The Ways In Which Communication Fails In Accident And Emergency Essay

The Ways In Which Communication Fails In Accident And Emergency Between Radiographers - Essay Example to be the leading cause of unnecessary delays in patient care and treatment, insufficient radiation exposure to the patients, improper use of imaging technology facilities, prenatal deaths and injuries, and is the second leading cause for patient falls (JCAHO, 2006). A very important fact is mentioned in a report that is about how medication errors can be reduced in the hospitals according to which, â€Å"between 44,000 and 98,000 people die each year as a result of all types of medical errors.† (Patel, 2004). The ultimate importance of communication is suggested by almost every person, because it lays the foundation for good results unequivocally. Actually, the basic characteristics of good inter-professional communication need to be understood but, despite many efforts to develop healthy and bias-free relationships in the hospital setups, no research regarding the ways to develop beneficial inter-professional communication exists in the present. It is mentioned by (Wear, 199 7) that the medical students are not deeply taught about ways to handle relationships with other health care professionals like technologists, radiographers etc. in their medical schools. (Zwarenstein M, Goldman J, and Reeves S, 2009) suggest that inter-professional communication (IPC) skills need to be properly taught to both doctors and radiographers, so that they may know how to practically use those skills when needed in emergency situations where immediately many x-rays one after another are required and for good x-rays, doctors must collaborate vigorously with radiographers. (Pearson, 2011) suggests that lack of verbal communication between doctors and radiographers can lead to the professionals simply forgetting some patients, which leads to chances that those patients might be left... The purpose of this is to establish new and better lines of communication between doctors and radiographers. Critical discussion is also presented in the report which underlines the major reasons why doctors and radiographers find it difficult or impossible to communicate with each other in emergency situation especially. Some recommendations are also included which may help in improving the patient care and removing the deficiencies resulting primarily from bad management and poor inter-professional relationships. Rationale: The main purpose of this report is to identify the major reasons that prove to be hurdles in the path of effective communication. From the discussion above and the results of the survey analysis, this much becomes clear that the heavily strained communication between doctors and radiographers in situations of emergency proves to be markedly hazardous for the patients. There is also lack of understanding about the significance and importance of inter-personal communication and good managerial skills, due to which occupational stress results and chaos is produced in the hospitals. There do exist some strategies like â€Å"VoIP Telephony and wireless communications† for modernizing the communication capability between the health care professionals. For proper and person-to-person communication between doctors and radiographers, wireless communication must be ensured in all the hospitals. Moreover, both doctors and radiographers should be especially educated about the ways to handle the important burden of patients in A&E departments and OTs for improving the patient care.

The ethical issues regarding recreational hunting

The ethical issues regarding recreational hunting For well over a century, recreational hunting has been an activity pursued by millions of Americans (Eliason, 2008). Hunting is something that has occupied our young country since we got here. It is an outdoors sport that used to be the only way people acquired their food, and many depended on what hunting offered. In recent years, however, hunting has become a very controversial topic. This is in large part due to the overwhelming gun problem this country is facing. But it is also because many people, today, dont understand why people hunt. They do not see how you could find joy out of it anymore. There are others that believe completely otherwise. Some believe that hunting is a part of our culture, and we should continue to utilize the wildlife like we have for so many years. Hunting has become a very controversial topic, and many are not educated on the topic enough to make a decision one way or the other. Hunting, regarded to humans, is essentially the tracking of a certain animals with intentions on killing the animal. For a person that does not know very much about hunting, they may think that this sounds very cruel. However the hunter, usually, has no intentions on torturing the animal. Hunting is considered a sport to many here in the United Sates. That being said, many also do not consider this a sport. Paul Rodriguez, a Mexican Comedian, had this to say about hunting; Hunting is not a sport. In a sport, both sides should know theyre in the game. Even though this is a funny spin off of hunting, it is very relevant. For people that disagree with hunting, this would make a lot of sense. The animal obviously has