Risk Assessment for Elderly Falls

Risk Assessment for Elderly Falls Q1: Part of your education includes experiences in different types of healthcare settings. How would your role in the primary care setting be different from your role in the acute care setting? Include in your discussion a definition of the philosophy of primary health care and the principles of wellness. Healthcare is provided at three levels primary care, secondary or acute care and tertiary care , each provides a structure for how healthcare services are organised and delivered for example primary care tends to be delivered in a GPS offices and community clinics and tertiary care is more commonly provided in hospitals and rehab facilities ( Crisp J Taylor C 1997). in recent years the term primary healthcare has been used interchangeably with primary medical care and primary nursing care although they are not the same ( Wass,2000 ). primary nursing care is focused on illness intervention. It is a pattern of care delivery in which a single nurse takes responsibility for a large group of clients, such is in an aged care facility.( Crisp J Taylor C 2005). where secondary and tertiary levels of care are provided in the hospital setting, in these settings, nurses work closely with all members of the health care team to plan , co ordinate and deliver care for people who are seriously ill. Nurses must constantly monitor and evaluate whether care is effective and how it can be improved, acute care nurses respond to clients needs expectations to form effective care partners. The principles of wellness a classic definition of health is that adopted by the world health organization (WHO ) which states that health is a state of complete physical, mental and social well being and not merely the absence of disease and infirmity â€Å"(WHO 1974:1).? Q2: Mr Alexopoulos, is 88 years old who has migrated from Greece and lives alone. He speaks very basic English only. In the past year he has fallen twice at home, once by tripping over a rug and once when he got up to go to the bathroom at night. He has become increasingly afraid of falling again and tends to restrict his activities in the home. He goes out only when accompanied by his son. QUESTION A. In the information provided, outline the data the nurse would use to complete a risk assessment for Mr Alexopoulos (include bio psychosocial and cultural health care considerations in relation to implementing primary health care). ANSWER . During the assessment the nurse obtains two types of data: subjective and objective. Subjective data are clients perceptions about their health problems only clients can provide that kind of information. For example the presence of pain or the meanings of an illness are subjective findings. Although only clients can provide information about symptoms frequency, duration, location and intensity. Subjective data may include feelings of anxiety physical discomfort or mental stress Objective data are observations or measurements made by the data collector the nurse (crisp et al 2005). to conduct a comprehensive and patient focused assessment possible risks to the patients safety including enviromental as well as individual risk factors should be taken into consideration. When assessing a home for hazards and risks indiviual needs of the patient should be considered, a walk through the home with the patient should be done to assess the possible risks of the enviroment and to the patient, a discussion between the patient and nurse should take place to find out how the patient conducts his daily living activities this should give an indication of the patients immediate needs, getting a sense of how the patient conducts his daily routine helps the nurse to identify hazards that may not be obvious,(crisp 2013 p 278). B. QUESTION What aspects of Mr Alexopoulos’ environment need to be assessed? ANSWER The home environment needs to be assessed such as furniture placement , lighting, removing the rug as it is a trip/fall hazard incorporate multidisciplinary team members such as assisted living. (crisp 2013 p 279). C. QUESTION. Design interventions to ensure Mr Alexopoulos’ safety in his home. ANSWER Assisted living, remove all trip and falls hazards with clients permission an ACAT assessment D. QUESTION In terms of evaluation, what findings indicate that Mr Alexopoulos should not live alone in the house? ANSWER due to the patients age and general health his two past falls,he can no longer care properly for himself E QUESTION What allied health and community services referrals would you suggest to assist Mr Alexopoulos to maintain his independence? ANSWER collaboration with other disciplines such as occupational therapy community nursing ,home care, meals on wheels, community transport physiotherapy may become an important part of the plan of care planning also involves an understanding of the patients needs and maintain his independence .the patient and nurse collaborate together to establish ways of maintaining the patients active involvement in the home.