Essay on Communication Reflection - 1228 Words

Expectations and Personal Anxiety As I reflected on my experience with the team project, I found that at the conclusion of the project my attitude and opinion of group projects was more positive. Initially, the idea of a working on a group project in graduate school created anxiety, doubt, and skepticism. My uneasiness stemmed from my experience during my undergraduate studies as an adult learner; three out of five group projects resulted in poor quality research, content, and conflict between the high output team members and the low engaged team members. Personally, from day one of this class, I had some trepidation about working on the group project; I was anxious about my future team members’ enthusiasm, dedication, and quality of†¦show more content†¦The different motivation levels became very evident during the group projects, likely due to our generational differences (Watt, 2010). Unfortunately, the unmotivated members of the group ended up earning the same grade as those that contributed th e most to the project. Based on my undergraduate experience, I was not surprised that I had a myopic view of the upcoming team project. Before the project started, to combat my biases and be able to contribute to the team, I approached the project with an open mind and I focused on the excitement of collaborating on a project and not the negative experience of my undergraduate projects (Kuisma, 2007). My mindset turned to utilizing methods that I use in my workplace, do everything that I can to create a sense of team, establish a good line of communication, involve everyone in the decision-making process, and develop a common goal (Peterson, 2007). Contributing to the Team Dynamics Once I knew my team members, to relieve my personal anxiety and address my bias, I took the initiative to send out an email to create a positive team atmosphere and encourage communication amongst the team (Greg, 2006). Within the first day, one of the team members took the initiative to step up and serve as our team leader. Selecting a world known leader to highlight was surprisingly easy, within a couple of days the team reached consensus on a leader to highlight, weShow MoreRelatedReflection Of Communication And Communication1152 Words   |  5 Pages The first resources that I’ve learned from this course are using the multiple job websites online, we’ve had excellent communication between classmates on how we can benefit from using these sites out and look for specific jobs in our area. This will assist in work as a counselor because it will help in my networking about the city I currently work in and learning about how to make my resume stick out. The second fact that I’ve learned in this course is finding balance in your life so that youRead MoreReflection On Interpersonal Communication1724 Words   |  7 Pageswhen we talked about non-verbal communication, I realized that it is impossible to not communicate. There are many activities, other than the use of language, that allow us to draw meaning from something we observe. When my mother widens her eyes at me without stating a word, I understand she is telling me to think twice about the action I’m about to take. It has been great to be able to assign concepts and vocabulary to interpersonal relationships and communication activity that I have been experiencingRead MoreCommunication Skills Reflection Paper1384 Words   |  6 PagesREFLECTIVE WRITING This essay is a reflection of my communication skills as shown in the attached video. I will reflect on the communication skills used, its effectiveness and ineffectiveness. 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Strengths Corbin and I have had good communication ever since we started to self-disclose more information about our lives to each other (GuerreroRead MoreCultural Communication Reflection Paper2206 Words   |  9 PagesThere were also smaller terms that dealt with the overall term. The terms I decided were the most that I found interesting and helpful. These terms helped me learn something out of this class, I never would of thought of specific ways of cultural communication is different for many. Understanding terms and talking about them in real life situations in class, was helpful to understanding these terms. They’re 6 key terms that are going to be explained, how they apply to class or life situation with myselfRead MoreCommunication Reflection845 Words   |  4 Pageslanguages, and health status. Communication is so important in our everyday lives and especially in the medical industry because we’re dealing with a person’s well-being. In addition to the whole idea of The Language of Caring lesson, the article â€Å"Are We Listening?