Nursing care for dying children Essay Example | Topics and Well Written Essays - 1000 words

Nursing care for dying children - Essay Example Hockenberry and Wilson (2013: 9) provide frameworks in which RN’s should operate under to ensure a child’s wellbeing. Ewing (2009:83) encourages nurses to promote healing given the fact that death remains inevitable. Hockenberry and Wilson (2013) echo the sentiment; they give avenues in which the nurse may interact with the patient without affecting his or her thinking ability. The choices to be made are personal and need not to be interfered with. Child’s welfare needs to be included while caring for them. Giving hope and creating an ample environment would be useful in the Care of Dying Children. Ewing (2009) provides two possibilities in the care; they include paediatric palliative care and end- of- life intervention. The patient according to the article needs to be joyful and given hope while at the nurse’s care. It gives an example of the child being asked to draw pictures of his or her joyful moments in life. Ewing (2009: 83) indicates that those children suffering for terminal illnesses suffer from low esteem and other personality disorder. He indicates that most of the children perceive themselves to be different from the rest. Hockenberry and Wilson (2013) introduce an aspect of anticipatory socialization, which tend to make children feel equal even with strangers. The aspect according to Ewing is lost to children with terminal illnesses. The author advocates for psychological support where the child would be used to identify a problem and the nurse act as an intermediary in offering solution. The author also suggests communication as an aspect in caring for dying children. The article gives incidences in which communication may be used in managing personality disorders among the children. The family being an important unit in the care of the children, Hockenberry and Wilson (2013) suggest their involvement in the management of children with terminal illnesses. Ewing

Qualifications & Selection Process for Judges in Illinois & Florida Essay

Qualifications & Selection Process for Judges in Illinois & Florida - Essay Example The candidate should also have a record of good behavior and integrity as well as capable of communicating both in spoken and written English. On condition that an individual does not meet the above named qualifications then it means that he or she is not eligible to vie for any judiciary position in the state of Illinois (Sara, 2005). The judiciary of Illinois consists of the supreme, appellate, and circuit courts. The judges are first elected through partisan elections where they are capable of serving ten year terms but on condition that there exist a vacancy on the court; then a supreme court appointment is necessary. The other serving justices have the role of electing the chief justice of the court where he serves for three years only. As for the appellate courts in Illinois, the conditions are similar in exception of the condition that the chief justice is only supposed to serve for one year term. The chief justice in circuit courts serves an indefinite term but the judges can serve a six year term (Charles & Maule, 2003). Judges in Illinois can be dismissed from work through an inquiry from the judicial board after complains are launched by the commission of the court. After a hearing, the commission has the authority to suspend or completely dismiss a judge from tenure if he or she is found to have acted in a substandard manner. Alternatively, judges can also be dismissed from work through a majority vote from the House of Representatives as well as a majority of two thirds of the senate vote (Sara, 2005). In Florida, the judicial system consists of four levels and in our case study we are going to limit our research on the first level; the level of a County Court Judge. To qualify for the position of a County Court Judge in Florida, an individual must have been a member of the Florida Bar for a period of not less than five years in addition to the fact that he or she must be a member of the county he or she is vying for to serve even

