The Nurses Role in Supporting the Organizations Agenda Essay

Running head: The Nurse’s Role in Supporting Application 1 The Nurse’s Role in Supporting the Organization’s Strategic Agenda NURS 6022 Alisa Gafeney Walden University May 7, 2011 The Nurse’s Role in Supporting the Organization’s Strategic Agenda Nurses are on the front lines of patient care, as delivery of care relies heavily on the nurse to provide excellent patient outcomes. The purpose of this paper is to gain insight into the nurse’s role as a supporter of an organization’s strategic plan from the perspective of a quality manager. Summary of the Interview The interview was conducted with†¦show more content†¦In healthcare or any other occupation where high-risk procedures take place, a small slip or error could lead to a cascade of non linear responses resulting in a catastrophic event (Kemper Boyle, 2009). Jennifer felt that having engaged nurses who are educated on how to prevent errors along with a leadership team that helps to streamline processes, is the answer to improving nursing’s contribution to the organization’s strategic agenda. The previous statement about engaged nurses also goes along with the IOM’s (Institute of Medicine) proposed six national quality a ims which include patient care being centered, effective, timely, efficient, equitable and safe (Wolf, D., Lehman, C., Quinlin, R., Rosenzweig, M., Friede, S., Zullo, T., et al., 2008). Impact on Nursing Practice This interview was very informative to me as I am a nursing supervisor. It is my responsibility to provide my nursing team with ways to become engaged as nurses and to get them to realize the impact that they have on the hospital’s strategic agenda. I believe that teamwork is very important as interdisciplinary teamwork is central to the delivery of holistic and coordinated primary care (O’Neil Cowman, 2008). The fact that nurses have so much input into hospital organizations gives me a sense of pride and inspires me to improve my own nursing care to ensure that it is in tune with the hospital’sShow MoreRelatedThe New York State Nurses Association1217 Words   |  5 PagesAccording to American Nurses Association [ANA] (2013), advocacy is the key el ement in the nursing profession and during lobby day, nurse s expertise is valued and acknowledged in the policy development process. To further analyze the significance of lobbying day, this paper will identify the purpose of the New York State Nurses Association (NYSNA), describe one issue, identify the behavioral characteristics of the group leader, describe the discussion, and analyze alternative strategies for theRead MoreThe Progress Of Doctor Of Nursing Practice ( Dnp ) Degree And Its Place Originated Over 10 Years Ago873 Words   |  4 PagesDiffusion of Innovation Theory is used to trace the history of the DNP. 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Genetically Modified Organisms And Its Effects On Human...

Abstract: Many of the foods the general public consumes today are genetically modified. As the food industry increases its use of gene manipulation, more people are becoming concerned with health risks that GMOs may bring. Many health experts today insist that genetically modified foods do not pose health risks. Recently, there have been some health issues caused by gene manipulation causing allergic reactions. With strict regulations, GMOs could be a value asset to human health. Overview: ‘Genetically Modified Organisms’ is a huge topic today amongst health experts. It is a term commonly said, yet readily misunderstood. A genetically modified organism or GMO is typically an animal or plant whose genes have been spiced or replaced to create a new organism. The point of the splicing is to improve an organism’s phenotype, such as insect or infection resistant produce. Although GMOs have only recently become a big topic, humans have been consuming them for about two decades. Pesticides and Herbicides: The idea behind GMOs is to enhancement and increase crop production. One of the most common modifications is the addition of a gene that causes the plant to produce Bacillus thuringiensis, or Bt, that is toxic to many herbivore insects. These plants do not need to be treated with chemical insecticides. These plants contain the same nutrients as their unmodified counterparts and are able to protect themselves against the insects. The Bt toxin has not shown any effects onShow MoreRelatedGenetically Modified Organisms And Its Effect On Human Health1857 Words   |  8 Pages Over the past three decades biotechnology has evolved tremendously and in result plays a large role in global agriculture. Genetically modified organisms, otherwise known as GMOs, has changed the way people around the globe view the process of agriculture. The growing use of GMOs has not only brought up questions of how it affects human health but has adversely affected local communities . 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Sleep Apnea Cure Cause And Effect Essay Example For Students

