Elderly Adults A National Health Crisis Concern

Falls among inpatient elderly adults has become a national health crisis concern, leading cause of hospital injuries, and prolonged length of hospital stays (Agency for Healthcare Research and Quality, 2012). Every year, there are approximately 700,000 to 1,000,000 hospitalized falls in hospitals, (Cox, Thomas-Hawkins, Pajarillo, DeGennaro, Cadmus, Martinez, 2014). Cangany, Back, Hamilton-Kelly, Altman, and Lacey (2015) emphasize inpatient falls are the second leading cause of death in hospital settings. The indirect costs related to inpatient fall for a hospital is approximate $13,806 not including malpractice obligations and staff injuries (Simpson, Rosenthal, Cumbler, Likosky, 2013). Introduction: The description of a fall is†¦show more content†¦Hence, a greater financial load is placed on hospitals (Cox, et al., 2014). Acute care nurses have a difficult time providing direct patient care, often because of contradictory goals and policies (Oliver, Connelly, Victor, Shaw, Whitehead, Genc, Vanoli, Martin, Gosney, 2007). Aside from maintaining patient safety during hospitalization, nurses need to address the problem, which prompted the patient’s admission. Once the problem is addressed, the nurse can support or help return the patient to an optimal state of physical and mental health (Chang, Morton, Rubenstein, Mojica, Maglione, Suttorp, Shekelle, 2004). Nurses must develop fall promotion practices that supersede the universal fall standards most hospitals utilize (Quigley White, 2015). Nursing leadership that encourage fall promotion practices and further education of staff nurses intertwined with an interdisciplinary approach can impact the h ospital’s fall reduction (Quigley White, 2015). Policy proposed: The proposed policy created by Arrowhead Regional Medical Center (ARMC) in Colton, California is utilized for direct patient care providers and staff nurses. The policy was based on standard fall guidelines for patients identified as a fall risk upon initial history assessment. Presently, there is not an educational component in place for fall prevention of inpatients. The

A Brief Note On The Conflict Resolution Skills - 1211 Words

Conflict Resolution Skills According to Hashish, Hamouda, and Taha (2015), conflict is healthy, common, and necessary for growth and Losa Iglesias and Becerro De Bengoa Vallejo (2012) have noted that conï ¬â€šict has been a vital factor of social functioning throughout history and the present, which has been widely defined in the literature. Scenario You are a newly hired Family Nurse Practitioner (FNP) who began working at the â€Å"Health For You, Family For Us clinic.† As for patient care in the clinic, you are currently under two doctors, Dr. Paul and Dr. Snick; however, Dr. Snick has been particularly unkind to you. After meeting with your third patient for the day, you realize that the patient needs a refill for his narcotics (oxycodone) for†¦show more content†¦1. Win/win approach1 Win/win approach focuses on both parties being able to come together on appropriate terms, while feeling that each person has resolved their point and has expressed gratification that each party has essentially â€Å"won† after the conflict. Example: You express to Dr. Paul that Dr. Snick has been disregarding your narcotic prescription signing request. According to her, Dr Snick has been having a â€Å"rough patch† and stated that in the meantime you can resolve this by handing me the prescriptions to sign. This appears to be a win/win resolution; Dr. Paul is eager to help his new colleague, you are able to do your job effectively and Dr. Snick will not feel imposed on. 2. Creative response Although Dr. Paul is eager to assist with your prescription signing, there are days when she may be unavailable and you’re left with the only option of Dr. Snick. Approaching the doctor, can take some bravado; however, you’re open to conversation and conflict resolution for the sake of a healthy, therapeutic work environment. Creatively, you express to Dr. Snick that he is the â€Å"best doctor that the world has ever seen† in hopes of conflict resolution, to lessen the tension and to hopefully receive a positive reaction. 3. Empathy Because Dr Snick has disregarded your prescription signing, you inquire about his reasoning. He then tells you that he is under a lot of pressure and that he does not want to be bothered by having to sign other colleague’s

