The History Of Oxygen Therapy Nursing Essay

The History Of Oxygen Therapy Nursing Essay The nursing process, which is an organized approach of planning, delivering, and evaluating individualized care for clients in any state of health or illness was not followed in this case. Kamila, after moving the patient from the bed to the commode should of assess the oxygen saturation of the client since the client was on 2 L via nasal cannula. The nursing process is recurrent with each steps depend on the accuracy of the previous one. With the nursing process being decisive, the goal is to provide outstanding, individualized, client-centered care. I found it vital to know the baseline assessment of my patient. As soon as Melissa informed me about the status of my patient; I assessed the patient, vital signs were within the normal range and I failed to report it to either the nurse or my team leader. Although during report the ongoing nurse failed to mention the patient was on 2 L via nasal cannula, as the student nurse assigned to that patient I should of report the incidence and my assessment to the nurse to prevent future escalation of the patient condition. This assessment of the patient being short of Breath on exertion could be helpful in the development of the care plan of the patient in response to actual or potential health conditions or needs. Excellent communication between the healthcare team is fundamentally imperative in taking care of a client. Constant follow up is important in comparing the baseline assessments and the actual findings to determine if the outcomes are met. In this case I didnt communicate it to nurse nor the team leader who could of reported to our clinical instructor. I was in the receiving end, and didnt take it further. This kind of poor communication is not beneficial toward the patient outcomes or a modification in the plan of care. As patient advocate, in taking care of a patient we need to critically think about the outcomes we want to achieve in planning care. Because Critically thinking is an intelligently well-organized process of actively and competently conceptualizing, applying, analyzing, synthesizing, or evaluating information collected from, or created by, observation, experience, reflection, reasoning, or communication, as a pilot to confidence and action. I failed to critically think in taking care of my patient by not anticipate that the nurse contact the healthcare provider, to ask for an order foe oxygen which is at this point very important in the plan care of this patient. Oxygen therapy is a medical intervention, which involves administration of oxygen in both acute and chronic care. Oxygenation of body tissues is vital for cell metabolism and subsequent physiological functioning of the body (PLoS Medicine, 2008). According to Bailley (2010), continuous oxygen therapy is often prescribed for patients with severe Hypoxemia and Chronic Obstructive Pulmonary Disease (COPD). There are three common modes for oxygen administration. These include; compressed gas, liquid gas and oxygen concentrators. Physicians need to be extra vigilant to ensure that patients with Chronic Obstructive Pulmonary Disease receive continuous and long-term oxygen therapy. There is significant evidence that proves administration of long-term and continuous oxygen therapy increases survival of patients with severe hypoxemia but not nocturnal desaturation (Bailley, 2010). When subjected to long-term oxygen therapy for 24 months, the mortality rate of patients with a PaO2 not exceeding 58 mm Hg reduced significantly as compared to nocturnal therapy. In a separate experiment, patients with a PaO2 ranging between 40 and 60 mm Hg on long-term oxygen therapy increased their survival rate by 5 years as compared to patients under placebo (NNT, five) (Bailley, 2010). Bailley (2010) also notes that other nursing interventions found effective in COPD treatment include inhaled corticosteroids, anti-cholinergic agents, long-acting beta2 agonists and pulmonary rehabilitation. However, choice of any intervention depends on the stage of the disease. Ranchord (2009) notes that although most clinicians understand the hazards of oxygen therapy in chronic pulmonary disease and hypoxemia-induced respiratory drive patients, there is little appreciation that exposure to higher than normal physiological levels of oxygen (a condition called Hypoxemia) is associated with detrimental effects in patients with ischemic heart condition. According to Ranchord (2009), in the past years, clinicians were made to believe that inhaled oxygen increased oxygen in the arteries during acute myocardial infarctions, however; this may reduce the cardiac output, increase blood pressure and resistance to blood flow. This incident had lead to some potential negative outcomes like the patient being short of breath. If Melissa didnt go to the room to do her initial assessment, patient could of gone to respiratory arrest. One of the probable cause of respiratory arrest is decrease respiratory drive. If respiratory arrest is prolonged, cardiac arrest rapidly follows because continuing hypoxia damages cardiac system, harmful effect is brain damage cause by lack of oxygen to the brain and death. Evidence-based practice is the reliable and thoughtful use of recent best indication to improve the quality care of the patients. It is important for me to provide safe and accurate patient care to avoid any negative outcome that could lead to deterioration of the patient condition. (Issel, 2010) identify patient safety has freedom from accidental injury, It has become established as a foundation of quality care for acute care institutions and, subsequently, for other health care settings in which direct care is provided. As healthcare professional I need to be vigilant in providing the safest care and anticipate that the best current evidence is use in making decisions about patient care.