Software for Human Services Organization Essay Example for Free

Software for Human Services Organization Essay Southern Nevada Adult Mental Health Services is an organization that services the mental health population. This population has continued to grow, and because of the increased turnaround in clients served the company had to invest in multiple software products. Electronic Health Record or (EHR) is one of the software programs that are used by Southern Nevada Adult Mental Health Services. This software is designed to be shared with several different health care providers or settings. The Electronic Health Record software is an electronic collection of systematic health information about a certain population or client. Using Electronic Health Record software will be the digital backup version for a client’s paper chart. Electronic Health Record systems are client centered records that are recorded in real-time. Authorized users of this system are able to obtain this secure information instantly. Using the Electronic Health Record software client’s medical, mental, and treatment records are tracked faster. This program was designed to go further than the normal intake data that is gathered in a provider’s office and is inclusive of a larger view of a client’s care. Electronic Health Record software has tools that will allow providers to make accurate decisions pertaining to client’s mental health care. Southern Nevada Adult Mental Health Services use Electronic Health Record software to streamline and automate the workflow for different providers. One of the benefits of Electronic Health Record software is that Southern Nevada Adult Mental Health Services authorized employees has easier access to client’s medical history. This history consist of radiology images, diagnoses, treatment plans, allergies, results from a test that was taken, immunization records, medications, and laboratory results. Using this software to centralize client’s records electronically has helped the communication between other agencies flow smoothly. Southern Nevada Adult Mental Health Services use Electronic Health Records software to track information from  other organization, non-profit agencies, and other human services provider who may have provided services to a client. Some of these services are Medicaid approval or reimbursement, clinic management, subsidized housing, drug rehabilitation, and section eight housing. An advantage of this software is the improvement of client’s care, efficiency, safety, client-centeredness, and equity. This software allows each clinician involved in the client’s care the ability to share and obtain the client’s medical history and other pertinent information with other medical providers. Pharmacies, medical imaging facilities, schools, emergency facilities, and other clinics are a few providers that are authorized to receive client’s information from Southern Nevada Adult Mental Health Services in a digital format. As more and more health care providers continue to migrate to digital electronic management because of the advantages, there are some disadvantages to using Electronic Health Records software. One of the disadvantages can be the initial start-up cost may become pricey in the beginning. This consists of hardware installations, training of staff, and software upgrades. It does not matter if the facility that is converting to digital Electronic Health Records is large or small the start-up cost will be expensive. If administrative staff, nurses, and doctors are not too familiar with the way the new system is operated, these individuals will waste more time trying to figure it out. This can sometime force the administrative staff, nurses, and doctors that are uncomfortable with this software take longer to master a task, this is wasted time that could be used for other important missions or serving clients. Another downfall or disadvantage of using this software is the concerns of client ’s security. Most individuals think a disadvantage would be the security vulnerability for the client’s medical records. The ultimate concern is that hackers are still out there and may steal client’s personal information and possible compromise their identity. It does not matter how many password encryptions, security features added, and firewalls are put up, hackers can get in there. However, there are also companies that specialize in security measures for the maintenance of Electronic Health Records software. Client Track software is another software that is used at Southern Nevada Adult Mental Health Service. Several of Southern Nevada Adult Mental Health Service case managers, social workers, and other field professionals have  their mobile device set up so that they can have full access to enter the client’s chart and work on it without having to be at work. Client Track is optimized to be compatible with mobile Firefox, Apple iPad, iPhone, Chrome, Safari Web Brower, and iPod touch. Client Track has allowed Southern Nevada Adult Mental Health Services to take providing services t o a whole new level. Client Track has made it possible for employees to input important case notes in the client charts while they are continuing to work in the field. Different facilities can expedite the check in the process of a client by incorporating other mobile devices and iPads. This software will only allow designated staff to access areas pertaining to their job title. Client Track software has been an asset and benefit to Southern Nevada Adult Mental Health. The collaboration, compliance, efficiency, and outcomes have shown to be another benefit of using Client Track. Other communities, agencies and multiple programs can collaborate and transfer client’s information amongst each other securely and smoothly. Most agencies and programs have stakeholders, which they are required to report outcomes, activities, and services rendered, Client Track provide an automatic update with this information, which can be obtained by the stakeholders on an as needed basis. The efficiency of Client Track will eliminate having to use spreadsheets and give more time for staff to help the clients that are in need. Since Southern Nevada Adult Mental Health Services have been using Client Track software, the service to client’s outcome has increased. One of the advantages of using Client Track software is that this software is configured to meet various types of software. Homeless Management Information System or (HMIS) is a software application that is used daily by human service workers nationwide. Individual’s would think that an organization the size of Southern Nevada Adult Mental Health Service will be the determining factor of the software chosen, this company has chosen the software that is a better fit, which allows them to communicate with several agencies. A possible challenge that may be encountered from the implementation process is the difficulty comparing the associated health IT products and EHRs products. Because of the newness of this software there were not a lot of competitors to compare to. References Gungor, F. (2014). OneSource DocumentManagement. Retrieved from http://www.onesourcedoc.com/blog/bid/71535/Disadvantages-of-Electronic-Medical-Records Health IT.GOV. (2013). Retrieved from http://www.healthit.gov/providers-professionals/faqs/what-are-advantages-electronic-health-records

