Professional Development in Nursing | Reflection

Professional Development in Nursing ReflectionIn order to enhance knowledge, s effaces, values and attitudes needed for a safe and effective treat consecrate, this reflective piece aims to demonstrate the authors commitment to the need for professional development contribution and personal watchfulness activities. Through leadership, peer support, supervision and teaching this account will further enhance the professional development and safe practice to others.To achieve these aims, backed with supportive evidence, the author sh altogether use a case study to enable him make discussions and debates. To maintain confidentiality, names of people and places mentioned in this account has been anonymised in accordance to NMC code of professional conduct (NMC, 2010).During the mid-point of his final placement, Bruce was instructed by his mentor to assume the primary nurse role for 73 year old Alice who was detained in an inpatient psychiatric unit under slit 3 of the Mental Health A ct. Alice was diagnosed with Alzheimers disease dementia with a history of falls, self-neglect and aggressive behaviours toward staff and fellow patients. Following Alices certified public accountant review, additional medication was irrefutable to her after a mutual agreement between Alice, her family and the MDT as rapid deterioration in her mental state was a concern. CPA (2008) recommends that patients, family and carers should be involved in decision making in regard to their care plans. To promote medication adherence, NICE (2009) declares that, patients should be involved in decisions approximately prescribed medication to enable them to make informed choices. Bruce was not aware of Alices new prescribed medication because he had 2 days off-key from work.Upon return to work, Bruce volunteered to be the nurse in charge of the budge to enable him strike more confidence and build his leadership skills. Whilst Bruce was being supervised during the morning date medication rounds as guided by (NMC, 2010). Alice noticed that there was a new medication so she asked Bruce purpose of the additional medication. Bruce could not confidently let off the purpose of the medication so he asked Dora his mentor who stood by to explain to Alice. Alice became extremely angry and agitated, hostile and physically aggressive towards Bruce accvictimization him of wanting to kill her however, staff intervened and managed to de-escalate the situation. NICE (2005) recommends that at the first signs of agitation or violent behaviour, staff should first try to calm the patient down using de-escalation methods.Taking the above scenario into consideration one can say that Bruce acted proactively by volunteering to co-ordinate the shift. However, Bruce should absorb been more concerned to find out the outcome of Alices CPA meeting as her acting primary nurse. NMC (2008) asserts that the care of people should be your first concern, treating them as individuals and respecting t heir dignity. Since Bruce volunteered to coordinate the shift, he could have delegated some of the business i.e. medication rounds to other qualified nurses to enable him to catch-up with what happened at the ward during his absence. Delegation of task enables the team leader to be able to devote more time to those tasks that cannot be delegated. With more time available, the leader can invest time and energy into developing practice, improving standards and influencing decisions that affect their service (Garland and Sullivan, 2010).It was a bad practice for Bruce to administer medication without knowing it purpose as a nurse. NMC (2010) affirms that, nurses must know the medicines therapeutic use, its normal dosage, side effects, precautions and contra-indications before administering it. Bruce should have checked the use of the fresh prescribed medication in the British National Formulary (BNF) before administering it to Alice (NMC, 2010). Bruce could have as well asked Dora round the purpose of the newly prescribed medication when he realised he was not familiar with it even before dispensing it into the pot for Alice. However, one can say that Bruce acted professionally by acknowledging his limitations and therefore asked Dora to explain the use of the newly prescribed medication to Alice. NICE (2009) recommends that as a good practice, nurses should provide patients with verbal and written information regarding their prescribed medication to promote medication concordance.Bruce in a meeting with Dora identified the need for developing his medication administration and management skills and agreed on an bodily process plan under his mentors supervision. Care Quality Commission (2013) affirms that supervision provides opportunity for staff to review their performance, set objectives in line with the nerve objective and service needs, and identifies training and continuing developing needs. Bruce further identified the need for research on medication administration, management and medication training all these shall be accomplished under the supervision of Dora. Bruce also has requested to be more involved in medication administration and did a research and fix out that, patients must always understand the reason for taking a particular drug. NICE (2009) recommends that, at intervals agreed with the patients, staff should review patients knowledge, understanding and concerns about medicines, and patients view of their need for medicine because these may change over time.Bruce had the opportunity to learn how to write CPA reports, tribunal reports and continued to build his confidence in writing plans of care and risk profiles by assuming the primary nurse role for Alice. Bruce also seized the opportunity by being the primary nurse to Alice to gain a better understanding of the MDT working. DOH (2004) ten essential shared capabilities recommends that professionals, patients, family and carers should work in partnership to provid e quality care.By volunteering to coordinate the shift gave Bruce the insight of the responsibilities and what to expect from a qualified nurse. Coordinating the shift enabled Bruce to research more about his leadership styles, improved on his communication and delegation skills and his management. Bruce also had the opportunity as the shift coordinator, to do an incident report about Alices physical aggression towards him under Doras supervision.It can be argued that Alice was not supposed to behave that way however, she could forget about her CPA meeting and the newly prescribed medication because of the symptoms of her illness. Wrycraft (2009) declares that, typical symptoms of dementia are loss of memory, amazement and a change in personality, mood and behaviour.NHS (2012) confirms that, common symptoms of Alzheimers disease include memory loss, especially problems with memory for recent events, such as forgetting messages, remembering routes or names, and asking questions rep etitively.Based on the above account, a nurse should always reflect and evaluate his or her practice then plan forthcoming practice areas for development.

