future when she would be old enough t o manage it. Key words : Cornea opacity, microphthalmos, unilateral, Nigerian, child INTRODUCTION Peters anomaly is a form of congenital corneal opacity. It is associated with malformation of the anterior segment of the eye. 1 The aetiology of the condition is not clear. The most likely causes include genetic, infectious, traumatic and toxic factors. 1 Peters anomaly is a rare form of anterior segment dysgenesis in which abnormal cleavage of the anterior chamber occurs. The condition may involve the central or entire cornea. The leucoma is associated with irido- corneal adherences at the area of the leucoma. In the inherited form, mutations involve the PAX6 gene.2 Peters’ anomaly was described by Peters about one hundred years ago. 3It is a rare condition world wide, however the incidence rate is unknown. The condition does not have racial or sexual predilection. A study done by Bhandari et al. Showed equal distribution in both sexes. 4 There are two types of Peters anomaly based on the state of the lens namely type 1 and type 2. In type 1, the lens may or may not be cataractous but the lens does not adhere to the cornea. In type 2, the lens is cataractous and adheres to the cornea. 5 Type 1 is usually unilateral while type 2 is bilateral in 60% of cases. The cornea is usually clear at the periphery and vascularisation is not common however there may be sclerization of the limbus. Case History A 10-week-old female infant presented in our clinic in March,2013 with history of small right globe since birth. The mother noticed patient to have small right globe since few hours after birth. There is associated history of whitish speck in the affected eye. The child is a product of term pregnancy, which was uneventful. Mother denied any history of febrile illness during pregnancy. Nil history of maternal rashes, nil hearing or visual challenges, nil use of any drugs apart from routine ante-natal haematinics, nil ingestion of native concoction during pregnancy. She received routine antenatal Tetanous Toxoid vaccination. She neither smoked cigarette nor drank alcohol. She did not chew kola either. Child was delivered by spontaneous vagina delivery, vertex presentation. She cried spontaneously immediately after birth and the umbilical cord was cut using sterile cord scissors. She had received immunization according to National Programme on Immunization schedule. She had also been ac hieving all the normal developmental milestones. There is no history of any febrile illness since birth. She is the second child of her parents. There is no similar occurrence in the other sibling or in the family. Ocular examination revealed right microphthalmos, microcornea and cornea opacity with pannus. General and systemic examination did not reveal any other abnormality. An assessment of right Peter’s anomaly was made. The nature of this condition was explained to patient’s parents with counselling on how to raise the patient. Consent was obtained from the mother and clinical photograph of the condition was taken. The ocular ultrasonography done revealed that the right globe measured 16.1mm in its AP diameter and the left globe measured 16.9 mm. There was cataract in the right eye and the anterior chamber was absent. The left eye was sonographically normal. It is our belief that patient may benefit from the use of cosmetic contact lens in future. Discussion The early presentation of the patient is quite commendable. This may be related to the rarity of the ocular condition and the fact that the parents were enlightened. Most cases of Peters anomaly are sporadic however the inherited ones could be of autosomal recessive and dominant modes of inheritance. It is associated with abnormalities of chromosome 4. 6 We could not establish family history of similar presentation in the family of this patient. The other child of the parents was also said to be normal and in stable condition. Based on this fact, it is our considered opinion that the case may actually be a sporadic one. Peters anomaly is often an isolated ocular defect but there may be associated ocular and systemic anomalies. However further examination of the patient did not reveal any other systemic abnormality. This may be related to the fact that the condition was unilateral as bilateral Peters anomaly is more often associated with systemic anomalies. The globe was observed to be small and this was confirmed with the aid of ultrasonography. The associated anterior segment anomalies with Peters anomaly include glaucoma, anterior polar catarac t, cornea plana, sclerocornea, microphthalmos, colobomata as well as mesodermal dysgenesis of the anterior chamber angle and iris. 7 Peters anomaly may be associated with systemic anomalies like limb deformities, craniofacial anomalies, cleft lip and palate as well as genitourinary defects. 8-10 Treatment of Peters anomaly is challenging and unsatisfactory. The outcome of corneal transplantation is not rewarding due to post operative complications like graft failure, cataract, retinal detachment and glaucoma.11 Alternative treatment measures include rotation of corneal autograft, atropinisation of the pupil most especially if the visual axis is spared and optical iridectomy. The involvement of the whole extent of the cornea and the microphthalmic globe are associated with poor prognosis for visual recovery. Affectation of only one eye is also risk factor for amblyopia. The patient was not suitable for corneal grafting in view of the vascularisation of the cornea. Optical iridectomy or atropinisation was also not considered as the whole extent of the cornea was affected. In view of the poor prognosis coupled with the cosmetic challenge, the patient was to be placed on cosmetic contact lens when she is old enough to manage contact lens. Conclusion We conclude that prompt presentation and treatment of patients with Peters anomaly is desirable. There is need to create more awareness about the condition among health care providers and the populace in view of the fact that it is rare. Multidisciplinary approach should be adopted in the management of affected patients most especially those with associated systemic anomalies. Figure 1 : Child with right eye Peters anomaly