(crisp 2013 p 280). Q 3 Choose one of the theories listed below and explain how it would apply in these different healthcare settings: Aged Care; Palliative Care; Mental Health; Hospitals 3.Hildegard Peplaus theory (1952)is focused on the nurse and the interactive process with the patient so a relationship can be established between the two , according to Peplaus model the patient is an individual with specific needs and nursing is the interpersonal and therapeutic process. The nurses goal is to educate the patient and their family to help the patient reach personal development. The nurse develops a relationship with the patient so she can help the patient with resources needed for their care. This theory can also be applied to other healthcare settings such as aged care, pallitive care, mental health and hospitals for goals to be set in the above institutions the nurse must develop the same interpersonal relationship with the patient so effective care can be optimized for the patient. (Crisp 2013 p 49) Q4: Many countries suffer health inequalities, including Australia – specifically within the ATSI community. In Western societies social issues continue to emerge as the gap between those with and those without economic resources grows. In what ways do you think an individual’s financial status affects their ability to access health resources? A. Socioeconomic factors: social and psychosocial factors can increase the risk for illness and influence the way a person defines and reacts to illness. One of the most powerful variables is economic status. Economic variables may affect a clients level of health by increasing the risk of disease and influencing how or at what point the client enters the healthcare system. (Crisp et al 2013 p). B. The most significant effects of economic status are more often experienced by those at the extreme lower end of the economic scale, racial (ATSI) and ethnic minorities are considered high risk groups for illness because of their economic status (Evans and stoddart, 1994;najman, 1993), (crisp et al 2001) Q5: Discuss the following features of the Australian health care system: State vs Federal health care funding A. The Australian Government is chiefly responsible for health service funding; control of health products, services and workforce; and national health policy leadership. The states and territories are essentially responsible for the delivery and management of public health services (including public hospitals, community health and public dental care), and the standard of health care providers and private health facilities. Local governments fund and deliver some health services such as environmental health programs. (Australian bureau of statistics, 2012). The Australian and state and territory governments fund and deliver a range of other health services including universal healthcare programs, community health services, health and medical research, Aboriginal and Torres Strait Islander health services, mental health services, health workforce and health base. (Australian bureau of statistics, 2012). B. MEDICARE VS PRIVATE HEALTH INSURANCE, The face of the Australian public Health care system, Medicare, is run by the Federal Government. Medicare started in the 1970s under the Whitlam government as ‘Medibank’ and was renamed in 1984. The Medicare system allows free, universal hospital cover for eligible persons in public hospitals. (GCIT, 2014a) eligible persons means all Australians and the majority of people of low socioeconomic circumstance who may not be able to afford private healthcare Private health care is also available in Australia under a ‘user pays’ system, whereby Medicare will cover some costs, the private health company covers other costs and the patient pays the remainder or ‘gap payment’. Private health care insurers and providers receive the majority of their funds from charging their members. Private hospitals receive minimal to no funding from the government and are funded through the user pay system of private health insurance. They receive the Medicare benefits identified for the treatment provided, but no more than that (even if the cost of the procedure to the hospital was $500 more). This is why there is a gap payment with private health. The private health system also benefits from a 30% private health rebate to all people who purchase private health insurance, which is paid for by the Federal Government. This rebate is aimed at encouraging more participation in the private health system, to take some of the pressure of the public health system. Private health insurance works alongside Medicare and can be used in both public and private hospitals. Patients have the right to elect to be admitted as a public patient even if they have private health insurance within public hospital facilities. (GCIT, 2014a)? C. AGED CARE, Australia’s aged care system is structured around two main forms of care delivery, residential (accommodation and various levels of nursing and/or personal care) and community care (ranging from delivered meals, home help and transport to intensive coordinated care packages for people who otherwise would need residential care). Residential services are mainly in the non-government sector, about half being operated by religious and charitable organizations. Residential aged-care funding in Australia: that is day-to-day operations of facilities are governed by both Commonwealth and state government policies. (Australian Government, 2011) D. The Pharmaceutical Benefits Scheme is an extension of Medicare and allows prescription medications to be purchased by Australians at differing rates, depending on their income. There’s a threshold and once this threshold is met, the pharmaceuticals can be purchased at a discounted rate. (GCIT, 2014a) ? Q6: Access DMF A4 nursing summary guide -2010from the Nursing and Midwifery Board of Australia website: (click on this link to be taken directly to the article – â€Å"Nursing practice decisions summary guide†) http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspx#professionalpracticeguidelines Use this scope of practice decision-making summary to assist you to identify the issues outlined in the following case study: This evening when you report for your shift on to your general medical ward, the charge nurse tells you that you need to assist on the orthopedic ward. You have not had any recent experience with orthopedic patients. When you arrive on the orthopedic ward, the charge nurse allocates you patients who require special techniques for getting out of bed and who need to do exercises using specialized equipment during the shift. You are not familiar with the techniques or the equipment. The charge nurse tells you that the patients can explain it to you. 6. A. according to DMF A4 summary guide Does the person who is to perform the activity have the knowledge, skill, authority and ability (capacity) to do so either autonomously or with education, support and supervision. no I would not accept this assignment as I have had no recent experience with orthopedic patients and I should not have to rely on the patients to tell me how to transfer them or to use the equipment? ? B. DMF A4 Select appropriate, competent person to perform the activity C. ACTION †¢ Consult/seek advice (eg NUM, DON other health professional) OR †¢ Refer/collaborate OR †¢ Plan to enable integration/practice changes if appropriate (including developing/implementing policies, gaining qualifications as needed) ? Within each nursing level, there are standards of practice and scopes of practice issued by the Australian Nursing and Midwifery Council. These guidelines and competencies are issued by the Nursing and Midwifery Board of Australia (NMBA). (GCIT, 2014a) Ensuring that you practice within your scope and role, within your place of employment is essential. Furthermore, it should be made abundantly clear that all health care facilities will have policies and procedures that must be followed in order to undertake care provision or procedures. (GCIT, 2014a) ? Q7: Identify 2 community health promotional strategies and evaluate their effectiveness. Health promotion at a population and community level another main area of nursing intervention. (Crisp 2013 p 310) for example a health promotion strategy is get set for life The get set for life health promotion strategy was developed as a handbook / guide that provides realistic information to help parents and carers to interact with their child in developing and strengthen the value of establishing healthy life habits. The handbook also has useful resources for parents/carers to obtain further information regarding the health and development of their children. The aim of the Healthy Kids Check is to ensure all four-year-old children in Australia have a basic health check to see if they are healthy, fit and ready to learn when they start school. The Healthy Kids Check promotes early detection of lifestyle risk factors, delayed development and illness, and introduces a direction for healthy life styles and early intervention strategies (Australian Government, 2009.) The Healthy Kids Check can be undertaken by a doctor but not including a specialist or consultant physician, or a practice nurse on behalf of a GP. (Australian Government, 2009.).? Another health promotion that is community based is active after school communities program this program was established by the Australian sports commission, the aim of the health promotion is to get kids moving and enjoying sport. The Active After-school Communities (AASC) program, which is the largest Government initiative of its kind. The program is designed to engage non-active kids, or those not involved in mainstream sport. To start to participate in sport and enjoy playing sport A positive introduction to all varieties of sport to children may inspire a passion for sport and more importantly it can help develop mobility skills Evaluation of the effectiveness of the program Since 2005, nearly 400 000 children have been given this introduction to sport and over half a million sessions have been delivered around the country. Currently, there are up to 150,000 children participating in the program, which is run in up to 3250 schools and after-school care locations in every state and territory in Australia. (Australian Government, 2009.) Q8: When you graduate, identify where you could find out about employment opportunities. Outline the interview process and materials/Information required to apply for a position 8. To find jobs, the best information resources are newspapers (both print and online), the Internet, hospital internal vacancies and government websites. (GCIT, 2014a) Once you have found a job you would like to apply for, you’ll need to create a resume. It can be a difficult task to list all of your attributes and education, without sounding ‘over the top’! A resume should include the sections that portray you at your best, outlining your experience in not only nursing, but other relevant areas of employment. Always ask for the position description before applying for a job. Also note that many organisations have specific selection criterion to be addressed when applying for a position, depending on the institution (e.g. state or private) and the job description. (GCIT, 2014a) If your application appeals to the employer, the next step will probably be an interview. There are particular processes involved in a nursing job interview. A panel of selected nursing and non-nursing peers will review your application and ask you a series of questions related to both your experience and the role you’re applying for. (GCIT, 2014a)

Peirce, Thirdness and Pedagogy :: Philosophy Education Teaching Learning Papers

Peirce, Thirdness and Pedagogy It is well known that the word pedagogy comes from the Greek paidagogos (teacher, pedagogue) which has the same root as paideia, usually translated "culture." The theme of this congress highlights the hope of many teachers of philosophy, that their teaching and writing has some impact on the culture. In this paper I want to show a connection between a Peircean understanding of persons (as interpreted by Royce) and its implications for how we go about conducting classes in philosophy. This connection is very recent with me, and it has changed my approach to teaching, especially at the "introductory" level. Our line of thought will have three major phases: 1) the Peircean understanding of persons as members of a community of interpretation; 2) its implications for a theory of pedagogy which emphasizes "induction into" more than "introduction to" the subject; and 3) the specific techniques that I have adopted in introductory classes to enact this theory of pedagogy. At the outset I should say that at least half of my teaching is at the introductory level, with classes ranging from 30 to 50 students each. It is these students, most of whom will not take any more philosophy, that I am most concerned about in this paper. How can their one exposure to academic philosophy convince them that it is a vital part of their heritage and a cultural resource that is absolutely necessary to a healthy society? Especially if a course is historically oriented, as ours is by catalogue description, it is easy for students to feel that philosophy is the irrelevant meanderings of dead white males! Good teaching can overcome this in some measure, but I believe that a Peircean understanding of persons can lead us to a theory of pedagogy that directs us towards the kind of classroom practices that will make the experience of philosophy more vital and significant for our students. I. Peirce, Thirdness, and Personhood Every philosophy of education in informed, at least implicitly, by a notion of personhood. Peirce focused more explicitly on epistemological understandings than personhood, but his epistemological writings supplied perspectives which were used by Josiah Royce in his last major work, The Problem of Christianity, to formulate a notion of the self as a member of a "community of interpretation." In his discussion of this concept, Royce was explicit about his debt to Peirce, especially Peirce’s notion of "thirdness.

Hamlet :: essays research papers

William Shakespeare (1564-1616) was born in Stratford-upon-Avon, England. He was the son of John and Mary Shakespeare. William attended his town's local grammar school at age six and graduated ten years later. When he was eighteen, he married a woman named Anne Hathaway who gave birth to twins, Hamnet and Judith. Hamnet drowned a few years later. It is said that William named his famous play Hamlet after his son and included a drowning scene in his honor. After the loss of his son, William left his family behind and headed for London to write plays. He was a poet and playwright. He wrote many famous plays, including Macbeth, Hamlet, and Romeo and Juliet. His stories were very popular with the English people because some of them were about English kings, like Henry IV. One of the characters from Henry IV was Falstaff, a drunk and crude knight. People liked him so much that William wrote another play using Falstaff, entitled The Merry Wives of Windsor. Shakespeare lived during the Ren aissance period, and was one of the most influential playwrights of his time.   Ã‚  Ã‚  Ã‚  Ã‚  Hamlet is set in medieval times and relates the story of Hamlet, who is the son of the dead King of Denmark, which appears as a ghost. The ghost appears at midnight and hints to Hamlet and his two friends Horatio and Marcellus about his murder. Hamlet’s mother, Gertrude, quickly marries Hamlet’s Uncle Claudius barely before the King’s body is even cold. Hamlet finds out that Claudius poisoned his father while he was sleeping to gain control of the throne. Hamlet confronts his mother about knowing about the murder of his father, and her affair with Claudius. Claudius attempts to kill Hamlet on a â€Å"vacation† voyage to England, by getting Rosncrantz and Guildenstern, Hamlet’s boyhood friends to carry a letter to the King of England to chop off Hamlet’s head. Hamlet intercepts the letter, and sends a letter to the King of England, telling him to immediately cut off the heads of the messengers. Hamlet then plots to kill Cla udius because â€Å"He†¦ killed my king and whored my mother.† Laertes is allowed a duel against Hamlet to revenge his father, Polonius’, murder. Halfway into the duel, Claudius toasts the duelers, and drops a poison-coated pearl into the wine as an inducement for Hamlet to finish the drink. However, Gertrude decides to drink it herself.

About a Boy film review

Will Freeman (Hugh Grant; – Bridget Jones's Diary) is enjoying his rich, meaningless life, living off of his dad's Christmas song as a bachelor who lives in London. He is a lazy, self-centred man who thinks about no-one but himself. Will is a player; he joins a single parent group called SPAT (Single Parents Alone Together). He goes to these meetings and ends up going on a date. She has to bring her best friend's son called Marcus Brewer (Nicholas Hoult). When they get back to Marcus's house they find Marcus's mother; Fiona (Toni Collete), unconscious on a sofa after a suicide attempt. Fiona recovers and Marcus realises two people is not enough. Marcus calls up Will and arranges them to go to dinner. Marcus starts to follow Will and finds out his doesn't have a child. Marcus starts coming to Wills; watching television and they become friends. Marcus and Fiona spend Christmas and New Year's with Will. At the SPAT group Will meets another woman called Rachel. She believes Marcus is Will's son and he plays along. He then realises where he went wrong and he tells her and he realises what he is. Fiona starts to cry before Marcus goes to school and he worries for her, and before she had told him, his voice makes her happy. He decides to sing at a school concert to make her happy. The next part is for you to find out. Will invites some people around his flat for Christmas, and Rachel is there. This film was directed by Paul and Chris Weisz; they directed American Pie. About a Boy is quite similar to that film. Also it was written by Nick Hornby who also wrote the book High Fidelity. He has turned lots of books into films and has had his novel published in 1998: Fever Pitch. The music was written and performed by Badly Drawn Boy, Damon Gough, Nick Hornby asked him to provide music for the entire movie. Hornby believes his music had the power to enchant and change people. The main themes of this movie are; Growing up (changing), Consequences of suicide, Family & Friends (Love), Responsibilities, Relationships, Truth & Honesty and Single-parents. The scene that really stood in my mind is when Marcus commits social suicide where he sings ‘Killing Me Softly' for his Mum to make her happy. Will convinces Fiona to go and watch, and Will drives her up to the concert. Marcus had paid a boy in his school to play with him, but he wouldn't play so Marcus goes out on stage himself; Can Will Stop Marcus from singing? The audience claps Marcus onto the stage and then he starts to sing and they laugh at his face is shown by a close-up on him and zooms out changing from time to time. Will comes onstage playing a guitar and plays backup. When they finished Will carried on playing the guitar expressing his, weird but funny, feelings. Rachel notices Will is not just thinking about himself for a change. This compares with the theme of changing people as Will used to think about nobody but himself but now he thinks about helping Marcus. This gives the effect that people can change if they really try to. If you wanted to make the film better, I feel that you wouldn't have to change that much. The thing I would change is the music should be varied, as the same style of music and get repetitive. Most films do not always have the same genre of music in. Other than that, I do not have any other criticisms. This is a really brilliant film and I could watch it over and over again.

