Medical Emergency Team Essay Example | Topics and Well Written Essays - 4000 words

Medical Emergency Team - Essay Example Research across nations has shown that a risk management approach, leadership skills, and other criteria utilised in a teambuilding activity may prove to be very efficient in implementing such a team in teaching hospitals (Lee et al., 1995); however, although possibility and feasibility of advanced practice nurses as leaders of such teams have been explored in some studies (Jenkins and Lindsey, 2010), in reality there has been no such attempts in creating such a team in a District General Hospital. The introduction above is actually the background of a project proposal to introduce a Medical Emergency Team in the District Hospital where this author works. Since this concept is new and unknown, and the hospital infrastructure is not yet ready for that purpose, it would need extensive organizational changes and changes in attitudes of the healthcare professionals engaged in different aspects of care delivery in this hospital. Thus implementation of such a programme would need provisions for planning and execution of the different stages of the plan. By organisation, it means the policy, process, people, principles, and promoters, since launching a new service would need manipulations in all these areas at the organisational levels. Obviously, while planning this project, all key concepts at the background of such a service must be incorporated, although some local changes must be made to suit the local needs of the hospital at the district level, which would definitely vary from the needs of a tertiary care hospital in the same area. The project would be feasible only when it would be grounded on the key concepts and not principles derived from the prevalent national health and social care policies. However, only this could not achieve the objectives of such a team unless it works on the principles of team building and integrated effort towards building partnerships among the stakeholders through appropriate leadership skills that bring the best of team work and change management. This author is an advanced nurse practitioner for the last three and a half years in this hospital. As already known, this position allows independent, autonomous, and accountable practice in different clinical areas including 20 years of work in the Accident and Emergency. This position allowed sufficient exposure to different emergent clinical scenarios that may be encountered in practice, and rapid response was absolutely essential in such care deliveries. It is very important to note that such care is possible through teamwork only, and it is called Medical Emergency Team. The basic tenet of such a project would be very collaborative teamwork based on as recommended by Kerridge and Saul (2003) continuing education on recognition of acute illness and processes involving audit and education. They must recognise the areas where in-hospital response to acute and critical illness outside the ICU is suboptimal. This author's experience in working in team, which is used to work in the hospital in day/night teams may this become useful for such projects. In this proposed project, there will be a team of 20-plus advanced nurse

Week 5, Discussion 1, the Age of Reagan Essay Example for Free

Week 5, Discussion 1, the Age of Reagan Essay He was the 40th president of the United States. He put into practice extensive new political and financial schemes. Reagan supply-side economic strategies, dubbed Reaganomics, implementing reduced tax rates to prompt economic development, calculating the money supply to decrease price increases, deregulation of the financial system, as well as decreasing government expenditure. In his presidential address he called upon Americans to begin an era of national renewal. In order to solve the major problems those country faces like both overseas and household, Reagan stated his recognizable movement expression: Government is not the solution to our problem, government is the problem. He also stated that United State will again be the exemplar of freedom and a beacon of hope for those who do not have freedom. He advanced domestic strategies that attributed a reduction of federal government accountability in solving social troubles, dropping limitations on trade, as well as into practicing tax cuts. Worldwide, he established a violent resistance to the extent of collectivism all through the world and a tough mistrust of the Soviet Union, which in 1983 he tagged an evil empire. Reagan campaigner a rearmed and strong military in addition, to what was in particular helpful of the MX projectile scheme as well as the Strategic Defense Initiative (Star Wars) plan. His economic strategies came to be identified like Reaganomics, an effort, from the Cannon perspective in order to balance the federal budget, increase defense spending, and cut income taxes. The President Sweared to look after right programs for instance Medicare and Social Security. Although, cutting the exp enditure for social programs by targeting waste, fraud and abuse. He clinched the assumption of supply side economics, that hypothesized that tax cuts encouraged economic growth which in turn amplified the governments income at an inferior tax charge. References: Isbouts, J. Johnson, B. D. (Writers) Johnson, B. D. (Director). (1998). Powerplay: End of the empire [Television series episode]. In J. Florescu, J. Isbouts, B. Johnson (Executive producers), Inside the Cold War with Sir David Frost. Los Angeles, CA: Porchlight Entertainment