Patient Refusal Of Treatment Nursing Essay

Patient Refusal Of Treatment Nursing Essay I dont want to be treated, Alice Nuvo said in the scenario 6. She is a woman who was diagnosed with pancreatic cancer and that has a very low percentage of survival for another year, even with the best treatment. Just give me something to control the pain and let me go home- she said. In this scenario we will talk about autonomy, which is typically defined as self-determination and refers to the ability of competent individuals to make decisions over their own lives. In order for autonomy to be meaningful, a competent individuals decisions should be respected even when those decisions conflict with what others believe to be reasonable. Over the last few decades, respect for autonomy has come to be recognized as a fundamental principle of Bioethics. In general, a patients autonomy should be respected even if the patient decides not to follow a doctors or health care teams advice. Respect for autonomy has helped to redefine the physician-patient relationship as patients have become more active participants in making health care decisions. Traditionally, the physician played a more paternalistic role in that he/she would largely decide for the patient what the best course of action would be. But now days the patient should not be coerced into making a health care decision, meaning that the patient should not be forced against his/her wishes into making a choice. The patients decision must be voluntary. The basic starting point for ethical analysis in health care, is the encounter between the patient and the health care professional. This relationship is shaped by the goals of that encounter, both the goals that health care professional has and the goals that the patient has. The goals of medicine, which guide the goals of all health care professionals, are: to prevent, cure, slow down or arrest the development of an illness; to stabilize a satisfactory condition; or to relieve the distressing symptoms of illness. It is important to note that these goals are more than simply seeking a cure, and are certainly not focused on seeking to preserve or prolong life at all costs. It is also important to recognize that it is not necessarily possible to meet all of these goals all of the time. The other person in the encounter is the patient, who also has her or his own goals, both health and broader goals in life, as well as values and preferences. Each person forms her or his own conception of what is a good life. This means each person has the freedom to act to put the choices that arise from that conception into effect. Everyone else must respect the space a person needs in which to do this. This is the basis of autonomy. However, autonomy is not an end in itself, but a means whereby a person takes responsibility for her or his own life. In health care, autonomy can be expressed in this way: the patient is the source of the health care professionals right to treat her or him. More specifically the patient has the right to choose to accept or refuse treatment that is offered or choose between different options. The important thing to remember is that the patient will consider her or his goals in life, will act upon her or his values and preferences as well as the medical facts in making such a decision, and all of these must be respected. In many situations the patients decision is not questioned. Decisions have been challenged when the choice does not seem reasonabl e to the health care professionals or others, generally it is challenged by questioning the competence of the patient, which we are not going to question in this particular case of Alice Nuvo. A patients decision to accept or refuse life-sustaining treatment needs to come out of a reflection on the usefulness and reasonableness of such treatment. Treatment has to be reasonable, this means that it has to be effective and that the benefits need to be in proportion to the burden for the patient of undergoing the treatment. There are two aspects of the refusal of life-sustaining treatment. The goals of medicine establish the purposes of treatment. It is not always possible to meet all of the goals, and at times may only be possible to relieve the distressing symptoms of illness. It is not a goal of medicine to prolong the dying process. The second aspect of any decision to forgo treatment is the patients right to choose whether or not to accept such treatment, even if the treatment has a reasonable chance of being effective. A person who is terminally ill is someone for whom there is no further curative treatment, like Alice Nuvo has no further CURATIVE treatment. Therefore, the only goal that it may be possible to meet is that of relieving symptoms. However, the point at which treatment is ceased and the decision made to forgo resuscitation varies with each patient. One person may wish to remain alive long enough to see a grandchild married. Another person may wish to spend the last weeks of life with close family members without suffering the debilitating side effects of chemotherapy. Id rather spend the remaining time with my husband and two daughters then die in the peace, instead of puking up my guts in some hospital Alice Nuvo said. After all this being said, the fact that refusal of any life-sustaining treatment is not to be equated with a slow, passive suicide, the person is not choosing to die. Rather she or he is choosing other goals, in line with her or his conception of a good life. In each case death is accepted as a foreseen, possible side effect of such a choice, but it is not directly chosen. Decisions regarding life-sustaining treatment are complex. Such decisions made by patients are based on a balancing of the benefits and burden of any such treatment and will include the goals, values and preferences that the patient has. But sometimes doctor thinks patient is making the wrong decision, how far should he go to try to persuade her or him to accept the treatment? Patient autonomy does not allow the health care provider to make the decision for the patient, but it does allow providers to educate the patient. It requires of health care providers that they respect patients by providing accurate and complete information that gives patient understanding of positive and negative sides of treatment.