no idea that it is in the game. However pro hunting advocates think that hunting is more than just a sport. They feel that it is our culture, and that people need to hunt to contain the wildlifes numbers. There are many different feelings on hunting, but the main two thought s either disagree or agree with hunting. There was a time when animals were not as domestically friendly as they are now. People often forget the importance animals played in the survival of humans. Hunting was a crucial component of hunter-gatherer societies, and is a theme of stories and myths, as well as many proverbs, aphorisms, adages and metaphors even today (History of Hunting). Many believe that a form of Persistence Hunting was the first type of hunting (History of Hunting). This type of hunting was used before people had any sort of weapons that could kill an animal from long distances. People would have had to stalk their prey for long periods of time, and get immaculately close to the animal in order to take down their prey. Throughout the ages man became more advanced and engineered guns, spears, and bows. These weapons were made in large part to assist in hunting animals, allowing people to gather food much easier. Times have progressed, and so has the view of hunting. It is important for both sides of the hun ting debate to remember that hunting is as old as the human kind. In todays world the hunting community has begun to decrease substantially, due to regulations and animal rights groups advocating for a change against hunters. However these groups often do not look at the consequences if there were no hunters. One of the greatest positives hunters can provide is this idea of Wildlife Management. This is simply keeping the numbers of animals down. Wildlife management would be severely weakened, in terms of economic and social support, with- out hunting (Peterson, 2004). Another important area of Wildlife Management is the safety of humans. A specific animal that is hunted here in the U.S. is the Whitetail deer. Whitetails are one of the most overpopulated animals in America. It is also important to know that this is among one of the most common animals hunted in the United States. Deer can cause a lot of harm to humans. Overpopulation of deer affects their food intake, and when it is low they venture out into areas they should not, one of these being roads and in turn come into contact with cars. Another negative aspect of numerous Whitetail Deer is that they tend to carry Lyme disease. The blacklegged tick has 3 active life stages (larva, nymph and adult)à ¢Ã¢â€š ¬Ã‚ ¦ most adults feed on white-tailed deer (USDA). If there are too many deer, then there is a greater chance for more widespread amounts of Lyme disease. Hunting is more than just Wildlife Management. For many it is a way of life. People that hunt; feel a certain connectedness to the Wildlife that people who have never hunted could never understand. These are mainly Utilitarianism points of view. They focus on the outcomes, and look at the consequences of the actions. When considering the debate about hunting it is important to understand the ethical dilemmas surrounding the situation. For this specific topic, hunting, there are three concrete ethical categories that can be associated with hunting. These categories that will be examined are; Anthropocentrism, Animal Rights, and Utilitarianism. All three of these ethical categories can be directly related to the hunting issue. All three have their strengths and weaknesses for the argument either against or for hunting. It is important when considering the ethical dilemmas, stemmed by hunting, to look at different ethical categories, because it can provide insight into why people either oppose or support different ethical problems. The first category that will be examined is Anthropocentrism. Anthropocentrism is the view that the only things valuable in themselves are: human beings; their desires, needs, and purposes; and the satisfaction of those (Donahue, 2010). An Anthropocentric perspective would believe that the only thing in this world that really matters, are humans. In this case, by hunting, we would keep the deer population down and prevent any risks that the deer pose to humans. This principle would suggest that hunting would benefit humans instead of benefiting the natural flow of an ecosystem. In contrast to Animal Rights activists views, an Anthropocentric would say that people hunting animals matters more than the wellbeing of the animals. They would say that if there are an abundance of animals, then they could intrude into the wellbeing of humans. They could harm us with disease, and injury. State Farm Auto Insurance does an annual report on how much damage is done between cars and deer collisio ns. The report says that there is an estimated 2.3 million collisions between deer and vehicles that occurred in the U.S. between July 2008 and June 2010, according to State Farm this was 21 percent more than the five years before. (State Farm) The report states that there is an average property damage amount of about $3 thousand per incident. (State Farm) If you do the math it is roughly $7 billion in property damage over the past two year, which is roughly $3.5 billion a year. The point is, if you did not control deer populations