Jean Watson free essay sample

As a nurse it is imperative to integrate the psychosocial of a critically ill patient and their family into care. One not only cares for the patient’s physical health, they care for all the components that makes up the patients entity. Sick patients face many obstacles. During the different phases of illness the nurse must alter care to accommodate the patients and family’s needs. Ones acceptance to the various stages can be facilitated and expressed through the Jean Watsons Philosophy, and Transpersonal Caring Theory. Jean Watsons Theory of Caring has become essential in nursing. Caring is at the core of nursing and is vital in providing positive patient outcomes. Watson’s theory is based upon human caring relationships and experiences in human life. She acknowledges a caring relationship and caring environment preserve human dignity, wholeness, and integrity and to restore the person’s harmony it is the nurse’s responsibility to assist an individual to establish meaning in illness and suffering (Cara, 2008). We will write a custom essay sample on Jean Watson or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Nurses have a responsibility to evaluate the patient’s physical, mental, and emotional well- being. Jean Watsons Theory was derived in 1979 and revised in 1985 and 1988. The majority of her revisions were made to her carative factors, in which she believes is the concept for the core of nursing (Cara, 2008). According to Suliman, Welman, Omer and Thomas, (2009), Watsons theory suggest that â€Å"Caring is a different way of being human, present, attentive, conscious, and intentional. Nursing is centered on helping the patient achieve a higher degree of harmony within mind, body, and soul, and this harmony is achieved through caring transactions involving a transpersonal caring relationship (Cara, 2008). Human caring entails the humanitarian science of offering professional services to a needy human. This is based on the consideration that professional nursing services entail experience, knowledge, morals and empathy. Chesney and Anderson (2008) showed that Wilson’s Caring theory is derived from a moral and ethical foundation. The caregiver combines science, humanities, spirituality in enhancing the mind-body-spirit of healing. Watson’s theory is based on the notion that nurses should not rely on the practical aspects of nursing alone. One must encompass the physiological component of healing into ones practice. Instead, a willing nurse should interact with the patient on a personal level while executing ones nursing duties. (Watson, 2011). As a nurse on medical surgical unit I encounter on a consistent basis patients with varied illnesses. Many of the patients have complex needs. On this day, an 89 year old male presented to the emergency department with a chief complaint of fever for one day. The patient is alert but nonverbal. He is able to follow simple commands. The daughter and grandson serve as the patient’s historian. The family gives an accurate account of the patient’s extensive medical history, which include: Parkinson’s, congestive heart failure, colon cancer, diabetes type I, aortic stenosis, dysphagia and frequent urinary tract infections. The daughter quickly verbalizes her frustration to the staff over the many questions. She demands the staff look into the computer for her father’s history. He has been admitted to the same hospital seven times over the last six months. The family appears exhausted. They are snappy and demeaning towards the staff. At one point the daughter refuses a physical assessment for her father. She states â€Å"He’s tired. That’s enough† As the primary nurse I offer the daughter a chair and a cup of coffee. She graciously accepts the beverage and takes a seat. She looks up and states â€Å"I’m so tired. I can’t do this anymore. He is here every week. What am I doing wrong? â€Å" I sit down beside her and reassure her that she has done nothing wrong. She looks up and says nothing. I continue to explain that her father is very sick and needs more attention than before. She agrees but still appears overwhelmed. We continue to speak for over thirty minutes. She confesses to leaving her job to take care of her increasingly ill father. She has now been caring for him for the last eight months, without help. She only qualifies for an aide for six hours a day, which would not allow her to work full time. She is now financially drained. Upon arrival the next morning I discuss the scenario with the social worker and case manager. Later that evening a family meeting is arranged. Although slightly reluctant the daughter agrees to allow her father to be placed in a rehabilitation center. She knows she can no longer care for him at home anymore. She is willing to do what is best for him. The staff reassures her that she is not giving up, but rather doing what is right for her father and herself. In the above scenario I applied the Jean Watson theory in providing care to the critically ill patient and the family. My treatment went beyond the technical aspect of nursing care. It ventured into the psychosocial, emotional, as well as spiritual role of the nurse. The patient’s daughter needed emotional support and guidance. She was overwhelmed, therefore was not able to function to her full capacity, hindering her father’s care. In order to provide a safe and healthy environment for the patient upon discharge the care-giver responsibilities needed to be re-evaluated. The care provided during the patient’s length of stay was not limited to the patient, but to all involved in the patients care. Watson’s theory helps incorporate ones underlying strengths to assist in practice. It allows the healing environment to encompass the patient, family and all other components that are involved in returning the patient to an optimum level of health.

