Learning Disability Nurse Reflection

Learning Disability Nurse ReflectionSummary reproval modules 5 9Working as a learnedness disability reserve, poses a c arer fraught with many interesting and often frustrating challenges. However, this is a population that cannot be ignored or slighted medically just because they present with special needs (DOH 2001). Emerson et al. (2001) state that 2.5 3% of the population in the UK are among the erudition disabled, with 30% of these individuals presenting with categorically severe or profound learning disabilities. Emerson et al. (2001) also tell us that frequently multiple learning disabilities present in the identical individual, including physical and/or sensory impairments, physical or sensory disability and/or behavioural rockyies.The five modules presented an opportunity to explore various aspects of this specialty landing field and reflect on the experience on a module by module basis. The act of revisiting the individual formulation pieces to present the current summary test allowed for not only if intellectually experiencing what I wrote, but it also allowed me to re-experience each situation and gain a new appreciation for the patients I worked with, the squads I took fiber in, the pros and cons of each situation and what I have learned that will be immediately applicable to a real world work environment.Importance of reflectionDriscoll and Teh (2001) tell us that practitioners can gain a stronger understanding about various interventions and protocols used, as well as reviewing the situation specifics of each incident, through the solve of reflection. In particular, Foster (1985) strained the importance of using a journal for purposes of written reflection on nursing recitals and procedures in order to help finish up issues and make them more real and visual. Gardiner and Lawley (1995) believe that self awareness, one of the outcomes of nursing reflection, can enable staff to recognise the scientific disciplines they employ and add meaning to their interactions with peers, team members and clients/patients.There were many positives and negatives I experienced on a module by module basis, but in summary, these will be presented thematically.AchievementsModule fivesome offered the opportunity to gain insight into the lifestyle experienced by those with learning disabilities. Similarly, Module Seven provided much needed and interesting information on the post of special health needs observed in those with special needs. This enabled me to make a difference for a client with diabetes through the development of a health vex action plan that included the clients smoking cessation something the social actor assigned to the case was no knowledgeable of.It was quite exciting to improve my communication skills throughout the five modules. For example, I was able to improve my rapport with other colleagues and various multidisciplinary health grapple professionals as well as clients as I achieved Module Nine com munication based learning objectives. Godsell and Scarbrough (2006) comment communication skills are essential for healthcare practitioners. I believe they are even more critical for those working with the learning disabled. Another example was the ability to communicate effectively myself and help others, such as residential syndicate management, communicate with a specific autistic client experiencing difficulty in choosing daily activities based on his disability. I was able to include this client in the decisions made which is critical to empowering the client with a sense of self. Similarly, during Module Five, I worked with a cerebral palsy client who was screaming due to discomfort that was her agency of communication, which at the time I failed to recognise, but upon reflection now know actions as well as words are important modes of communication for those with learning disabilities.ShortcomingsIn general, a major negative I encountered was feeling I was used as the help rather than as a student nurse during my placement. This limited my ability to contribute and to grow personally and professionally. This was particularly evident during Module Five. Similarly, during Module Eight I was faced with a situation creating a significant amount of stress with no stress management advice or training opportunities from which to learn how to effectively cope. Contrary to Davidsons (2001) research, there were no in-house stress management training opportunities to take advantage of.There was a sharp discrepancy in Module Nine when reviewing the Valuing muckle (2001) discourse in semblance to people with learning disabilities (PWLD) between what was written in the document and what I experienced at work whereas the document stresses the rights inherent for all people be extended to PWLD, it