Negative Effects Of Technology On Teenagers - 730 Words

Many teens refer to their phone as their â€Å"baby†. Fifty percent of teenagers think they are addicted to their phone. Only twenty percent of parents believe they are addicted to their phones. Statistics show that forty three percent of parents know what their child’s password to their phone is. Family relationships are being harmed by technology, for teenagers and parents are not socializing as much as they should. In today’s society, technology is the competition for keeping strong bonds with a child and their parent. The internet world is causing children to perform bad behavior. Children try to get their parents’ attention, but in most cases, the parents are too busy using their mobile devices instead of paying attention to their child.†¦show more content†¦Teenagers feel more confident to text and call than to go see the person face to face. This keeps relationships between distant family members more distant. If people didn’t talk or text as much as they do today, families would come visit one another and have holidays together more often. Another thing that reduces communication skills is that most families sit as far apart as different rooms in the house, each person on a different device. These are all examples that show families do not communicate well, and do not participate in family activities as a whole because they are addicted to their mobile devices . People and their families are trying to stop teens from constantly using technology, and to spend more time with their families. Apps and being made for parents to shut their child’s phone off at a certain time. This gives kids a chance to go outside and do activities with others physically, There are also products that are being sold to spend more family time. For example, the EB Brand Cell Lock Up is a product in which phones go into a jail-like box that locks and does not open for a certain amount of time that can be set. This is useful for dinner time, family game night, etc. Parents are also trying to fix the addiction problem themselves. Some parents make plans or rules for them and their children to obey. One popular rule that many parents are attempting is no phones can be used until after dinner and all homework is complete (besides the homeworkShow MoreRelatedNegative Effects Of Social Media Essay1209 Words   |  5 Pages(Tsukayama). Social media, among teenagers a nd young adults, is quite popular. It is used on many different platforms and in so many ways which allows high schoolers to be constantly attached. Over the past decade, with the emergence of social media, the amount of time these websites consume from individuals has become greater and greater. Parents who have grown up in a different era of technology do not seem to understand the full effect of social media networks on teenagers. This increasingly large numberRead MoreDetrimental Traditional Media and Social Media1460 Words   |  6 Pagesinformed, to be educated or to be entertained. People, especially teenagers, are purposely or unknowingly connecting to each other by communicating and informing themselves about the latest trends, events and happenings in the community. They are fed by information regarding different issues that happen in their day-to-day activities. Also, they are pleased by the good reviews of media but along with its swift development are other effects that harm the environment and the people living in it. KaiserRead MoreA Life Threatening Habit : Using Drugs And Alcohol1665 Words   |  7 PagesThere are many negative effects that teenagers do not know and that will cause harm in long term usage. For some, using their cell phone is a way out of reality and an escape from the outer lives. Social media is becoming more popular every year which is attracting younger kids. The cell phone is a trap to the next generation and will create problems for teenagers. In today s society, cell phones destroy people s communication abilities, social lives, and driving abilities. Teenagers having realRead MoreInternet Addiction And The Internet1409 Words   |  6 Pagesof Internet addiction is gradually increasing in American society, especially for teens aged 12 to 17. Troubled teenagers aged 12 to 17 are more vulnerable to addiction than other generations. Teens get attracted to technology because of online games, the ability to find acceptance in social websites, unlimited access to the most kind of entertainment, and the ability to own technology as it is not expensive. Kimberly Young (1999) in the article â€Å"Internet addiction: symptoms, evaluation, and treatmentsRead MoreSocial Media Negatives1007 Words   |  5 Pagessocial media is worse than what most people would think. It’s leading to worse things for teenagers since they won’t see the negatives coming. Especially not from social media since it’s a huge part of their life. Social media’s negatives outweigh the positives because it’s causing long-term consequences and impacts teen’s mental and emotional health. What teens posts on social media have long-term effects because what you post, like, or repost on any site can be used against teens in any way shapeRead MoreThe Positive Effects Of Video Games Essay1410 Words   |  6 PagesLiterature†¨2nd Period†¨18 March 2015 The Positive Effects of Video Games Video Games industry is the biggest entertainment industry, bigger and better than Hollywood, â€Å"The video-game industry is projected to grow from $67 billion in 2013 to $82 billion in 2017. At the same time, global movie revenue, both DVD and ticket sales, hit