Trying to be heard free essay sample

?The ethical problem in this case involves Joanna’s concerns with the patient complaint of abdominal pain going unaddressed. Despite the vital signs being within normal limits and no significant changes in readings, Joanna’s report of abdominal pain to the medical resident twice and the nurse supervisor’s went ignored. I believe that Joanna followed the nursing standards of practice; however, the case study does not give a lot of information into her assessment. One of the signs of abdominal aortic aneurysm is a pulsating bulge or a strong pulse in the abdomen. Joanna could have assessed the patient for this sign and symptom by assessing for a bulge in the abdomen or listening with a stethoscope for a loud pulse. Joanna could have also further investigated the location of pain. Was Mrs. Kelly exhibiting any back or flank pain? Lastly, I believe Joanna should have assessed for nausea or vomiting. We will write a custom essay sample on Trying to be heard or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The institutional and professional constraints in this case involve communication between Joanna and the nurse supervisors and the medical resident. In the Journal Article â€Å"Can we Talk? † Miller (2013) discusses â€Å"Communication Principle #3: Know what you are talking about before you start talking† (p. 194). What this means is â€Å"You have got to be very familiar with the subject in order to have a good discussion when questions or conflicts arise† (Miller 2013, p. 194). I can understand why Joanna was brushed off by the medical resident and nurse supervisor. With vital signs within normal limits and a complaint of abdominal pain that could mean many issues and not necessarily life threatening. If Joanna would have approached the medical resident and nurse supervisor with a more thorough assessment as discussed above maybe the outcome would have been different. Professionally Joanna did what she could under her scope of practice. Under the circumstances presented in the case study, Joanna could have contacted the physician on call, described the situation and request an order for a computed tomography (CT) scan. A CT scan provides greater detail of the vital organs, blood vessels and other structures in the body. A CT scan could have detected the abdominal aortic aneurism. Joanna’s reactions resemble moral distress. Burkhardt and Nathaniel (2008) describe moral distress when â€Å"one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action† (p. 170). Joanna contacted the medical resident on two occasions and spoke with both her evening supervisor and the supervisor coming on to the morning shift. Joanna was ignored by all three parties. Joanna was aware of the moral problem, acknowledged her responsibility and made a judgment of the best action. Due to having to adhere to her scope of practice, she was constrained from taking the right action. Lastly, Joanna exhibited some of the physical reactions to moral distress which included â€Å"weeping, grief and sadness† (Burkhardt and Nathaniel 2008, p. 17). In reading an article â€Å"Understanding and Addressing Moral Distress† Epstein and Delgado (2010) provide great examples on how to deal with issues of moral distress in the workplace. I understand some of these steps would be a great start for Joanna to incorporate into her practice to prevent a similar situation happening in the future. These steps are â€Å"Speak up! Identify the problem, gather the facts, and voice your opinion. Be deliberate, know whom you need to speak with and know what you need to speak about. Focus on changes in the work environment, focusing on the work environment will be more productive than focusing on an individual patient. Remember, similar problems tend to occur over and over. It’s not usually the patient, but the system, that needs to change. Be accountable, sometimes, our actions are not quite right. Be ready to accept the consequences, should things not turn out the way you had planned† (Epstein Delgado 2010, para. 21).

Mockingbird Essay Topics - Which Subjects Should You Use?

Mockingbird Essay Topics - Which Subjects Should You Use?Mockingbird essay topics are incredibly popular today for a reason. And the reason is so that your students can access and use a huge range of educational resources when studying for their exams.This kind of essay is ideal for a range of different subjects, but one of the most popular areas where this type of essay works is history. Almost any subject in the world of history can be covered using a mock exam. And as such, a mock exam is a perfect resource for the first year students who are struggling with an exam they need to pass.If you are teaching a course on a historical event, it is vitally important to make sure that the students are familiar with the crucial period of time that the events took place in. A mock exam can help them do this. Not only does it offer them access to the facts, but it also gives them the freedom to use the resources available in the book that contains the information they need to perform their ta sk.Because of this, it is not unusual to see mock exams cover a variety of academic subjects, including: languages, mathematics, chemistry, philosophy, languages, math, science, and politics. The list of subjects is endless and can be tailored to fit the needs of your class. It is essential that you keep your class sizes to a minimum in order to be able to afford to do this, so it is essential that you first find out what subjects your students prefer.However, you should also understand that there are some subjects that are best left out of mock exams, since they are best learned through different books or interactive devices. These subjects include sciences, geography, and arts and humanities. For instance, you don't want to quiz all your geography students about the landscape of Europe, since they would most likely be too preoccupied with other subjects to be able to focus.To find out more about what types of mock essays you could be teaching, take a look at these mock essay topic s and see if they appeal to your students. Then, it is simply a matter of giving them the guidelines they need, to make sure that the time they are spending will be spent in the correct manner.When it comes to choosing essay topics, remember that you don't have to adhere to any one teacher role or process. As a matter of fact, you should consider doing most of the work yourself, while letting your teachers help guide your students as they learn.There are many different ways that you can approach teaching this concept, but one thing you can ensure is that you cover all of the topics in a thoroughly thoughtful manner. Of course, this means that you have to be prepared to write a lot of essays, but by preparing for this ahead of time, you won't have to worry about having to rush through the writing process in order to fit in an essay due date.