Family Assessment Paper free essay sample

According to Stanhope amp; Lascaster (2010), the family nursing assessment is the cornerstone for family nursing interventions and systematic processes that are used to identify the family’s developmental stages and risk factors. The Friedman Family Assessment Model (2003) provides guidelines for nurses to interview the structure and function of families. This paper will implement the Friedman Family Assessment Tool to assess the Harvey Family. Identify Data: The Harvey Family is a traditional family that is composed of 4 family members. AH is the father and is a 39 year old black male with a college degree in business. He is a plant manager at a steel mill in Jackson, MS. Mrs. BH is also African American and is the mother of the family. She is 35 years old and teaches at one of the local high schools in Jackson, MS. Mr. and Mrs. Harvey have 2 kids. CH is a 13 year on girl who is in the 7th grade and has asthma. We will write a custom essay sample on Family Assessment Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Her brother, DH, is 6 years old in the 1st grade with no present known medical history. The whole family takes weekend trips every other weekend. They enjoy hiking, amusement parks, computers, shopping, and site seeing. Parents’ perception is that they are hardworking, good citizens who strongly believe in God and their religious beliefs are Methodist. This family appears to be in good health and proud parents of 2 kids. The family strengths consist of a rich history of Methodist beliefs, strong family morals, and high levels of education for greater opportunities. Family Structure: This couple has been married for 15 years. According to the Freidman Family Assessment Model (2003), their present developmental stage would be family with adolescent / young child. The extent of each of the parent’s developmental task appears to be properly fulfilled. They both agree not to have any more children. They practice safe sex with one partner and have no history of sexually transmitted diseases. The general health of the immediate family is overall good. The family history of the extended family denotes grandparents with hypertension and a few members who suffer with asthma. The father was diagnosed with hypertension and the mother denied any medical history except for a tubal ligation. The paternal grandfather (GH) is 75 years old and suffers from hypertension and is a heavy smoker. The community where they live is fairly small with a total of approximately 5600 citizens. Their gated neighbor has a code of covenants and each home has fences surrounded the backyard. They deny being active in the community activities. CH plays junior high basketball and DH is a part of their afterschool program, Frontiers. Family function The couple both agreed to being happily married and have a good support system of family and church members. Their average income is $130. 000. and they have medical coverage for the family. They are on a regular diet with few restrictions on fried foods and fat intake. The children eat school lunch and the parents from outside restaurant choices. Mom tries to cook a meal a day after work or they seldom eat Subway or Pizza Hut. No variation in weight gain or weight loss reported. They try to eat dinner as a family at home on a regular basis. However, this was not feasible all of the time due to dad’s late night work hours and CH basketball practices after school. They generally get 6-7 hours of sleep per night and denied any sleep deprivation. No exercise program has been implemented by this family. CH is the only physically, athletic member.

Gun Control is not Answer essays

Gun Control is not Answer essays With the growing gun-related crime rate in the United States today, many bills have been proposed to control guns. The most popular of these bans is The Brady Bill. The bill focuses on semi-automatic handguns. People wishing to buy a handgun will have to answer a federal questionnaire. The persons background will be checked thoroughly for criminal records or records of past mental illness. The process should only take five days. This five day waiting period, or the cooling off period, is supposed to allow a persons temper to cool down. The Brady Bill claims that people act on impulse. A persons temper can interfere with his/her ability to think clearly; he/she is angry, so a gun is bought to get revenge. I have no problem with the Brady Bill, because it has stopped crime, but not enough. A bill was passed by former U.S. President George Bush which banned the production of nine types of assault weapons and the importation of forty-three types of assault weapons. Bush felt that assault weapons were responsible for majority of the violent crimes committed in the United States. Field Assault weapons are designed to put out a high volume of fire with a high degree of controllability. The only purpose these firearms have is to kill people (27). Gun related crime is still very common. In the past, over 20,000 gun control bills have been passed through Congress, and crime is still running rampant through Americas streets. The National Firearms Act of 1934 was the first federal gun law to be passed. This act imposed a two hundred-dollar excise tax on the sale of fully automatic weapons. The Gun Control Act of 1968 made it a requirement for all gun dealers to have a federal license. This same act also banned the sale of guns through the mail and the sale of guns to all people who have formerly been convicted of...