Financial Analysis of banking sector of India

Financial Analysis of positing sector of IndiaFinancial Analysis of deponeing sector of India Special Reference to Private Sector cantsFinancial debates atomic number 18 those statements which provide randomness ab discover profitability and financial position of a business. It includes two statements, i.e., profit loss a/c or income statement and balance sheet or position statement. The income statement presents the summary of the income earned and the expenses incurred during a financial grade. Position statement presents the financial position of the business at the end of the year. This paper is return to present all the components of balance sheet and profit and loss account in common size and analyze the individual item in ease Sheet bring in Loss A/c as compare to total liabilities/Assets/Income/Expenditure.ObjectivesTo compare the financial position with the help of equilibrise Sheet and Profit and Loss AccountTo compare the financial performance through a commo n-size financial statement.IntroductionAfter preparation of the financial statements, one may be interested in knowing the position of an enterprise from different points of view. This squirt be done by analyzing the financial statement with the help of different tools of abstract such as super acid size statement analysis, funds flow analysis, cash flow analysis, Common size/ comparative statement analysis, etc. here I have done financial analysis by Common size financial statement analysis. Common size financial statement analysis, in any case called vertical analysis, is just one technique that financial managers use to analyze their financial statements. It is not another type of income statement. It is just a tool that is utilize to analyze the income statement and position statement. With the use of this method of common-size financial statements, the comparisons between the financial statements of different companies become easy. In this method, each of symbols in the financial statements are reported in the form of percentage. This percentage is the figure of one frequent base figure. This base figure determines the percentile of all the figures in the common-size financial statements. By using this method, it is easy to compare the financial statements of the same company from different periods or comparing the companies of different size. Due to this method, the bias between the company sizes is removed, and investor can effectively compare the financial statements. The selection of base figure depends on the financial statements head. In income statements, the revenue can be selected as the base figure and all the incomes and expenses can be measured against it.Moreover, in the balance sheet of the company, all the related items are split up by the total of their items. For example, if the investor wants to find out the percentage of the inventory in balance sheet, he or she will have to divide the figure of inventory with the total assets.M ethodologyFor the purpose of this consider individual item of balance sheet converted into common size i.e.in deoxycytidine monophosphate for this purpose an individual item in balance sheet shared out by total assets/total liabilities and converted into 100.This is also to profit and loss account i.e. individual item in profit and loss account divided by total income/total expenditure and converted into100.For this analysis tether years Balance Sheet and Profit and loss account of top three private banks viz.ICICI bank,HDFC bank and bloc bank was analyzed.Balance Sheets as on thirty-first March 2011Capital and LiabilitiesAxis(Rs.000)HDFC(Rs.000)ICICI(Rs.000)Capital4,105,4580.1694,652,2570.167115211290.283Reserves and Surplus185,882,7977.6582491404268.982539,388,24413.277Deposits1,892,378,01077.9672,085,864,05475.2062,256,021,07755.535Borrowings262,678,82410.822143,940,6105.1891,095,542,77126.968 early(a) Liabilities and edible82,088,6273.382289,928,56510.453159,863,4673.935 c ontribute2,427,133,7161002,773,525,9121004,062,336,688100AssetsCash and Balance with RBI138,861,6305.721251,008,1589.050209,069,7035.146Balance with Banks and Money at call and Short Notice75,224,9293.09945,680,1911.647131,831,1283.245Investments719,916,20829.661709,293,65625.5731,346,859,63033.154Advances1,424,078,28658.6731,599,826,65457.6822,163,659,01453.26Fixed Assets22,731,4560.93621,706,4800.78247,442,5511.167Other Assets46,321,2071.908146,010,7735.264163,474,6624.024 score 2,427,133,7161002,773,525,9121004,062,336,688100Axis(Rs.000)HDFC(Rs.000)ICICI(Rs.000)IncomeInterest Earned151,548,05876.589199,282,12282.13259,740,52879.62Other Income46,321,33823.41043,351,52717.8766,478,92520.38 tote up197,869,396100242,633,649100326,219,453100ExpenditureInterest Expended85,918,23052.39493,850,83946.15169,571,51561.728Operating Expenses47,794,28129.14571,529,14135.17166,172,49224.088 purvey and Contingencies30,271,97918.46037,989,66018.68038,961,68414.183 sum total 163,984,490100203,369, 640100274,705,691100Profit Loss Account for the year ended 31st March 2011Balance