Bad Luck and the 4th Dimension essays

Bad Luck and the 4th Dimension essays Have you ever wondered why certain people seem to be born with bad luck? Some people appear to be touched by the hand of Midas, and yet others always step out on the left side of bed. What if there were actual scientific explanations for these phenomenons. During a physics lesson in my junior year we were discussing Einstein's theory of relativity and how it applied to the "space-time" continuum, or fourth dimension. Leaping off tangent from that topic we discussed the "what-if" of not only multiple, parallel universes, but intersections of those dimensions. This line of thought eventually brought me to a conclusion that bad luck is actually caused by fluctuations in the space-time continuum. To understand this theory, you first have to have a general understanding of the theory of relativity and also my own understanding of the 4th dimension. Basically this theory attempts to analyze the interdependence of both time and space. It explains how, to an observer, the effect of a gravitational field is parallel to the effects of an accelerated coordinate system, like a spaceship. There are seven main postulates in the theory but those I am primarily concerned with are that time is relative, space and time are interdependent, and gravity is a result of curved space and time. This means that the more massive an object is, the more gravity it has. A personal pet theory of mine is that each human has their own continuum, and they are created of infinite continuums of tissue, molecules, atoms... or mini- continuums. The universe is a continuum, but the earth could be classified as one as well. Each mini-continuum is enclosed in a larger one, and the energy of the larger continuums contributes to the overall stability of the universal continuum. Since mass effects gravity, and gravity is controlled by space and time, the smaller an object is, the less effect it has on the larger continuums. A single iron atom's continuum does ...

Evaluating accounting control systems Essay Example | Topics and Well Written Essays - 1000 words

Evaluating accounting control systems - Essay Example The meaning of internal control has changed over the recent years with the development of various internal control models. The COCO model is one of those models. Stone Creek Church in Urbana, Illinois has adopted the COCO framework model for their Internal accounting control system. The Coco model, which builds on COSO (another internal account control model) is the most user-friendly and concrete method. â€Å"The COSO framework is the reference model, which is written from the point of view that basically it makes the organizational member of the internal control be thorough who includes the manager from the standpoint of the shareholder† (COSO Framework Para 10).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The COSO framework describes internal control as a procedure, influenced by an entity’s management, board of directors and other workers, which is planned to provide reasonable assurance concerning the attainment of objectives. As stated the earlier Stone Creek Church in Urbana, Illin ois has used the COCO framework model. The Stone Creek Church in Urbana always has to in excess of two persons to handle the cash. The money is never in one person’s situation anytime for protection. ... And it protects the person and the structure. The Stone Creek Church in Urbana provides cash dispersement process. It means payment or Cash outflow of money to resolve commitments for instance interest payments for loans, operating expenses and accounts receivables throughout a particular period so as to carry out business actions. Usually in the form of plastic money, cash, check, Electronic fund transfers and warrants. CoCo model distinguishes four interconnected elements of internal control such as containing purpose, commitment, capability and learning and monitoring. An industry that performs a task is directed by an understanding of the function of the task and supported by ability. To execute the task well over time, the industry wants a sense of commitment. At last, the industry has to monitor task performance to develop the task process. These fundamentals of control, which contain twenty particular control criteria, are seen as the steps an industry takes to promote the rig ht action. As mentioned earlier Stone Creek Church in Urbana, Illinois has adopted the COCO framework model. The task was to evaluate the accounting control systems of Stone Creek Church in Urbana, Illinois on the basis of the interview of the Stone Creek manager and the attached notes on COCO framework. The Coco framework states that the organizations should be able to measure their performance in quantitative terms and should use budgets and financial statements to evaluate their performance. The Coco framework also advocates the use of qualitative measures such as target setting in order to assist the performance of a firm. In the Stone Creek Church case no quantitative measures like the setting up of budgets has been done as well as no qualitative measures like