The Life Of King Henry VIII

The Life Of King Henry VIII King Henry VIII was born in 1491. Henry was the third child of Henry VII and Elizabeth of York. He was seen as a promising young prince due to his outgoing personality, and intelligence. Traditionally the first male heir of the royal family is successor to the thrown, but unfortunately, the first born; Arthur died quite unexpectedly at the young age of fifteen. This sudden tragedy has placed Henry as the unforeseen heir to the throne. King Henry VIII was looked upon as the perfect young king during his early reign; he had received an outstanding amount of schooling, and he spoke many languages. Not only did he fall under the category of an intellect but as an athlete as well. He was experienced and talented in jousting, hunting, tennis and archery. However, as Henry grew older history has shown scholars a change in this once beloved king. King Henry VIII proved to rule tyrannically due to his thirst for blood, power, and a male heir to succeed him. Throughout Henrys reign, bloodshed seemed to have been a typical method for this king to solve his problems. As soon as he succeeded his fathers position, Henry made his mark as a King who would not let anyone stand in his way by groundlessly charging his fathers two unpopular ministers Sir Richard Empson, and Edmund Dudley with Treason. The two ministers were executed in 1510. Another controversial and completely unnecessary death ordered by Henry VIII was that of Cardinal Wolsey. Cardinal Wolsey was appointed chancellor by King Henry VIII, they were very close friends. With that being said, Henry trusted Wolsey to convince the pope that he should have the divorce from his first wife Catherine of Aragon. When Wolsey failed this important task, King Henry out of anger dismissed him of his duties as Chancellor, and later ordered his arrest. It had been intended that Cardinal Wolsey be confined within the Tower of London, but during the crossing from York to London Wolsey died. If the death of such a close friend, who supported this tyrannical King in whatever he did isnt bad enough, he was also responsible for the execution of two wives. Henrys second wife was charged with treason, incest, and plotting to murder the king. It was King Henrys plan to have the crimes: be such as to inspire not only revulsion for Anne but also sympathy for Henry, and it must be something that would merit divorce as well as death. (Weir 309). King Henrys fifth wife Catherine Howard was also put to death with the charge of treason and adultery. When Catherine was arrested it should be remembered that Cranmer which was the kings adviser has no evidence beyond his own conclusions that she had committed adultery (Weir 448). These sorts of things had become what has been described as: a commonplace, and it has been suggested that this blood-thirstiness was a reflection of Henrys increasing age, power and problems. (Fraser 19) Christians throughout Europe had been part of the same Church for more than a thousand years. The pope was considered head of Christianity, this gave him tremendous power. Christians in that time period believed they can only get to heaven by following the rules and teachings of the Church. Martin Luther began the Protestant Reformation in Germany, his writing quickly spread to many parts of Europe; King Henry VIII then countered his ideas by publishing The Defense of the Seven Sacraments. This book defended the seven sacraments which Martin Luther was so critical of. When the Pope had read the book, he gave Henry VIII a new title: Defender of the Faith. He was seen as the hero for some time, but this quickly changed. King Henry VIII decided to divorce Queen Catherine when he realized she could not produce a son. The King decided to take on a new Queen; Anne Boleyn. He hoped Anne would be the answer to his prayers and would give him the son that he so desperately longed for. But in d ivorcing Catherine, Henry had been required to make a split with the Roman Catholic Church, which had gone against King Henrys wishes and refused his request for the divorce. In the process of King Henry VIII trying to reach absolute power by separating from the Church he had dramatically transformed the Church in England. King Henry VIII had hoped that by limiting the power of the pope it would make his chances of the divorce going through successful much easier. But if this did not work, the king had been prepared to take total control of the Church in England so he could obtain a divorce without the permission of the pope (Worth 64). King Henry VIII had imprisoned numerous citizens who did not support the Reformation or the kings new position as head of the Church. Some were even sent to the scaffold, including two well recognized men through out England; Bishop John Fisher, and Sir Thomas More. The death of two distinguished men such as More and Fisher sent shock waves through o ut England and Europe. Some of Henrys subjects who had supported the Reformation now began to wonder if the king had become a tyrant (Worth, 75). Henry VIII has had 6 marital affairs throughout his reign as king of England. This was a big scandal during the time of the Renaissance, seeing as divorce was uncommon. King Henrys first wife was originally his brother Arthurs betrothed. King Henrys ultimate goal was to create a male heir to succeed him and in all the time he was married to Katherine of Aragon, only a daughter was produced and numerous stillborn sons. This infuriated Henry, and along with the conniving Anne Boleyn who used lust and her wit as her weapon, King Henry was driven to divorce this woman of virtue. This separation was clearly an act of selfishness on King Henrys part; he drove the church into the ground for this divorce to take place, due to his lust for Anne Boleyn and obsession with creating a son. Things only got worse once the King was married to Anne Boleyn. King Henry did not expect her to be so opinionated and involved with both his political and personal affairs. Being a man with a love for absolute power, this displeased him and his interest in her began to wane, and he turned his attention to Jane Seymour. While pursuing Jane Seymour Henry began to become infuriated by Anne, not only was she ill-tempered but she was not producing a son. Cromwell immediately devised a conspiracy against Anne Boleyn which would ultimately allow Henry VIII to not only divorce his new wife, but to have her killed. He and Cromwell without acknowledging the fact to each other, both knew that they were parties to a plot to do away with an innocent woman for the sake of expediency (Weir 310) Anne Boleyn was beheaded on the charges of Treason, Adultery, Incest, and plotting to kill the king. King Henry moved on to marry Jane Seymour, who gave him a son, she died during child birth, and conveniently pronounced her his true love and that in the event of his death he should be buried beside her. The King later decided it was time for him to marry, merely for political gain he agreed to marry Anne of Cle ves hoping their marriage would put an end to the religious problems of the German principalities (Weir 390) The King had never seen her in person, and had only received portraits which exaggerated her beauty. When they had finally met, like an immature child he was disappointed with her physicality, and thus the marriage started off on a bad foot. This marriage became annulled in 1540, with the excuse that the marriage had not been consummated and she had a pre-contract with another man. Another failed marriage did not stop Henry; he proceeded to become infatuated with the young Katherine Howard. Katherine Howard was thought to be an empty-headed and materialistic girl, only interested in her own personal affairs. This surely did bother the controlling King Henry All he asked of her was that she give him more sons (Weir 434). Marrying a girl with such little experience backfired on King Henry VIII, when she committed adultery with Thomas Culpepper, a member of the court, as well as a favorite of the King. This led to her arrest, and death. Last but not least there was Catherine Parr, who was lucky enough to stay married to Henry for four years until his death in 1547. Five marriages with an exception of one were ended, some in death due to this finicky Kings lust, need for power, and ultimately to conceive a male heir. King Henry VIII had ruled England for thirty seven years as a tyrant, only looking for personal gain. We see this through various events which have marked England forever, throughout the reign of this cruel and oppressive King. This includes the many unnecessary killings, his marriages to six wives which ended in death, the failure to produce a male heir, or simply because he was not attracted to her. The third way proving the tyrant within King Henry would be the split from the Roman Catholic Church. Henry had an obsession with power, and having the pope stand in his way to marry another woman led him to make one of the biggest changes in English History.

