Oral Hygiene during Placement Simulation

Oral Hygiene during Placement Simulation In this essay, I will be reflecting on the importance of oral hygiene and my experience of giving and receiving oral hygiene care whilst on placement simulation. In conclusion, I will identify my own personal development in undertaking and completing this skill and achieving it. The care of a patients mouth forms an important component of assisting hygiene needs and yet is an aspect of practice which is not always afforded the attention it fully deserves. It is also a role which too often delegated to health care assistants. Research shows that, in the United States, nosocomial pneumonia ranks second in morbidity and first in mortality among nosocomial infections. The treatment of nosocomial pneumonia adds 5 to 7 days to the hospital stay of surviving patients and billions of dollars to healthcare costs. REFLECTION There are different models of reflection one of which is Gibbs (1988). Reflection is the process of reviewing an experience in order to describe, analyses, evaluate and so inform learning about practice (Reid1993). I will use this reflection model in guiding me because it has helped focusing on different aspects of an experience, and exploiting their full potential for learning will be more appreciated. Reflection in professional practice, however, gives back not what it is, but what might be, an improvement on the original (Moon 1999). Description As part of placement simulation, I was part of a group introduced to oral hygiene care. It is one of the core requirements in maintaining the hygiene needs of a patient. When we were told to bring in a towel and tooth brush, I was taken aback as to what was the need for them? I went to the multi-skills laboratory not knowing what will befall me. My lecturer introduced us to a range of chemicals for oral hygiene. I had used some before but on this occasion, there was one I had not tried and used before. I was assigned a colleague to have the opportunity of experiencing the giving and receiving of oral hygiene by cleaning his teeth with toothbrush and pepsodent and vice versa.We performed as instructed. Feelings Upon commencement of activity, my views of healthy oral care were not very clear to me. Generally I perceived cleaning your teeth as being much like washing a face. I felt very embarrassed and inadequate and consequently, felt very uncomfortable as I have not done this to anyone outside of my family. On his part, it was obvious from his reaction that he had no confidence in me, thinking I was going to brush his teeth hard. It highlighted the complex problems I have to solve in practice and the provision of care needs to patients for whom I may not have had contact with before. I thought my pride and dignity had been taken away from me but later felt comfortable having understood what it was generally. Critical Analysis Helping patients/service users to meet their hygiene needs is a fundamental component of nursing care. Again, helping patients to meet their personal hygiene needs provides any nurse with an ideal opportunity to undertake a thorough physical, emotional and cognitive assessment of the patient. Although it seemed difficult at the beginning, by the time we performed on each other for the third time with encouragement we had developed a good working relationship. Encouraging students to acknowledge their intuitive capacity helps them to appreciate their strengths and weaknesses (SWOT). Jasper (2003) regards SWOT analysis as getting to know yourself. The understanding of our skills and abilities and the awareness of where our limits lie is seen as crucial to being able to act as a professional practitioner. After identifying and analyzing of my own strengths, weaknesses, opportunities and threats, I showed no more discomfort and shown more interest in the activity as our lecturer continued talked us through. Jackson and Mannix (2001) note that amount of interest the nurse shows in the learning needs of the student and the key role he or she plays in their achievement are essential to the students development. It is strange that sometimes you do things or know what things are without ever really stopping and analysing it. Most students and many professionals note that learning acquired from placement experience is much more meaningful and relevant than that acquired in the lecture room (Quinn 2000). Boud et al 1985 argue: it is common for reflection to be treated as if it were an intellectual exercise a simple matter of thinking rigorously. However, reflection is not solely a cognitive process; emotions are central to all learning. Conclusion Caring for a patient requires a relationship and empathy. By developing collaborative relationship with patients, I can provide prompt and focused interventions which can limit illness. Action Plan My aim is to be proactive in the future by promptly opening up. I aim to develop the skill of emotional resilience to be able to deliver and receive any care. Conclusion Like many others on the group, I thought that students were there through choice, they wanted to learn. As a result of this I expected the group to be mature and behaved. Due to my lack of experience in care and the job title of student nurse, I perceived that most sessions would run in a lecture format. This was probably a very naive move on my part, however following my first two sessions, I realised that if I was to be a successful student nurse, I had to adapt my approach. I needed to focus more upon my involvement and participation, getting the group involved in sessions would help to improve my learning process. However as I develop my nursing skills and also my ability to reflect, I have begun to realise that the process of reflection is more complex than Gibbs (1988) suggests. Whilst Gibbs highlights key areas of the process, I feel that reflection is not as cyclical as this model implies. As my reflective skills develop, I am finding myself jumping some stages of the cycle, revisiting others and in some instances digressing in different directions. I feel that this represents my views of reflection as I have a start point (the experience) and an end point (the outcomes/actions), but how I get there is down to my trail of thought. Whilst at this stage of my development I would not class myself as a successful, I believe I am working to develop the skills required to be successful.