Sheets as on 31st March 2012Capital and LiabilitiesAxis(Rs.000)HDFC(Rs.000)ICICI(Rs.000)Capital4,132,0390.1444,693,3770.138115515370.243Reserves and Surplus223,953,3847.840294,5533788.716592,500,88512.509Deposits2,201,043,03377.0592,467,064,45973.002,554,999,56153.94Borrowings340,716,72111.928238,465,0867.0571,401,649,07329.592Other Liabilities and Provisions86,432,7573.026374,318,69011.077175,769,8463.710Total2,856,277,9341003,379,094,9901004,736,470,902100AssetsCash and Balance with RBI107,029,2143.747149,910,9454.436204,612,9354.319Balance with Banks and Money at call and Short Notice32,309,9431.13159,466,3181.759157,680,1993.329Investments931,920,85932.627974,829,09428.8481,595,600,43033.687Advances1,697,595,38659.4331,954,200,29257.832,537,276,57953.568Fixed Assets22,593,2500.79123,471,9400.69446,146,8700.974Other Assets64,829,2822.269217,216,4016.428195,153,8894.120Total 2,856,277,9341003,379,09 4,9901004,736,470,902100 Profit Loss Account for the year ended 31st March 2012Axis(Rs.000)HDFC(Rs.000)ICICI(Rs.000)IncomeInterest Earned219,946,47480.228272,863,51783.880335,426,52281.720Other Income54,202,16319.77152,436,94916.1275,027,59818.279Total274,148,637100325,300,466100410,454,120100ExpenditureInterest Expended139,769,02460.316149,895,78054.78228,084,96465.958Operating Expenses60,070,99525.92385,900,57131.39378,504,43322.702Provision and Contingencies31,886,56413.76037,833,20813.82639,212,15111.339Total 231,726,583100273,629,559100345,801,548100Balance Sheets as on 31st March 2013Capital and LiabilitiesAxis(Rs.000)HDFC(Rs.000)ICICI(Rs.000)Capital4,679,5450.1374,758,8380.117115811970.216Reserves and Surplus326,399,0549.5843638818098.925655,478,39212.211Deposits2,526,135,88174.1762,960,917,69972.6212,926,136,25754.511Borrowings439,510,98412.906394,966,1279.6871,453,414,94427.076Other Liabilities and Provisions108,881,1203.197352,705,3778.651321,336,0215.986Total3,405,606,58 41004,077,229,8501005,367,946,811100AssetsCash and Balance with RBI147,920,8834.343146,308,7903.588190,527,3093.549Balance with Banks and Money at call and Short Notice56,428,7161.656129,002,8453.164223,647,8794.166Investments1,137,375,37033.3971,109,604,12427.2141,713,935,99331.929Advances1,969,659,57457.8352,472,451,15160.6402,902,494,35154.07Fixed Assets23,556,4200.69127,733,1620.68046,470,5870.865Other Assets70,665,6212.074192,129,7784.712290,870,6925.418Total 3,405,606,5841004,077,229,8501005,367,946,811100Profit Loss Account for the year ended 31st March 2013Axis(Rs.000)HDFC(Rs.000)ICICI(Rs.000)IncomeInterest Earned271,825,74480.579358,610,21383.409400,755,96982.764Other Income65,511,06319.42071,329,64516.59083,457,01217.235Total337,336,807100429,939,858100484,212,981100ExpenditureInterest Expended175,163,11161.343196,954,47454.567262,091,84865.366Operating Expenses69,142,37524.214115,518,96332.00590,128,83722.478Provision and Contingencies41,236,99214.44148,463,62113.42748,7 37,56912.155Total 285,542,478100360,937,058100400,958,254100Capital to Total Liabilities Year shit of BankAxisHDFCICICI2010-110.160.160.282011-120.140.130.242012-130.130.110.21Interpretation Capital Common size statement of ICICI Bank was more than Axis Bank HDFC Bank in these three years. It is also seen that in all these three years Capital Common size statement of these banks were decreased systematically.Reserve and surplus to Total Liabilities YearName of BankAxisHDFCICICI2010-117.688.9813.272011-127.848.7112.502012-139.588.9212.21InterpretationCommon size statement of Accumulated Reserve and Surplus of ICICI Bank was more than Axis Bank HDFC Bank, but this Common size statement consistently decreases. This Common size statement of Axis bank consistently increases.Deposits to Total LiabilitiesYearName of BankAxisHDFCICICI2010-1177.9675.2055.532011-1277.0573.0053.942012-1374.1772.6254.51InterpretationDeposit Common size statement Axis bank was more than HDFC ICICI bank howev er this Common size statement of Axis bank and HDFC bank consistently decreases.Borrowings to Total LiabilitiesYearName of BankAxisHDFCICICI2010-1110.825.1826.962011-1211.927.0529.592012-1312.909.6827.07InterpretationAs regards to borrowings, ICICI bank has more borrowings than Axis bank and HDFC bank, it is also depicts that borrowings of Axis bank and HDFC bank consistently increases.Other liabilities Provisions to Total LiabilitiesYearName of BankAxisHDFCICICI2010-113.3810.453.932011-123.0211.073.712012-133.198.655.98InterpretationOther liabilities and provisions of HDFC bank was more than Axis bank and ICICI bank and it is upto10% on an average, however the axis bank ICICI bank maintains this Common size statement upto 3% on an average.Cash Balances with RBI to Total Assets YearName of BankAxisHDFCICICI2010-115.729.055.142011-123.744.434.312012-134.343.583.54InterpretationCash balance of HDFC bank in year 2010-11 was in highest Common size statement. Cash balance of HDFC bank and ICICI bank continuously decreases.Balance with Banks and Money at call and Short Notice to Total Assets YearName of BankAxisHDFCICICI2010-113.091.643.242011-121.131.793.322012-131.65