The Messiah Stones :: essays research papers

The main character in The Messiah Stones is John McGowan. He has a wife names Sarah, a son names Joshua who is eight years old, and Oliver who is six years old. His Dad left him when he was nine years old because he went to Jerusalem for an archeological dig and never saw him again after he left. Because of this he lived with his mother for his whole childhood. John is a family man who loves his wife and kids very much, and missed his father. It doesn’t tell what John does for a living but he is wealthy because Sarah owns a book store that does very well. John plays a big part in the story because everything in the book evolves around him. In the book he goes to a lawyer in Washington DC because he is told that he has received something from his father that has been passed down to him in his will. John gets to DC and receives a letter from his father to him. The letters tell him that when he was in Jerusalem for the archeological dig that he found three stones and 1 round stone globe. Each stone glowed and at the bottom of each stone was the word "McGowan" carved. The globe had the name "Sarah" carved on it. Later on in the letter it say that his correspondent Ari told him that the he knows of the stones and said that they have a great deal to do with god. He says that when the Messiah Stones are found that God will judge who is worthy. When John goes home he tells his wife and he decides that his destiny is to go to Jerusalem and find the stones. When they get there they go to a temple where people pray one to two times daily. When they get there a woman that is praying approaches them and says that she has been expecting them. She says that she has had dreams of them coming and she has also come to Jerusalem to find the stones. They go to a coffee house and compare dreams. Later on John finds Ari’s address and goes there. He finds him and Ari tells him a the story of how his father died. He says that when him and his father were in a war in Jerusalem.

OHare International Airport :: Chicago Airport

A plan to expand O'Hare International Airport has begun to look more promising, but backers of a proposed airport near Peotone said last week they don't expect the plan to change the debate over a third airport. "It's still not going to add air capacity, and won't solve their long-range problem," said Don Goff, chairman of the Third Airport Alliance. "I don't see it as any setback," he said of the plan to build more terminals and gates. Goff said that even if O'Hare expansion proponents later use the World Gateway project to justify building more runways, a third airport will still be needed. "They're still going to have to build another airport," Goff said. But those who hope plans for an airport near rural Peotone will be scrapped see the plan as a sign of hope. "I'm very happy about that," said Jill Holzaepfel of Peotone, who said she hopes the planes and traffic stay close to the city. "I chose to live out here on the farmland," she said, adding that those who are impacted by more noise and pollution at an expanding O'Hare chose to live near the airport. Some Peotone opponents propose expanding the airport in Gary, Ind., or building at another site. The major airlines that serve O'Hare International Airport and city officials reached a tentative agreement to move ahead with a $3.2 billion renovation at the world's second busiest airport, a city spokeswoman said. Mayor Richard Daley has called the project the "World Gateway Program." It has involved months of negotiations between the city and the two major carriers that serve O'Hare — United Airlines and American Airlines. "Right now, we have an agreement in principle," Chicago Department of Aviation spokeswoman Monique Bond said Friday night. "We feel confident that we're moving forward and we are pretty optimistic about the finality of the agreement." The renovation, which is expected to take eight years to complete, is expected to increase the number of boarding gates by at least 25 percent. It is also intended to increase the number of flights and make connections in and out of the airport smoother. "This is basically what we are doing to better use the existing facility with more efficiency," Bond said. She said the redesign will help accommodate the airlines' increased use of larger planes, such as the Boeing 777. While Bond would not confirm the number of new gates involved, a report appearing in next week's Crain's Chicago Business cites sources familiar with the negotiations saying