† stressed how important positive communication was to be successful in the medical industry. It had a statistic from a study conducted by â€Å"CRICO Strategies that found 1,744 deaths related to communication failure† (Hadrych-Rosier 2017)Read MoreCommunication Reflection734 Words   |  3 PagesThroughout the course of our lectures, I was exposed to a vast array of knowledge that contradicted misconceptions that often went unquestioned. For example, the majority of university courses reinforce the notion of information assimilation and solely use this method of teaching. As a result, I blindly accepted the superiority of information assimilation over other teaching strategies. However, this course revealed the deficits within information assimilation and further enlightened students regardingRead MoreCommunication Reflection1068 Words   |  5 PagesCommunication II, only the first of many I will endure, was a successful one. This course was to make us better writers, and I certainly have improved. In this progress report, I will be discussing my strength and weakness, summary and respond by both audience and professor, and ways I learn to properly and effectively write each major reports, and my writing has improved in many ways. Strength This semester I was able to learn how to critically think through process of writing in ways I did notRead MoreCommunication Reflection1225 Words   |  5 Pagesother side, I need to express my idea strongly. Therefore, it makes me to consider about the proper way of communication and its importance. Communication does not only simply mean talking but also listening carefully to others. Therefore, communication is a way to help us build the relationship with others. In the business class, our professor has talked about â€Å"communication†. Communication is a really crucial role in workplaces that everyone has to face. Whatever you are the employees, executivesRead MoreCommunications Reflection Paper : Communication781 Words   |  4 PagesCommunications Reflection Paper Ethan Martin October 5 2015 Through a bullhorn, this world proclaims, â€Å"God is dead†. Under it’s breath, the earth whispers, â€Å"...at the very least, he is unplugged.†. Wholeheartedly I believe, as a result of my probing and questioning, these statements are simply untrue. Not only is He alive, the whole universe declares God to be a connected and loving being. Evidence to support God’s existence is unveiled through His communication towards us as a people

The Bias Of Mass Media - 1034 Words

Argument toward certain topics began because the bias found in the mass media. According to University Wire, â€Å"[the media is the main reason why we’re]politically divided because the fundamental flaw in our mass media system is that we have two sides.† What two sides are we talking about? We’re talking about the democrats and republicans or in other words, liberal and conservative sides. Liberals are those who believe in changes and conservative are those who believe in traditional values. What is responsible for causing the nation to fall apart? Mass media. The three powerhouse in media are Fox News, MSNBC and CNN, they tend to be bias in their news reports. When the media give biased news, certain viewers tend to go along with what the†¦show more content†¦For example, in 1798, Americans argued over whether if the First Amendment banned the government from interfering with planned publication or if it should also punish critics for publishing lies to the people. Another example, is both the Democratic National Committee AKA DNC and Politico developed statements that Trump is an agent of a foreign power. â€Å"DNC claims that in the United States, we prize journalistic objectivity and criticize those who break it. Objectivity is when a person’s feelings or opinions are not influenced even though facts are shown or given to them. The people that breaks objectivity begins to develop a more subjective perspective. A subjective perspective is based on or influenced by personal feelings, tastes, or opinion. A part of the public believes that the press is supposed to be objective. Although, objectivity is an outdated and harmful idea to many people within the field such as journalists and news reporters because it tends to censor the journalists, it leads to he-said-she-said coverage, favors the powerful and reinforces the status quo. The definition and practice of objectivity has altered over the years. Thomas Terry, a pro fessor of journalism and communication at Utah State University, says that reporters are trying not to offend their audience whether they are â€Å"Democratic and Republicans, wealthy and poor, immigrant and native -- you had to appeal to all of those.† Has anybodyShow MoreRelatedRacial Bias in the United States due to Mass Media Essay1865 Words   |  8 Pagesequality. All around the world, America is seen as a country of colors, yet mass media does not recognize that fact. Racial bias is a prevalent trend in today’s media, and white people are favored in comparison to any other race. Seemingly every aspect of mass media is soaked in bias. Oftentimes, this leaves out minorities and simultaneously caters to white people. To fully comprehend the extent of racial bias in media, one must become aware of several features that play into it. 