TransitionTheoryAfafIbrahimMelesis

My goal was to help hem stay as independent as possible so they could remain in their own living environment as well as reduce hospitalizing and improve outcomes for the company worked for. Started to incorporate some of the concepts used in the Transition Theory but more specifically the work of Mary Anally and Janet Van Cleave who developed the Transitional Care Model from the University of Pennsylvania. By implementing the role of a transitional care nurse, I was able to support my patient's with tools and information they needed to help them stay healthy enough to remain in their own home.FAA Abraham Miles is a reorient nurse sociologist, educator, theorist, and researcher that began her nursing career in her native Egypt in the sass's (Alligator, 2014). FAA Miles first developed Transition Theory while working on her doctorate in the mid sass's and further developed it over the next three decades while working as a nurse educator and researcher. She conceptualized the idea of Tr ansition Theory as it applies to nursing practice while working on her idea of role supplementation.Her theory is described as having four types of transition- developmental, situational, health/illness, and organizational Mà ªlà ©es, Sawyer, Im, Hollering-Messiahs, & Schumacher, 2000, p. 17). FAA Miles Transitions Theory is used as its theoretical basis for the University of Pennsylvania center call Transitions and Health, directed by Mary Anally (Alligator, 2014). Was first introduced to transitional care at a nursing conference attended to seek ways to improve outcomes for our chronically ill older patients and to keep them at home instead of being admitted in the hospital or nursing home.Often times a patient who is chronically ill is admitted to the hospital over multiple episodes of care for an exacerbation of an illness along with other commodities. Once the patient is stable, they are discharged to home with a plan of care that does not reflect their needs, goals, learning style, or literacy level (Anally & Van Cleave, 2010, p. 459). Usually nobody is involved in developing the discharge plan from his family or in the teaching of new medications prescribed. There may even be possible dietary changes that need to be made by the patient.I am sure the hospital does an exceptional job managing their acute medical episode but they do not have time to address the â€Å"root cause† of their multiple, recent hospitalizing (Anally & Van Cleave, 2010, p. 459). Most patient's do not understand what was discussed with them while inpatient. They just want to go home and will say they understand just to be able to do just that. They may not have the means to get to the pharmacy to get their new medications or they may not be able to afford the new medication. There are so many variables that can occur and that is why a transitional nurse may be beneficial.According to Anally & Van Cleave, the Transitional Care Model (ETC) provides comprehensive discharge pl anning and home follow-up care for chronically ill, high risk older adults admitted to the hospital for common deiced conditions. A transitional care nurse, who is usually master-prepared, follows patients from the hospital to their homes, providing evidence-based services aimed to meet the patient and family goals, improve health outcomes, and stop usual patterns of going to the emergency room for non- emergent needs (Anally & Van Cleave, 201 0, p. 60). The transitional care nurse focuses on increasing the patient and family ability to manage the frequent transitions in health that characterize chronic illness trajectory (Anally & Van Cleave, 2010). In relation of person, transition theory takes into inconsideration that all people are unique and will interpret their transition in different ways. The nurse must be able to assess how the patient perceives their change and develop therapeutics geared toward their perception, assessing for feedback along the way (Chick & Miles, 1986). This can be achieved by using the Transitional Care Model as a guideline. The home care agency worked for decided that I would follow our patients with a diagnosis of congestive heart failure and/or chronic obstructive pulmonary disorder with commodities and Medicare was their primary insurance. My role as the ruinations care nurse was to be the primary coordinator of care to assure that there was continuity of care throughout the next thirty days (episode of care) and readmission would be avoided.When a patient of ours was admitted to the hospital, I would visit the patient to do an in-hospital assessment and speak to the discharge planner to let them know what my role was once the patient was discharged. Once the patient was home, I would make home visits every week for the first two weeks and then follow- up phone calls the third and fourth week. Also was available by phone if they needed me anytime in between. My first home visit consisted of helping them fill out a personal hea lth record which included current medications, medical conditions, emergency contacts and so forth.This is when I would discover if they really understood what medications they were supposed to be taking and if they knew the reason why they were taking it for. Most patients had no clue why they were taking medicine for what medical condition or they were not taking the medication as prescribed by their physician because they did not think it was that important or they could not afford it. Sometimes the patient was taking the same medication but the deicing was labeled differently from different pharmacies. Ad the time to explain what each medication was and what it was used for. Was also able to resolve any medication discrepancy from the discharge instructions for the patient. We would call the physician's office together so it gave them a sense of well-being and gave them control of their own health which is a positive outcome according to Melanie's transition theory. The second h ome visit usually consisted of education regarding their diagnosis and which â€Å"red flags† to be aware of pertaining to their illnesses.Socioeconomic status, education bevel, and cultural beliefs all affect potential health related outcomes (Mà ªlà ©es et 2000). It is important as a nurse to be mindful of how to present information in a way that the patient will understand and be willing to make the changes needed to remain a healthful person. Emphasis on early identification of â€Å"red flags† and how the patient and/or family responds to the symptoms is a way to achieve positive outcomes and avoid readmission (Anally & Van Cleave, 201 0, p. 461).Contact is made via a telephone call instead of a home visit for the third and fourth consultation. This is the time hat would answer any remaining medication questions, discuss the outcomes of their recent follow-up appointment with either their primary care physician or specialist, help them make an appointment with t heir physicians if they have not already done so, and reinforce when or if the patient would need to seek medical treatment. Often times, the patient and or family felt comfortable with their health goals because they were a part of making them which made them feel more accountable.Even though would not be following up with them on a regular basis they knew they could contact me and I would help them in any way I could. While in my role as the transitional care nurse, felt I made a difference in the company by improving outcomes and patient satisfaction. It was very rewarding to be a part of the patients health experience but in a different way than I was before. I witnessed a transition or change in the patients attitude towards their health because they were made to be a part of the process not just a person with an illness who did not know anything.Unfortunately, due to zero reimbursement from insurance companies, the transitional care nurse position was eliminated. The Transitio nal Care Model is a good concept but more research deeds to be done so insurance companies can see the value in such a program. Ms. Melanie's Transition Theory has been applied to many different nursing research projects that apply to distinct populations undergoing change (Alligator, 2014). Through the nursing research that is being performed at the university of Pennsylvania where Ms.