inof on Joan Makes History :: essays research papers

What were after, of course, is stories, and we know that history is bulging with beauties. Having found them, we then proceed to dally with them to make them the way we want them to be, rather than the way they really were. We pee-pee it wrong, willfully and knowingly.But perhaps you could say that the very flagrency of our "getting it wrong" points to the accompaniment that all stories even the history "story" are made. They have an agenda, even if its an unconscious one. Perhaps there are many ways to get it right. The interesting parts of history are probably always whats non there. My own special area of interest about whats not in history is the women. As you would all know, by and large theyre sadly absent from the historical record. However, Im lucky to be the pass catchercustodian, even, if that doesnt sound too grandioseof a rich oral history handed graduate from my mother, who got it from her mother and so on back down the line. Shes told me family st ories from every generation since our family first came to Australiain the form of our wicked convict ancestor Solomon Wiseman, in 1806. Sol is supposed to have murdered his wife, and move his daughterpregnant to the riding-masterout of the house to starve. (But perhaps, the novelist in me thinks, she didnt starve , but went on to have, well, a story) There was "Uncle Willie with the red hair" who was "killed by falling arrive at a horse when he was eighteen and broke his mothers heart." There was her own mother, in love with a Catholic boya love as unthinkable as between a Montagu and a Capulet and was forced to marry a good Protestant boy. You should see the look on her face in the wedding photos.This oral history, handed down in a series of formalised anecdotes from mother to daughter, leaving rich areas for speculation in between is, I suspect, one of the things thats made me a novelist.http//www.nla.gov.au/events/history/papers/Kate_Grenville%20.htmlSOUL-SEARC HING about our past is the new literary fashion. It is the period in which the breast-beaters, the moral Pharisees, are driven to tell us how, unlike their predecessors, they have political and moral virtue. The Aborigines, women and ordinary people have become the goodies, and all those who do by them in their books or their teaching have become the baddies. The winds of change are blowing over the ancient continent.