through hunting, deer-auto collisions would skyrocket even more, causing more property damage and more injuries and deaths. Anthropocentrism views would see this report and the statistics of it, as extremely harmful to humans. On the other end of the spectrum there are the people that disagree with hunting. In 1991 an animal rights activist, Wayne Pacelle, said Our goal is to get sport hunting in the same category as cock fighting and dog fighting. This is the category of Animal Rights. In the past few years, there has been an increasing amount of pressure from animal rights activists to stop hunting. Many feel that it is a form of animal cruelty. Hunting is increasingly viewed as an antisocial act in contemporary society (Eliason, 2008). Many animal activists work to reduce the amounts of hunting in the country; they also strive to explain to the people whose main concern is not hunting why they should oppose it as well. Animal movement activists seek to stigmatize and mark as deviant what many people perceive as normal, legitimate, mainstream activities such asà ¢Ã¢â€š ¬Ã‚ ¦hunting wild animals for pleasure or profit.(Munro, 1999) Some major animal rights groups include: People for the Ethical Treatment of Animals (PETA), ASPCA, People for Animal Liberation, and many others. Animal Rights activists feel that killing any animal for food or recreation is wrong. It shouldnt matter if the animal is a deer, cow, or chicken. Animal Rights activists considered hunting to be unethical because the human and deer conflict is not the fault of the deer. However it is the fault of humans for taking the habitat away from deer. Animal Rights activists have also advocated for non-lethal methods in animal control. Most notable is Birth Control for deer. Animal Rights advocates believe that it is possible to somehow inject deer with birth control, and in turn they are not as easily able to reproduce. The last ethical category to observe is Utilitarianism. A Utilitarian would believe that hunting offers three benefits. One benefit would be that killing deer for their meat would benefit those who eat venison. Venison is also thought, by many, to be leaner and better for you than beef. It is also important to note that many living in rural areas of the United States need hunting in order to survive. In this tough economy many have expressed that they have lost their jobs, and they have to hunt deer and other wildlife in order to provide for their families. Throughout history hunting deer and other animals is what humans have had to do in order to survive. Another benefit would be that by limiting the population of deer the environment benefits. Overpopulation of deer can create overgrazing, crop reduction, and generally barren land. Utilitarianism would support hunting if it was used for, preserving stability and integrity of biotic communities (Peterson, 2004). Overpopulation of an imals, especially deer, can be very damaging to the ecosystem. With large numbers of deer and other animals, the environment could possibly be damaged by overgrazing. Lastly, a Utilitarian would see a benefit in the fact that deer harbor many diseases. By limiting the amounts of deer, would decrease the amounts of diseases that could possibly be spread to humans. Examining the background of hunting, the pros and cons of it, and the ethical dilemmas surrounding the topic; I believe that hunting should not only be allowed but be encouraged. Hunting does not only benefit the environment, but it also benefits humans. Not all hunting is just for bagging a big buck it is also about the relationship a hunter can acquire with nature. In the hunting world there is also a lot of camaraderie that comes with hunting in the outdoors. It can change the lives of people through spiritual, physiological, and physical means. My father is considered a pro-hunter, so I have some bias for the sport. I have seen how the sport has not only benefited him, but it has grown to be a part of our family. One of the most important things to note about hunting is the fact that these animals were put on Earth for a reason. It is even possible to look at this ethical dilemma in terms of Religious Ethics. As the Bible says in Genesis 9: 2, The fear and dread of you will fall on all the beasts of the earth, and on all the birds in the sky, on every creature that moves along the ground, and on all the fish in the sea; they are given into your hands. (Genesis 9:2). Being a Christian, this is a pretty hard statement to ignore when looking at the hunting dilemma. We have to realize that these animals were put here for a reason, and if we continue to advocate against hunting then we are not using the resources that God has provided us with. Even if you agree with hunting and participate in the hunting of animals, you are still able to understand why some disagree with hunting and what it entails. However many of these disagreements come from people being uneducated with the forms of responsible hunting. Somebody who goes out and hunts for deer and participates in other legal forms of hunting would agree with animal rights views that are against poaching and illegal forms of killing animals. But the fact remains that responsible hunting has more pros than cons. Nobody can deny that the deer population in