US History Journal

Don't forget to add De tails! (1 point) When had to leave my home I was not allowed to take what I wanted, I was f arced to take what the army allowed me to take and it is almost winter. When where now traveling and we needed food, so I had to hunt but my gun was taken, luckily I had my blowhard gun. I killed a small deer and everyone wanted a pie We had arrived at the Mississippi River and had to cross, my cousin and grand father had drown but had to continue. 4. These ideas will become the body sentences of your paragraph. What is the e best order for these ideas? Number them in the order you think they should go.Don't worry if you need to reword some of them. And it's O. K. To leave out an idea if it doesn't seem to if t, but you need at least three examples. (1 point) 1. Leave my home and only able to pack what the army will allow, it is almost winter. 2. Have to hunt with a blowhard gun because my gun was taken away. 3. Have to cross the Mississippi river and loved ones drown bu t I continue 4. Have reached Tattletale, Oklahoma, many loved ones have died 5. You need a topic sentence now. Is there a word or idea that describes all of your experiences? Maybe something like this: My experience on the Trail Of Tears made me angry.Or, the Trail of Tears was a terrible experience. (1 point) The Trail of Tears was the worst experience of my life. Writing Assignment Write a complete paragraph that describes your experiences on the Trail of Et ears. Use the topic sentence and support you completed in the preprinting section. Add a co inclusion to finish your thoughts. Be sure to use lots of good detail. Of course, if you need to add other ideas, you can do that, too. This assignment is worth 15 points. The Trail of Tears was the worst experience of my life. It began when my family yell had to our my home. I was not allowed to take what wanted, was forced to take what the army

Critical Evaluation of the Paper Case Study Example | Topics and Well Written Essays - 1500 words