State Of The Union Address Essay :: essays research papers

State of the Union Address Essay President Clinton has declared that "the enemy of our time is inaction," pledging to forge bipartisan agreements on a balanced budget and campaign finance reform within months, and to lead a "national crusade" to improve education by the turn of the century. Education, Clinton vowed, would be his "number-one priority for the next four years," and he devoted the longest portion of his address to this. He appealed for "national standards" to improve student performance and pledged to promote such standards with voluntary tests prepared by the federal government. Most of the ideas Clinton presented last night first appeared as poll- tested proposals in his reelection campaign last fall: expanding the 1993 "Family and Medical Leave Act" to include time off from work for parent-teacher conferences; school curfews; and tax credits and deductions to subsidize college education. But he presented these ideas using more encompassing and urgent language than before. "We face no imminent threat, but we do have an enemy: The enemy of our time is inaction," Clinton declared at the start of his speech. He finished, as he did in last month's address, by invoking the symbolism that the nation is about to pass into a new millennium. "We don't have a moment to waste," he said. "Tomorrow, there will be just over 1,000 days until the year 2000. . . . One thousand days to work together." The speech proved shorter than predicted and far more organized and disciplined than some of his previous appearances before Congress. The annual speeches to Congress have served as markers of Clinton's ideological migration. In 1993, he announced that government must do more and unveiled a raft of big- government proposals, including a $30 billion "stimulus package" that was vastly more expensive than any single proposal he offered last night.