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However, the change in public opinion regardingRead More Galactosemia Essay1563 Words   |  7 Pagesis very apparent in the theories presented by Laura Mulvey and Mimi White. They contend that mass media perpetuates sexism because media is ubiquitous, and the environment impacts human development. There is another side to this: that our environment does not completely define us. Just like a lactose-intolerant baby that would die in the absence of an environment that treated the natural disease, the media helps shape who we are, but does not completely define us. Mulvey says matter-of-factly theRead MoreEssay about Trial by Media1445 Words   |  6 PagesTrial by Media With 27 million newspapers bought and 99 percent of the adult population watching an average of 2 ½ hours of television every day, the British Media (mass media) has a massive audience. 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Political socialization is the process where people tend to form their political opinions/beliefs. An individual s political beliefs might be shaped by things that one hears or sees at home, school, work, media etc. Political socialization is important because no democracy could thrive if people did not have different political beliefs, or share political beliefs. For instance, if everyone had different opinions, it would be difficult to reach agreements

Medical History Of Joylene Sims Samples †MyAssignmenthelp.com

Question: Discuss about the Medical History Of Joylene Sims. Answer: Introduction The purpose of this paper is the case study of Ms. X, name not mentioned to protect confidentiality, to understand her medical history, events leading to her admission, health risks, Pathophysiology of the clinical conditions experienced by the patient, pharmacological interventions that might be applicable (including the outcomes, side effects, contradictions andnursing considerations), assessment of the diagnoses and provide recommendations based on the findings. The patient is a 66-year-old lady, residing in SA Housing with her son and primary care giver, Matthew. She previously was able to live independently with little assistance, needed 4WW for walking, and was able to manage her own medication, finances, toileting, and personal care. She was admitted to Finders Medical Centre on 02/05/2017 after her son found her collapsed on the floor. The patient also had a medical history of Diabetes Mellitus (type 2), Hypertension, Migraine, Fatty Liver, Depression, Right Sub Arachnoid Cyst, Recurrent pain of lower back, Left Shoulder Bursitis and Anxiety disorder. A drastic drop in blood sugar levels caused by Diabetes Mellitus can cause loss of consciousness (Fainting diabetes2017). She was subsequently diagnosed with chest infection and right leg cellulitis with septicemia. She was administered with intravenous antibiotics immediately. Her condition worsened, and developed rapid Arterial Defibrillation, Acute Kidney Injury, pneumonia and edema in her legs and arms. Her urine tested positive for APMC (multi resistant gram-positive bacterium). She has also admitted to the Intensive Care Unit twice for respiratory failure, which along with her present medical condition caused significant deconditioning and a loss of functional abilities. Consent was obtained as per the healthcare policy guidelines to access her information, for ethical concerns (Nursing and Midwifery Board of Australia Policies, 2017). The health risk was aggravated by the history of diabetes, which could have had stressful effects on the other organs (Matsuda and Shimomura 2013). Hypertension, and arterial fibrillation further complicated the condition, and a damage of the kidneys could be attributed to it, which can also explain the onset of edema (Bonde et al. 2014). Depression and Anxiety may also be the effect of her clinical condition.She is also suffering from Obesity and Deconditioning. Pathophysiology/ Pharmacology During the shift the patient experienced a plethora of signs and symptoms that worsened his condition. The primary concern in the patient was diabetes. Type 2 Diabetes occurs due to an insufficient production of insulin by the pancreas or an insulin resistance (which causes the failure of cells of muscles, liver and fatty tissues to respond to insulin, even if they exist in high levels in the blood). This resulted in a rise in blood glucose level, and a depletion of the stored glycogen. Insulin resistance can be caused due to obesity and lack of physical activity (Mandal, 2017). Type 2 diabetes represents about 90% of all reported diabetes cases, and can lead to other complications like cardiac arrest, problems with vision and foot ulcer (Diabetesaustralia.com.au, 2017). The risk factors include family history, age more than 45 years with obesity or High Blood Pressure, and certain ethnic groups. Typical symptoms include: excessive thirst, frequent urination, lethargy, persistent hunger, slow healing of wounds, skin infection and itching, blurry vision, obesity, mood swings, headache, dizziness, leg cramps (Kirk et al. 2015). Study of the patients clinical condition shows a clear association with diabetes related complications. Her diagnosis of