Critical Evaluation of the Paper - Case Study Example Viewed through a different lens, we can also see the author’s attempt to effortlessly move from theory to practice and back. This can be accomplished if practice dictates theoretical constructs that can be tested in different firms and industries. Another criterion that could enable this movement is the deconstruction of a complex subject into a well-ordered sequence. The author has been able to fulfill this through his 10-step procedure for strategic thinking. We would provide a balanced approach that hints towards the affirmative, yet there are some gaps that have not been addressed. To illustrate, let us look at Schoemaker where he says that his purpose is to provide a systematic methodology that would fashion a bridge between theory and practice. Whilst agreeing that the author has definitely provided a systematic methodology, there is no evidence of the academic theory that can be tested against the practice. In fact, the author makes no effort to state the key tenets of theory with regard to scenario planning. On the contrary, the paper abounds with several thoughtful instances drawn from practice, where organizational actors and organizations faced critical situations. Extending the answer to our question further, we also find that the author has omitted to explain the validity of his methodology to the context of the broader environment. In other words, we do not know whether the insights gained from these two companies are sufficient to provide an all-encompassing answer with regard to scenario planning.... The author has been able to fulfill this through his 10-step procedure for strategic thinking. Has the author been able to meet his stated purpose through this paper? We would provide a balanced approach that hints towards the affirmative, yet there are some gaps that have not been addressed. To illustrate, let us look at Schoemaker (1995 p.26) where he says that his purpose is to provide a systematic methodology that would fashion a bridge between theory and practice. Whilst agreeing that the author has definitely provided a systematic methodology, there is no evidence of academic theory that can be tested against practice. In fact, the author makes no effort to state the key tenets of theory with regard to scenario planning. On the contrary, the paper abounds with several thoughtful instances drawn from practice, where organizational actors and organizations faced critical situations. Extending the answer to our question further, we also find that the author has omitted to explain the validity of his methodology to the context of the broader environment. In other words, we do not know whether the insights gained from these two companies are sufficient to provide an all-encompassing answer with regard to scenario planning. We have evidence mainly from industry. There are two firms where the author has studied scenario planning. He has probably adopted the role of a facilitator or consultant in these two firms. Hence we can say that the author draws more upon primary research to enhance the credibility of his arguments. Notably, the author also makes select references to past events that transpired such as the attack of Pearl Harbor by the Japanese, the vast penetration of personal

American soldiers' harbored bitterness toward their hometown and Essay

American soldiers' harbored bitterness toward their hometown and ordinary average citizen in America - Essay Example ?other.’ They are compelled to respond in such a manner because they are confronted by what seems to them, and is, an overwhelming apprehension of injustice. But, while going inward and seeing others as the source of their anxiety, they are paradoxically fleeing themselves. If they feel divorced from civilians, sometimes reflect bitterly about them, but feel strong impulses to still communicate with them, it is because these young men are consumed with the dread of others’ opinions of their behavior, the choices they have made or which have been thrust upon them and resent being in this position. Risking death and pain in a war they know to be questionable, if not unjustified, they flee to isolate themselves from what they most fear: disapproval. everyone uncomfortable. It is this moral dilemma that Tim O’Brien addresses in ‘On the Rainy River.’ It is also his reason for fleeing, and for seeing in others the cause of his crushing anxiety. In the first paragraph, O’Brien admits his reticence to tell this story about himself, certain it will cause embarrassment – â€Å"a sudden need to be elsewhere.†(39) The mere suggestion that he would refuse service in Vietnam upon receiving his draft notice, would play the coward rather than the hero, instills in him shame. But his dilemma is real: he has no choice but to agree to â€Å"fight a war [he] hated,† in which â€Å"[c]certain blood was being shed for uncertain reasons.†(40) That summer became for him one of â€Å"moral confusion.†(40) One feels in every word on the page O’Brien’s suffocation, his â€Å"moral split.†(44) One also understands his outrage and how he expresses it. This war is not a war he chose. He considers it unjustified. But in his conservative prairie town of southern Minnesota he can find no one who shares his thoughts – though it must be admitted that he makes no attempt to find and speak to anyone about his angst. Patrons of the Gobbler Cafà © on Main Street represent to him the