was my experience that daily patients and clients were denied access to services due to budgetary measures rather than expressing interest in peoples rights to quality he althcare and a quality standard of life. Gates (2003) tells us those with learning disabilities have rights and should be encouraged to attain respect and reach their strength.Challenges/Learning opportunitiesOne of the main challenges I experienced in the module series, particularly with Module Five, was relating theory to practice. However, through additional research and self motivated learning I was able to bridge over the gap.I also experienced a number of personal and professional challenges that I believe helped me become a stronger person and future professional. For example, at the starting of Module Six, my mentor informed me he would not be available to me. This was very frustrating and upsetting as I knew without the help of a mentor, it would be very difficult to achieve the specific learning objectives outlined. However, I was able to turn this situation into a positive by becoming an active subscriber to my own educational process by learning, understanding and so lving real life problems (Kaufman, Mann Jennet 2000). Similarly, in Module Nine, I found several of the inform styles challenging, but that helped to develop my research skills and allow me to make contributions in the group and EBL sessions. This also helped to develop my learning and presentation skills.An additional challenge in Module Nine was situation I encountered when viewing a medication administration concern at work. While I informed my manager of the situation, the team had a negative reaction rather than positive which would have been consistent with concern over patient/client care. Thomas, Mason and Ford (2003) tell us it is difficult for workers to become whistleblowers, especially in situations related to patient/client care or maintaining standards of care. This was an even more difficult challenge for me as I was only a student with limited status in the work environment. This was similar to the situation I found myself in during Module Seven when the community care social worker appeared to be neglecting the clients diabetes, which is inconsistent with the General neighborly Care Council (2002) code of practices. I felt I was caught in the spunk being a student making suggestions and pointing out care inconsistencies. Through the increased communication skills I developed, I was able to participate with the social worker in the role Gates (2003) identified as a learning disability nurse educator and facilitate changes.In conclusion, through the combined make of achieving the modules learning objectives, reflection on the positive and negative events as well as challenges I encountered throughout modules 5 9 have enhanced my skill development of working with the learning disabled, improved my problem solving skills, allowed for improved communicative ability both on interdisciplinary teams as well as working with learning or developmentally challenged persons. The added use of written reflection as a tool will further my ability to tra nsfer these skills into practice in my future placement and allow me to be effective in my nursing capacity on day one of my engagement.ReferencesDavidson, J. 2001. Stress management second base 10 guide. New York Macmillan, USA.Department of Health. 2001. Valuing People A new strategy for learning disability for the 21st century. White Paper CM5086. Great Britain.Driscoll, J Teh, B. 2001. The potential of reflective practice to develop individual orthopaedic nurse practitioner and their practice. Journal of Orthopedic Nursing, 5, 95 103.Emerson, E, Hatton, C, Felce, D Murphy, A. 2001. Fundamental facts. London The Foundation of People with a Learning Disability.Gates, B. 2004. Learning disabilities Towards inclusion (4th ed). London Churchill Livingstone.General Social Care Council. 2002. Code of Practice for Social Care Workers andCode of Practice for Employers of Social Care Workers. Online. Retrieved from http//www.gscc.org.uk/NR/rdonlyres/8E693C62-9B17-48E1-A806-3F6F280354F D/0/CodesofPractice.doc Accessed 20 September 2008.Godsell, M Scarbrough, K. 2006. Improving communication for people with learning disabilities. Nursing Standards, 20(30), 58 68.Kaufman, DM, Mann, KV Jennet, P. 2000. Teaching and learning in medical education How theory can inform practice. London Association for the Study of Medical Education Monograph.Gardiner, A Lawley, K. 1995. Health and social care Longman locomote GNVQ test and assessment guide. London Longman Publishing Group.Thomas, A, Mason, L Ford, S. 2003. Care management in practice for the registered manager award Essential reading for all care managers (2nd ed). Oxford Heinemann Educational Publishers