The Good Man Jesus and the Scoundrel Christ Chapter 9 Free Essays

‘If you believe my sins are forgiven,’ she said, ‘please heal me.’ Christ turned his head away, and then looked back at her and said, ‘Your sins are forgiven.’ ‘Must I believe that too?’ ‘Yes. We will write a custom essay sample on The Good Man Jesus and the Scoundrel Christ Chapter 9 or any similar topic only for you Order Now I must believe it, and you must believe it.’ ‘Tell me again.’ ‘Your sins are forgiven. Truly.’ ‘How will I know?’ ‘You must have faith.’ ‘If I have faith, will I be healed?’ ‘Yes.’ ‘I will have faith, if you do, sir.’ ‘I do.’ ‘Tell me once more.’ ‘I have said it†¦ Very well: your sins are forgiven.’ ‘And yet I’m not healed,’ she said. She closed her robe. Christ said, ‘And I am not my brother. Didn’t I tell you that? Why did you ask me to heal you, if you knew I was not Jesus? Did I ever claim to be able to heal you? I said to you â€Å"Your sins are forgiven.† If you don’t have sufficient faith after you’ve heard that, the fault is yours.’ The woman turned away and faced the wall, and drew her robe over her head. Christ left her house. He was ashamed, and he went out of the town and climbed to a quiet place among the rocks, and prayed that his own sins might be forgiven. He wept a little. He was afraid the angel might come to him, and he hid all night. The Wise and Foolish Girls Now the time of the Passover was getting close, and this prompted the people who listened to Jesus to ask about the Kingdom again: when will it come? How will we know it? What should we do to be ready for it? ‘It’ll be like this,’ he told them. ‘There was a wedding, and ten girls took their lamps and went to meet the bridegroom and welcome him to the banquet. Now five of them took their lamps and nothing else, no spare oil, but the other five were a bit cleverer than that, and they brought some flasks of oil with them. ‘Well, the bridegroom was delayed, and time went past, and all of the girls began to feel drowsy and closed their eyes. ‘Then at midnight there was a cry: â€Å"He’s coming! The bridegroom is here!† ‘The girls woke up at once and started trimming their lamps. You can see what happened next: the foolish ones discovered that their oil had run out. ‘†Give us some of your oil!† they said to the others. â€Å"Look, our lamps are going out!† ‘And two of the far-seeing ones shared their oil with two of the foolish ones, and all four were admitted to the banquet. Two of the clever ones refused, and the bridegroom shut them out, together with two more foolish ones. ‘But the last wise girl said, â€Å"Lord, we have come to celebrate your wedding, even the least of us. If you won’t let us all in, I would rather stay outside with my sisters, even when the last of my oil is gone.† ‘And for her sake the bridegroom opened the doors of the banquet and admitted them all. Now, where was the Kingdom of heaven? Inside the bridegroom’s house? Is that what you think? No, it was outside in the dark with the wise girl and her sisters, even when the last of her oil was gone.’ Christ wrote down every word, but he resolved to improve the story later. The Stranger Talks of Abraham and Issac Next time the angel came, Christ was in Jericho. He was following Jesus and his disciples as they made their way to Jerusalem for the Passover. Jesus was staying in the house of one of his followers, but Christ had taken a room in a tavern not far away. At midnight he went outside to use the privy. When he turned to go back inside he felt a hand on his shoulder, and knew at once that it was the stranger. ‘Events are moving quickly now,’ the stranger said. ‘We must talk about something important. Take me to your room.’ Once inside, Christ lit the lamp and gathered up the scrolls he had filled. ‘Sir, what do you do with these scrolls?’ he said. ‘I take them to a place of great safety.’ ‘Will I be able to see them again? I may need to edit and correct the entries, in the light of what I have since learned about truth and history.’ ‘There will be an opportunity for that, never fear. Now tell me about your brother. What is his mood as he gets closer to Jerusalem?’ ‘He seems serene and confident, sir. I wouldn’t say that has changed at all.’ ‘Does he speak of what he expects to happen there?’ ‘Only that the Kingdom will come very soon. Perhaps it will come when he is in the temple.’ ‘And the disciples? How is your informant? Is he still close to Jesus?’ ‘I would say he is in the very best position. He is not the closest or the most favoured ?C Peter and James and John are the men Jesus speaks to most confidentially ?C but my informant is securely among the middle-ranking followers. His reports are full and trustworthy. I have checked them.’ ‘We must think about rewarding him at some stage. But now I want to talk to you about something difficult.’ ‘I am ready, sir.’ ‘You and I know that for the Kingdom to flourish, it needs a body of men, and women too, both Jews and Gentiles, faithful followers under the guidance of men of authority and wisdom. And this church ?C we can call it a church ?C will need men of formidable organisational powers and deep intellectual penetration, both to conceive and develop the structure of the body and to formulate the doctrines that will hold it together. There are such men, and they are ready and waiting. The church will not lack organisation and doctrine. ‘But you will remember, my dear Christ, the story of Abraham and Isaac. God sets his people severe tests. How many men of today would be ready to act like Abraham, prepared to sacrifice his son because the Lord had told him to? How many would be like Isaac, ready to do as his father told him and hold out his hands to be bound, and lie down on the altar, and wait peaceably for the knife in the serene confidence of righteousness?’ ‘I would,’ said Christ at once. ‘If that is what God wants, I would do that. If it would serve the Kingdom, yes, I would. If it would serve my brother, yes, yes, I would.’ He spoke eagerly, because he knew that this would give him the chance to atone for his failure to heal the woman with the cancer. It was his faith that had been insufficient, not hers; he had spoken harshly to her, and he still felt ashamed. ‘You are devoted to your brother,’ said the stranger. ‘Yes. Everything I do is for him, though he doesn’t know it. I have been shaping the history especially to magnify his name.’ ‘Don’t forget what I told you when we first spoke: your name will shine as greatly as his.’ ‘I don’t think of that.’ ‘No, but it may give you comfort to think that others do, and are working to make sure it comes about.’ ‘Others? There are others besides you, sir?’ ‘A legion. And it will come to happen, have no fear about that. But before I go, let me ask you again: do you understand how it might be necessary for one man to die so that many can live?’ ‘No, I don’t understand it, but I accept it. If it is God’s will, I accept it, even if it’s impossible to understand. The story doesn’t say whether Abraham and Isaac understood what they had to do, but they didn’t hesitate to do it.’ ‘Remember your words,’ said the angel. ‘We shall talk again in Jerusalem.’ He kissed Christ on the brow before leaving with the scrolls. Jesus Rides into Jerusalem Next day, Jesus and his followers prepared to leave for Jerusalem. Word had spread that he was coming, and many people came to see him and welcome him on his way to the city, because his fame was now so widespread. The priests and the scribes, of course, had been aware of him for some time, and they didn’t know how best to react. It was a difficult matter for them: should they endorse him and hope to share his popularity, at the cost of not knowing what he would do next? Or should they condemn him, and risk offending the people who supported him in such numbers? They resolved to watch closely, and to test him whenever they saw the chance. Jesus and his disciples had reached Bethphage, near a place called the Mount of Olives, when he told them to stop and rest. He sent two of the disciples to find a beast for him to ride on, because he was tired. All they could find was the foal of a donkey, and when the owner heard who it was for, he refused any payment. The disciples spread their cloaks on the donkey and Jesus rode it into Jerusalem. The streets were thronged with people curious to see him, or eager to welcome him. Christ was among the crowd, watching everything, and he saw how one or two people had cut palm branches to wave; he was already composing the account of the scene in his mind. Jesus was calm and unaffected by the clamour, and acknowledged all the questions that people called out without answering any of them: ‘Are you going to preach here, master?’ ‘Are you going to heal?’ ‘What are you going to do, Lord?’ ‘Will you go to the temple?’ ‘Have you come to speak to the priests?’ ‘Are you going to fight the Romans?’ ‘Master, will you heal my son?’ The disciples cleared a way to the house where he was going to stay, and presently the crowd dispersed. How to cite The Good Man Jesus and the Scoundrel Christ Chapter 9, Essay examples