an estimated $94 billion in 2010, down 17% after inflation from 2001† (Fast company). Video Games are a huge part of children and teenagers in today’s world, they spend hours playingRead More What are the Effects of Texting on Teenagers? Essay658 Words   |  3 Pages Which are the effects of texting on teenagers? Slavery or freedom? We hear a lot these days about texting - the ability to get/send a text message from/to anyone, anywhere, via wireless networks and some kind of portable device, which might be a fancy pager, a digital cellphone or a palmtop computer. The technology is here, though it doesnt work everywhere yet. We could argue about how affordable or reliable texting is, but we cant deny it exists and will probably become more widespread. ButRead MoreAdvantages of Social Media for Teenagers Essay1509 Words   |  7 Pagesall parties. Many students especially utilize social media on daily basis. Technology can be objectively said as a vital part of today’s students’ success equation. A significant amount of social media users would be teenagers which include students. Numerous researches are being done to find out on the effects of social media in teenagers’ life. In this essay we will discuss about the advantages of social media to teenagers which are can be a great source of i ncome, builds relationship, reducing obstaclesRead MoreThe Impact Of Social Media On Teen Substance1033 Words   |  5 PagesMost parents believe that it is just either school or friends as to why teenagers get into drugs and alcohol (Impact of Social Media on Teen Substance). The one thing parents do not think about at to why their teenager is involved in drugs and alcohol is social media, and it could be a big reason (Impact of Social Media on Teen Substance). Parents talk to their children on how to make the right decision related to drugs and alcohol, but forget they need to address how to make right decisions onRead MoreThe World Of Technology : Young Adults1536 Words   |  7 Pagesof technology Cynthia Sanchez Professor Greeley ENG 111 27 November 2015 The World of Technology: Young Adults In the 21st century technology has become such a big part of our society; it is so powerful because it affects everyone all over the world. For example, technology not only affects children and young adults in their workspace, such as in school or throughout their careers, but also in their day-to-day personal lives. In this day and age, because of the convenience which technology can

The Crucible and the Extra Scene Essay - 1065 Words

In the original version of The Crucible, published in 1953, a second scene for Act II was written but Arthur Miller decided to take it from the future editions that came after that time. A reason Arthur Miller might have removed this scene from the play was that it showed the readers too much information, which would have given the readers too much about what would happen later on in the play and it might have had disinterested the readers into continuing reading. The Act II scene, which was taken off from the play, would have changed the outlook that the read had on The Crucible and its characters, like Abigail’s character. Abigail would have been viewed differently after this scene because they would feel pity for her. Arthur Miller made†¦show more content†¦If Arthur Miller had left these scene on the act it would have exposed too much information about what would be coming up next and the readers would not be surprised then with the things that happened in the pla y. The reader shouldn’t be given the whole information of a play in one act there should be more suspense and exciting things happening on the future acts for the readers to enjoy the play. If the reader already knows how the play is going to end and as they are reading it they realize that it is all being repetitive they would just stop reading the play because there would be no â€Å"cliff hanger† for them to get excited about in the continuation of the reading. Abigail’s character in this removed scene can give the reader conflicting thoughts about who she really is and how she should be viewed throughout the rest of the play. In this scene Abigail seems like she does not know the difference between the reality and her fantasy. Abigail since the beginning of the play is viewed as a clever but dishonest character but in Act II, Scene ii she just seems like a little girl who is trapped in her own world and doesn’t know how to get what she wants without lying some more. Abigail starts to believe on her own lies about witchcraft, â€Å"Abigail: No, this is your wife pleading, your sniveling, envious wife! This is Rebecca’s voice, Martha Corey’s voice. You were no hypocrite! (p.158). she was so sure that her lies where truth that she forgot the realityShow MoreRelatedAnalysis Of The Movie The Crucible Essay1625 Words   |  7 PagesOn September 15, 2016 at Murfreesboro Little Theatre I saw The Crucible. I have had a lot of experience with this particular play. I have seen the movie along with reading and acting out the play. I had high expatiations when going to see The Crucible live. For the most part I was not disappointed, they had terrific actors who knew each and every line, and play the part as if they had lived it each and every day. Though the acting was magnificent and believable I was rather disappointed with theRead MoreSimilarities And Differences Between The Crucible Movie And Movie711 Words   |  3 PagesArthur Miller’s The Crucible is an iconic piece of literature that was published in the 1950’s. When Arthur Miller wrote The Crucible, the