America is able to grow at an unbelievable rate. The main reason for this is because Deer can adapt to any environment, this is why we see them in our neighborhoods, and in towns. It is also undeniable that overpopulation such as this can be a problem for the environment, and be a potential danger to humans. Responsible hunters can help solve many of these issues. Another thing to note is that in most cases hunting does not inflict any sort of torture on the animal. Animal rights activists have every right to try and defend animals; however they need to make the clear distinction between responsible and irresponsible forms of hunting. Many people are under the impression that hunting is only for red necks out to hurt animals. This could not be further from the truth. Hunting creates a form of camaraderie that some will never be able to understand. When looking at the ethical dilemmas, regarding hunting, it is easy to see why this has turned into such a controversial issue. With the heightened amount of Animal Rights groups, and hunters or supporters of hunters feeling the pressure from these groups there is an inevitable debate. Looking at Anthropocentrism, Animal Rights and Utilitarianism, each category brings something different to the debate. The idea of hunting will never go away. As long as there are people who disagree and agree with this issue, debates will continue to happen regarding hunting. It will also be hard for this debate to go away, because both sides of the spectrum feel very strongly about this particular issue. I will be a firm supporter of hunting until I die, because I have a firsthand take on how positively it can affect the people that participate in hunting. The debate on hunting has many sub sections such as, poaching and gun control. However if you just merely look at hunting and what it can offer hu mans and the environment, it is easy to see how useful hunting can be. As my dad says, I will do all I can to  sustain and grow our  blood sport  until I walk  the  deer woods no longer. (Mikehanback.com)

AIDS :: Free AIDS Essays

AIDS The United Nations AIDS organization released disturbing estimates Thursday of the seemingly relentless expansion of the HIV pandemic. At a time when many Americans are increasingly optimistic that state-of-the- art drug therapy might eliminate the virus, HIV is taking a heavy toll worldwide. According to the agency, every minute of every day somewhere in the world, six people become infected with HIV: 7,500 adults per day and 1,000 children. About 30 million people have acquired the virus during the last 15 years; 6.4 million of them have died of AIDS. Behind this mounting death count are the signs of growing social disruption. For example, in sub-Saharan Africa, more than 1 million children have lost their parents to AIDS. And within four years, there will be more than 2 million AIDS orphans in the following seven countries combined: Dominican Republic, Kenya, Rwanda, Thailand, Uganda, the United States, and Zambia. Illness and death among young adults due to HIV have reached such proportions in some countries that overall national economics and productivity are affected. In Uganda, for example, 44 percent of all premature deaths are attributable to AIDS. In terms of years of labor productivity, AIDS is responsible for more than 66 percent of Uganda's economically significant losses. The virus is also spreading into new areas. For example: -During the last three years, HIV-infection rates among Vietnamese prostitutes jumped from 9 percent to 38 percent. -Infection rates among blood donors in the Cambodian capital of Phnom Penh have soared from 0.1 percent to more than 10 percent. -In the Ukrainian Black Sea port of Nikolayev, HIV-infection rates among narcotics users exploded in 1995, jumping from a 1.7 percent in January to 56.5 percent in November. -South Africa, long spared, is now being overrun.

Evil in the “The Strange Case of Dr. Jekyll and Mr. Hyde” by Robert L. Stevenson Essay

In the novel Robert L. Stevenson defined the nature of evil through the person of Mr. Hyde. He used his character to symbolize evil at its purest and truest form (â€Å"†¦Edward Hyde, alone, in the ranks of mankind, was pure evil† chap 10 p 2; â€Å"†¦one was wholly evil†¦Ã¢â‚¬  chap 10 p 3). In the first chapter (Story of the Door), Stevenson started to objectify the idea of evil as one characterized with intentions and acts that are always meant to hurt and destroy. He even gave it an unpleasant physical form which mirrors the ugliness of its nature. Mr. Enfield, the cousin of Mr. Utterson, remarked on this characteristic and quality of evil when he witnessed the cruel behavior of Mr. Hyde as he coldly trampled on a girl’s body he happened to ran over on one of the street corners of London (â€Å"†¦for the man trampled calmly over the child’s body and left her screaming on the ground† p 14). Evil was also presented by Stevenson as monstrous and terrifying through the words and description of Mr. Enfield (â€Å"It wasn’t like a man; it was like some damned Juggernaut†; â€Å"He was perfectly cool and made no resistance, but gave me one look, so ugly that it brought out the sweat on me like running† p 14). Although Stevenson gave explicit reference to the hideousness of evil in the novel calling it ugly, hellish