Lincolns birthday Essay Example For Students

Lincolns birthday Essay This book is a compilation of letters written to and by the revered president, Abraham Lincoln. This makes it so that the same stories are told from different perspectives. All together this book is filled with historically accurate information. The opening passage is Lincoln’s own Autobiography. I wish I could insert the entire passage. I think the closing paragraph is a wonderful description of the man, both in appearance and in demeanor. â€Å"If any personal description of me is thought desirable, it may be said I am in height six feet four inches, nearly; lean in flesh, weighing, on an average, one hundred and eighty pounds; dark complexion, with coarse black hair and gray eyes – no other marks or brands recollected. â€Å"Yours very truly, A. Lincoln.†On the stormy morning of Sunday, February 12, Nancy Hanks Lincoln, wife of Thomas, gave birth to a boy. He was born on a bed of poles covered with cornhusks. The baby was named Abraham after his grandfather. In 1811 the Lincolns moved to a farm on Knob Creek, what was also near Hodgenville. In 1811 or 1812, Abrahams younger brother, Thomas, died in infancy. Abraham spent a short amount of time in a log schoolhouse. He began to learned reading, writing, and cipherin’ to the rule of three, from a teacher named Zachariah Riney. He attended school with his sister, Sarah. Late in 1816 the Lincoln family moved to southern Indiana and settled near present day Gentry Ville. A cabin was constructed near Little Pigeon Creek. It measured 16 X 18 feet, and it had only one window. Abrahams mother, Nancy, passed away on October 5th, 1818, she died of milk sickness. In 1819, Abraham would barrow books from his neighbors to read. In 1821 Abraham atte nded school taught by James Swaney for about 4 months. In 1824 Abraham also attended school taught by Azel Dorsey. In 1827 Abrahams sister, Sarah died giving birth to her son. In 1831, Lincoln decided to leave his family and go off on his own, but not before spending a year to build his parents a house. In July he moved to New Salem, Illinois, where he boarded at Rutledges tavern and became acquainted with the owners daughter, Ann. New Salem was a frontier village consisting of one long street on a bluff over the Sangamon River. During the Black hawk War Lincoln was elected captain of the volunteer militia. Without any true attempt on his part Lincoln defeated a particularly unpleasant former employer. It was his most pleasurable victory. On August 6th, 1832 Lincoln was defeated while running for the Illinois State Legislature. Lincoln began to operate a general store in New Salem along with William F. Berry. Again, in 1834, Lincoln ran for the Illinois State Legislature, but this time he was elected. During the summer, John T. Stuart advised Lincoln to study law. On December 1 he took his seat in state government in Vandalia. In 1837 Lincoln, 28, was admitted to the Illinois Bar on March 1, and he moved to Springfield on April 15. He became a law partner of John Stuart and lived with Joshua Speed. Lincoln now had income from a law practice as well as a state legislator. November 4,1842 Lincoln married Mary Todd. The first son of the Lincolns, Robert Todd, was born August 1, 1843 at the Globe Tavern. In 1844 Abraham and Mary purchased a home from Dr. Dresser in Springfield for $1,500. It was located at the corner of Eighth and Jackson. The family moved in on May 2nd. In 1849 Lincoln failed in his attempt to be appointed commissioner of the General Land Office, and he returned to a full time law practice in Springfield as his term in the House of Representatives had expired on March 4th. On March 7th he was admitted to practice law before the United States Supreme Court. .u1403265c02cc7b791441539a787306b4 , .u1403265c02cc7b791441539a787306b4 .postImageUrl , .u1403265c02cc7b791441539a787306b4 .centered-text-area { min-height: 80px; position: relative; } .u1403265c02cc7b791441539a787306b4 , .u1403265c02cc7b791441539a787306b4:hover , .u1403265c02cc7b791441539a787306b4:visited , .u1403265c02cc7b791441539a787306b4:active { border:0!important; } .u1403265c02cc7b791441539a787306b4 .clearfix:after { content: ""; display: table; clear: both; } .u1403265c02cc7b791441539a787306b4 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u1403265c02cc7b791441539a787306b4:active , .u1403265c02cc7b791441539a787306b4:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u1403265c02cc7b791441539a787306b4 .centered-text-area { width: 100%; position: relative ; } .u1403265c02cc7b791441539a787306b4 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u1403265c02cc7b791441539a787306b4 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u1403265c02cc7b791441539a787306b4 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u1403265c02cc7b791441539a787306b4:hover .ctaButton { background-color: #34495E!important; } .u1403265c02cc7b791441539a787306b4 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u1403265c02cc7b791441539a787306b4 .u1403265c02cc7b791441539a787306b4-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u1403265c02cc7b791441539a787306b4:after { content: ""; display: block; clear: both; } READ: Daughters Of The American Revolution Essay ContestLincoln’s son, â€Å"Eddie† died on February 1, 1850. His third son, William Wallace was born on December 21st. The fourth and last son of the Lincolns, Thomas, was born on April 4th, 1853. In 1858 Lincoln was nominated by the Republicans to run for the U.S. Senate against Stephen Douglas. He gave his famous House Divided speech in the Old State Capitol in Springfield. During the summer, Lincoln and Douglas engaged in a series of 7 debates throughout Illinois. On November 2nd Douglas won the election. On May 18th, 1860 Lincoln was nominated for President at the Republican National Convention in Chicago. On Nov ember 6th Lincoln was elected President over 3 opponents (Stephen Douglas, John Breckinridge, and John Bell) winning 39% of the popular vote but nearly 60% of the electoral vote. On January 1st, 1863 the Emancipation Proclamation, which freed the slaves in the rebelling areas, took effect. On March 3rd Lincoln approved the first draft law in U.S. history. In early July the Union won two major battles at Gettysburg and Vicksburg. In 1864 Lincoln nominated Ulysses S. Grant as the first full lieutenant general since George Washington. Grant assumed his role as General-in-Chief of Union armies. Lincoln received the Republican nomination on June 8th to run for a 2nd term as President. Andrew Johnson was his Vice-presidential running mate. On November 8th he easily defeated Democrat George B. McClellan in the Presidential election. The Lincolns attended the play Our American Cousin at Fords Theater on April 14th, and John Wilkes Booth at shot Lincoln about 10:15 P.M. The President died the next morning at 7:22 A.M. He was 56 years old at the time of his death. Andrew Johnson took the oath of office as the 17th President on April 15th. On April 21st a nine car funer al train that included 300 dignitaries left Washington, DC and began a nearly 1700 mile journey back to Springfield. In the afternoon of May 4th, Lincolns body was buried at Oak Ridge Cemetery. This was one of the first modern-day funeral precessions and is an event that all others like it will be compared to. Lincoln was one of the most revered presidents and people in the history of this country.Bibliography: