Bloom Research and Response Paper Essay

Larkin and Burton’s abstract preface the Joint Commission’s directive for effective communication among caregivers during handoff to ensure patient safety (Larkin & Burton, 2008, p. 360). The case study reviews the lack of handoff practice and its effect on continuum of care provided to â€Å"Ms. C, a 64-year-old woman, presented to the ambulatory surgery center for an open cholecystectomy† (p. 390), and the subsequent workshop utilizing Bloom’s Taxonomy of Education Objectives to educate and change clinical practice among the staff members. From this reader’s vantage Ms. C’s respiratory de-compensation was a result of the nurses’ failure to communicate patients medical history and critical findings during unit-to-unit transfer and shift report, inadequate nurse to patient ratio along with incomplete charting, failure to recognize early signs and symptoms of respiratory compromise, and lack of critical thinking skills. Evidenced by the case study’s assertions, Ms. C required oxygen in the post anesthesia care unit (PACU) but was transferred without it. Second, the PACU nurse did not communicate to the patient’s need for oxygen to the receiving nurse during handoff report. It is unclear if the surgeon wrote vital sign parameters and pulmonary toilet orders, or if there were standard protocols for this post operative unit. Ms. C’s incomplete graphic record indicate she was placed on four liters of oxygen within two hours of her arrival to the unit at 1630; however, fail to adequately trend abnormal vital signs such as low grade temperature and tachycardia (Larkin & Burton, 2008, p. 392). The record does not document any nurse-initiated interventions or call to the doctor requesting a chest x-ray or recommending a respiratory therapy consult for breathing treatment and incentive spirometer. On post-op day two Ms. C’s respiratory status declined requiring a non-rebreather mask, rapid response team consult, and a transfer to the intensive care unit for a diagnosis of respiratory distress (p. 392). There were multiply factors that contributed to the above scenario; Larkin and Burton writes that â€Å"after this near-miss, failure to rescue incident† (p. 94) a task force consisting of management, clinical nurse specialist (CNS) and unit educator convened to discuss the event. The task force concluded that the nursing staff members were ineffectual in critically evaluating the patient’s signs and symptoms. The CNS chose a framework that utilized â€Å"Bloom’s Taxonomy of Educational Objectives†, that provided measurable outcomes to the ed ucational activity and enabled the nursing team to optimize their critical skill levels. A workshop to assist staff to navigate through the case study in a realistic manner was implemented (Larkin & Burton, 2008, p. 95). The cognitive domain contains six intellectual skills that measure: knowledge, comprehension, application, analysis, synthesis, and evaluation of information received. The affective domain contains five emotional factors: receiving, responding, valuing, organizing, also conceptualizing and characterizing by value concept. It is during this phase that individual buy-in occurs or not. Finally, the psychomotor domain contains five motor skills functions of imitation, manipulation, precision, articulation, and naturalization. The individual learn to adapt his or her movements intuitively to a given situation (Larkin & Burton, 2008, p. 395). The key component of continued nursing education is to advance and apply evidenced based practice at the bedside. The use of Bloom’s Taxonomy of Educational Objectives as the framework promote the transfer of evidence based information, in a setting that allow the nurse educators to evaluate and measure the learner’s: cognitive, affective and psychomotor processes. It allows the learner (nurse) to assess his or her level of application within each domain. Both the educator and the nurse can reinforce successes and target learning opportunities to areas of inefficiency. References Blais, K. K. , & Hayes, J. S. (2011). Professional Nursing Practice Concepts and Perspective (6th ed. ). Upper Saddle River, NJ: Pearson. Bouchard, G. J. (2011, November). In Full Bloom: Helping Students Grow Using the Taxonomy of Educational Objectives. The Journal of Physican Assistance Education, 22(4), 44-46. Larkin, B. G. , & Burton, K. J. (2008, September). Evaluating a Case Study Using Blooms Taxonomy of Education. AORN, 88(3), 390-402.