and other such names, he still touches on the ambiguity of evil which marks it eerily frightening-something that is felt through the senses but is somehow lacking with definiteness and steely finality (â€Å"He is not easy to describe. There is something wrong with his appearance; something displeasing, something downright detestable. I never saw a man I so disliked, and yet I scarce know why. He must be deformed somewhere; he gives a strong feeling of deformity, although I couldn’t specify the point. He’s an extraordinary- looking man, and yet I really can name nothing out of the way. No, sir; I can make no hand of it; I can’t describe him. And it’s not want of memory; for I declare I can see him this moment† p 17–Mr. Enfield gave this observation to Mr. Utterson after being asked by the latter to describe Mr. Hyde). This vagueness surrounding the nature of evil is echoed by Mr. Utterson after having had the opportunity to see Mr. Hyde in person (â€Å"`There must be something else†; â€Å"`There is something more, if I could find a name for it. God bless me, the man seems hardly human! Something troglodytic, shall we say? or can it be the old story of Dr Fell? or is it the mere radiance of a foul soul that thus transpires through† p 26). Mr. Hyde is identified as a symbol of evil through dastardly acts implemented without clear intentions (ex. revenge) and the slightest evidence of remorse and guilt. He carried out his evil ways with gleeful abandon and thoughtlessness. When Hyde murdered Sir Danvers Carew, Dr. Jekyll wrote in a torrent of confession towards the end of the novel that Hyde killed in a state of frenzy like a man whose reason has long been lost (â€Å"With a transport of glee, I mauled the unresisting body, tasting delight from every blow; and it was not till weariness had begun to succeed that I was suddenly, in the top fit of my delirium, struck through the heart by a cold thrill of tenor† p 88). The evil nature of man as conceived by Stevenson is one that is predisposed to the ‘undignified’ (â€Å"The pleasures which I made haste to seek in my disguise were, as I have said, undignified† p 82) lures and pleasures of the world. Mr. Hyde, in execution of the secret desires of Dr. Jekyll, carried the doctor’s hidden dark, carnal pleasures to malevolent, sinister level Dr. Jekyll could no longer control (â€Å"This familiar that I called out of my own soul, and sent forth alone to do his good pleasure, was a being inherently malign and villainous; his every act and thought centred on self; drinking pleasure with bestial avidity from any degree of torture to another; relentless like a man of stone† p 82). The evil that resides in Mr. Hyde is responded to in the novel with terror, aversion and hatred. Mr. Stevenson wants to convey the message that in its purest form man’s evil nature is despicable and thus should be treated with due derision and horror. Throughout the novel as the characters-Mr. Enfield, Mr. Utterson, Mr. Lanyon, and Poole- come face to face with the evil incarnate that is Mr. Hyde, they felt nothing for him and what he represented except repulsion and disgust (â€Å"This person (who had thus, from the first moment of his entrance, struck in me what I can only describe as a disgustful curiosity†; â€Å"At the time, I set it down to some idiosyncratic, personal distaste, †¦ but I have since had reason to believe the cause to lie much deeper in the nature of man, and to turn on some nobler hinge than the principle of hatred† p 69; â€Å"†¦there was something abnormal and misbegotten in the very essence of the creature that now faced me – something seizing, surprising and revolting† chap 72- these were the personal reactions of Dr. Lanyon upon beholding Mr. Hyde in person; â€Å"Did I ever tell you that I once saw him, and shared your feeling of repulsion? † p 46-this was a query posed by Mr. Utterson to Mr. Enfield). Through the outgrowth of Mr. Hyde in the novel from the body and person of Dr. Jekyll, Stevenson seemed to be making the bold statement that evil lurks and lays hidden in each man. Stevenson proposed further that it is the character of evil to prey on the weaker, baser side of man, waiting and eager to pounce as soon as man entertains the idea of succumbing to the call and temptation of his darker nature just as Dr. Jekyll gave in to the lures and lurid passion of Mr. Hyde (â€Å"†¦my evil, kept awake by ambition, was alert and swift to seize the occasion† p 77). In his confession, Dr. Jekyll admitted that every time his good side weakens, Mr. Hyde comes out roaring, becoming increasingly stronger (â€Å"The power: of Hyde seemed to have grown with the sickliness of Jekyll†; â€Å"†¦and at every hour of weakness, and in the confidences of slumber, prevailed against him, and deposed him out of life† p 79;† I began to be tortured with throes and longings, as of Hyde struggling after freedom; and at last, in an hour of moral weakness, I once again compounded and swallowed the transforming draught p 94). Crystallized evil is characterized by Stevenson in the person of Mr. Hyde as one that does not heed the voice of reason and one that is more diabolical than the original evil contained in Dr. Jekyll (â€Å"I knew myself, at the first breath of this new life, to be more wicked, sold a slave to my original evil;† p 78).