Ronald Reagan :: essays research papers

Introduction Reagan, Ronald Wilson (1911- ),the 40th president of the United States (1981-1989), enforced the policies that reversed a general direction of movement toward greater government involvement in economic and social regulation. Reagan as the younger of two sons, was born in Tampico, Illinois and spent most of his childhood in Dixon, Illinois. After studying at Eureka College,a small Disciples of Christ college near Peoria, Illinois, he majored in economics, and became the president of the student body, a member of the football team, and captain of the swimming team. He had special drawings toward acting, but after the graduation in 1932 the only job available related to show business was as a local radio sportscaster. In 1936 he became a sportscaster for station WHO in Des Moines, Iowa. A year latter, Reagan went to Hollywood and began an acting career that spanned more than 25 years. He played in more than 50 films, including "Knute Rockne"-All American (1940), & quot;King's Row" (1942), and "Bedtime for Bonzo" (1951). Early political career Reagan's first political activities were associated with his responsibilities as a union leader. As union president, Reagan tried to remove suspected Communists from the movie industry. When the U.S. House Committee. Began an investigation in 1947 on the influence of Communists in the film industry, Reagan took a strong anti-Communist stand testifying before the committee. Reagan emerged on the national political scene in 1964 when he made fervent television speech supports for the Republican presidential candidate, United States Senator Barry Goldwater from Arizona. Although the election was lost, Reagan's speech brought in money and admiration from Republicans around the country. After the speech a group of Republicans in California persuaded Reagan to run for governor of California in 1966. Reagan appealed to traditional Republican voters. He defeated Edmund G. (Pat) Brown, Sr., Democra t, by almost a million votes. The election of 1980 Reagan spent years making political friends at party fund-raising dinners around the country. In the election of 1980 for the president, the candidates were Carter and Reagan. The contrast between the television personalities of two candidates was very important to people. Carter’s nervous manner had never been popular to people, while Reagan’s charm and happy face was a call for return to patriotism, which appealed to the public. Many voters believed that Reagan was forceful leader who could get their lives in shape and who could restore prosperity at home.

Three Stages of Thunderstorm Formation Essay -- Exploratory Essays Res

Three Stages of Thunderstorm Formation The kind of thunderstorms that produce our summer rains are called ordinary thunderstorms, or air mass thunderstorms. They form when warm, humid air rises in an unstable atmosphere. Warm air cools down as it rises, and once it becomes colder than the air around it, it will begin to fall back down. In an unstable atmosphere, the temperature of the surrounding air decreases faster with height than the temperature of the rising warm air. This causes the warm, moist air to continually be warmer than the atmosphere, and continue rising to large heights. When this happens, we have the basis for a thunderstorm. Thunderstorm formation occurs in three stages - the cumulus stage, the mature stage, and the dissipating stage. The updraft of humid, warm air into the atmosphere starts the cumulus stage. The air cools as it rises and condenses into one cumulus (small puffy) cloud, or cluster of cumulus clouds. At first, these clouds cannot get very tall because the air surrounding the cloud is very dry, and causes the water droplets to evaporate quick...