septicemic infection of the leg, Hypertension, Migraine, Fatty Liver, Depression and Anxiety can be attributed to Diabetes. Pharmacological intervention should involve administration of Metformin HCL (1g) daily (Mujeeb and Mutha 2015). This medicine will help in improving her sensitivity to insulin, and will result in a lowered glycogenesis in the liver. However, lifestyle changes like weight reduction and exercise is needed for the medicine to be effective in reducing blood sugar levels. Side effects include nausea and diarrhea. The patient also reported signs of hypertension, evidenced by blood flow through the vessels with a higher pressure than normal. This requires attention as the condition can create stress on the heart, damage blood vessels, and can also heighten chances of cardiac arrest or myocardial infarction, cerebrovascular accident, renal dysfunction. It can even lead to death (PubMed Health, 2017). The physiological mechanisms underlying hypertension includes a decrease in peripheral resistance and elevated cardiac output; low levels of rennin and angiotensin II; interaction between the autonomous nervous system and renin-angiotensin system; endothelial dysfunction and genetic factors (ncbi.nlm.nih.gov, 2017). These will lead to headaches, dizziness and anxiety. The history of migraine headache and anxiety can be attributed to hypertension, which in turn could be related to her obesity (Ahmad et al. 2016). Pharmacological intervention should include administration of Nebivolol (5mg) once daily and Frusemide (40mg) thrice daily. Nebivolol is a beta receptor blocker and vasodilator (Perros et al. 2015), and Frusemide helps in the treatment of the buildup of fluid caused by cardiac failure, liver scarring and kidney dysfunctions (Tamargo, Segura and Ruilope. 2014). The drug will inhibit the absorption of sodium and chlorine in the proximal and distal convoluted tubules of the nephrons. Thus, both these medications can be used as effective interventions to treat hypertension in the patient. The side effects of Nebivolol may result in hypersensitivity, low blood sugar, dizziness, breathlessness, gain in weight, and swelling of arms or legs, slowing of heartbeat, headache and fatigue (Velasco et al. 2016). Therefore, the drug should be administered with or before food, at a single time without missing any doses (however, double doses/extra doses should be avoided, if timely administration is missed). Frusemide may also lead to increased urination, weakness, muscle cramps, thirst, rashes, dizziness, diarrhea/ constipation, stomach pain, fever, nausea and dehydration. However, it should be noted that the medication can increase nephrotoxicity of cephalosporin and aminoglycosides, and should not be administered with phenytoin and indomethacin. The presence of atrial fibrillation in the patient is another concern. It is caused by irregular beating of the atrium of heart, causing irregular or rapid heartbeat. This increases the risk of strokes, heart attack and other cardiac dysfunctions (January 2014). The irregularity can be due to chaotic electrical signals to the Aurio-Ventricular (AV) node, and increase the heart rate to 100 to 175 beats per minutes, and can also cause ventricular fibrillation (Andrade 2014). Previous history of hypertension, lung disease, heart attack, congenital heart defects, coronary arterial disease, and abnormal valves of heart, thyroid dysfunction and viral infections might have contributed to the incidence of atrial fibrillation in the patient. Common symptoms include weakness, palpitation, fatigue, dizziness, short breath, confusion, chest pain and light headedness (Heart.org. 2017). Based on the symptoms being manifested by the patient, her pharmacological interventions should include daily administration of Amiodarone (200mg). The drug will block electrical signals to the heart that causes irregular heartbeats (Roy et al. 2000). However, she may suffer from some side effects such as, nausea, constipation, appetite loss, fatigue and shakiness (Drugs.com.2017). Her allergic and medical history (liver/ lung /thyroid dysfunction) should be checked before administering the drug. The patient also exhibited signs and symptoms of obesity, following her admission. This condition is principally characterized by an excessive accumulation of body fats, causing adverse health conditions. A body weight that is 20% more than the normal weight and a Body Mass Index above 30 is considered as obese (WHO, 2017). Excessive calorie intake, sedentary lifestyle, lack of sleep, endocrine disruption (like food that interferes with lipid metabolism) and genetic conditions (like a faulty FTO gene or family history) might have contributed to the excess increase in weight in the patient (Healthdirect.gov.au. 2017). This condition is dangerous for the patient as it aggravates the chances of type 2 diabetes, cardiac disease, hypertension, arthritis, stroke and sleep apnea (Esser et al. 2014). The effects on health can be due to an increased mass of fat (causing arthritis, sleep apnea) or increase in the number of fat cells that can cause insulin resistance, proinflammatory and prothrombotic states. Since the patient was already obese, it can be concluded that diabetes, hypertension, fatty liver and back pain could have been a clinical repercussion. An effective approach would be a change in diet, and usage of laxatives like Docusate (50mg x2) and Sennoside (8mg), twice a day. Reducing the reward value for food is a good strategy to reduce weight (Hiesler. 