Improving Wound and Pressure Area Care in a Nursing Home Essay

In Sprakes and Tyrers (2010) research article entitled Improving Wound and Pressure Area Care in a Nursing Home, the effectiveness of wound and jam ulceration way was examined. The rate of wounds and embrace ulcers in a nursing home is often an indicator of the quality of tutorship authoritative as these injuries send packing lead to illness and a decreased quality of life (Sprakes & Tyrer, 2010). Sprakes and Tyrer have identified gaps in everyplace tout ensemble heed of wound and pressure ulcers. They have in like manner identified a large bulk of referrals regarding advice and bear for wounds and pressure ulcers.For these reasons the authors research was aimed toward whether utilization of a new wound and pressure ulcer management system in the nursing home would decrease rate and severity of these injuries (Sprakes & Tyrer, 2010). The reason this article was selected for critique was call subject to personal encounters with pressure ulcers in the nursing home setting and first-hand observations of the debilitating effects they can have on an individual. Summary Research took place in a nursing home that was selected due to observations of poorly managed wounds and pressure ulcers.The authors overall aim of the research was to improve outcomes for patients requiring wound and pressure ulcer management (Sprakes & Tyrer, 2010, p. 47). The authors planned on meeting this goal through improving staff knowledge, improving documentation, and finally promote owners to uphold the proper standards of care. Before fulfiling their management role model, the authors obtained data to establish a control. The authors collected data over a six month period regarding frequency of wounds and pressure ulcers and regarding the scrap of times additional support nurses were contacted to aid with wounds/pressure ulcers.Next, staff knowledge was assessed regarding wound and pressure ulcer estimate and management (Sprakes & Tyrer, 2010). The authors past created a unique competency-based framework. This competency-based framework served as the standard of care to be apply throughout the project. It also served as an evaluating tool when measuring staff performance. From there the authors then went on to discuss the project with the staff. Concerns, barriers, and benefits were all discussed as the authors felt if staff understand why change is occurring, they are more likely to implement the required change (Sprakes & Tyrer, 2010, p.47). When implementing their competency-based framework the authors selected four nurses to be supported through the broadcast. Only four were chosen due to the amount of time required to support each individual member. The four nurses then received two theoretical training sessions with a sidereal day on wound assessment and a day on pressure ulcer prevention and management (Sprakes & Tyrer, 2010). Once complete, the nurses worked alongside maven of the authors in implementing the framework in the clinical s etting. Completion of the process took an average of six weeks per nurse (Sprakes & Tyrer, 2010).After completion of the program the four nurses had their knowledge reassessed and another set of data was collected over a six month period to allow time for the nursing staff to incorporate the framework into practice (Sprakes & Tyrer, 2010). After analyzing the data, the authors entrap a 77% decrease in the number of wounds and a 57% decrease in the number of pressure ulcers. The data also revealed a significant increase in wound and pressure ulcer documentation and a decrease in the number of contacts to supportive nurses. When reassessed the staff demonstrated an increase in knowledge and skill.Overall the authors came to the conclusion that both the nursing staff and patients considerably benefited from the project. Based off the results, they win the implementation of similar projects in other nursing homes (Sprakes & Tyrer, 2010). Analysis of the authors references affirms thei r appropriateness to the study however, 66% of the references used are not current as indicated by a publication date greater than 5 years. Critique Based on the article, the authors purpose of the study was apparent and the results were conclusive.The authors decision to implement an evidenced-based wound assessment tool was a great choice as it significantly benefited documentation rates as one was not being used in the nursing home prior. Through this choice it was evident that the authors were able to help the nursing staff to ensure the credibility of their profession and provide accountability for nursing care (North Carolina Concept-Based Learning Editorial Board, 2011, p. 2324). When analyzing the study it clearly demonstrates the impact that proper guidelines and education can have on wound and pressure ulcer management.Through education the authors were able to aid the nursing home in preventing the occurrence of more wound and pressure ulcers as prevention is the goal for the clients at risk for pressure ulcers (NCC-BLEB, 2011, p. 1918). Although this article is a good resource for information and statistics on wound and pressure ulcers, it is not recommended for individuals spirit for particular nursing interventions used for wound and pressure ulcers. While the authors did broadly explain their competency-based framework, they lacked depth in explaining specific information and interventions taught and used throughout the project.In conclusion, this work greatly contributes to the nursing profession because it created a unique quality management plan that has the potential to better numerous nursing homes and improve the lives of galore(postnominal) patients. References North Carolina Concept-Based Learning Editorial Board. (2011). Nursing A concept-based approach to learning (Vols. 1-2, pp. 1915-1926, 2324, 2425). Upper Saddle River, NJ Pearson Education, Inc. Sprakes, K. , & Tyrer, J. (2010). Improving wound and pressure area care in a nursing home. Nursing Standard, 25(10), 43-49. Retrieved from http//search. ebscohost. com/login. aspx? bet=true&db=rzh&AN=2010893921&site=

Figurative Language versus Literal Language Essay - 9

Figurative speech versus Literal Language - Essay ExampleThe phrase, a piece of cake does not literally humble a task that can be easily completed. As an idiom, however, that is what it means. The image that the idiom conjures up has a lot to do with the meaning that it is given (Amphiboly, n.d.).An amphiboly refers to an ambiguity that is created as a result of the grammatical structure of that sentence. This may be the result of the different meanings that may result from the positioning of marks of punctuation.An analogy refers to a device of figurative language whereby meaning is transferred to make something clear. A certain process or thing is talked of in terms of another to make others understand its essence. mavin may take the congressman of the analogy between a tube and the mechanism of water travel in spite of appearance a ground that is often utilize in botany classrooms, to understand the concept of an analogy.A flame word is something that is employ as a subs titute for another word or process that can then be used independent of the original word. It can be used since the original word is not used in common parlance or also probably because the flame word is what is used within a coterie of people who may understand the word. It can then be used as a means of developing a group with an understanding of certain secret words (Urban Dictionary, n.d.).One of the most celebrated devices of the figures of speech, metaphor refers to the substitution of one idea with the other so as to set the first one. In this device, the characteristics of one object are transferred to the other. The two objects may have no spare relation and metaphors are often used by poets to shock readers in this way. When a person is referred to as a cheetah on the track, their exceptional speed is sought to be highlighted through the metaphor. magnification is a figure of speech whereby something is exaggerated to a great extent. The reader is aware of the

Vinal Barbaros's Options Essay Example | Topics and Well Written Essays - 2000 words

Vinal Barbaross Options - Essay ExampleFrom this study it is clear that when the issues are revealed, conflicts whitethorn arise from agency interests, as the uncertainty in the follows future due to its failing operations whitethorn threaten the status quo, especially when it comes to cost-cutting roundivities such as downsizing in order to address the line of work on profitability. One of the key stakeholders in this case is the companys major investor, the creditor National Bank of Australia. If the company reports the lawful amount of the cost estimates, the bank result have to protect its position with regard to its investment in the company. This can be done by downgrading the companys credit rating and increasing the interest payments due to default, or look for a second way out when it comes to getting the amount that is due. In this case, the owner or the major shareholder is deprived of knowing the true performance of the company. Because he does not know, he cannot do something in order to preserve his wealth or shareholder value. As for the companys employees, they will not be informed of the companys shortcomings with regard to dealing with its efficiency and operations productivity. As for the companys major investor, its creditor the National Bank of Australia, it will be able to grant a renewal on the companys loan by assuming that nought is wrong in the companys operations, which puts its financial position in the company at risk because of misleading information. If the company continues to fail during its subsequent operations, the bank will have to suffer and absorb the losses with regard to the companys distress to pay on time. If the company has been able to recoup its losses, the bank has still been misled by the company because of the act when it is found out, the bank can resort to proper means in order to compensate it for the affirmable losses from such act.

Paganism in Modern Ireland Research Paper Example | Topics and Well Written Essays - 2500 words

Paganism in new Ireland - Research Paper ExampleThe neo-pagan thrust is very distinct from the pre-Christian movements in the world. The neo-pagan religion as the members conjure up to it spend unique labels such as earth based spiritualists to identify themselves. The modern paganism movement overwhelms both Druid and witchcraft beliefs. Witchcraft stems from an array of paths that include Wicca which is a mystical religion. It may also include hereditary witchcraft that is unremarkably passed from one generation to the next in the family lineage. The last form of witchcraft may include hedge witchery of traditional witchcraft that is the modern way of witchcraft that is usually based on traditional practices that are associated with pre-modern Ireland Wise women. These wise women are believed to have been healers and used herbalism and opposite traditional ways to treat human beings when they fell ill (Kimberly).The discourse pagan originates from the Latin word paganus tha t means country dweller. A nonher form of Neo-paganism is heathenism that originates from the previous(a) English word that mean inhabiting spread out country. It is believed to be the root for the word heath that means areas of moorland. As this word suggest the old traditional ways, the word pagan as also come to be defined as the temper religion. Therefore, Neo-paganism is believed to be a religion with well-set moral and ethical principles (Kimberly).Many people in the world do not specifically understand what exactly neo-paganism is since the association has been greatly misapprehended, largely because it is not widely spread in the world. The mention of the word pagan in the modern Ireland country brings the light that it is a person without a formal belief in a certain religion barely put, an atheist or even a person who beliefs in anti-Christian practices. The use of the word anti-Christian originates from the way the Christians use the word heathen and pagan to refer t o satanic or evil (Smith). The

Critical reading choose any topic Term Paper Example | Topics and Well Written Essays - 500 words