Breakfast Club Movie Review

Cliques are groups of people with mutual interests and goals, who spend a majority of their time with each other. They can be found at every high school. The Breakfast Club is a movie that brings five students belonging to different cliques together in an unfortunate situation-detention. At the beginning of the movie, these five students appear to be very different people who have nothing to say to each other. However, throughout the movie, the sanctions of each clique become less relevant, and they find that they themselves have formed their own clique: The Breakfast Club.Coming into the detention session, each character has a fixation in a stereotypical high school role. Claire is the â€Å"princess†; an upper-class, popular socialite who is in detention for ditching class to go shopping. In contrast, Bender is a lower-class (and perhaps abused) young man who has a perception of being a sociopathic â€Å"criminal. † Because Bender constantly questions and defies autho rity, he is a detention professional. Andrew (the jock) is a disciplined and driven wrestler who wants to break free from the demands of the athlete role.Brian (the brain) is a straight-A student who struggles with expectations of high grades–and who is experiencing devastation about his recent failures in shop class. Finally, Allison is an ignored introvert who longs for attention and in attempt to receive it, acts like a deviant â€Å"basket case. † At the beginning of the session, the determination of the status by the pecking order of the school's social structure. During the school week, Andrew and Claire have high social status. They recognize their shared status level and sit by each other upon entering the detention session.The two break into conversation about their mutual high-status friends whereas the other detention attendees listen. Brian is probably next in the school status hierarchy because of his intelligence, but he is also a â€Å"geek. † Hig h-status students usually ignore him. In the school's caste system, Bender and Allison are the social bottom feeders. Early in the movie, it becomes clear that a different social order is developing. Bender is the expert at Saturday detentions and is on a first-name basis with the janitor and Mister Vernon (the detention teacher). Detention sessions are clearly Bender's turf and his status on Saturdays is high.Brian seems to recognize this when he gives up his seat to John and waits for John to take off his coat before he removes his own. As is true of high-status members, John begins making and breaking norms. He is the first to break the principal's explicit rule of â€Å"no one moves from their seats. † He also breaks the implicit rule of respect for authority when he tears up a library book and when he removes a screw out of the library door so it will not remain open. The groups abandon normal roles and try new roles on, as they develop during the detention session.In co ntrast to his usual low-status position, Bender has high status during the session because of his detention expertise. He assumes a leadership role in which his defiant questions and actions create value rather than disdain. Andrew also deviates from the normal behaviors of his high-status school behaviors. He develops emotionally by abandoning his macho athlete role when he cries in front of the. Brian, the conformist geek, asks courageous questions and begins to appear more secure and functional than his new detention friends. Brian, Claire, and Andrew break from their normal roles by smoking marijuana with Bender.Allison, the basket case, steps out of her silent, unsociable role when Andrew shows interest in her as they walk to the cafeteria to get milk for lunch. Although she uses lies and deviant behavior to get Claire to confess her virginity, Allison provides wise observations that are contrary to her perceived role. For example, when the group is trying to coerce Claire into confessing her sexual activities, Allison notes, â€Å"It’s a double-edged sword, isn't it? If you have [had sex] you're a slut, and if you haven't you're a prude† (Hughes & Hughes, 1985).Allison also steps out of role by allowing Claire to give her a cosmetic makeover, after which she begins to court Andrew. Brian exhibits a change when it comes time to write the required detention essay. The group gives him authority to write their papers because his perception is most intelligent. Brian is more expressive and sociable when he asks the important question, â€Å"Come Monday, are we all friends? † (Hughes & Hughes, 1985). Before the detention session he would not have questioned the group because he was not confident enough to speak up.The group develops together by first occupying the same space for an extended amount of