United States was in the middle of the McCarthyism era where innocent people were being accused of treason without the proper evidence (â€Å"Joseph R. McCarthy†). As a result, Arthur Miller became involved and wrote a play to show his beliefs in response to the accusations and haywire going on. Miller used individual characters and portrayed them as a part of hisRead MoreComparison Of The Movie The Crucible827 Words   |  4 PagesThe Crucible, a movie directed by Nicholas Hytner, was critically acclaimed and earned several awards. It received an Academy Award nomination for best screenplay based on material previously produced or published, a BAFTA award for best-adapted screenplay, and Golden Globe awards for supporting actor and actress in a motion picture. In Empire’s review, they say, â€Å"In this almost perfect screen adaptation, the lingering question is the most important one: what caused such madness?† This movie adaptationRead MoreThe Crucible - Comparing Play and Movie1004 Words   |  5 Pages#9;Arthur Miller s play, The Crucible, and the movie with the same name have many differences and similarities, all of which contribute to the individual effectiveness of each in conveying their central message. #9;There are several additions and variances in the movie. First of all, the scene where the children and Tituba are dancing in the forest is never seen in the forest; we simply learn of it from dialogue. This scene was most probably added in the movie for a dramatic effect: foreshadowingRead More The Crucible - Comparing Play And Movie Essay974 Words   |  4 Pages Arthur Millers play, The Crucible, and the movie with the same name have many differences and similarities, all of which contribute to the individual effectiveness of each in conveying their central message. There are several additions and variances in the movie. First of all, the scene where the children and Tituba are dancing in the forest is never seen in the forest; we simply learn of it from dialogue. This scene was most probably added in the movie for a dramatic effect: foreshadowingRead MoreKing Lear Character Analysis1196 Words   |  5 Pagesbeginning of the story, King Lears is attempting to marry off his daughters. He asks them to show him how much they truly love him as a test to see if they are ready to be a mother. According to the lit crit The Absent Mother in King Lear â€Å"this opening scene shows the socially-ordained, developmentally appropriate surrender of Cordelia as a daughter- wife--the renunciation of her as incestuous object--awakens a deeper emotional need in Lear: the need for Cordelia as daughter-mother† (Kahn 248). Lear needsRead MoreEssay on The Dramatic Intensity of The Crucible’s Courtroom Scene4462 Words   |  18 PagesThe Dramatic In tensity of The Crucible’s Courtroom Scene In this assignment I am going to investigate the Dramatic Intensity of The Crucible’s courtroom scene. I am going to do this by exploring the language used, how the characters develop and how Arthur miller unfolds the plot to keep the reader interested and how emotion and feelings dictate the movements of the play. The Crucible is set against the backdrop of the mad hunts of the Salem witch trials in the late 17th century. It isRead MoreThe Crucible By Arthur Miller1545 Words   |  7 PagesIn â€Å"The Crucible,† Arthur Miller portrays two females whose characters, when juxtaposed, look to vastly distinction each and every different. Although the specific phrases aren t used, one girl is basically put forth within the story as â€Å"good† and the other woman as â€Å"evil.† Such black and white rulings of these characters would be close to ironic, in view that that Arthur Miller wrote his play to reveal the risks of judging humans with different mindsets or perception systems. Miller portrayed thatRead More Arthur Millers Presentation Of John Proctors Moral Journey2156 Words   |  9 PagesExamine Arthur Millers Presentation Of John Proctors Moral Journey - The Crucible by Arthur Miller The Crucible by Arthur Miller is a play based upon an American settlement during the late 1600s. It is centred around actual events from history to try to portray the way of life in this era. Miller has chosen the confusion of the witch trials of this time, to provide a base for the struggles of his main character, John Proctor. At the beginning of the play the focus is laid mainlyRead MoreSheffield Theatre Case7471 Words   |  30 Pagesbuildings. In 1971, the Crucible Theatre opened and is a producing theatre on a non-profit base. The Lyceum was reopened in 1990 and is a commercial theatre which mainly hosts touring theatres. The third theatre complex is the Studio which stages chamber and drama music. The main source of income is through the box office, which is supported by public subsidy from local authority and Yorkshire arts. In 1991 a crisis became a fact. There became a drastic fall in Crucible box office receipts after

Wound Care Free Essays