Sleep Apnea Cure Cause And Effect Essay Word Count: 1544What is Sleep Apnea?The Greek word apnea literally means without breath. There are three types of sleep apnea: obstructive, central, and mixed; of the three, Obstructive Sleep Apnea (OSA) is the most common. Despite the difference in the root cause of each type, in all three, people with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night and often for a minute or longer. Obstructive sleep apnea is caused by a blockage of the airway, usually when the soft tissue in the rear of the throat collapses and closes during sleep. In central sleep apnea, the airway is not blocked but the brain fails to signal the muscles to breathe. Mixed sleep apnea is a combination of the two. With each apnea event, the brain briefly awakes sleep apnea victims from sleep in order for them to resume breathing, therefore sleep is extremely fragmented and of poor quality. Sleep apnea is very common and affects more than twelve million Americans. Risk factors include being male, overweight, and over the age of forty, but sleep apnea can strike anyone at any age, even children. Yet still because of the lack of awareness by the public and healthcare professionals, the vast majority remain undiagnosed and therefore untreated, despite the fact that this serious disorder can have significant consequences. Untreated, sleep apnea can cause high blood pressure and other cardiovascular diseases, memory problems, weight gain, impotency, and headaches. Moreover, untreated sleep apnea may be responsible for job impairment and motor vehicle crashes. Fortunately, sleep apnea can be diagnosed and treated. Several treatment options exist, and research into additional options continues. How is Sleep Apnea treated? There is currently no proven drug therapy for sleep apnea. However, there are 4 basic approaches to treatment, which are not mutually exclusive: 1. Modification of circumstances which may be causing sleep apnea or making it worse. This would include weight loss, avoidance of alcohol and sedative drugs, trying to sleep only on your side and stopping smoking. It would also help to improve nasal breathing if this problem exists; sometimes this can be done with some simple medication and occasionally it requires an operation. Finally it is important to avoid sleep deprivation. 2. Use Continuous Positive Airway Pressure (CPAP) in the upper airway to support and hold the airway open. This involves wearing a close fitting mask over the nose, which is attached to a supply of continuously flowing air via a flexible plastic hose from a medical air pump that sits on the floor or bedside table. The flow of air into the mask creates a dilating pressure that is transmitted from the mask through the nose into the upper airway. This positive pressure dilates the upper airway so the breathing is not interrupted. When a sleep apnea patient no longer has obstructed breaths they are able to sleep continuously and hence their quality of sleep improves dramatically. An added benefit is that when the upper airway is dilated sufficiently there shouldnt be any further snoring. The amount of airflow and hence the amount of pressure is determined by your doctor. To date this has been the most successful and well-studied treatment for sleep apnea. This type of treatment almost always works regardless of the underlying cause of the sleep apnea. It is usually well tolerated and does not have any serious side effects. The treatment is not covered by the provincial health care plan, but is covered by some third party insurance companies 3. One of the reasons for the upper airway to become narrowed at night is because the tongue falls posteriorly, especially in the supine position. Since the tongue is attached to mandible this can be a significant problem in people with retrognathia and/or a very large tongue. It is possible to use a dental splint at night that effectively prevents the jaw and tongue from moving back when someone lies down and goes to sleep. .uc82cbe02c497849a723997d78b2b74ea , .uc82cbe02c497849a723997d78b2b74ea .postImageUrl , .uc82cbe02c497849a723997d78b2b74ea .centered-text-area { min-height: 80px; position: relative; } .uc82cbe02c497849a723997d78b2b74ea , .uc82cbe02c497849a723997d78b2b74ea:hover , .uc82cbe02c497849a723997d78b2b74ea:visited , .uc82cbe02c497849a723997d78b2b74ea:active { border:0!important; } .uc82cbe02c497849a723997d78b2b74ea .clearfix:after { content: ""; display: table; clear: both; } .uc82cbe02c497849a723997d78b2b74ea { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uc82cbe02c497849a723997d78b2b74ea:active , .uc82cbe02c497849a723997d78b2b74ea:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uc82cbe02c497849a723997d78b2b74ea .centered-text-area { width: 100%; position: relative ; } .uc82cbe02c497849a723997d78b2b74ea .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uc82cbe02c497849a723997d78b2b74ea .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uc82cbe02c497849a723997d78b2b74ea .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uc82cbe02c497849a723997d78b2b74ea:hover .ctaButton { background-color: #34495E!important; } .uc82cbe02c497849a723997d78b2b74ea .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uc82cbe02c497849a723997d78b2b74ea .uc82cbe02c497849a723997d78b2b74ea-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uc82cbe02c497849a723997d78b2b74ea:after { content: ""; display: block; clear: both; } READ: What Is The American Dream Essay There has been less experience with this type of treatment compared to CPAP. Since the upper airway can be narrowed for different reasons, this approach may not work for all patients. The splint may put some strain on the temporal mandibular joint, causing some discomfort. There are now many types of dental splints available but few have been extensively studied so that we are not able to predict the rate or degree of success with this type of treatment yet. It would be important to have follow-up investigations to ensure the sleep apnea is adequately treated if this type of treatment is selected. Patients should consult with dentists or orthodontists that are knowledgeable about sleep apnea. 