Opinion essay †video games Essay

Video games are usually considered an excellent electronic with the mainly purpose to propose entertainment. For different kinds of persons, from children that probably have more time to play it, until adults who usually have fun after their work. Technological advances in video gaming software have created a rapid evolution from 1970’s arcade game technology to today’s role playing games, featuring an almost life-like level of realism, which mirrors the natural world in all of aspects, sometimes showing some graphic violence. With critical unproven scientific really, there are criticisms from the media that directly reflect the thinking of the parents of many children who play video games, one of the entities that can change this is the industry of video games censored you need to start acting. According to Entertainment Software Association (ESA), there is a thought about censoring videogames: â€Å"Blaming video games for violence in the real world is no more productive than blaming the news media for bringing crimes of violence into our homes night after night. † The news media usually controls what most of people will think about new video games but most of times they have bad things to show like violence, drugs and sex in live for everyone. They don’t reveal that violent crime, particularly among the young, has decreased dramatically since the early 1990s. During the same period of time, video games have steadily increased in popularity and use, exactly the opposite of what one would expect if there were a causal link. Some researchers are always trying to prove that players of violent games may be influenced by bad behavior and, implicitly, will apply who watched the game in real life. According to Ferguson, Christopher J. and John Kimburn: â€Å"This analysis does not find support for either a causal or correlational link between violent media and subsequent aggression in viewers. Why the belief of media violence effects persists despite inherent weaknesses of researches somewhat of an open question. † This shows how most of the time the researchers are misguided. Another prove of how these researches are misguided can be clarified in what Salonius-Pasternak, Dorothy E. and Holly S. Gelfond has to say: â€Å"Most research on electronic play has focused on its possible negative effects for children and adolescents, and contextual factors such as socioeconomic status and culture are rarely considered†¦. The study explains how electronic games may also have potential benefits for young players that include providing children with the opportunity to negotiate society’s rules and roles, allowing children to experiment with aggression in a safe setting without real world consequences, and facilitating children’s development of self-regulation arousal. † Another interesting point that no one knew is that usually the parents are present when games are purchased or rented 93 percent of the time. Ratings and parental controls already help parents make appropriate entertainment choices for their families. Just as with other types of entertainment, there is a wide variety of content available in computer and video games to suit the wide variety of individuals who play games. The industry has also voluntarily established numerous tools and policies to help parents make educated choices and ensure that retailers only sell games to those whose age is appropriate for the game in question. Computer and video games are rated by the Entertainment Software Rating Board (ESRB), whose system includes age recommendations and content descriptors. In addition, a June 2012 study conducted by Peter D. Hart Research Associates found: 85 percent of parents with children who play video games are aware of the ESRB ratings; 70 percent of parents regularly check a game’s rating before making a purchase; and 88 percent of parents feel the ESRB rating system is either â€Å"very helpful† or â€Å"somewhat helpful. † All new video game consoles include parental controls that limit a child’s access to games based on their ESRB ratings. According to a 2013 study, 86 percent of parents believe parental controls are useful. Parents impose time usage limits on video games more than any other form of entertainment: 79 percent of parents place time limits on video game playing; 78 percent of parents place time limits on Internet usage; 72 percent of parents place time limits on television viewing; 69 percent of parents place time limits on movie viewing. Therefore, before video games children have been playing violent themed games in the streets and will continue to do so well into the future. As you can clearly see I am against censoring video games, I think that if someone is going to get influenced to do something violent because of a game, then there must have been some underlying issue that the person had before playing a violent game. As the generation that grew up on modern videogames becomes parents themselves, attitudes will change and conservative hysteria will hopefully be relegated to amusing background noise. However, the videogame industry must become active in protecting its own collective interests to mitigate any damage that could occur before attitudes calcify. Media outreach, governmental relations, symposiums, and other visible efforts to educate the public are critical at this unique juncture in the videogame industry’s development. This will drive a wedge between reasonable parents and hysterical censors. If the videogame industry speaks for parents along with children, and is perceived as their ally, the elements of censorship will be left with no support. Works Cited Ferguson, Christopher J. and John Kimburn. â€Å"The Public Health Risks of Media Violence: A Meta-Analytic Review. † Journal of Pediatrics 154 (2009): 759-763. Web. 10 Aug. 2011. Grimes, Thomas, James A. Anderson and Lori Bergen. Media violence and aggression: Science and Ideology. Thousand Oaks: Sage Publications, Inc. , 2008. Print. Salonius-Pasternak, Dorothy E. and Holly S. Gelfond. â€Å"The Next Level of Research on Electronic Play: Potential Benefits and Contextual Influences for Children and Adolescents. † Human Technology 1. 1 (2005): 5-22 â€Å"Essential facts about games and violence. † Entertainment Software Association. Inc. , 2012. Lawrence G. Walters/ Weston, Garrou, DeWitt & Walters. â€Å"Sex, Lies and Videogames. † 2016. .