Program Evaluation: Wound Care Center The Methodist Hospital offers a Wound Care Hyperbaric Medicine Program which works closely with patients and specially trained physicians (2010). The program focuses on monitoring, management, and treatment of chronic and non-healing wounds (TMHS, 2010). Non healing wounds affect a large number of the populace and prevent people from leading an active life. We will write a custom essay sample on Wound Care or any similar topic only for you Order Now Researchers report new technologies are altering the process in which chronic wounds are treated. More options for wound treatment are available today than previously available. Bio-engineered skin substitutes, specialized dressings and the latest compression wraps are a few of the more recent methods for wound treatment. The Methodist Hospital’s Wound Care Hyperbaric Medicine Program offers state-of-the-art technologies and advanced wound care techniques to effectively care for non-healing wounds. Evidence depicts that a wound that has not healed in over a month should not be overlooked (CDC, 2009). The TMHWC program uses a team approach to promote advanced wound healing. The first step of healing for patients enrolled in the wound care program is a methodical evaluation by a wound care physician. There is a huge need for quality wound centers. Non healing wounds and excessive management cost health care centers a substantial amount of money each year. According to Pompeo (2010) health care organizations want well-organized and precise figures to decide which cost effective wound care services to propose. The difficulty with chronic wounds is that it is very demanding on staff within a hospital’s organization (Shai Halevy, 2005). The burden of chronic wound management is constant and an evaluation is necessary in an effort to prove the importance of maintaining The Methodist Hospital Wound Center. The purpose of this evaluation is to examine the wound care program at The Methodist Hospital in Houston Texas. This evaluation will provide the history and overview of the root source for chronic wounds and the effectiveness of treatment of those wounds. This evaluation will also comprise a review of the programs patient population, chronic wound diagnoses, primary diseases, treatment devices, as well as costs associated with the health care organization. The assessment will expand the findings of the previously submitted needs analysis for the healthcare organization expansion of services. The components of the proposal are consistent with the organizational mission, values and vision. Background The Methodist Hospital’s wound care Treatment Center came to exist from a meeting between several surgeons at a wound care clinic in Southeast Texas. The physicians were discussing a patient who had suffered with wounds for a number of years. The physicians were interested in increasing improving the credentialing and recognition of wound care services. The Wound Care Center was founded and incorporated in 1990 as an extension of The Methodist Hospital. The Methodist Wound Care Center is dedicated to the multidisciplinary team approach in promoting the science of prevention, care, and treatment of acute and chronic wounds. Today the Methodist Wound Center continues to offer treatment and intervention for chronic wounds. The Methodist Wound Center is an independent center staffed and funded by The Methodist Hospital. A chronic wound has an appearance of one or more underlying conditions which become evident on the skin. Chronic wounds are reported to have the following etiologies (Krasner, 2001): pressure, venous, arterial, diabetic, ischemic, cancer, and end-of-life. A chronic wound entails intervention by numerous health care authorities to address the many conditions and co-morbidities that impact future prognosis and healing. Mission The mission of The Methodist Hospital’s Wound Care Center is to provide a full range of the highest quality, outcome oriented physical therapy services for a variety of patients with wounds. The Methodist Hospital Wound Care Clinic team of specialists works together for improved healing rates and fewer amputations in chronic wound cases. In the course of treatment, the clinics aim is to prevent prolonged or permanent disability and reduce hospitalizations. Vision Statement Where people want to work, where physicians want to practice, and most important, where registered patients want to go when they need healthcare services. The vision statement sets specific goals in objective terms, and a time frame for the goals to be met (Pelland, 2009). Literature Review Webster’s New Riverside University Dictionary (2010) defines an ulcer as an inflammatory, often suppurating lesion on the skin or an internal mucosal surface of the body, as in the duodenum, resulting in necrosis of the tissue. Dorland’s Medical Dictionary (2010) describes an ulcer as a local defect or excavation on the surface of an organ or tissue which is produced by sloughing of inflammatory necrotic tissue. Wounds that do not respond within the expected time frame are defined as chronic wounds or ulcers (Wollina, Hansel, Kronert, Heinig, 2010). Chronic wounds are contributed to primary diagnoses which slow down the healing process and may sometimes result in death (CDC, 2007). The first step in conducting a needs analysis for the Wound Care Center is to identify the services most in need of support. A review of the number of referrals for different services could direct an initial effort. Networking with practices that have already implemented similar services may be of assistance. Performance measures must be in place for monitoring program success. Performance measures should assess for method reimbursement and sustainability, patient and provider satisfaction, treatment outcomes, and areas for improvement (Lockamy Smith, 2009). Development of standards makes ease of operation with other systems a reality and are necessary for efficient operations (Spivack, 2005). Principles to be considered in selection, implementation, and evaluation are patient satisfaction, strategic alignments, process management, performance measurement, and project management (Lockamy