Critical reading choose any topic - term Paper Examplee of the former attributes of the physiologic anthropology had to be replaced during the changes such(prenominal) as the biological determinism and the societal implications.The examination of the science of race was started during World War 1 as the tensions increased between the groups armed combat and sympathy from AAA begun the introductory process of change. What is shocking with this particular reason for change was the fact that at that place were still underlying tensions even after the change between some of the races and which is still in conception to date which means further changes in the scientific field needs to be researched and examined (Little & Kennedy, 2010).It is the different race thoughts and influences that begun the demise process of the race in the old physical anthropology. Scientists took over the anti-race campaign and especially the biological determinism issue and focus seemed to shift to tr ibe as a whole and the social issues they faced such as equality and financial issues. All this has continued to evolve and change for a long conviction now and is still in the process of being fully cemented. The fact that anthropologists seems to frequently agree and resist with each other and with other people as comfortably as the population in widely distributed is the root cause of the changes taking too long to be adopted in the new physical anthropology (Sandford, 2008).Once the population started being examined as a whole, the issue of modernism and how to synthesis modernism into the anthropological aspects started developing and have been adopted to replace the race. This is actually a good move according to (Erickson & Murphy, 2008) because it incorporates well with the modern changes taking place in the society and hence the social influences that led to the changes in the first place will be readopted in future bearing in mind the modern changes. With the populatio n being subjected and opened up to the idea of adopting changes, they will fill perfectly with especially the

Interpretation assignment Essay Example | Topics and Well Written Essays - 1500 words

Interpretation assignment - Essay ExampleThese financial metrics hint to the safety for the creditors and long- line loaners of the party hence a low proportion becomes a point of precaution for the stakeholders. The improvement in the accepted ratio as well as the rapidly ratio indicates that the club is now in a better position to pay its term obligations. This improvement is extensively due to increase in the current assets especially cash and equivalents, and short term investments. Nike held $3.47 in 2013 as compared to $3.05 in 2012 for every $1 of short term liabilities as shown in appendix. Likewise, the companys current ratio is almost at par with the industry average. Similarly, the company has seen a drastic improvement in the quick ratio in 2013 as compared to 2012. Nike held $2.31 in 2013 as compared to $1.93 in 2012 for every $1 of short term liabilities as shown in appendix. Compared to the industry average, the company leads the market with a high ratio. The i mprovement is again associated to the large investments in cash as well as marketable securities. The inventories, prepaid and deferred taxes only saw tenuous outgrowths. Therefore, the liquidity analysis shows that Nike is in a better position to handle any unexpected current liabilities and contingencies in 2013 as compared to 2012, and compared to its industry rivals. PROFITABILITY ANALYSIS Nikes revenues grew by 11% in 2013. ... The companys gross gross profit meliorate by 10 basis points in 2013 as shown in appendix however, this improvement was due to higher net selling prices rather than the efficiency and effectiveness of the prudence and assets. At the same time, the company saw an increase in the labor costs associated with Nike product do which decreased the gross margins. Nike contributed 43.6c in 2013 and 43.5c in 2012 to the gross profit for every $1 sale do by the company as shown in appendix. Compared to the industry average, Nike has a better margin and is on e of leadership of the industry. The net margin measures the ability of the company to control its indirect expenses associated with the companys working. Nike saw an improved net margin in 2013 when it increased by 30 basis points as shown in appendix. However, the increment could have been much higher but the company was unable to manage its increments in costs. The selling and administrative expenses increased by 10% in 2013 due to increase in personnel costs and advertizing expense during the Olympics. Nike contributed 9.8c in 2013 as compared to 9.5c in 2012 to the net profit for every $1 sale that is make by the company as shown in appendix. Compared to industry average, the company has a moderate net margin and needs to improve in the coming years. However, the quality of the income was not favorable in 2013. The increment was principally due to increase in the net selling prices of the Nike products all over the world. The return on equity, an grand metric from an investo rs point of view, measures the return earned by the owners of the company. The companys return on equity increased by 90 basis points in 2013 due to an increase in the

Business Plan #3 Essay Example | Topics and Well Written Essays - 1250 words

Business Plan 3 - Essay ExampleIn this kind of environment where employees are motivated, there is increased productivity, more inventions and creativeness within the company, mental facultys potential is unleashed as they can freely express their opinions and views and ensure that they let been taken seriously. Employees can change their negative attitude about the work and start working in a positive way. When employees are motivated, they have got the urge to stay longer at the organization kinda of resigning. Motivated workers will hardly miss at the workstation and will not go for absenteeism as compared to misdirect workers.It is through motivation that the managers will improve the standard of weak performers in the organization. They will closely monitor their work try to find if the underperforming staffs understands the job description they are doing. After this analysis, the manager will behave out with the conclusion that best suites each staff.Managers have a resp onsibility of challenging their staff to attain the best. This mechanism makes them as leaders, and role models to their juniors. When managers assign leadership roles to their juniors it really motivates them, and they have a desire to be like their managers and this really helps them to be confident at the workplace.Organizations where employees are allowed to have fun and organize retreats for themselves helps to severalise the monotony of the work and gives them to rejuvenate themselves. For example, inter - departmental parties, retreats or activities that bonds the staff to work as a family rather than more of workplace.It is important for senior staff to applause the efforts of their juniors. Through this, the junior staff feels comprehended and recognized. Applauding their efforts means they are rewarded by promotions or gifts.In a business setting, for example, in an audit firm, your staff will be mostly accountants. Due