time. Because of a common enemy, Mister Vernon, they band together even though it is against the norm. An early indicator of group identity e merges in Bender's use of â€Å"we† as he asks, â€Å"Why don't we close that door? We can't have any party with Vernon checking us out. † (Hughes & Hughes, 1985). They begin to perform as a group after Bender removes the screw from the door leading to Vernon's office. The other students cover for him when Vernon comes back asking, â€Å"How did that door get shut? † (Hughes & Hughes, 1985).Self-disclosure further helps the development of the group. Bender gets Claire to self-disclose about her feelings toward her parents. Andrew turns and asks Bender to tell about his parents. This discussion is critical to the development because the group members begin to see the similarity of their struggles. It also helps them to identify with each other. When the group pressured Claire to confess her virginity, embarrassed she calls Allison â€Å"bizarre† for lying to force the confession. To which, Andrew replies, â€Å"We are all pretty bizarre. Some of us are be tter at hiding it, that's all.† This marks another point of similarity: they all protect their self-concepts by putting on faces in line with the expectations that others have for them. Andrew describes his struggle to live up to his father's athletic expectations and Bender tells of his father's abuse. Thus, two very different characters find common ground, typified by Bender's comment to Andrew: â€Å"I think my dad and your dad ought to get together and go bowling† (Hughes & Hughes, 1985). In a quotation that begins and ends the movie, Brian reads from an essay that the Breakfast Club writes to Mister Vernon: â€Å"You see us as you want to see us.In the simplest terms, in the most convenient definitions. You see us as a brain, an athlete, a basket case, a princess and a criminal. Correct? That's the way we saw each other at seven o'clock this morning. We were brainwashed. † (Hughes & Hughes, 1985). This quote demonstrates the cognitive development of the stud ents. They now realize their perception of each other because of the social stereotype and how they were wrong. As they band together to fight against mutual enemies–parents, peer pressure, authority figures, stereotypes, boredom–the Breakfast Club develops into a unified group.While nothing appears to alter the world’s view (or Vernon’s) of these five students, they learn to look past the stereotypes of each other. They empathize with each other’s' struggles, dismiss some of the inaccuracies of their first impressions, and discover that they are more similar than different. As they leave the detention session, their acceptance of each other becomes significant by Claire and Bender. They walk out of school arm in arm; she turns up her collar â€Å"punk style† and he dons one of her diamond earrings. Each student both takes from and gives to the members of the Breakfast Club.

Humanities Today Essay

This paper discusses the definition of humanities and differentiate between the humanities and other modes of human inquiry and expression. It also includes examples that reflect current developments in politics, socioeconomics, and examples in the following types of humanities; art, music, architecture, philosophy, and literature. Defining Humanities The humanities can be defined as knowledge that investigates the human experience, and studies human culture, such as the arts, literature, philosophy, history, including other human endeavors. Gaining knowledge from others’ records of the human experience offers us the  opportunity to feel a connection to other cultures and to those from the past, as well as with our contemporaries (Stanford University, 2015). Modes of Human Inquiry and Expression The difference between the visualization of humanity and the practical application of humanity is the understanding of the critical observation of what humanity should be as opposed to what humanity is. In other words, they focus on ideas and values, not just the creation or outcome of an action. Other modes of human inquiry include the study of non-human subjects like in mathematics or natural sciences and do not have much to do with the creative human  endeavors. The humanities are committed to studying the aspects of the human condition using a qualitative approach that normally prevent a single paradigm from defining any discipline. Some studies included in humanities can also be regarded as social sciences in other studies that include; communications, cultural studies, archaeology, and history. Examples of the Humanities HUMANITIES TODAY 3 Humanities are the experiences of the human being that can be visual, audible, and even felt by touch. They can be expressed through art, music, architecture, philosophy, and literature.  