2016). Side effects of Docusate include rectal bleeding/ irritation, rashes around rectum, diarrhea, stomach cramps, constipation, and allergic reaction. Sennoside administration can also lead to nausea, vomiting, diarrhea, weakness, muscle cramp, dizziness, cardiac arrhythmia, decreased urine output, mood changes and allergic reactions. Therefore, there is a need to check for drug interactions for both the medications, before administering them to the patient (Drugs.com. 2017). The patient also reported signs of deconditioning that might have occurred due to lack of physical activity or due to disuse of body parts, and can have severe effect in older patients (Narici. 2017). A sedentary lifestyle or complete bed or chair rest during an illness might have contributed to this condition in the patient. Deconditioning is characterized by a decline in muscle tone, mass and strength. Aging can result in a reduction in the number of muscle fibers, and thus a loss of the bulk. Additionally, disuse of muscles can have similar effects on muscle strength and mass. Since the patient was completely bed ridden, it seemed possible that it resulted in her deconditioning due to the lack of use of her legs. An exercise plan should be formulated with the help of a physical therapist that would keep the patient in good spirits. Investigation Investigations on the patients medical condition revealed the following problems: she developed cellulitis on the right leg, and a subsequent septicemia. It can be attributed to the slowed healing of wounds typical in diabetes. Nurses play an essential role in conducting assessments and identifying worsening conditions in a patient. However, evidences suggest that they often miss reporting patients exacerbating conditions due to delayed management that leads to adverse consequences (Chua et al. 2013). Strict monitoring of her blood pressure was required to reduce health complications. If her increased blood pressure was left uncontrolled several complications such as, transient ischemic attacks, dementia, cognitive impairment, kidney failure, heart failure might have occurred. Therefore, her blood pressure was continuously checked. She also developed chest infection which can be related to the fluid buildup and edema caused by diabetes. She was consequently administered antibiotics v ia intravenous channel. However, her condition became worse, and she developed acute kidney infection, due to the systemic spread of the disease. A positive urine test for AMPC indicated the presence of urine infection in the patient. There was a need to periodically monitor her blood glucose levels before and after meals as this would provide an accurate representation of her glycemic index. This should be strictly monitored unless the levels get normalized. Significant associations exist between cardiovascular complications and high glycemic index. Therefore, there is a need to control her blood sugar levels in order to reduce predisposition to further complications. An X-ray analysis showed the presence of chest infection in the patient. Her lung infection seemed to have quickly worsened, and she even faced respiratory failures, twice, while in the intensive care unit. Because of these multiple complications, she was put to complete bed rest, and it result in a significant deconditioning of her muscles strength and tone. The patient was considered for an ACAT assessment. This aged care assessment team provided her assistance as she was obsess and was unable to move (Boltz et al. 2016). ACAT assessment showed that the patient was no longer able to stand transfer, and hence she needed more care than what can be provided at home. Sling assistance for bed transfers, and 2-3 assists were provided. Reccomendation Firstly, the patient requires a round the clocknursing supervision or a permanent residential care. Both physical and social health care must be provided to the patient in order to help her achieve optimal health and wellbeing. Secondly, her diet should be properly formulated to ensure prevent excess calorie intake. Thirdly, it is also important to address the effect of the diseases on her mental health condition. Her medical history of depression and anxiety predisposes her of acute mental stress, which can adversely affect the treatment outcome. It can therefore be suggested that she be administered 4 tablets of Doxepin (50mg) or 1 tablet of Duloxetine (30mg), daily to manage depression (Werner and Covenas. 