Asperger’s Autism and The Classroom Setting Essay -- Education

I am very interested in proud at risk student populations in traditional schools. While many students labeled as high at risk exist in ever-increasing numbers, there is little in the field that demonstrates the damages of the student. There film been successful ventures in some instances, however, the greater question of what works and what does not work exists in piece meal fashion (Grenier, 2010). The high at-risk population I am interested in is the modified needs child. I have spent numerous years working with autistic children in school settings. The enduring social emotional issues and the mechanics of social interaction have made me contemplate the question of what works best for these children to learn. I have worked in schools where special needs children were the sole students, and in schools that mainstreamed. Towards my EdD, I am looking at the pragmatic results of inclusion versus mainstreaming versus self-contained classrooms. All three draw out opposite learning environments and are based upon public law 94-142, now called the Individual with Disabilities Education Act (Demonte, 2010). Until 1975, schools simply had to describe the student as different to either exclude the student from school or tell the parent to institutionalize the student (p.158). When the IDEA came into being, schools acknowledged special needs students who previously they would not accept into their school (p.165). I remember distinctly in 1969, that separate classrooms housed and educated students with disabilities. It was the beginning of my journey in working with at risk populations. Mr. Papanek was the special grooming teacher and I remember his compassion and commitment to these children. I often volunteered to use my study hall cl... ....proxy1.ncu.edu/docview/750493608?accountid=28180Higbee, J.L., Katz, R.E., & Schultz, J.L. (2010). Disability in higher education Redefining mainstreaming. Journal of Diversity Management, 5(2), 7-16. Retrieved fromhttp// search.proquest.com.proxy1.ncu.edu/docview/506637577?accountid=28180Litvack, M.S., Ritchie, K.C., & Shore, B.M. (2011) High- and average-achieving students perceptions of disabilities and of students with disabilities in inclusive classrooms.Exceptional Children, 77(4), 474-487. Retrieved fromhttp//search.proquest.com.proxy1.ncu.edu/docview/877027165?accountid=28180Loefgren, E. (2011). The missing piece of the autism jigsaw puzzle How the IDEA should better address discipline problems. Law & psychological science Review, 35(1), 225-238.Retrieved fromhttp//search.proquest.com.proxy1.ncu.edu/docview/896739171?accountid=28180

The Works of J.D. Salinger Essay -- Biography Bio

J.D. Salinger The influence of an author and his writings on 1950s the StatesThe end of World War II and the beginning of the 1950s saw a time of prosperity and success in mainstream America. Less than a decennium after the United States allied with Great Britain and the Soviet Union, forming one of the most powerful forces in history to defeat the axis powers in the war, the U.S. was deeply secure in a nuclear arms race and Cold War with the Soviet Union. As a result, the country put on a corporal faade of stability and strength to cover up many injustices that were taking place during the time. Americans, equipped for the first time in a long magical spell with a good amount of money, flooded to the suburbs and replaced any sorrows they might have had with material products and consumerism -- creating an America of conformity and extravagance that Salinger would devote much of his writing to critiquing.With the way out of Catcher in the Rye in the summer of 1951, America was in troduced to Holden Caulfield, a character who would continue to remain in the American psyche for over half(prenominal) a century. Holden was the voice of this young generation who did not seem to have the same conformist attitudes or mainstream goals as their parents. Predictably, this critique of society and questioning of conventional American values was quickly met with an attempt to censor the message of dissent. Beginning in 1954 and continuing for decades, Catcher was criticized for its cynical tone, its un-American content, and its foul language (237 goddams, 58 bastards, 31 Chrissakes, and 1 fart, according to one complaint Steinle 3). But despite this controversy, and no doubt at least partially because of it, countless numbers of Americans get ... ...es H. Incommunicability in Salingers The Catcher in the Rye. Western Humanities Review, XI (Spring 1957), 188-190. (Reprinted in Studies in J.D. Salinger by Marvin Laser and Norman Fruman).Lomanzoff, Eric. The Praises and Criticisms of J.D. Salingers The Catcher in the Rye (1996) www.levity.com/ build/salinger1.htmPinsker, Sanford. The Catcher in the Rye and All Is the Age of Formative Books Over? The Georgia Review 50 4 (1986) 953-967.Salinger, J.D. The Catcher in the Rye. New York Little, dark-brown and Company, 1951.Salinger, J.D. Nine Stories. New York Little, Brown and Company, 1953.Steed, J.P. The Catcher in the Rye New Essays. New York Peter Lang Publishing Inc., 2002.Steinle, Pamela Hunt. In Cold Fear The Catcher in the Rye Censorship Controversies and Postwar American Character. Columbus Ohio State University Press, 2000.