Business Letter to the Editor for Western Herald Essay

Overview: With the previous unit, we explored personal writing suitable for academic audiences by reading scholarship from monographic texts and academic journals. For this unit, we’ll shift our emphasis to public writing that is also suitable for academic audiences. While we’ll plan to read academic scholarship, we’ll also explore different genres for which academic texts are suitable, including editorial publications. More specifically, we’ll look at opinions and letters to the editor published by the Western Herald. As we plan to work specifically with the letter to the editor genre, we’ll pay close attention to how argumentation styles, uses of evidence, and consultation of sources differs when writing a scholarly autobiographical academic essay. To prepare for the composition of editorials, we’ll read sample letters to the editors, and arguments pertaining to cultural diversity. The Task Your task will be to compose a letter to the editor that is suitable for publication in Western Herald. For this letter, you will select an issue that you are passionate about on Western’s Campus or the surrounding Kalamazoo area. Your letter should respond to the following questions: What specific issue matters most to me right now? Why should this issue matter to readers of Western Herald? To complete this assignment, you’ll first want to become familiar with the  editorial requirements for submitting letters to Western Herald. These requirements can be found on http://www.westernherald.com/letter-to-the-editor/ Next, you’ll want to read a few letters to the editor published by Western Herlad to get a sense of the stylistics conventions and argumentation strategies authors used to compose these editorials. Finally, you’ll consult course texts that discuss multiculturalism and diversity. You’ll also plan to locate, evaluate, and consult additional editorials and academic essays that address issues of linguistic diversity. In essence, you’ll need to reference sufficient and appropriate evidence necessary for persuading readers of your argument.

Effective Editing and Proofreading General Strategies

Effective Editing and Proofreading General Strategies Editing and Proofreading Strategies So, the final version of the paper is written and it seems that the work is done. Is it really? Writing is a complex process that requires specific skills and abilities. It is very difficult to make a good piece of writing on the first try. As a result, even the final version of the paper requires thorough revision. Paper revision process includes two main activities, which are editing and proofreading. Their aim is to find the smallest grammar, punctuation, and spelling mistakes, as well as flaws in grammar structure, style, word choice, etc. The following article will provide you with useful tips on effective editing and proofreading. Editing Editing is a process of tracing and correcting mistakes. For this reason, it is crucial for the writer to know typical mistakes, as well as implement strategies for finding them. Editing tips for writers include: The best way to trace errors is to read the paper aloud. Do not hurry up. Read each sentence slowly and attentively. Correct any mistakes you find. After reading each sentence separately, read the whole paper once more. Concentrate on the parts that seem awkward and correct them. If you have enough time, do not revise your paper at once. Do it the next day after writing. It will help you get a new insight into your writing and improve your paper. One by one! While editing, it is recommended to read only one sentence at a time. It will give you a possibility to evaluate it better and see whether it sounds weird, whether it is what you wanted to say and whether it is relevant to the topic. Typical errors It is not a secret that people tend to make the same mistakes over and over again. If spelling is your weak side, pay more attention to it. If grammar is the problem, concentrate on it. Make a list of common mistakes and address them each time when you are writing a paper. Pay attention to punctuation and grammar rules. It is clear that you will not be able to learn all the grammar and punctuation rules by heart. However, if you do not know the rule, it does not mean you do not have to follow it. If you doubt that you are right in some instances, consult a grammar book! Proofreading Proofreading is the final step on your way to submitting a high-quality paper. Therefore, it is not less important than editing! This activity helps to spot random errors and correct them. Proofreading includes the following steps: Reader, not a writer. Read your paper as if it was written by someone else. Do you find it understandable and logical enough? Step-by-step reading. Read the paper very carefully. Look for typos and other errors. Backwards reading. Start reading information on a page from bottom to the top and from left to right. This strategy helps to identify typographical and spelling errors faster.