Using Simulation to Educate the Healthcare Professional

Using Simulation to Educate the Healthcare Professional The purpose to the article was to give an overview of types, implementations and resources for human simulation in nursing education. â€Å"Gaba (2004) has defined simulation as a â€Å" †¦ technique, not a technology, to replace or amplify real experiences with guided experiences (as sited in Galloway, 2009). Aldrich (2005 ) stated â€Å"[t]he objective in creating any simulation experience is achieving fidelity, i. e. , a close replication of the real-life, human situation† (as cited in Galloway, 2009).The fidelity created the environment for learning, when fidelity is high there is a greater potential for learning. There are six types of simulations role-playing, standardized patients, partial task trainers, complex task, integrated simulators or human patient stimulators, and full mission simulation (Galloway, 2009). The author showed how the use of simulation for learning was not limited to nursing students an d that regardless of the limited numbers for studies, the results for simulation have been positive in many areas of high-risk training. The evidence base for the use of simulation in patient care is limited (Galloway, 2009).The sky is the limit in terms of how much it will cost to incorporate simulation into health professional education† (Galloway, 2009). The technology for educators is rapidly changing and they need to be keep up; a task many educators are unable and unwilling to do (Galloway, 2009). Kyle and Murray (2008) , authors of Clinical Simulation: Operations, Engineering and Management , offer tools to help educators determine what fits best for their specific learning objectives and settings (as cited in Galloway, 2009). The patient is trusting the health care professional to safely and skillfully care for them.Simulation techniques need to be implemented today and improved for tomorrow (Galloway, 2009) Quote â€Å"Simulation enables healthcare professionals to h one the clinical skills that are needed to provide safe care without harming patients as they develop these skills† (Galloway, 2009). Paraphrase In healthcare, simulation will facilitate professionals as they fine-tune their skills to improve patient safety without putting them at risk. Evaluation Commander Susan Galloway is a doctoral student at the Uniformed Services University of Health Sciences in Bethesda, Maryland. Her MSN concentration was nursing education.She works currently as the Chief of Health Professions Education for the Joint Task Force National Capital Region. She has worked with Washington Hospital Center and Uniformed Services University of Health Sciences to improve education with simulation. Commander Galloway is currently working on research focused â€Å"on the human factors related to the transfer of skill acquisition from simulation sites to the real world† (Galloway, 2009). Her background in the integration of simulation and her current researc h focus makes her qualified in the area of simulation in healthcare education.The article was published in May 2009 in The Online Journal of Issues in Nursing. Some technological changes may have occurred since the paper was published, but the simulation types and educational approaches are the same. The article was written to educators in all health professions. The author wanted to show educators from the OR setting to the nursing student, the importance of using simulated learning tools to increase skill competency. She also showed how simulations could improve interdisciplinary teamwork, one of the core competences. The objective data in the paper was distinguished by the use of quantitative data.The author uses the limited research data from other fields using simulation to assume that the benefits will transfer to the healthcare setting. She also used two specific rescue studies that were done on simulation. Subjective information was confined to the conclusion. There are twen ty-three references listed, the majority of them are from 2009 and 2008. This was the most up-to-date information she could have used for the paper. The older references were used to show how implementations is a slow process with many components. The information is still useful for future reading.This article was found using the MSU database search engine with the key words simulation nursing education and a date range limited to 2006-2010. I chose this article because it not only addresses simulation for nursing students but also for nurses of all levels in all areas including interdisciplinary settings. This article a good resource because it is American Nurse Association peer reviewed. References Galloway, S. J. (2009) Simulation techniques to bridge the gap between novice and competent healthcare professionals. OJIN: The Online Journal of Issues in Nursing,Vol. 14, No. 2, Manuscript 3. doi:10. 3912/OJIN. Vol14No02Man03