Smith). Developing community and governing commission liaisons will strengthen the chance of program implementation success (Dick, Manson, Hansen, Huggins, Trullinger, 2007). The CDC (2009) reported that over 25 billion dollars is spent annually to govern the management of non-healing wounds. Each year seven million Americans are diagnosed with at least one type of chronic wound. The incidence rate of chronic wounds ranges about ten percent annually and is contributed to the current increase in age of the populace. Stages of Wound Healing There are three phases of wound healing (Fishman, 2008). First, there’s phase one-the inflammatory phase, which immediately begins and is active for the first five days of injury. The inflammatory phase generates coagulate from vaso-constriction, platelet aggregation, and thromboplastin formation. The proliferative phase is the second stage of wound healing. This phase transpires up to three weeks after injury. Granulation, contraction and epithelialization draw the ulcerated edges together in an effort to reduce the deficiency (Fishman, 2008). Stage three of wound healing is sometimes defined as the remodeling phase. The modification stage last up to two years. Collagen is formed, which increases the overall vigor of the wound (Fishman, 2008). There are three types of cost analyses. They are cost-effective analysis, cost-benefit analysis, cost-utility analysis and cost-utility analysis. They are aimed at reducing the wastage of resources in invalid methods by getting the advantages of use of a particular activity with the value in terms of cost. People with diabetes are more prone to developing ulcers on their feet. Decreased sensation and a lack of circulation lead to this problem. The best way to prevent ulcers from forming is by performing a daily foot inspection. The three are not mutually exclusive in their use and can be used in any one particular situation though in different stages of the pyramid. An example is the use of exercise as a cost-effective means of tackling diabetes. In one of its many advantages, the exercise does not only help manage the diabetes but other conditions are catered for in the primary stage. This includes, stress reduction and hypertension which may be additions to the disease. There are many benefits of using exercise to various diseases like the cardiovascular types. The use of exercise is implemented in the third stage, tertiary stage that will include the treatment or management of the disease. It helps in burning down the excess calories in the body. (Hatziandreu, E. , 2003) Wound Center Protocol Patients undergo an inclusive physical upon admission to the wound care center. The work up plan for wound care consists of physical evaluations, blood work, Xrays and wound assessments. Medical staff meets daily to discuss the best plan of care for the patients. The treatment protocol Centers which practice systematic ways to develop wound treatment provide excellent care, including evidence based treatment protocols which lead to superior clinical outcomes (Fishman, 2008). The Methodist Hospital’s Wound Care Center treats and takes care of the wounds at any part of the body including sacral, abdominal and even in the lower extremities. The center treats all types of wounds caused by burns and pressure, diabetes, radiation and vascular diseases. The centers protocol is to treat all chronic wounds until they heal as well as prevents recurrence and preserve limbs. The center’s staff does not only treat but also monitors wounds teaches prevention ways such as eating proper nutrition among other specialties. Program Objectives The American Physiological Society (2010) website indicated the evaluation provides formative feedback that helps guide a program as it is being implemented. It also provides summative data that clearly demonstrates that the program is accomplishing its stated goals and objectives. Without an efficient evaluation, the program personnel may be unsuccessful with regard to documentation of impactful program issues. The Wound Care Center employs five full time registered nurses, certified in wound care. The center also employs three administrative personnel, including the clinic administrator. The wound care center employees several medical staff physicians, including a podiatrist, 2 general surgeons and one plastic and internal medicine. The treatment of chronic wounds and research on the pathogen has been going on for many years now. Despite the effort, a large number of people still face the problem when it comes to wound care. A number of people have named lack of integrative perspective in research methodology as a critical issue facing wound care centers (Singhal, Reis, and Kerstein, 2001). Researchers do not view treatment of wounds holistically but have focused on efficacy and safety of specific therapies. The Methodist Hospital’s Wound Care Center objectives are to continue with single treatment investigation in addition to pursuing an integrated approach to the mechanisms of wound healing. Integrated approach deals with the physiological activities that make a wound heal or not heal based on the fundamental activities. Study design This study design is pertinent to an evaluation of the wound care center and the subsequent hospital visits from patients subsequent to discharge. The study design for this research is quantitative and the population will be those patients who required treatment at the Wound Center within the last 24 months. The study will use data from Method admissions data base to calculate the number of