Oklahoma City and Low-Tech Terrorism :: Exploratory Essays Research Papers

Oklahoma City and Low-Tech Terrorism Abstract Ammonium nitrate can be a very beneficial compound when used correctly. It has altogetherowed American farmers to produce more and better agricultural products for decades. The Oklahoma City bombing revealed ammonium nitrates dark side, however. That bomb, constructed from prefatory fertilizer, awakened America to the dangers of the common compound. It also caused America to loose its innocence of domestic terrorism. On April 21, 1995, America was forced to sustain to grips with terrorism on a scale never before witnessed on American soil. The bombing of the Murrah Federal Office building in Oklahoma City was the most deadly undivided act of terrorism ever perpetrated within the fall in States. Two factors combined to make the Oklahoma City bombing even more sinister and f proper(ip) than previous terrorist attacks against Americans the identity of the alleged terrorists and the relative ease with which the attack was carried o ut. In the immediate aftermath of the attack, media speculation focused on the possibility of religious extremists, perchance with the support of rogue Middle Eastern states such as Iran or Libya, having carried out the attack to make a political statement against their avowed enemies the United States. The World Trade Center bombing, the bombing of Pan Am flight 103 over Lockerbie, Scotland, and the bombing of the US Marine Corps barracks in Beirut had all been tied into Middle Eastern politics. When the FBI announced its intentions to prosecute Timothy McVeigh, a former US serviceman, and a couple of American accomplices, America was forced to come to grips with the idea of Americans committing mass terrorist acts against their own government and compatriots. The initial speculation that focused on the Middle East was based on two principles motive, an avowed crime for America, and capability, a proven ability to make bombs and use them. The Oklahoma City bombing, if McVeigh is indeed found guilty, demonstrates that both motive and capability are present right there in Americas heartland. As the FBI outlined how it believes the plot transpired, Americans learned just how vulnerable we are to terrorists. The details of the bombing unfolded quickly. The FBI tracked McVeigh through his rental of a Ryder rental van that was located at the bombs epicenter. Despite the tremendous force of the explosion, remnants of the van survived. The FBI was able to lift a Vehicle Identification Number, or VIN, from nearly piece of the 1993 Ford van.

Making Ethical Bids in a Competitive Market :: Engineer Engineering Job Papers

Making Ethical Bids in a Competitive MarketAs the United States economy struggles through a vacant time with the stock market dropping and unemployment rising, being competitive in the job market has become extremely important among professionals. Engineers be no exception. For close engineering firms, being competitive and successful requires obtaining send off projects offered by companies in other(a) fields. These projects can range from intention heating and ventilation systems for office buildings to peeing systems for cities to computer networks for businessesthe list of possibilities and disciplines is extensive. To get these jobs, engineers must make a bid proposal for the project. Bidding involves estimating the entire cost of the project, including the designing and building processes, as rise as the materials and labor. Usually, the company with the lowest bid and the best plan gets the job. The ethical issue in this process is determining the cheapest building mat erials and construction procedures possible without agree public safety. The enormous responsibility that an engineer has when designing a project is often overlooked. His or her job is not only to create a design that will work under ideal conditions, but that will meet the regulations of environmental and building codes and will also survive the unpredictable forces of nature that structures are sometimes subjected to. An article in the Seattle Daily Journal of Commerce, Structures are Held up by Both Skill and Luck,1 describes many risks involved in the designing process and the failures that can occur when small details are overlooked. In light of a recent surge of failures in the northwest, the article says While the Northwest has experienced some unusual weather conditions this year, the effects of these weather conditions were not all unpredictable. Many tragic failures in the Pacific Northwest (and in other parts of the country) can be traced to poor land-use planning dec isions. Despite the availability of hazard mitigation information and qualified technical consultants, the information is often treat and the consultants bypassed as development continues in the flood plains and on unstable hillsides. Often, unwise site selection and ill-conceived site development results in unnecessary motion-picture show to severe natural hazards. Although the initial reason for not hiring a technical consultant in these cases of poor land choice is most likely an onslaught to lower design and construction costs, in retrospect it seems obvious that the money spent on the expertise of a geotechnical engineer would have been significantly little than the millions of dollars of direct losses and litigation costs.