Macro forces analysis within an international market Essay

Macro forces analysis within an international market - Essay Example n customers realize that the product gives them the satisfaction that they need, they will be buying the product from the producer or supplier since it meets their needs and wants. Generally, this paper will analyze the macro environment factors within an international market for investors who are willing to start a fruit juice processing company in the United States. The paper will also provide a research on the macro environment factors in the US and will give recommendations to the investor whether to invest or not. In the analysis of the macro environment of the fruit juice processing industry use of PESTEL analysis framework to scan the environment in United States will be of great advantage. One of the factors that the investors should consider is the technological factor. The investors should consider looking at the technological inventions in the United States which will help in the processing of the fruit juices. The more advancement in technology, the more the production hence high returns due to the mass production of products that are availed to the consumers. According to the CIA (20), World Fact Book, United States is a country that has undergone a very rapid technology advancement since colonialism. It has made many inventions which have brought a transformation in the fruit juice production industry. The investors should consider placing their business in United States because of its technological advancement. Another factor that the investors should consider is the economic status in the United States. Economic factor will influence the consumer buying power and investors should understand the economic trend of United States because of positioning the business. During inflation, the prices rise and the customer’s income is not sufficient to sustain them hence low demand for goods. United States is a country that is economically stable and has no problems of unemployment. Where there is employment opportunities there are reduced cases of poor

Speech Essay Example | Topics and Well Written Essays - 4250 words

Speech - Essay Example The three of you spend the first several minutes discussing what you did over the weekend. You all laugh over the exploits of classmate #1, who spent all night Friday and Saturday at several nightclubs. You and classmate #2 take your work out and place it on the table. Classmate #1 does not have any work completed and explains that with finals and the beginning of a head-cold, there just was not enough time. You get angry and frustrated; after all, you spent all weekend in your dorm working on this project. You look across the table at classmate #1 who is sitting with arms crossed, glaring at you. I want Classmate #1 to understand that he has not been fair, having spent the weekend nights at clubs while I and Classmate #2 had to forego a lot of things just to be able to work on the group project. After all, the project is supposed to be the result of all our efforts. The three of us would be getting equal credit based on the overall quality of the project that we will submit. I will convey my displeasure by knocking some sense into his head. I will not be affected by his defiant stance and I will go ahead to tell him that he has no right to glare at me with his arms crossed for he is the one who has wronged me and Classmate #2. I will talk in a calm but firm manner, and will unflinchingly look at Classmate #1 straight in the eye. This way, I will show him that I am not intimidated by his purported stance. I will further drive home the point that he has to shape up and make up for his lack of output so far by having the biggest share of work to be done before Wednesday. B. Using the example above, describe each component of the Speech Communication Process. a. The speaker is a college student who is enrolled in a speech class. Filled with anger and frustration about the receiver's irresponsible ways, the speaker earnestly tries to make the receiver comprehend the message that he wants to bring across. b. The receiver is one of the speaker's classmates in the speech class. Together with yet another classmate, the three of them formed a group for the completion of a certain project due in class. The receiver is the co-member who seemed to have no intention of contributing anything to their group project. Instead of being apologetic, this receiver takes on a defiant stance when he sees the speaker's reaction to his having done no part of his individual work during the weekend. c. The message is centered on their urgent need to finish their group project before the deadline. It pertains to the prevailing situation of the three-member group. The speaker means to convey the importance of fairness and of getting credit only when deserved. d. The channels include the speaker's initially angry and frustrated reaction, and his calm and firm manners of the speaker. It also covers the clarity of the speaker's message. 2. How can you control you