Demonstrative Communication Which Includes Nonverbal and Unwritten Communication Essay

Demonstrative Communication is a type of communication that observes non verbal cues. Examples of non-verbal cues include tone of voice, facial expressions, and body language. Demonstrative communication is one where gestures are employed. Better known as non-verbal communication, it deals with the sending and receiving of messages. Demonstrative communication can be formatted by one’s body language, written language, and some non verbal communication that can cause the main point of observe sing the key words of communication which deals with grasping the tone, facial expressions, voice communication which is the main part of communication. When interring the wrong concepts of communication that we all call listen which we do not when it comes to communication. Listen is a nonverbal communication which we all take as misunderstand of communication when sending, and receiving the main point of a message. Demonstrative communication can be ways of success by how well a person communicate with one’s views, and how people use their verbal, or nonverbal communication. The message of demonstrative communication encounters a person’s thoughts of communication that involves the way a person gasps the main points of the sender and the receiver. People have their own ways of processing one’s examples of communication such as listening; asking question to what is verbal or nonverbal of the sender and the receiver. Views has to be very sure of what the sender has produce of the main point of the message, and how well the receiver has listening to the meaning of the message to ensure that there is no misunderstanding of the concepts of the message. Receivers and senders can have positive, and negative meaning of how a message is giving and received because the sender who is producing the message can give some mislead information and the receiver can be mislead also by the wrong information. Using your body sing can also give off wrong sing of the way a person sending a message across to the receiver. The main and most important body sing a person can use when giving a direct message is eye contact so That the views are taken you serially about the most important message of what you are saying.

Behaviors leading to insomnia Essay Example | Topics and Well Written Essays - 500 words

Behaviors leading to insomnia - Essay Example Other symptoms that manifest because of this condition are waking up too early and suffering from fatigue upon waking up (Morin et. al., 2011). Insomnia often manifests itself as either primary insomnia or secondary insomnia. Primary insomnia refers to sleeplessness that is not caused by any underlying condition while secondary insomnia is caused by an underlying medical condition (Buysse, 2013). The various medical conditions that can cause insomnia include asthma, arthritis, cancer, pain or medication being ingested by a person (Jarin, Chen, Ivers & Morin, 2013). This condition also manifests in self, depending on its duration, as either acute or chronic. Acute insomnia lasts a shorter time, a few weeks, while chronic insomnia lasts longer. There are varied effects that arise because of insomnia. Most of the effects of insomnia affect the quality of life and performance of daily tasks (Sasa et. al., 2010). In rare cases, insomnia results in death and this type of insomnia is referred to as fatal familial insomnia. First, insomnia decreases the quality of life in the form of lack of alertness and poor memory during the day (Sasa et. al., 2010). People who suffer from insomnia are more irritable, make more mistakes and develop poor relationships with their colleagues and spouses (Calhoun et. al., 2014). Insomnia further affects the concentration and performance of the brain. Those who suffer from this condition often suffer from mental health conditions such as nervousness, irritability and fatigue (Watts, Coyle & East, 2011). The lack of sleep affects the concentration span and focus. The brain requires several hours of sleep for it to achieve optimum concentration to perform tasks. Insomnia compromises the brain’s ability to process information. The effects of insomnia are numerous and influence the lives of people significantly (Morin et.

Smart Phone, Small Planet Identity and Community in the Digital Age Essay

Smart Phone, Small Planet Identity and Community in the Digital Age - Essay Example The smart technology has improved healthcare and healthcare management. Digital innovations are making new health products. According to Levy and Wong (p.9), smart technology is enabling an upgrade from a reactive focus on curatives towards a proactive view of health management. New preventive medicines are being discovered in order to enable prevention of diseases rather than waiting to cure them. This includes vaccine drugs administered to children. Levy and Wong (p.9) assert that digital technology advancement in the health sector has enabled the use of digital hearing aids. Moreover, improved pacemaker devices and datasets that analyze the efficiency of treatments have been realized thanks to the adoption of smart technology in the health sector. Levy and Wong (p.9) note that the new sources of information are improving the methods of diagnosis used by doctors making the process very effective. Smart technology has enabled effective monitoring of people’s health through ti mely detection of illness and the knowledge of nature and the causes of these diseases. X-ray scans are just an example of massive technology innovations that continue to significantly revolutionize our health sector positively. Therefore people’s lives in the community are better with this improvement in their health care. Smart technology innovations have brought about new and highly developed cities. Smart systems have advanced the ways of engagement of people in urban environments. According to Levy and Wong (p.9), through innovations, there are buildings which control pollution. Honestly, as Levy and Wong (p.9) foresee, the future is promising great opportunities in this urban housing sector.

Additional Reading #2 Assignment Example | Topics and Well Written Essays - 1250 words

Additional Reading #2 - Assignment Example ction of an important good thereby leading to a problem whereby no one pays for the good and thus no one gets it despite the product having a higher value compared to the expenses that would be incurred in its production. However, in real sense, the world is never rigid since there are many individuals who are not perfectly selfish thus making it possible to charge consumers for part of the benefit they enjoy. This is because not every individual act or behave in the same way thereby causing variations and differences. Thus, the small percentage of individuals that does not conform to the group behavior brings the small benefit. However, the small benefit constitutes the externality causing underproduction and not the non-existence of a product (Harris, 34). It is of crucial significance to note that there are several forms of externalities. In relation to this, it is important to highlight that externalities may always have several effects. Some of the effects of the externalities may be beneficial (Harris, 68). However, it is of critical to note that some externalities have negative effects on the parties involved. In connection to the above case, it is of critical significance to note that whatever the effects of externalities on the surrounding environments, there are several factors to which such effects are based. Externalities that result to positive influences in the lives of people, as well as, to their surrounding are closely associated with positive externalities (Harris, 73). However, it is prudent to acknowledge the fact that externalities that are associated with bad or negative impacts on the lives of human beings, as well as their surroundings are results of negative externalities. Based on the above, it is of critical s ignificance to know some of the examples of externalities. In addition, it is prudent to understand the nature as well as effects associated with each form of externality. In relation to this, it is prudent to note that one of the

Chinese Scroll Painting Essay Example | Topics and Well Written Essays - 1500 words

Chinese Scroll Painting - Essay Example The Chinese vertical scroll is read like a script from top to down. At the top edge of the scroll a semi-circle wooden stave is attached and is used for hanging up. A massive bar fixed at the bottom edge of the painting makes rolling up smoother and faster. The roller is often decorated with the precious materials. It also gives the picture some rigidity when hanging on the wall. The ways of hanging as well as the materials and decorations vary from one period to the other. Hanging scrolls are about fifty centimetres in width and up to three meters in length. The form of the horizontal scroll offers greater opportunity to the artist since the extra pieces of silk or paper could be added while painting. The Chinese painters are not limited in space as the European ones. This is especially useful in painting of the mass scenes and landscapes. A horizontal scroll is composed of few scenes that are divided by the peaces of landscape, usually by a group of trees or mountains. The Chinese scroll has to be viewed from right to left and the viewed section should not exceed sixty centimeters at a time. The left hand unrolls the picture and the right one rolls it up. The beginning section of the scroll is usually left empty for the protective reason, the following section is meant for the title, and special sections of scroll serve as inscription panels. This particular way of reading influences the general composition of the painting. The hand scrolls were not meant to be permanently displayed.

The Lawyer's Professional Qualities Essay Example | Topics and Well Written Essays - 500 words - 3

The Lawyer's Professional Qualities - Essay Example The one unequivocal necessity of a good lawyer, as well as any lawyer at all, is a law school diploma and membership in BAR association. Without it, you cannot practice law. Every single lawyer has these two things. Â  Another thing a professional lawyer should have is an experience. In any job, there are very few people who became great specialists right after graduating from school or university. These are the only necessities a good lawyer should have.As for subjective qualities a professional lawyer should have, the first one is you have to be tranquil. There are a lot of people who would try to unbalance you intentionally (opponents) or not on purpose (clients, boss, colleagues et cetera). There are also many things that would go not your way, which can be disappointing or make you angry. If you would be not calm, for example, in a courtroom, you may lose your case. As an example of a lawyer’s tranquility Hillary Clinton can be taken (Gates). Another important quality professional lawyer should have is understanding that all you do is not about yourself, neither is it about your boss or your firm. It is all about your clients and their problems. It is important to remember that a lawyer is only a person who provides some sort of services if taken in general. As an example of such quality, Paul Gilbert can be taken (Gilbert).It is not less important to stand until the end and be sticking to your guns, because there are many people who finish trying just before succeeding in something. It is also needed to be able to take risks and to be ready to influence people’s lives, especially when dealing with criminal law. As an incarnation of these qualities, Preet Bharara can be taken (Dinh).