Womens Athletic Organizations :: Pro Con Essays

Pro's and Con's of Women's Athletic Organizations being Incorporated by Men's Athletic Organizations When the American Basketball League (ABL) started up, I was one of the wide-eyed young athletes who dreamed of playing in it when I grew up. I had always had lots of women role models as athletes, but this gave me something that I could aspire to do with my life. These women were playing basketball as a career. My parents took me to games to see the New England Blizzard and the Columbus Quest play. One time we stayed in the same hotel as the Columbus team, and they all came out of their rooms and talked to me and autographed a program for me. That summer that Women's National Basketball Association (WNBA) initiated by the National Basketball Association (NBA). I was adamantly against the WNBA from the moment I heard its name. Take the men's league and stick 'women' in front of it, and you had the WNBA. The WNBA wasn't even playing basketball during the right time. No one should have a basketball season during the summer. Of course, they couldn't play during the winter because then th ey would be interfering with the men's games. The NBA couldn't let women's games draw support away from the men's games. In my thirteen-year-old eyes, the ABL was a league made for women by former female players. It had female coaches and it was the true basketball league that would give women an equal chance. The WNBA was thought up as a novelty by fat white men in business suits who thought that with the NBA's backing and money, they could do just about anything. So why not let women play basketball and see how it went over? In retrospect, I can see that neither of my opinions on the two leagues was exactly correct. However, I still resent the NBA-supported WNBA for breaking the first women's basketball league that had a real chance of surviving. I resent it more because I know that the WNBA did have a better chance of competing in the business world of professional sports because they did have support from the men's league. The WNBA would get more sponsors than the ABL would, and it could afford to not make a profit for a few years with the financial support from the NBA. I can also see that with my height and lack of natural athletic ability there was no way I would have ever made it into either league.

Regret: Best Friend

We did everything together, and I thought nothing could tear our friendship apart, but I was wrong. As the years past by, Rachel started making more friends and I felt that was being left out a lot and less popular. Our friendship was still there, but until one day, when a little misunderstanding due to Jealousy caused us to drift apart. That misunderstanding was the biggest regret of my teenage years. â€Å"Hey Rachel I heard your birthday is coming up and you are going have a party. Am I invited? † Nicole asked her. â€Å"Am I invited too? A group of girls, her new friends crowded around her table, filled with curiosity whether they were invited. Rachel then whipped out a stack of invitation cards out from her bag and said, â€Å"l got my invitation cards here. You guys will find out whether you got invited later. So, shoo! I'm trying to study here. † The crowd then dispersed, going back to their seats. I wondered if I was being Invited too. Yet I naturally assumed t hat I was as If I was her best friend. In between classes, I saw Rachel Glenn out Invitations. Those who got Invited all squealed In delight upon receiving It.I sat on the edge of my seat, expecting to receive my invitation. But by the end of the day, I left school empty handed. I could not believe I did not receive any invitation from Rachel It's just not fair. Fury and jealousy overwhelmed me. My blood started to boil. Did Rachel really treat me as her best friend? All she cares is popularity. Out of hatred, I tested everybody her biggest secret. The secret that she trusted me wholeheartedly with. Tested and revealed that her parents were divorced. All of the sudden, I heard a familiar voice calling out for me, â€Å"Shania! Here's your invitation! † I stopped momentarily. My blood went cold.Invitation? She Invited me to her arty? â€Å"Here,† she shoved the pink envelope Into my hand, â€Å"I'm sure you are coming. † I nodded my head shakily. Oh no. I shouldn 't have done that! Why did I do it? Worry and anxiety overwhelmed me. There was nothing I could do to take back my actions. Just then Nicole walked out of the school gates and gasped out loud while looking at her phone. She then saw Rachel and approached her, saying, â€Å"l am so sorry that your parents are divorced. † Nicole gave her a quick hug and left. Rachel stood still. Her eyes widened with shock. Why did Nicole say that? The moment Rachel regained her senses, she glared at me.MUD. You are the one behind this. You are the only one who knows my greatest secret. I trusted you, because you are my best friend. I can't believe you told Nicole? You know I hate It when people know about my personal affairs! † â€Å"I'm sorry†¦ I TLD mean to tell everyone your secret! † I apologized to her. â€Å"Everyone? You told everyone? † Muttering to herself, â€Å"l can't believe I was dumb enough to tell you my secret. † She onwards, I made a resolution never to Jump to conclusions so hastily ever again. Friendships took years to build and could be destroyed so rapidly. Regret cursed through me.