patients. The system will also track the number of patients returned to the center. Quantitative designs require a prearranged selection of variables. Quantitative designs clarify the result of an experiment, a correlation testing, and often involve the acceptance or the failure to rejection the null hypothesis (Sproull, 2004) using statistical formulas and hypothesis testing with a significant randomly selected sample that represents the population (Creswell, 2004). Sample Patients who are currently admitted in the wound care center and scheduled for discharge within the next 30 days will be the population for this study. The population will be reviewed and counted from the Method’s computer system. We will aggregate the data of all patients admitted and discharged from the last 24 months. The selection process can be described as systematic sampling. The specificity of the items in the database is controlled by change. The series of items is compiled from the medical record number and is tracked over the last 24 months. The advantage of systematic sampling is that, unlike simple random sampling, a designated number does not need to be assigned to every item. Most patients have been discharged from the program because the wounds have healed or they have transferred to other wound care facilities. Recruitment of Participants. This evaluation will not require an excessive amount of contact with participants. There will be no questions or surveys provided to the participants. An option for this evaluation is to review the data in Method and analyze the discharge and monitoring of each wound care patient. MethoD is the computer admitting database which reports on all admitted patients to any program within the institution. Methods The research study objectives is to identify chronic wound services that need most support, to review the number of referrals and to determine the favorable ways of treating, preventing and controlling chronic wounds. The study uses quantitative data from The Methodist Hospital’s Wound Care Center computer records. The study will use a systematic sampling of all the patients that have been treated for wound in the last 24 months. The study will record all the patients who have visited the hospital with wounds, it will determine their age, sex and the type of wound they were treated on. The study will also record how many times the patient has been treated and when the wound healed and if it did not heal the preventive advice given to the patient. The methods of data collection will be observation and investigations of medical records. The prearranged selection of variables includes age, sex, type of the wound and the duration it takes for the wound to heal. The correlation testing will be used to find out if there is a relationship between persons age and time the wound takes to heal or the type of the wound and the sex of a person. The study will apply statistical model of wound healing rates because it predicts the actual healing of the wound. The statistical model does not impose a fixed methodological structure on the healing structure such as time but monitors the progress and actual behavior of the wound (Kumar, 2007). Data Analysis The results obtained from the centers medical records and analyzed by Method’s computer system showed that the center had received quite a number of wounded patients. The computer software showed that 3-4 people out of a hundred people who visited the hospital were wounded. An estimate of 20-30% of the hospital beds were occupied by patients with wounds a big percentage being patients whom had acquired wounds during hospitalization. Pressure ulcers obtained during the period of medication is the major cause of chronic wound affecting an estimate of five inpatients. The results also showed that 5% of patients died after contracting surgical wound infection during the period. The result statistics indicated through tables and graphs drawn using method computer programs showed that chronic wound were caused by a number of factors such as immobility which usually affected patients on hospital bed causing bed sores and pressure ulcers. The other factors included diabetes, trauma, poor circulation and vascular disease (Stillman, 2010). Diabetes was the major cause of developing a chronic would as statistics showed as 20-50% of people with diabetes had the risk of contracting . Wounds can also be caused by other causes namely unhealthy nutrition, ill-fitting shoes, hygiene and lack of exercises. A big number of people obtained wounds after falling. The research study used a new statistical model that combines both the wound’s size wand the time of closure. This was because it was not easy to determine the actual time that most patients would heal after they were released from the hospital. Methodist Wound Care Center just like other hospital and clinical centers released their patients after their wounds closed after giving them advice on proper preventive measures. The model analyzed the wound size against time. A graph drawn should exhibit negative correlation, that is, as time goes the size of the wound reduces in order to indicate healing. Implications Meta-analytic review of wound healing processes showed that the duration a wound took to heal depended on the type of treatment given and the size of the wound. A large number of wounds do not heal completely but only undergo a process called closure. It is therefore not easy to calculate the correlation between the size of the wound and the duration it takes to heal completely. The statistical approach therefore