Psychology Lab Ted Bundy

Ted Bundy screamed in horrible pain and pleaded his innocence as he was killed by the electric chair. He was so evil that he tried to use one of his victims to try to stop the killing. This plan failed and we all saw how evil he truly was. The government considers Ted Bundy a serial killer, rapist, kidnapper, and necrophilia. He assaulted and murdered many women and young girls through the says.Some people believe Ted Bundy may have started sooner. Ted Bundy spent almost a decade declining that he killed people. After a long period of time Ted confessed to thirty homicides. These thirty deaths spread over seven states in the United States. Since Bundy s death the total number of casualties has risen to thirty-five. Ted Bundy personality is believed to be affected by his life as a child. Ted Bundy was raised with the belief that his grand parents were his parents. He was also told his mother was his older sister. Because of this Bundy was known as awkward or weird around girls in scho ol.He always said he had trouble building long-term relationships. As a child he was very intrigued in the idea of sex and violence. Because of his good looks Bundy succeeded in college. He became obsessed with a girl named Stephanie Brooks. Brooks did not feel the same way back this resulted in her and Bundy breaking up. This affected Bundy greatly, he dropped out of college by the break up. With bad anxiety and anger toward women this is what drove him to madness. I believe this is what became the fuel that made Bundy kill. This feeling of rejection is what Bundy never forgot.For the Essence model I believe Ted Bundy fits the role of a Melancholic person. He was very quite and for the most part very unsociable. He was reserved most of the time. To add to this he also showed crazy mood swings and signs that he was very anxious. What is crazy about Ted Bundy is that he fits in to of the categories in the Essence model. He also fits the category as a Phlegmatic person. When he was tr ying to get women. He was passive and very peaceful. He seemed like a calm and great guy. He would later become very thoughtful with his planning in capturing women.He would also control them and manipulate them to the end. Ted Bundy I believe featured two of the five personality traits. I believe he has Openness, Conscientiousness. Ted Bundy had openness because openness involves sensitivity and attentiveness to inner feelings as well as intellectual curiosity. Believe Ted Bundy was a very closed and to him self- person. On the flip side he was very open and caring person when around women. He falls into the Conscientiousness category because he had a good eye at being careful and seemed like he always wanted to do a task well.Ted Bundy always showed this trait throughout his entire life. He found a way to cover up multiple murders for long periods of time. To do this you need to be very crazy but also very cleaver. From doing the classroom assignments before this paper I believe T ed Bundy has Bipolar Disorder or better described as Manic Depression. Ted Bundy could go from very happy and open to very closed and quit in seconds. Being able to do this so easily and so often believe he has Bipolar Disorder. To add to the Bipolar I also believe he was Manic Depressed.I believe cause of his young life and how his childhood happened I think this is why he went down this path. These disorders are what lead Ted Bundy from a candidate for a Governor position to one of the greatest killers in United States History. I believe multiple Situational influences affected Ted Bundy. Being lied to all of his childhood greatly affected him. His sister being later revealed to be his mother Was also a major blow in Ted Bundy s life. What think really pushed him off the edge was his break up with his girlfriend Stephanie Brooks. Brooks was the love of his life.Bundy was so obsessed with her that he grossly exaggerated his own accomplishments. By 1968 she broke up with him because she believed he was not good husband material. This broke Bunny's heart and this obsession drove his life for years. If I could plan a therapy for Ted Bundy I would have him locked up in a Psychiatric ward for six months so we can observe and diagnose him. After we diagnose him we will have a therapist talk to him six times a week to work on his past problems. The problems we will be focusing on his you childhood life and the reality that his mother is his older sister.Another place of concern is the break up of his high school sweetheart Stephanie Brooks. These are the points would focus on so we can tackle the real reason why Ted Bundy became one of the greatest killers in the history of the United States. To help rehabilitate Ted Bundy he will be placed in a Half way house for multiple years. The meetings with the therapist will decrease to five times a week. In Tee's spare time he will be writing and explaining why he thinks he killed multiple women. After this confession Ted w ill be given mood stabilizers to work on his bipolar behavior.To add to the stabilizers he will also be given multiple anti depressants to work on tackling his huge depression problem. The odds of Ted Bundy healing fully are slim to none. I believe that his time in a horrible state of mind will be to hard to fix with medication and work with a therapist. Do believe he will show signs of growth but he will revert back to his old mindset. I do believe that Ted Bundy can become a man who understands what he did was wrong and he needs to change. But I don't believe he will ever become good enough to live in the real world among normal people.

The Importance of Quality in Health Records Essay

The Importance of Quality in Health Records - Essay Example Notably, there are strict laws that guarantee the confidentiality of the information processed in the health records. Moreover, quality matters in health records. Indeed, accurate and complete clinical documentation of health records define the quality of health records. A quality audit of health records refers to the process of conducting internal or external reviews of all the tools, policies, procedures, and techniques used in healthcare institutions to ensure that the health records are up-to-date, accurate, efficient (Holmboe, n.y), liability-free, and compliant with the federal and the Department of Health standards. A quality audit seeks to improve clinical documentation with an aim of promoting better delivery of health care as well as ensuring efficiency and accuracy in documentation. Moreover, it establishes the medical areas that need improvements and corrections (Sharma & Mahajan, 1999). The conduct of a quality audit follows various steps. It can adopt an explicit or an implicit approach. However, the explicit approach is highly recommended (Holmboe, n.y). An understanding of the audit process is fundamental in assessing the quality of medical records. Notably, quality audits focus on and evaluate the procedural and diagnosis code selection adopted by a health practitioner. Firstly, the reviewer determines the educational and evaluation purpose of the audit. He then chooses and defines the quality measures in application. Additionally, he describes the audit process with well-defined inclusion and exclusion criteria. Then, he establishes the areas of weakness, presents the audit findings, and establishes the areas of improvement and corrections in collection and processing health records. Most assuredly, the steps in the audit process determine the quality of the audit (Holmboe, n.y). The quality of documents in healthcare is very important. Various methods assure quality in documents. They include the requirement for authorization to