Art Art include paintings, photography, sculptures, and architecture. The artist can express their emotions, cultural ideals, even political views through their work. There are many classic artists such as Michelangelo who are well renowned which will continue centuries after their time. Artists, like Michelangelo, were commissioned to produce for organizations such as the Roman Catholic Church (Drake, 2008). Michelangelo viewed himself as a sculptor and quite reluctantly took on the task of painting the ceilings of the Sistine Chapel. No doubt there was a  political agenda and at one point Michelangelo was accused of being a heretic because his work reflected disturbing, past events by the church. A contemporary example would be pop artist Andy Warhol. Beginning in the late 1970’s, Warhol created paintings that were abstract, which is an example of how humans have the ability to think conceptually. Now, art can be digitally mass-produced and distributed which creates a large market for sales and profits, although not necessarily for the artist. Music Music is a common form of expression used to communicate current trends, politics, technology and socioeconomics. The most common genre of music today that expresses all of these messages is hip-hop music. Specifically â€Å"Gangsta rap represents part of a larger focus on hip hop and politics that is popular within the media and among scholarly research and the prominence of gangsta rap in the late 1980s and early 1990s prompted the association between hip hop and violence that contemporary social scientists theorize† (Gilliam, 2007). Architecture HUMANITIES TODAY 4 There are several different methods within modernism style of architecture. The modernist style looks for function rather than trying to reproduce the natural environment. There are several forms within the modernism style they include: structuralism, formalism, Bauhaus, the international style, brutalism, and minimalism. The features of modernism includes the fact there is little embellishment or decoration, man-made supplies are used (metal and concrete). Architects in the 20th century include I. M. Pei. In the Early Twentieth-Century modern architects used materials such as ferroconcrete and structural steel in conjunction with the cantilever to build beautiful ensembles. Frank Lloyd Wright (1869-1959), was one of the first American architects of world significance. He introduced a new style. He combined the new technology of steel and glass with the aesthetic principles of Asian architecture [ (Fiero, 2006) ]. In 1909 Wright completed the Robie House in Chicago. This marked the beginning of a long career creating memorable masterpieces. Today most of these techniques have inspired many of the current styles enjoyed by millions. Philosophy Philosophy is defined as a â€Å"comprehensive system of ideas about human nature and the nature of the reality we live in and is a guide for living, because the issues it addresses are basic  and pervasive, determining the course we take in life and how we treat other people† (Thomas, 2005). Major philosophers of the 20th century include Carl Jung, Albert Camus, and Bertrand Russell. Literature Literature provides readers a written composition comprised of current or previous cultural issues. According to the Department of State’s website â€Å"Social and economic advances have enabled previously underrepresented groups to express themselves more fully, while HUMANITIES TODAY 5 technological innovations have created a fast-moving public forum† (U. S. Department of State, 2007). One example of a current piece of literature is the novel, The Kite Runner. The book was written by Khaled Hosseini and â€Å"tells of childhood friends in Kabul separated by the rule of the Taliban† (U. S. Department of State, 2007) Conclusion The study of humanities is an ever changing journey. Humanities will changes with the questions and expression about every generation to come. Humanities are unique in that a quest for the purpose and meaning of the human life is being sought. As time goes on, the study of humanities will be become broader, taking with it all the questions of yesterday. HUMANITIES TODAY 6 References Drake, C. (2008, November). Did Michelangelo have a hidden agenda? The Wall Street Journal. Retrieved from http://www. wsj. com/articles/SB122661765227326251 Fiero, G. K. (2011). The Humanistic Tradition Book 3: The European Renaissance, The Reformation, and Global Encounter. McGraw-Hill 6e Stanford University. (2015). Home of the Human Experience. Stanford University, Stanford, California. Retrieved from http://shc. stanford. edu/ Thomas, W. (2005). What is philosophy? Retrieved from http://objectivistcenter. org/cth–409- FAQ_Philosophy. aspx.