Information System Briefing

Information system briefing By Adrienne Williams Healthcare Information systems HCS/483 10/16/12 Instructor Dionne Mahaffey Introduction In this information system briefing I will be discussing the process of researching and selecting Good information systems, when selecting a system you must always know the goal of the organization. mainly how this change can affect the stakeholders selection process. This system is distinct by way of an electrical form of communicating information (American Heritage Dictionary).In studies it’s clear to see the theory of information systems is just shared ideas and information; telecommunication though a computer. This type of technology has become very valuable when it comes to teaching and learning material system modules for any organization. In most accomplishment the general point of the project rest on having a system in place that can implementing a plan to meet the necessities of the healthcare Manufacturing business world today. Appl ying an information system is always a difficult task. It’s very significant to select a system that will benefit the organization accomplishments.Information Systems Briefing In many cases when it comes to healthcare organization being up to speed with the latest technology can and will help offer top notch patient care services. Most organization who are up to date has an department dedicated to information system it is in place to safeguard the technology up to the standards it needs to be. Updating this type of technology can be a bit of a challenge. The company always has a team of people to organize the information must choose the best technology for them to achieve the goals that are set for the company.Stakeholders are involved in every part of the planning and the setting up of the goals if the organization if the stakeholders do not know the steps about the information system technology they won’t know what’s taking place. Once goals are set into place it’s no longer difficult to choose the right information system. Part of the process of getting the system to work correctly for the company can be completed however it’s quite lengthy. The selection of a new healthcare information system (HIS) has been known to be overwhelming process for most clinicians.If the company can prevent any past mistakes of other companies that have tried but failed that will be of lessons learned. What’s to keep in mind is number of collaborators involved in electronic healthcare interventions. It’s identified and classified by five categories: data management, data creation, data sharing, modules management and data presentation. When reading what needs to be done in the selection of obtaining an information system, it is set in place to be how the organization will begin. Then the research for the right system the organization has picked is done.While doing the research, everyone involved should understand be able to under stand the technology before it is introduces to the entire organization (kim, king, & Brown, 2010). The ones who the team always aim to impress is the stakeholders, with that being said the all teams will have to exhibit the main topics to the stakeholders before applying this system into the organization. When implementing the system another important part of the research is for the shareholders to understand the process for this system, (Martin, Sargent, Naomi, & Swiernik, 2011). The cost is another portion that must go to the stakeholders.Closing When strategic planning is finished, the motivation for every person involved has increased and it built a shared vision to see the success of the project. When the members of the team have great communication that is what makes the key to a successful project. The members of the vision ,clarity, and good performance measures all play a role. Reference page Romanow, Darryl; Sunyoung Cho; Straub, Detmar. MIS Quarterly. Sep2012, Vol. 36 Is sue 3, piii-A18. 26p. 24 Charts, 2 Graphs. Paschali, Kallirroi; Tsakona, Anna; Health Science Journal, 2012 Jul-Sep; 6 (3): 418-31 (journal article – algorithm, review) ISSN: 1108-7366