calculated the time of closure as the healing of the wound. Studies have shown that there are four major stages of healing. A normal would heal even before stage IV but a chronic wound that progresses to stage IV may have serious implication that may lead to amputation (Columbia University Medical Center, 2007). Stage IV is usual the wound closure as it involves formation of a new skin and scarring but it does not mean the wound is completely healed. The data analyzed showed there was a negative correlation between the time of closure and the size of the wound. The size of the wound decreased as time the patient undertook treatment increased. This was a measure that healing process was taking place. While 45% of the patients admitted in the hospital for the given period showed a healing trend, some patient’s wounds did not heal regardless of the time frame. In fact some small wounds grew in size as time progressed. The study results did not indicate a linear relationship since some wounds grew in size as time progressed while others became smaller as time increased. The study results showed a non-exponential Gompertz-type model that shows specific differences and variations in individual wound behavior. Monitoring The modified Gompertz-type model was the best for monitoring and evaluating the healing process of the wound as it applied to all types of wound (both the ones that healed and the ones that did not heal). The model has advantage over other models as it could predict the rate of healing based on the treatment and similarity of wound type. Healing involves tissue healing and wound closure. The study model monitored all the patients that had visited the hospital in the last 30 days to determine which stage of healing process they were in. Generally the healing process involved four phases namely inflammatory phase, proliferative phase, remodeling phase and epithelialization(Hess, 2005). All the wounded patients for the last 30 days were monitored and the phase they were in recorded. The wounded patients that had already visited the hospital in last 24 months were expected to be at various phases depending on the size and type of the wound. A table was thereafter recorded and graphs drawn to analyze the data in order to gain conclusive results of the study. A normal wound requires 3-4 days to be at the epithelialization phase where another layer of skin form leading to scarring (Sussman and Bates-Jensen, 2007). Some wounds take more than that depending on the size of the wound. The research study was given 30 days period in which to monitor the phases of patients wound in order to get conclusive results. A table was set up for all the wounded patients, the time they were admitted and the time they underwent all the four phases. At the end of the one month period a time table was prepared that showed the time period and the number of patients at a particular phase. How to cite Wound Care, Papers

Judgment In Nursing Practice And Education -Myassignmenthelp.Com

Question: Discuss About The Judgment In Nursing Practice And Education? Answer: Introduction The CAET ETNEP Program provides certification in the Enterostomal Therapyto the baccalaureate prepared registered nurses. The purpose of the assignment is to rate own level of competency in the practice area of Wound, Ostomy and continence using the Dreyfus/Benner Model. For each of three practice areas two learning goals will be provided that are expected to be achieved by taking the CAET ETNEP Program. The importance of this exercise prior to taking the program is also discussed. Wound In this area I would like to rate myself as advance beginner as per the Dreyfus/Benner Model. During my first experience, with my patient John, I have learnt that wound care means treating the whole patient, and not just focusing on the wound. While working with my mentor, during final year, she evaluated my skills. As per her results, I am competent in initial assessment and evaluating the wound assessment data for designing the treatment plan. However, I was not competent about interpreting different types of wound ulcers, variations in management of malignant wound and development of care plan. I was competent in guiding other nurses in wound care process. According to the Dreyfus/Benner model, a newly graduated nurse can be in this stage, aware of her legal and professional responsibility for patients but have not performed the administrative functions. At this stage a nurse will pay close attention to the performance of colleagues. However, may highly depend on the textbook accounts of patients signs and find it is difficult to measure the degree of severity and subtle variation which explains my experience (Benner, 2004)). By taking the CAET ETNEP program I would hope to achieve the competence related to- Interpreting the data related to pressure ulcer (history, wound and risk assessment) and establish a plan of care for specific ulcer Interpretation of data pertaining to malignant wound and nursing intervention related to its management Ostomy In the area of Ostomy care, I would rate myself as advance beginner, as per the Dreyfus/Benner Model. As a new graduate nurse, I am not confident completely about performing ostomy care independently. I am not student, but not even a registered nurse. During my initial years of graduation, I felt fearful of ostomy than any other surgical procedure. My experiences with mentor helped me gain intense knowledge in ostomy care. I understand the pathophysiology, anatomy of gastrointestinal system and surgical procedures