Wolff’s View on Feminine Sexuality in Chopin’s The Awakening :: Chopin Awakening

Wolffs View on maidenly Sexuality in Chopins The AwakeningIn her essay Un-Utterable Longing The Discourse of Feminine Sexuality in Kate Chopins The Awakening Cynthia Griffin Wolff sees the lack of a lecturefor Edna Pontelliers intimate desires in particular and female sexuality in generalas the main theme in Chopins novel. She particularly looks at how issues of sexuality remain unsaid in the novel, or how they are expressed in a different way, because of the lack of a language of feminine sexuality. As Ross C Murfin points out in his introduction to this essay, Wolff combines several theoretical perspectives such(prenominal) as feminism, gender studies, new historicism, psychoanalytic criticism, and deconstruction (376). Wolff introduces her thesis in her initial discussion of the opening passing game of The Awakening stressing the fact that the parrot has no language of its own. She remarks that there is a sense of enigma (or fraud) about this bird who seems able to communicate but is not (376). Similarly the main character Edna Pontellier screwingt communicate her needs. The first part of Wolffs essay is a six-page assessment of the image of women current at the end of the nineteenth century demonstrate the lack of a language for intimacy and sexuality. She looks specifically at the work of William Acton, an author widely read at the time. According to him women didnt have sexual feelings of any kind hence he saw no reason to talk about those issues. Wolff criticizes that this false image of women as a-sexual beings created by writers such as Acton also mislead the men of that time in their perception of women. Wolff argues that a vernacular of motherhood (386) replaced the missing language of intimacy and sexuality. In this context she refers to the passage when Lonce comes home, Edna rejects his advances, and instead of reproaching her of neglecting her marital duties, he blames her for not taking care of the children. Lonce turns the disappointment of the rejection into a reproach of neglected maternal duties. According to Wolff, the true subject of Chopins novel, may be less the particular dilemma of Mrs. Pontellier than the larger problems of female narrative that it reflects and if Ednas poignant fate is in part a reflection of her own habits, it is also, in equal part, a measure of societys failure to allow its women a language of their own (388).

Frankenstein Essay -- English Literature Essays

FrankensteinFrankenstein is a novel that was written by Mary Shelley. It was first published in 1818.The story was about a man named Victor Frankenstein who created a monster thatcommitted a series of murders when he was rejected by society. Mary Shelley was the author of the novel Frankenstein. She was born in deluxe of 1797and died in February of 1857, at the age of fifty-four. In the summer of 1816, Mary stayedwith a poet named Byron. Also staying with Byron was his physician Polidori and JaneClarmont, a short story writer. Byron suggested they should all write a horror story. This iswhen the story of Victor Frankenstein occurred to Mary. She said the story was born rightout of a nightmare. At first, it was only meant to be a short story, but at the goad of herhusband, she increased the story to its present length. The novel took place in Geneva, Switzerland in the 1700s. Victor Frankenstein lived in ahouse near Lake Gevena We possessed a house in Geneva, and a campagne on Belri ve, the eastern shore of the lake, at the distance of rather more than a league from the city. The house was near the Jura mountain range. Victor climbed the mountain when he soughtsolitude and consolation. The house itself was big and had an upstairs and downstairs. Muchof the story unfolded in this house. However, Victor Frankenstein had previously attended theUniversity of Ingolstadt for three years and this was where the monster was created. As the plot begins an Arctic venturer named...