Essay on Shouldice Hospital Operations Management

Shouldice Hospital Operations Management Introduction Shouldice Hospital, set up in 1945 by Dr. Earl Shouldice, is located near Toronto. It follows the business model of focus on a single standardised service for a narrow target of consumers, rather than to provide customised solution (as in a general clinic or hospital). It focuses on providing quick, convenient, and reliable cure for external types of abdominal hernias. The Hospital uses its own technique, called the Shouldice Method. It is famous for a relatively short post-operative recovery period. Description 1. Shouldice Hospital provides low-cost medical service in its area of specialization. Use of the Shouldice Method allows patients to recuperate fast (patients get†¦show more content†¦There is time-based rotation of teams and frequent consultations among doctors. 5. A patient at Shouldice requires minimal post-operative care. Immediately after an operation, patients are encouraged to move about and carry on their day-to-day activities with minimal physical assistance. 6. Employees at the Shouldice have very competitive pay scales. The remuneration has both fixed and bonus components. There is no organization chart, and administrative employees are cross-trained to take over each others work if required. Nobody is fired. 7. The Hospital relies entirely on word-of-mouth advertising. It performs 145-165 operations per week. In spite of this, there is a backlog of scheduled operations that is as large as 1200 in 1982. 8. Approximately 42% of patients come from the United States. A typical surgery at the Shouldice costs approximately $1029. Operating Costs for the hospital and clinic are close to a total of $4.8 million. Revenues are close to $6.8 million. Thus, operating profits are close to $2 million annually. Unique Characteristics 1. High Volume Focused Service - only external types of abdominal hernia repaired and mostly primaries; 6850 operations performed in a year in 1982. 2. Unique Surgical Technique Ââ€" Shouldice Method: separation of muscle layers, more sutures and no screens/meshes 3. Lower Operating Time - 45 minutes for first-time repairs (primaries) and 90 minutes for repairing recurrences 4. Lower cost of operating patients -Show MoreRelatedShouldice Hospital Case Study Essay1588 Words   |  7 Pagesof Situation and Identification of Problems 1.1 Service The Shouldice Hospital competitive advantage is that it only conducts external hernia operations and is specifically designed and operated to provide the highest probabilities for successful treatment with â€Å"country club like† patient service. Hernia operations typically have a 90% success rate, with Shouldice hernia operations boasting over a 99% success rate. The Shouldice competitive advantage can be summarized into: ï‚ § Surgical technique:Read MoreShouldice Hospital Case1459 Words   |  6 PagesCASE : SHOULDICE HOSPITAL – A CUT ABOVE â€Å"Shouldice hospital, the house that hernias built, is a converted country estate which gives the hospital ‘a country club’ appeal.† A quote from American Medical News Shouldice Hospital in Canada is widely known for one thing-hernia repair! In fact, that is the only operation it performs, and it performs a great many of them. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. Last year, it had a record year and performedRead MoreShouldice Hospital Case Solution1744 Words   |  7 Pagesas compared to that of a typical hospital? A. The hospital focused on this new procedure for treatment of external types of abdominal hernias. 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The HospitalRead MoreShouldice Hospital Case Study Essay1470 Words   |  6 PagesShouldice Hospital Case Study Calvin Barron Liberty University March 2, 2010 Respectfully submitted to Prof. Scott McLaughlin Overview The Shouldice Hospital serves as a glaring example of extraordinary service and care for the impaired and needy. From carpeting and soft lighting to doting personal care from the staff, the Shouldice experience sets a standard of excellence for the industry. Dr. Earl Shouldice displayed an early desire for medical understanding with an ageRead MoreShouldice Case1183 Words   |  5 Pagesâ€Å"Shouldice Hospital, the house that hernias built, is a converted country estate which gives the hospital a ‘country club’ appeal.† A quote from American Medical News Shouldice Hospital in Canada is widely known for one thing – hernia repair! In fact, that is the only operation it performs, and it performs a great many of them. 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It follows the business model of focus on a single standardised service for a narrow target of consumers, rather than to provide customised solution (as in a general clinic or hospital). It focuses on providing quick, convenient, and reliable cure for external types of abdominal hernias. The Hospital uses its own technique, called the ShouldiceRead MoreThe Shouldice Method3365 Words   |  14 PagesThe Shouldice Method Abstract Dr. Earle Shouldice and his method of hernia operations and recovery methods are discussed. The discussion includes techniques pioneered by Dr. Shouldice, and the founding and operation of a facility bearing his name and utilizing his methods. Keywords: Earle Shouldice, Shouldice Hospital, Shouldice Method, hernia The Shouldice Method The Shouldice Hospital Limited case consists of the story of an Ontario farm boy who grew up to significantly impact the livesRead MoreShouldice Hospital Limited3555 Words   |  15 Pages1. 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