Chaotic and Non-Chaotic Evil Assignment Example | Topics and Well Written Essays - 1000 words

Chaotic and Non-Chaotic Evil - Assignment Example An idle man summons a window glass vendor whom he had seen from six stories below. He goes on to ask for a tinted glass. Afterwards, the idle man kicks the vendor and drops a vase on the vendor. Evil is shown through the planned chaotic actions of the idle man. The mess created by the broken pieces of glass presents a chaotic situation. In this case, the chaotic acts of the idle man are accompanied by evil. A situation where evil exist without evil is depicted when the wanderer went on a quest to discover the unpardonable sin. On his return, he finds a lime-burner who leaves the kiln for him to take care of overnight. The wanderer had realized that his quest was a wrong move and having nothing to share with the villagers, ends up burning himself. The wanderer had set off without any intention of committing evil although his mission was already an evil one. His intentions were not to cause affliction to anyone as he even thought that he would be commended for a job well done on his return. Later on, he burns himself thus resulting in an evil act. Evil without the presence of chaos it is depicted here because as soon as the wanderer sets off to seek the unpardonable sin, he already had committed an evil deed without his knowledge ( Iversen 89). He had not planned to commit the evil deed through his action of burning himself shows that he, later on, realized he had committed an evil thus r esulted to killing himself. The renegade of Avignon story is about a treacherous man who had planned on committing evil for long. His action led to the death of his wealthy friend who had accommodated him and given him. The planned actions of the treacherous friend set his friend to fail in order to take all his property and left him for dead. This is a situation where evil exists accompanied by chaos. The following are more examples of instances where evil and chaos prevail. The first five are hypothetical typologies while the latter three are historical cases depicting evil at its peak.     Ã‚  

Experience of Novice Nurses with NIV in General Wards

Experience of Novice Nurses with NIV in General Wards Experience of novice nurses caring patients with non-invasive ventilation in general wards. Non invasive ventilation (NIV) is used to provide respiratory pressure support to upper airway by using external masks without the insertion of endotracheal tube. It is mostly used for the early management of acute respiratory failure (ARF) (Rose and Gerdtz, 2009) and chronic obstructive pulmonary diseases (COPD) ( Penuelas, Frutos-Vivar Esteban, 2007). NIV is considering less intensive than mechanical ventilation, therefore some clinicians manage these patients outside the intensive care unit (ICU), particularly in hospitals where ICU beds are unavailable (Farha et al., 2006, Hill, 2009). One audit report revealed that inappropriate use of NIV outside the ICU is associated with higher mortality (Sumner and Yadegafar, 2011). Its increasingly usage outside the ICU, lead less experienced nurses to care for these patients’ results in quality care compromised. Previous studies have identified the following factors that contribute towards treatment failure with NIV is lack of know ledge and experience about the regulation of NIV (Kallet, 2009, Lopez et al., 2006, Lopez-Campos et al., 2006, Elliott et al., 2011), inappropriate guideline (Sinuff et al., 2007), patient-ventilator asynchrony, poor judgment about the appropriate mask selection, patient intolerance (Hess, 2011) and delay in patient care at ward level (Elliott et al., 2011). Safe delivery of NIV can be assured when the patient received care from experienced, educated and well trained staff (Rose and Gerdtz, 2009). Previous studies had explored the experiences of experienced nurses worked in ICU and identified that experienced nurses are using their practical knowledge to select the appropriate mask to patient face. They are using their communication skills to gain control on patient breathing and using their clinical experiences to solve the problems and avoiding delays in adjusting the ventilation (Sà ¸rensen et al., 2013) and providing reassurance to immobilized patients and protect them from errors (Acebedo-Urdiales et al., 2014). There is another study that covers the perspectives of general ward nurses about the NIV, is not generalizable study because it was conducted only in one hospital. However, data revealed that 67% nurses didn’t get involved in the decision making process and were inadequately informed. Even they did not received adequ ate consultation from physicians and medical emergency team and mostly, all nurses in medical wards state that training was inadequate about the NIV (Cabrini et al., 2009). Most of the studies have viewed the experiences of competent nurses in ICU or general ward; however no study has explored the experiences of novice nurses caring the patient with NIV in general ward. Therefore, the purpose of my study is to explore the experiences of novice nurses caring the patient with NIV in medical ward. The one of the reason for selecting this topic is my own area of practice and my experience of being a novice nurse in medical ward in Pakistan. I remembered that when I was assigned with NIV patient, I really felt very anxious and worried. Because, I didn’t have any idea about the BIPAP machine like how it is operated, what assessment I need to do in patient condition to monitor the effectiveness of treatment. Sometime, I felt hesitate to consult with physician about the patient’s condition, because of my lack of knowledge, skills and training about the NIV. Therefore, some time I had a fear of harming to patient. My colleagues also had shared the same experiences and feeling with me. For literature search, I have used these electronic databases: CINAHL (15), PubMed (45), Embase (32) and Scopus (35). I have developed the keywords from Medical Subject Headings (MeSH) from each database. I have used these keywords for literature search: work experience; job experience; experience; experiential learning; nursing knowledge; nursing role; nurse-patient relations; job satisfaction, nursing practice; critical care nursing; education, nursing; staff nurses; nurse attitudes; decision making; nurse-physician relations evaluation; new graduates nurse; staff development, nursing care; nurses; novice nurses; respiration, artificial; noninvasive ventilation; noninvasive ventilation; non-invasive ventilation. Reference lists of relevant papers were also checked to identify other potentially relevant literature and take the assistance from nursing librarian. The inclusion criteria for each database were paper published in the English and between the periods of 1 January 2005 to 3 1 March 2015. I have also used the Boolean operators to limit my search results. The reason for such limitation is to get the relevant literature about my area of interest. Total number of paper which I get from each database is 127 documents. Once, I done with literature search, I started to read the abstract of each article and select the relevant and near relevant article to my research purpose and eliminate those which I found irrelevant. Out of 127, 26 articles were selected, review critically and develop themes like factors for NIV failure, lack of knowledge and skills etc .The difficulty which I faced during literature search was I cannot be able to remove the duplicate articles from each databases. As, no study has viewed the experience of novice nurses, therefore I would like to conduct the research build on this research question that â€Å"what are the experiences of novice nurses, while caring the NIV patients in general wards?† This study will explore the experiences of novice nurses and uncover the challenges which novice nurses are facing at intrapersonal, interpersonal or organizational level while caring the patient with NIV. Moreover, this study will highlight the need for staff training. Because, through proper training of staff, it’s eliminates those factors which contributed towards NIV failure in ARF patients and provides quality patient care. In these studies, novice nurse is defined as â€Å"nurses who are new graduates or have limited experience in nursing care particularly with NIV patients† (CINAHL). The reason for selecting the general wards setting is as my area of specialty in medical ward and most of the time, general wards staffs are less experienced and untrained comparatively to ICU staff. References: ACEBEDO-URDIALES, M. S., MEDINA-NOYA, J. L. FERRE-GRAU, C. 2014. Practical knowledge of experienced nurses in critical care: a qualitative study of their narratives. BMC Med Educ, 14, 173. CABRINI, L., MONTI, G., VILLA, M., PISCHEDDA, A., MASINI, L., DEDOLA, E., WHELAN, L., MARAZZI, M. COLOMBO, S. 2009. Non-invasive ventilation outside the Intensive Care Unit for acute respiratory failure: the perspective of the general ward nurses. Minerva Anestesiol, 75, 427-33. ELLIOTT, M., CROOKES, P., WORRALL-CARTER, L. PAGE, K. 2011. Readmission to intensive care: a qualitative analysis of nurses perceptions and experiences. Heart Lung, 40, 299-309. FARHA, S., GHAMRA, Z. W., HOISINGTON, E. R., BUTLER, R. S. STOLLER, J. K. 2006. Use of Noninvasive Positive-Pressure Ventilation on the Regular Hospital Ward: Experience and Correlates of Success. Respiratory Care, 51, 1237-1243. HESS, D. R. 2011. Patient-ventilator interaction during noninvasive ventilation. Respir Care, 56, 153-65; discussion 165-7. HILL, N. S. 2009. Where should noninvasive ventilation be delivered? Respir Care, 54, 62-70. KALLET, R. H. 2009. Noninvasive ventilation in acute care: controversies and emerging concepts. Respir Care, 54, 259-63. LOPEZ-CAMPOS, J. L., GARCIA POLO, C., LEON JIMENEZ, A., ARNEDILLO, A., GONZALEZ-MOYA, E. FENANDEZ BERNI, J. J. 2006. Staff training influence on non-invasive ventilation outcome for acute hypercapnic respiratory failure. Monaldi Arch Chest Dis, 65, 145-51. LOPEZ, A. D., SHIBUYA, K., RAO, C., MATHERS, C. D., HANSELL, A. L., HELD, L. S., SCHMID, V. BUIST, S. 2006. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J, 27, 397-412. PENUELAS, O., FRUTOS-VIVAR, F. ESTEBAN, A. 2007. Noninvasive positive-pressure ventilation in acute respiratory failure. Canadian Medical Association Journal,177 , 1211–1218. ROSE, L. GERDTZ, M. F. 2009. Review of non-invasive ventilation in the emergency department: clinical considerations and management priorities. Journal of Clinical Nursing, 18, 3216-3224. SINUFF, T., KAHNAMOUI, K., COOK, D. J. GIACOMINI, M. 2007. Practice guidelines as multipurpose tools: a qualitative study of noninvasive ventilation. Crit Care Med, 35, 776-82. SØRENSEN, D., FREDERIKSEN, K., GRØFTE, T. LOMBORG, K. 2013. Practical wisdom: A qualitative study of the care and management of non-invasive ventilation patients by experienced intensive care nurses. Intensive and Critical Care Nursing, 29, 174-181. SUMNER, K. YADEGAFAR, G. 2011. The utility and futility of non-invasive ventilation in non-designated areas: Can critical care outreach nurses influence practice? Intensive and Critical Care Nursing, 27, 211-217.

stuff :: essays research papers

Why I should be the Supreme Ruler of the Universe   Ã‚  Ã‚  Ã‚  Ã‚  In these five paragraphs, I will be discussing why I should be the supreme rule of the universe. I will explain my strong points in ruling such as my ability to converse with people on a down to earth basis. My ability to help the people of the world by giving them not just what they want, but what they need. Also I will be able to save the world by setting stricter laws prevent damage to the earth. To get deeper into the subject everyone will have a say in what I do to help the world and it's inhabitants. My people skills will help my ability to rule because then I would be able to talk to my people of the world by discussing key topics like the earth and it's atmosphere. My way with people will also help to show how I treat my co-workers and fellow countrymen. I will really test my people skills when I go to my other countries and discuss trade and life in that part of the world. I would really want show the people that I am not afraid of what the world throws at. I am afraid of only one thing and that's whether the people of earth are content in how I am running it. Hopefully I will show that my skills are adequate and that I am capable of putting them to work in a useful way. In some way I believe that you will all make the right decision in placing me as supreme ruler of the universe. I hope all the people of earth will be satisfied with what I give them and what show them. Surely I will give them what they want but I do hope I will be able to give them what they need. That being, that all will have food shelter and adequate money resources. There will be no ghettos or gangs or drugs. I will give the world the chance to live in a happy place where there is no violence or drugs because that is how I see the world should and will be. Everybody will get his or her share because everyone is equal. Not one person should feel that they are not getting their piece of the pie because I hope to make sure that no one is left out.