2017). Furthermore, social healthcare workers should be involved in providing long term care, and to assist the primary caregiver (patients son). As it is understood, that the patient might be on prolonged bed rest, with only the minimal movement, regular checkups are needed to ensure she does not suffer from bed sores, muscle fatigue and further deconditioning. Additional recommendations can a psychological counseling or evaluation would be helpful for the patient to deal with her condition. Since a comprehensive care might not be feasible in the house, she was recommended to opt for permanent residential care. Reflection Working as a nurse involves a list of responsibilities like observing behavior of patients; coordination between the healthcare professionals; creating and evaluating care plan; emotional and psychological support; analyze patients symptoms and taking any action needed for recovery; maintain report, medical history, and change in condition; administering or changing medication; checking the stock of medicine, to ensure it does not run out; maintain safe and hygienic environment; researching effectivenursing practices; providing emergency care; discussion of treatment plan with doctors or healthcare professionals; providing guidelines disease prevention and health maintenance (Nursing and Midwifery Board of Australia Policies. 2017). Feedbacks are essential tools for developing competencies in the field of evidence based nursing (Boltz, Capezuti, Fulmer and Zwicker. 2016). The feedback by my PEP facilitator during my VIVA VOCE placement suggested that I had demonstrated sufficient knowledge on the case scenario that was presented. I was able to identify the gaps that were associated with the pathophysiology of the several complications presented by the patient. However, my placement facilitator suggested that there was lack of cohesion in my VIVA VOCE assessment. Moreover, I did not demonstrate adequate flow of information during the assessment. My facilitator suggested that I had demonstrated great efforts to present the case. I felt that registered nurses should provide frequent feedbacks to the nursing students to help them develop their nursing practice. The substandard 1.2 of the Nursing and Midwifery Board of Australia(NMBA) (2016, p. 3) points out that nurses are supposed to critically think and analyse the nursing practice. Furthermore, the sub standard 3.5 states that a nurse should maintain the practice capability to ensure continuous professional development. Using the reflection provided, I will implement a better strategy in analyzing and writing the article. I will follow the protocols and marking criterion, create a mental checklist, and work towards achieving my objective. Utilizing the knowledge gathered from the feedback, and the learning processes, allowed me to better understand the subject and national standards. Thus, the clinical placement and VIVA VOCE assessment helped me enhance my clinical skills. References: Ahmad, F.S., Ning, H., Rich, J.D., Yancy, C.W., Lloyd-Jones, D.M. and Wilkins, J.T., 2016. Hypertension, obesity, diabetes, and heart failurefree survival: the Cardiovascular Disease Lifetime Risk Pooling Project.JACC: Heart Failure,4(12), pp.911-919. Andrade, J., Khairy, P., Dobrev, D. and Nattel, S., 2014. The clinical profile and pathophysiology of atrial fibrillation.Circulation research,114(9), pp.1453-1468. Boltz, M., Capezuti, E., Fulmer, T.T. and Zwicker, D. eds., 2016.Evidence-based geriatric nursing protocols for best practice. Springer Publishing Company. Bonde, A.N., Lip, G.Y., Kamper, A.L., Hansen, P.R., Lamberts, M., Hommel, K., Hansen, M.L., Gislason, G.H., Torp-Pedersen, C. and Olesen, J.B., 2014. Net clinical benefit of antithrombotic therapy in patients with atrial fibrillation and chronic kidney disease: a nationwide observational cohort study.Journal of the American College of Cardiology,64(23), pp.2471-2482. Chua, W.L., Mackey, S., Ng, E.K.C. and Liaw, S.Y., 2013. Front line nurses' experiences with deteriorating ward patients: a qualitative study.International nursing review,60(4), pp.501-509. Diabetesaustralia.com.au. (2017).Type 2 diabetes. [online] Available at: https://www.diabetesaustralia.com.au/type-2-diabetes [Accessed 18 Nov. 2017]. Diabetes-mellitus-info.com. (2017).Fainting diabetes. [online] Available at: https://diabetes-mellitus-info.com/fainting-in-diabetes [Accessed 18 Nov. 2017]. Drugs.com. (2017).Amiodarone Side Effects in Detail - Drugs.com. [online] Available at: https://www.drugs.com/sfx/amiodarone-side-effects.html [Accessed 18 Nov. 2017]. Drugs.com. (2017).Docusate Side Effects in Detail - Drugs.com. [online] Available at: https://www.drugs.com/sfx/docusate-side-effects.html [Accessed 18 Nov. 2017]. Drugs.com. (2017).Senna Side Effects in Detail - Drugs.com. [online] Available at: https://www.drugs.com/sfx/senna-side-effects.html [Accessed 18 Nov. 2017]. Esser, N., Legrand-Poels, S., Piette, J., Scheen, A.J. and Paquot, N., 2014. Inflammation as a link between obesity, metabolic syndrome and type 2 diabetes.Diabetes research and clinical practice,105(2), pp.141-150. Flores-Mireles, A.L., Walker, J.N., Caparon, M. and Hultgren, S.J., 2015. 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