Chaucers Retraction in The Canterbury Tales Essay -- Canterbury Tales

Chaucers Retraction in The Canterbury TalesChaucers ability to characterize people from entirely walks of life in explicit detail, as is so wonderfully displayed in The Canterbury Tales, is just unrivalled factor that allowed him to be known as one of historys finest literary artists. At the oddment of a career that would be considered by most artists as an extremely achieverful one, what could have caused Chaucer to apologize for any of the works which defined literary success? In Chaucers Retraction, which appears at the end of The Canterbury Tales (Norton 311), Chaucer not only apologizes for several of his secular works, he also goes so far as to revoke them, and ask for tenderness for such works which tended toward sin (313), as he puts it. Such an extreme action seems to be somewhat irrational. Some believe that Chaucer, nearing the end of his earthly life, was preparing himself for Gods fantasy in the afterlife. If, by means of his writings, he was guilty of some grave s in, which would keep him from the eternal bliss of heaven, such a retraction mogul be considered justifiable. Furthermore, the concept of being tormented in the depths of hell for all eternity could easily persuade any person, especially on his deathbed, to renounce all previous(prenominal) actions, good or bad. Maybe it is better to be safe than to be sorry, forever. While it is impossible to truly discern Chaucers reasoning, assuming him to be the actual power of this passage, a closer examination of the offending text, as well as a look at some of the social and religious influences of the time period, might give us a clue as to why such a gifted poet would take this position.The dominant theme of the pilgrimage in The Canterbury Tales illustrates one obvious religious... ...xed with molten lead, brass and other kinds of metal immense worms with poisonous teeth gnawed at some others were fastened on by one on stakes with fiery thorns. The torturers tore them with their nails, flogged them with dreadful scourges, and lacerated them in dreadful agonies The Monk of Eveshams Vision, 1197 (qtd. in Speed 4). When facing the end of ones life, the notion of spending all eternity in such a place would surely make even the most avid non-believer think twice. A true believer in Christianity might very well think that it is much better to be safe, than to be sorry forever.Works CitedChaucers Retraction. The Norton Anthology of English Literature. Seventh Edition. Volume1. Ed. M.H. Abrams. red-hot York W.W.Norton and Company, Inc., 2000.Speed, Peter, ed. Those Who Prayed, An Anthology of Medieval Sources. New York Italica Press, 1997.

Fighting for a Cause: Two strong-willed Women United :: Essays Papers

Fighting for a Cause Two strong-willed Women UnitedI never would have imagined that I would get the chance to meet a woman with as much courage, bravery, faith and strength as the mother, wife, daughter, believer, friend, martyrSaint Perpetua, the great. However, I somewhathow found a way to get in concert with the woman whose clothing was stripped off, andbecame a man (15), the amazing woman who sacrificed everything and transgressed the patriarchal standards of the Roman Culture. In order to understand this phenomenon, I am dismission to have to provide you with some essential background information. You see, I major in what is called, Gender and Media in Contemporary Sport. It happened about a year agoneon one special, bright and sunny day on the Hill I was creating a list of possible interviewees for my final project video. I had salutary finished reading about this Roman Saint, Perpetua of Carthage, which reminded me that I had to start thinking about a group of strong , selfless women that I could interview. Then, all of a sudden, it came to me I thought, Okay, so the lamenting woman wrote a story and she was deaddoes this mean that at that place is any possibility I could somehow meet up with Perpetua and intoxicate her story? Gosh, what a wonderful idea Nice Job, Megan. Okay, so yeshow could I do this? Eureka, I have another idea Since I, myself, am a woman of faith, maybe I can work out a deal with God tonight when I talk to Him. Perhaps I could see if there is any chance that I may be able to speak to the prisoner, dreamer, martyr, Perpetua. So I did. That night I looked up to the Heavens and prayed, God, quite some time ago there was this womana very strong-willed, faithful womana martyr who died for her faith. She died because she loved you. You would remember herremember that woman whom you utter to through visions about bronze ladders, puss-filled cancerous sores, and golden apples? You must remember. Anyway, if there is any way I could somehow talk with herif only for a a couple of(prenominal) secondsI would really appreciate it. I, too, am a believer and am interested in engaging a conversation with Perpetua about why she transgressed sexual activity roles then and tell her how many changes have taken place since her great example.