European Handball

European Handball – goal shooting European handball is a unique, high intensity sport which is best described as a combination of netball, soccer and basketball. Two teams with seven players per side verse each other. In order to earn points, the handball must be thrown into the goals; this demonstrates the skill of goal shooting which will be the main focus of this report. Characteristics of basketball are seen in the rule that the player must bounce the ball while running.Defending is a common action in any sport and is seen in European Handball; the team without possession of the ball may attempt to stop the other team from scoring by blocking the path of the player with possession. During the game, the ball is passed around in the style of netball. The sport involves a combination of multiple sports such as soccer (goals), netball (passing) and basketball (court size, bouncing, dribbling) which makes it different to any other sport thus people are intrigued to play and tho roughly enjoy it. Explanation of the skillGoal shooting is just like a pass but with more power. The ball must be thrown into the goals. A common technique performed when shooting a goal is the jump shot. The jump shot is where the player is in the air when the shot is made; by doing this the shot is more powerful and more effective. Explanation of the drills 1) The first drill that we will be teaching students in our training session aims to practice the jump shot as it is the most effective way of shooting a goal. For the most effective goal shot, right handed players should push off from and land on their left foot and vice versa.When they are suspended in the air, their body should be stretched with their throwing shoulder back and then the ball should be thrown from the highest point of the jump for maximum effectiveness of the shot at goals. 2) The second drill we will be teaching in our training session aims to practice passing and shooting under pressure through the use of a goalie. Students will get in groups of three and two of them will pass the ball between each other and take shots at goal with a goalie trying to stop them from scoring. To pass the ball students are to use their preferred arm, xtend it behind their head and with force throw overarm to the other player. The goal keeper’s aim is to defend the goals and position them self correctly so any incoming shots can be stopped. They will all stand equal distance apart in a triangular formation. Each student will rotate position until everyone has had a turn at passing and being goalie. This will improve everyone’s passing and defending skills. Actions and strategies that contribute to enjoyable participation There are many strategies that can be used and actions that can be taken to make participation more enjoyable.Offering rewards have proven to be an effective strategy used in many sports all around the world. Rewards come in many shapes and forms to appeal to a wide range of participants such as money, various prizes and awards including certificates, medals and trophies. As well as physical rewards to acknowledge achievement, there are many actions that can be performed to encourage enjoyable participation. Praising good behaviour and recognising an athlete’s achievements is incredibly effective in increasing the enjoyment during participation in a sport.Offering your congratulations by shaking their hand, giving them a pat on the back or simply telling them they’ve done a good job can motivate the player and help them to enjoy the sport more. These actions and strategies not only make players enjoy participating but also show aspects of a good coach. Organisations of activities The training session will be made up of various activities and demonstrations and will go for approximately 10 minutes. Warm Up – We will begin with a warm up which will consist of a short run and stretches.We will demonstrate appropriate stretches which t he students will then complete. First stretching the calf and leg muscles with lunges and swinging legs; then stretching the arm muscles with a shoulder shrug, arm across body, swinging arms, and breathing exercises. This will help get their body and mind ready for the activities. The warm up should run for approximately two minutes. Demonstration and Explanation – We will then give a thorough explanation of the skill, explaining how the skill is preformed and techniques students should use to increase their chances of success.A demonstration of the skill and both drills will then be performed so that students can visibly see what it should look like and get an understanding of how to do it. This explanation and demonstration should go for approximately two to three minutes. Drill One – The students will then perform the drills. Students will form a line and one by one attempt the jump goal shot. We will check that they’re doing it correctly and offer advice to players on how they can improve. This drill requires the goals, cones, ball and the rope and should run for approximately two to three minutes Drill Two –We will then start the second drill. Students are to form groups of threes and go to their own set of goals. The group will have to decide on a defender and two shooters. Students will perform the drill once and we will check that all students are doing it correctly. The players will then rotate positions until everyone has had a go. We will continue giving advice and helping students who are struggling or confused, and will motivate and praise all students. This drill requires goals, cones and balls and should go for two to three minutes Warm Down/ Cool down –The warm down will consist of a slow stretches and various breathing exercises to relax the body and muscles. This will reduce the risk of injuries and sore muscles. Safety measures The safety of all students is the most important. All students are required to f ollow certain rules and instructions so that their safety is not a risk. Warms Ups and Warms Downs – At the beginning and end of our training session we will get all students to complete a range of stretches. Warm ups are essential as they help assist your circulatory system in pumping blood to your working muscles.The purpose is to steadily increase circulation throughout the body. A correct warm up safely prepares the body for movement and exercise. Cold muscles which have not been properly warmed up are more susceptible to injury. Warm downs relax your muscles and allow your heart rate to slowly return back to normal. Pay attention to demonstrations/ listen to instructions – All students need to pay close attention to the demonstrations and listen when we’re explaining the skills so that they know exactly what to do.If students are not paying attention and then try to perform the skill they could ruin equipment, hurt them self and hurt other students around t hem. Correct/Appropriate Equipment – European handball requires a specific ball. The ball is not allowed to have a shiny or slippery surface as the player needs to be able to grip the ball to throw a powerful pass. If an incorrect ball is used the players will find it hard to grip onto the ball and throw a powerful pass, and the ball would also be dropped a lot which could result in another player tripping over it and injuring themself.No contacting or unnecessary rough play – European handball is a fast paced sport but it is contact free. Players are not allowed to contact one another deliberately. Any student who is acting in an unnecessary behaviour will put themselves and peers at risk of being hurt. Appropriate use of equipment – All students are to act sensible with the equipment that they use whilst participating in the drills. The equipment can cause injury if used incorrectly, and students who do not use it appropriately could also risk damaging it. Sup ervision of instructors/ teacher –Teachers and instructors (people running the activity) are responsible for the safety of all students participating in the activities. They are expected to supervise all performances so that any errors can be corrects and mistakes can be pointed out. It is a coach’s responsibility to teach their students the correct way to perform a skill in order to remain safe. The safety of the athlete is always the main priority. All of the above points should be followed throughout the whole presentation so that all students are safe and the chance of injury is decreased.

Characteristics Of A Police Officer Essay - 1534 Words

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Literary Themes and Symbols of the Holocaust - 864 Words

Literary Themes and Symbols of the Holocaust Although Holocaust literature focuses on a specific period in world history, it also contains some common themes and symbols that help to define this era. The butterfly, for instance, is a symbol for the ephemeral lives of Holocaust children. A child, Pavel Friedman, wrote a poem titled The Butterfly during his time in a concentration camp. Since then, the butterfly has been a Holocaust theme for the large number of children who did not survive. A book,I Never Saw Another Butterfly, compiled by Inge Auerbacher, a Holocaust survivor at Terezà ­n, features artwork, poems (including Friedmans poem), and words from many of the young children who died inside Terezà ­ns walls. Patricia PolaccosThe Butterfly also connects to this symbol as a butterfly gets crushed in a fist, helping show young children the horrors that occurred during the Holocaust in ways that could easily be understood. The theme of voice is also prevalent in many works. 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