Friday, February 21, 2020
CRITICAL REFLECTION ON THE EFFECTIVE CARE MANAGEMENT OF A PATIENT WITH Essay
CRITICAL REFLECTION ON THE EFFECTIVE CARE MANAGEMENT OF A PATIENT WITH CHEST DRAIN FOLLOWING A STABBED WOUND AT THE RIGHT SIDE - Essay Example However, the cases of hemothorax and pneumothoraces have dominated the list of recent nursing care emergencies resulting chest injuries as observed by Mowery et al. (2011, p.513). As a senior nurse in the ortho/general surgical department, my healthcare team is bound to encounter such medical emergencies. On the other hand, it is of paramount importance to have relevant expertise in the aforementioned ortho/general surgery portfolio so as to keep an excellent edge in offering the required leadership and professionalism in nursing emergency care. For that reason, this module provides an ideal opportunity to learn and internalize the approved medical manoeuvres in the management of patients with chest drain that has caused pneumothorax. The knowledge will enhance my professional development, nursing competency, clinical exposure and personal confidence in handling similar chest drain cases in the future. This paper focuses on experiential reflection on the effective nursing care manage ment of chest drain patient with pneumothorax with reference to the analytical application of Gibbs Model 1998 (Nicol 2012). Accordingly, the chronology of this reflection examines the details of the case, the resulting personal feeling about it and the professional sense drawn from such clinical experience. Objective application of this model enables the learner to acquire practical insights that will go a long way to improve the fidelity of the portfolio as well as her professional performance in the relevant medical department (Gibbs 1988; Oelofsen 2012, p.22). Case Summary The simulation hitherto involves a 50 year old male patient brought to the ortho/general surgery department with a stub wound on the right side of the chest. From clinical diagnosis, the patient developed chest drain from the stub penetration which has consequently caused pneumothorax. Based on the facts that the chest injury was penetrative with no medical history of spontaneous pneumothorax, this clinical em ergency could be classified as open traumatic pneumothorax as reiterated by Sharma and Jindal (2008, p.35). This is the situation at hand for which the medical team seeks to apply the best line of care and treatment to stabilize the patient towards full recovery from traumatic pneumothorax. Reflective Nursing Care Management for Chest Drain Patient Description of what happened The patient presented at the hospital with chest injury sustained from an apparent stub wound. As such, pre-treatment nursing care management required rapid assessment of the situation to accurately diagnose the case and establish the magnitude of the
Wednesday, February 5, 2020
Talk about the economic system in china and then the U.S Essay
Talk about the economic system in china and then the U.S - Essay Example The growth rate of China economy is higher than other developed countries due to restructuring of the old economic structures and policies. The revamp and growth was necessitated by the enabling environment that was created by the economic class. For instance, they shifted the cities and urban areas to be wealth creation centers while using the rural areas for manufacturing (Ikenberry, 27). The economic wealth and prosperity is however shared or distributed by the state to all the devolved units of government. This is to say that the government has a hold on the economic patterns and regulates the ownership of private businesses. The regulation bby the government is aimed at balancing the socialistic aspect and capitalism. In principle, the economy is structured or macro-organized in such a way that wealth created in a particular area must live positive externality on the lives of that area, either through employment or construction of infrastructure which are all marks of economic growth and excellence. The United States of America has a free market economy where the activities of the buyers or consumers and the sellers or the producers determines the equilibrium. Equilibrium refers to the price level in the money and commodity markets and the profits. In principle, the government hold in the process of wealth creation is very minimal. Therefore, individual owners of business who could also be called capitalists have the free power to control their business make profits and use the proceeds thereafter as they please (Bruinsma, 9). There are economic policies such as the minimum wage policy and the trade unions which strive to ensure that the business owners or capitalists operate in a fair manner. The trade unions or the labour organizations are also a critical component of the economic system because they present a room and chance for collective bargaining so that the capitalists do not misuse their
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