There is More to Vikings than Violence Essay -- essays research papers

History typic aloney describes the Vikings as the fiercest, most brutal of all the barbarian groups that invaded Europe. Historians agree that the Vikings were fierce, but was there more to them than that.The word Viking has been used to identify people who lived in Sweden, Norway and Denmark in early medieval times. In the wording Old Norse, Viking means pirate. Sometimes they were known as Northmen or Danes. The Vikings shared a similar heritage as the Saxons, a group of people who had previously invaded Britain. The Vikings sailed to other foreign countries because they werent able to do many profitable things in their own phratrys. The soil was infertile, and the land was rocky and covered in ice and beguile for most of the year. The Vikings also wanted to leave their homes because they marvelled at the prospect of adventure, trade and plunder. Many simply sailed to foreign lands for the summer, raiding villages and killing those within them and them returning home for the re st of the year. However, some chose to settle in the lands that they raided. The Vikings travelled extensively across the Baltic, Black and Mediterranean Seas. The Vikings of Denmark and Norway sailed England, Ireland, France, Greenland, Iceland and North America (Vinland) and some settled there. The Vikings of Sweden resettled in Russia. There was a lot more to the Vikings than their reputation would suggest. For example, Vikings had their own beliefs and religion. Before the Vikings resettled in other countries, they had their own religious beliefs and worshipped many variant gods. The stories they told are known as ?Norse Myths?. The majority of them are about competitions between the gods and giants. The god of thunder, Thor, who was also ... .... There is clear evidence to suggest that Vikings were non purely bloodthirsty. The Vikings contained some passion and a feeling of ?servant-ness?, as they worshipped many gods. Thor was the most popular Viking god, but some Vikings converted to Christianity after resettling in Britain. The Vikings enjoyed being well dressed but images of bloodthirsty villains don?t often look elegant. Vikings hardly had enough food, so they had to be very stinting with it. If they were so bloodthirsty, they would probably just go and steal the food from their neighbours.This substantial amount of evidence obviously shows that Vikings were seen as bloodthirsty outside their homeland and acted savagely towards foreigners. However, at home, they led normal lives like people living in Britain and other countries in that era and loved and cared for each other as we stillness do today.

Effects of Nontraditional Curriculum on its Students Essay -- Educatio

Effects of Nontraditional Curriculum on its StudentsTo succeed in the current being, a person should have multifaceted knowledge. Therefore, to build that knowledge in students, many schools have an educational form that consists of nontraditional subjects. According to the people who implement this curriculum, it will produce a person who is well-adjusted to the current world. It overly helps students to succeed not only in class but also in the real world. But the curriculum with nontraditional subjects has several effects. In her course An Army of one Me Jean Twenge discusses about self-esteem curriculum. Although the authorities who carry out these self-esteem programs promise that it will improve the future day of the students, it is making the future of the student worse.In, An Army of one Me, Twenge argues how schools conduct self-esteem programs and what kinds of effect do these programs have on children. Twenge says Many school districts across the country have circum stantial programs designed to increase childrens self-esteem, most of which actually build self-importance and narcissism (765). In the same sentence, she starts to describe the self-esteem program in schools she makes an assumption that it is going in a way that is not intended. If we build a building without using the plan that we already drew, it will be a crooked building. In the same way, self-esteem curriculum is planned and designed to increase the self-esteem of the school children, but when it is implemented it made an takings that is straightly opposed to the outcome that is intended. Twenge defines narcissism in this way Narcissism is one of the few personality traits that psychologists agree is almost completely negative (774). Thus, narciss... ...to a real world. Because the real world is not a bed of roses, we have to face failures at sometimes. But the self-esteem programs try to make students feel that there will be no failures, which is not true.If we cannot see planet Saturn with the naked eye, it does not mean that Saturn does not exist. Likewise, it does not mean that students will not fail anything because they went through a system that will not fail them. This self-esteem curriculum also conceals the failure of the students and promotes the students to the next level. But at some point it will be punishing for those students to follow up with others. Therefore, this self-esteem curriculum should be revised in a way that it improves the students future instead of diminishing it. If we choose and implement the program correctly it will undoubtedly make the younger generations future prosperous.