4. A surgical operation on the back of the throat to remove redundant soft tissue in an attempt to increase the size of the upper airway can be performed. It usually involves removal of the part of the soft palate that hangs down in the back of the throat, as well as the tonsils if present, and other soft tissue if it is felt to be excessive. The operation is referred to as an uvulopalatopharyngoplasty (UPPP) and was initially described as an operation to improve heavy snoring. It is usually quite successful at decreasing the loudness of snoring but is not always successful at improving sleep apnea. There is currently no method that is widely available to predict which patients stand to benefit from this surgery. It is likely going to be less successful for patients with retrognathia. The surgery should not be considered as an option for patients with severe sleep apnea. Like dental appliances there should be some follow-up after surgery to ensure there has been a significant improvement in the severity of the sleep apnea. This surgery can be performed traditionally under general anesthesia in a hospital operating theatre. Short-term results suggest a 50% chance of improvement (defined as a 50% reduction in the AHI). Longer term studies suggest that some patients relapse and their sleep apnea is no longer controlled. Part of the reason for this may be weight gain. More recently this type of surgery is being offered to patients in an outpatient setting using local anesthesia and laser assistance. While this looks like a promising treatment for snoring there are no well-controlled, long-term studies that can demonstrate a role for it in patients suffering from significant sleep apnea. One would expect the results might be similar to the standard UPPP. Currently neither type of operation should be considered as an option for treatment unless patients are unable or unwilling to tolerate CPAP. Who should be treated? In most circumstances treatment should be reserved for those patients with particularly troublesome symptoms. What is troublesome for one patient may not be to another so that only general rules can be stated. Sometimes the patient with sleep apnea may not be the best person to decide whether their symptoms are severe or significant. Many patients with sleep apnea have had the problem for several years so they may have lost their proper perception of what a normal night of sleep feels like, or how sleepy during the day they really are. The most important symptom and indeed what often finally brings people to medical attention is daytime sleepiness. Falling asleep at work or school, an inability to concentrate doing normal tasks, unable to watch TV or to read are all common reasons for treatment. Unrefreshing sleep or just always having to fight the urge to sleep are good reasons to treat this disorder. Sometimes it affects someones mood and personality. If sleepiness affects the ability of anyone to operate a motor vehicle or power machinery then obviously treatment is mandatory. .u6303f317ab1671e577f0e909c6439483 , .u6303f317ab1671e577f0e909c6439483 .postImageUrl , .u6303f317ab1671e577f0e909c6439483 .centered-text-area { min-height: 80px; position: relative; } .u6303f317ab1671e577f0e909c6439483 , .u6303f317ab1671e577f0e909c6439483:hover , .u6303f317ab1671e577f0e909c6439483:visited , .u6303f317ab1671e577f0e909c6439483:active { border:0!important; } .u6303f317ab1671e577f0e909c6439483 .clearfix:after { content: ""; display: table; clear: both; } .u6303f317ab1671e577f0e909c6439483 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u6303f317ab1671e577f0e909c6439483:active , .u6303f317ab1671e577f0e909c6439483:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u6303f317ab1671e577f0e909c6439483 .centered-text-area { width: 100%; position: relative ; } .u6303f317ab1671e577f0e909c6439483 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u6303f317ab1671e577f0e909c6439483 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u6303f317ab1671e577f0e909c6439483 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u6303f317ab1671e577f0e909c6439483:hover .ctaButton { background-color: #34495E!important; } .u6303f317ab1671e577f0e909c6439483 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u6303f317ab1671e577f0e909c6439483 .u6303f317ab1671e577f0e909c6439483-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u6303f317ab1671e577f0e909c6439483:after { content: ""; display: block; clear: both; } READ: The Ongoing Struggle For A Family Essay A minority of patients have severe sleep apnea (frequent events and/or events long enough to allow a significant drop in the oxygen level). A very few of these people may not have a lot of obvious symptoms (although in general the worse the sleep apnea is at night the more pronounced are the daytime symptoms). Your doctor will take all of this information into consideration as well as your other medical history before recommending therapy and which therapy in particular. The Evaluation Process An evaluation at the Sleep Disorders Center begins with an initial consultation with the director of the Center. In many instances, one visit is sufficient for a diagnosis to be made and a treatment plan formulated. For some patients, however, more extensive testing is required. If an all-night sleep study is required, it is performed at our laboratory in The Presbyterian Hospital /Columbia-Presbyterian Medical Center. The all-night sleep study is a safe and completely painless technique by which physiological functions in sleep are measured. Patients spend one or more nights in a private and comfortable laboratory during which a series of measurements are taken with sophisticated monitoring devices. Patients arrive at the laboratory in the evening and leave the following morning; it is usually not necessary to miss a day of work. In the course of your night at the sleep laboratory, over 1000 pages of data are collected, along with a complete video-tape record. This data is thoroughly reviewed by our expert staff and when necessary, by additional consultants. A detailed final report is usually ready within one week.