associated with it. I was competent in giving personalised care and assisting in maintaining healthy active lifestyle, to one of the patient in geriatric care. He was 65 years old, with abdominoperineal resection,. I was competent in abdominal assessment, and deciding on the location of the stoma, that is easy for the patient to take care. I had learned a variety of ostomy procedure depending on the location of the disease. However, I was not competent in stoma care in different age groups as it requires different skills. According to Brykczynski (2013), Dreyfus/Benner Model, in different areas of practice a practioner may be at different levels of skills based on experience and knowledge. For instance caring for adult and young child for same illness may require different skill set. The skill model discussed by Dreyfus/Benner emphasise that more experience comes from increased grasp on particular clinical scenario, which furthers guides the nursing interactions and actions. By taking the CAET ETNEP program I would hope to achieve the following learning goals in this area- Initiate measures to mange a fistula (topical negative pressure therapy, suction, pouching system and others) Implement measures to manage and prevent peritube skin damage Continence Owing to my experience and knowledge, I would rate myself in this area as advance beginner considering the Dreyfus/Benner Model. As a new graduate nurse in this area, I am well acquainted with the general principles of continence. I can implement continence promotion and education in daily practice. I am self assured about the continence assessment. During my final year, I worked with my mentor on patient with bowel incontinence and malignancy. It was highly difficult for me to interpret data related to bowel incontinence including malignancies and fistula. However, I managed to design a care plan without help of senior nurse. I needed help of books and video tutorials for management of bowel incontinence especially antigrade colonic procedure. I was competent in researching about new nursing developments in nursing management of urinary or faecal incontinence. I failed to interpret data pertaining to urinary incontinence involving Pagets disease, in one case of male patient. According to Golnik (2014), Dreyfus/Benner Model, the centre to the logic of excellent practice, is responding about particular concern in any situation. Interventions can be better developed by clarifying the nature of the particular clinical situation. Advance beginners however, do not feel the need to look to other nurses to fulfil their responsibility. At this stage, a nurse can look for credible resources and source of information to put into use when stuck with particular clinical situation. By taking the CAET ETNEP program I would hope to achieve the following learning goals in this area- To gain competence in implementing interventions to manage urinary incontinence especially suprapubic catheterization and intermittent catheterization Manage bowel incontinences through nursing interventions such as patient training and follow up, and containment devices Importance of completing this type of exercise prior to starting the ETNEP program It is important to perform this type of exercise, prior to starting the ETNEP program to assess and document professional competencies. It is needed within the, context of changing needs in practice and education. It is important to evaluate performance, for applying the nursing knowledge effectively (Lyon, 2014). This kind of practice helps identify the areas of improvement and learning goals for future practice, as one reflects on moments from past and concrete experiences. It explains what is known and what needs to be excelled to become an expert nurse (Tranquillo Stecker, 2016). Conclusion In conclusion, Dreyfus/Benner Model is useful framework for assessing the different stages of professional growth of nurses. This model is more focused on explaining how nurses acquire the knowledge and skills required in practice. It can be concluded from personal experience that, skills acquisition is the long term process. It takes variety of clinical scenarios and engagement with patients and families. A beginner nurse is one that follows a set protocol but the expert nurse is the one who can provide most exquisite nursing care. The learning goals may help in personal transition to expert nurse, by taking the ETNEP program. References Benner, P. (2004). Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education.Bulletin of science, technology society,vol. 24 no. 3, pp. 188-199. doi/abs/10.1177/0270467604265061 Brykczynski, K. A. (2013). Benners philosophy in nursing practice.Nursing Theory-E-Book: Utilization Application, pp. 118. Retrieved from: https://books.google.co.in/books?hl=enlr=id=adLsAwAAQBAJoi=fndpg=PA118dq=Benner%E2%80%99s+philosophy+in+nursing+practice.+ots=qtcI_p581nsig=1YPbdmErrb5dkpiD2YJRiiCrTrk#v=onepageq=Benner%E2%80%99s%20philosophy%20in%20nursing%20practice.f=false Golnik, K. C. (2014). Assessment principles and tools.Middle East African journal of ophthalmology,vol. 21 no. 2, pp. 109. doi:10.4103/0974-9233.129746 Lyon, L. J. (2014). Development of teaching expertise viewed through the Dreyfus model of skill acquisition.Journal of the Scholarship of Teaching and Learning,vol. 15 no. 1, pp. 88-105. Retrieved from: https://doi.org/10.5860/crl12-349 Tranquillo, J., Stecker, M. (2016). Using intrinsic and extrinsic motivation in continuing professional education.Surgical neurology international,7(Suppl 7), S197. doi:10.4103/2152-7806.179231