Globalization and its Impact on World Politics and National Essay

Globalization and its Impact on World Politics and National Sovereignty of States - Essay Example This paper offers a critical complex analysis of the aspects of the globalization phenomena in different fields of human activities, such as politics, economics, social sphere. In addition, this research paper seeks to measure the impact that the globalization has on the the paradigm on national sovereignty Global interaction has resulted to a marked reduction in political instruments effectiveness available for any government. The transfers of ideologies, cultural intercourse, sharing of commodities, capital and services have led to e border controls becoming less restrictive. There is an argument that globalisation is linked to neo-liberalism as well capitalism, which, seem to have generated a debate on whether the notion encourages wealth or self indulgence. Globalization has a big influence in geopolitics in terms of raising warfare costs through economic integration and other ways. At the same time, it creates new power sources beyond the classic military of tanks, planes and missiles thereby creating a new pressure source on nations to change the normal organization ways. Exchange rate, trade balance, rising investment transnationalization, production, and consumption basically now tend to determine any economic policy. Globalization has transformed the paradigm on national sovereignty by making it hard for the state to capture any historical time by tradition appropriation and national identity construction and reconstruction.

Management Case Study about iPhone Example | Topics and Well Written Essays - 750 words

Management about iPhone - Case Study Example Jobs had the ability to create a lot of free publicity, thus giving Apple’s product launch a lot of attention (Isaacson 2011, p. 432). This marketing strategy ensured that people already wanted to own the iPhone long before it was launched. According to analysts, the attention Apple created for its new product resulted in the company pushing its sales from five hundred thousand to a million units within the first two days after its launch. Another reason for its success in the American market is its cut in pricing. Ten weeks after its launch, Apple made a significant cut in prices of its products that made the iPhone cheaper than other smartphones in its category. Other factors to the Apple’s success are the customer services at the Apple stores, Apple creating products that even its creators would want to own, the simplicity of Apple’s products and the ease to use, and Apple always aiming to be ahead of its competitors (Apple Inc.s iPhone 2008, p.4). When Apple first ventured into Europe, it was met with the same enthusiasm it had in the American market. According to analysts, the hype created when iPhone was launched in Europe, resulted in an enormous success represented by approximately three hundred and thirty thousand sales in only three months. However, Apple has not been able to capture the European markets as it has in America. Its failure is due to its inability to provide its customers with phones that could be operated by any mobile network providers. Apple’s competitors have the advantage of being able to provide this function to their customers. The shortcoming resulted in short-lived success (Cavusgil, Knight, Riesenberger, Rammal, & Rose 2014, p. 243). Apple’s marketing plan should be mostly focused on the younger generation. Although it is important to focus on all age groups, it is the younger generation who will be more open-minded to new technologies and devices.

Minimum Wage affecting the hunger and environmental nutrition Research Paper

Minimum Wage affecting the hunger and environmental nutrition - Research Paper Example Malnutrition, that is, lack of necessary ingredients for growth and development of people has thus been of great importance in many journals. Even with individuals with enough not feel hungry can still suffer malnutrition. In this case, the malnutrition is not just on lack of food but improper balanced diet. Food security, variety coupled with their affordability defines an environmental nutrition standard of a country. Dietary behaviors influence the whole community in a country though individual practices at household level. These dietary patterns are influenced by various factors among them the income of a household. The purchasing power of a household is determined by its income, holding any other factor constant (Mabli et al., 2010). The introduction of minimum wage requirement exposes various households to a threat of limited amount of goods and services. An income for a household is divided into various categories of expenses (Green-Lapierre et al.’ 2012). These expenses include among others recurrent bill payment, Personal hygiene items, allocation for transportation and most importantly food purchases. This part of argument is mostly concerned with influence of the idea of minimum wage on food purchase part of the expense (Barre, Mizier-Barre & Macintyre, 2011). A considerable high income obviously allows households to exercise a greater freedom in partitioning between the expenses and thus allowing for wide scope of choices, such as with food selection (Kirkpatrick & Tarasuk, 2010). Prices of different commodities are very vital in any decision regarding consumption. The ability to buy of a person is a function of the price under consideration. This means that household with low income or who due to the urgency of the other categories of expenses cannot afford high-nutrition foods are forced to resort to cheaper, less healthy foods (Mabli et al. 2010). Nutritious food consumption