The Age Of Computers Essays - Computing, Classes Of Computers

The Age Of Computers Believe it or not, but the age of computers is upon us. I believe Computers are not only here to stay, but in my opinion computers are the wave of the future. Only a device like the computer can change the way we work, live, and think. I see computers taking us places where no man has gone before. Twenty years ago people were just not up to date with computers back then. I mean if you ask someone about a computer, they probably would say something like, what in the world our you talking about, or what the hell is a computer. Today just about anybody you ask, can tell you something about a computer. Papia Bhattacharyya , says: Technology has bounded onto the center stage in the last few years(59). The earliest existence of the modern day computer's ancestor is the abacus. The abacus dates back to almost 2000 years ago. It is simply a wooden rack holding beads which are strung on wires. The next step in computers took place in 1694 when Blaise Pascal invented the first digital calculat ing machine, which was designed to help Pascal's father who was a tax collector. Now we look at Charles Babbage, who many say is the father of computers. Charles Babbage was a professor of mathematics. In the 1800's Babbage designed an automatic calculation machine. This machine was steam powered and could store up to 1000 50-digit numbers. Charles Babbage was so ahead of his time, that the machines that were used back then were not even precise enough to make the parts for his computer. Gulliver, states: The first major use for a computer in the US was during the 1890 census. Two men, Herman Hollerith and James Powers, developed a new punched-card system that could automatically read information on cards without human intervention (Gulliver 82). In the 1930's punched-card machine techniques had become so well established that Howard Hathaway Aiken, together with engineers at IBM, came up with the automatic computer called Mark I. The Mark I ran by using prepunched paper tape. The Mark I was slow, and required 3 to 5 seconds to perform multiplication. But the computer was fully automatic and could complete long math problems without any human intervention. John P. Eckert, and John W. Mauchley in 1942 decided to build a high-speed electronic computer to do the job. This machine became known as ENIAC, for Electrical Numerical Integrator And Calculator. Dolotta explains: ENIAC used 18,000 standard vacuum tabes, occupied 1800 square feet of floor space, and used about 180,000 watts of electricity. ENIAC is generally accepted as the first successful high-speed electronic digital computer and was used in many applications from 1946 to 1955 (Dolotta 50). A new look at the wonderful advancements in the world of computers, at this stage in time many things were beginning to happen with the computer. Shallis says: In 1971 Marcian E. Hoff Jr, an engineer at the Intel Corporation, invented the microprocessor and another stage in the development of the computer began (Shallis 121). In the 1980's large scale integration, in which hundreds of thousands of transistors are placed on a single chip, become common. Computers are taking us places where a lot of us thought was not possible. For instance the so called virtual reality is now being tested. This is a way to make reality come to life on a computer monitor. One wears these special electronic glasses and an electronic suit, and fastened to the suit are sensors, which send information to the main computer. The computer works with the data, and gives a three-dimensional view, as one looks through the electronic spectacles. If you wanted to be soldier, all you had to do was simply change the scenery on the main computer, and you would be in the battle field fighting. Today many kids have computer games that will just blow you away, computer games so realistic, they can damn near scare you to death. From Charles Babbage, who to many is consider the father of computers till now, computers have grown from a standing start, into one of the biggest industries in the United States. Papia Bhattacharyya states, Everyone wants to, and may