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Swift Water Rescue Research Paper Example | Topics and Well Written Essays - 2500 words
Quick Water Rescue - Research Paper Example This paper will talk about the various aptitudes and information that one needs to gain so as...
Thursday, August 27, 2020
Swift Water Rescue Research Paper Example | Topics and Well Written Essays - 2500 words
Quick Water Rescue - Research Paper Example This paper will talk about the various aptitudes and information that one needs to gain so as to comprehend the salvage procedure. Over the previous years, passings related with suffocating in the water bodies have been on the expansion. This has been credited to absence of information on the most proficient method to manage occurrences happening on the ocean and quick moving waters. The episodes may happen when the casualty deliberately enters an obscure waterway, when a vessel upsets, or when somebody without preparing endeavors to spare somebody who is suffocating. Unique preparing is required for an individual to be ensured as a quick water rescuer. What's more, the rescuer must be truly fit for drawing in the difficult situations so as to spare another. One gifted in pontoon dashing can't be guaranteed dependent on that ability. What's more, another who can swim quick won't ensure that he will qualify as a quick water person on call. A quick water rescuer, other than having adequate preparing is sparing individuals, ought to likewise realize how to utilize salvage devices and gear. What's more, more than that, the rescuer should likewise wear individual defensive apparatuses with the goal that the individual in question may not support substantial mischief. With the harsh idea of quick water, the rescuer will most likely be unable to anticipate or control its development that would push the rescuer towards tremendous and pointed rocks, and eventually cause injury to the head or different pieces of the body. Quick water salvage includes the expulsion of a casualty from a waterway. This requires an individual to have the correct aptitudes and information to deal with the issue adequately. A rescuer should put on the correct clothing to shield oneself from suffocation and being harmed during the salvage procedure. There are gadgets that guarantee that the rescuer is very much secured and furnished in the salvage procedure. For example, overalls are made of high-thickness polypropylene webbing that makes the rescuer clean and
Saturday, August 22, 2020
Compare and Contrast between the Politics and Theories of Plato and Research Paper
Investigate between the Politics and Theories of Plato and the Politics and hypotheses of Aristotle, Mentioning the Simil - Research Paper Example It involves more than passing premium that Plato and Aristotle are so intently tied - Aristotle having gained from Plato - since the two contrast so in a general sense in a considerable lot of their convictions and hypotheses regardless of the similitudes that no uncertainty are owing to their own affiliation. For the connection among Plato and Aristotle was one of ace and understudy, similarly as with the connection among Socrates and Plato. ââ¬Å"Aristotle had sat at (Platoââ¬â¢s) feet, and tuned in to his talks; nor might he be able to, whenever had been squeezed, have done in any case than recognize Platoâ⬠¦for ââ¬Ëhis ace in humanis,ââ¬â¢ and pre-prominently in politicisâ⬠(Barker, v).1 Placed in an advanced setting, their convictions concerning the state and the idea of morals in governmental issues resound capably in the present. One need just harp on the political (and individual) hubris that offered ascend to the Watergate outrage and ensuing maltreatment of Constitutional force in the Reagan and both Bush organizations. Legislative issues, Plato accepted, was indistinguishable from profound quality; for Aristotle, the harmonious nature among state and resident depended on the possibility that Name 2 the two sides act in the benefit of everyone. The thefts of overbearing and flighty states show that cutting edge manifestations of government have veered a long way from Plato and Aristotleââ¬â¢s originations of the ââ¬Å"goodâ⬠city-state. In that capacity, an assessment of the likenesses and contrasts between their hypotheses is as yet informational inside the setting of advanced political and legislative morals. For example, Plato doubted the rich, who would in general keep their best interests in mind before that of the express, a worry that echoes in the ongoing dangerous offenses of Wall Street. In any case, endless models have demonstrated that Platoââ¬â¢s confidence in a sole ruler, even a savant lord (ââ¬Å"enlight enedâ⬠is, all things considered, a relative term) can never encourage the support of all classes â⬠Aristotleââ¬â¢s blended and participatory government, regardless of its defects, takes into account shrewd and educated people to get engaged with the procedures of government. Legislative issues and government Sacrifice, explicitly selflessness, is a quality suggested in the Aristotelian Democratic perfect. ââ¬Å"Even if the end is the equivalent for an individual and for a city-express, that of the city-state appears at any rate more prominent and progressively complete to accomplish and protect. For in spite of the fact that it is qualified to achieve it for just an individual, it is nobler and increasingly heavenly to do as such for a country or city-stateâ⬠(Miller, 2011).2 As a common ethical quality, it would not be conceivable without the levelheadedness and reason of the law, formalized in a constitution. Reason is one of Aristotleââ¬â¢s five assumptions of legislative issues, a point whereupon he and Plato agreed. ââ¬Å"Aristotle concurs with Platoââ¬â¢s proclamation that, at whatever point a framework contains a sane component, it is suitable for it to run over the non-normal Name 3 section, in light of the fact that the judicious component alone
Friday, August 21, 2020
Contingency Perspectives of Leadership are Better at Motivating Annotated Bibliography
Possibility Perspectives of Leadership are Better at Motivating Employees - Annotated Bibliography Example The investigation was completed in a budgetary assistance organization with 153 members, every one of whom were administrative specialists. A survey was coursed around the association and afterward quickly gathered by the scientist. The poll contained scales that ran from 1 to 5. Members needed to demonstrate how emphatically they concurred or couldn't help contradicting certain announcements. Followersââ¬â¢ characters were separated into four classes: neuroticism, extraversion, receptiveness, and pleasantness. The scales ran from ââ¬Å"not at all trueâ⬠(1) to ââ¬Å"completely trueâ⬠(5). The four classes for followersââ¬â¢ characters were each given a Cronbachââ¬â¢s alpha. So as to test for transformational authority, an adjusted variant of the MLQ 5 X Short was managed. Along these lines, four transformational measurements were characterized: glorified impact, individualized thought, scholarly incitement, and rousing inspiration. The scales for these measureme nts extended from ââ¬Å"neverâ⬠(1) to ââ¬Å"almost alwaysâ⬠5). As in the past test, Cronbachââ¬â¢s alpha was utilized. Duty was evaluated utilizing two scalesââ¬an full of feeling responsibility scale and a duration scale. By and by, Cronbachââ¬â¢s alpha was utilized. It was found that followersââ¬â¢ extraversion and pleasantness were decidedly connected to the impression of by and large transformational administration and to full of feeling pledge to the administrator. Additionally, supporters high in extraversion and appropriateness perceive transformational authority more than the individuals who are low in these zones. ... By and by, Cronbachââ¬â¢s alpha was utilized. In the event that writing survey/meta-investigation or scrutinize: Focus of substance Key discussions Position , assuming clear - If inquire about article: Findings of research It was found that followersââ¬â¢ extraversion and suitability were decidedly related to the view of generally speaking transformational initiative and to full of feeling promise to the administrator. Additionally, adherents high in extraversion and pleasantness perceive transformational authority more than the individuals who are low in these regions. Speculations 1.1 and 1.2 were to a great extent upheld, while Hypotheses 1.3 and 1.4 were just incompletely bolstered. Regarding Hypotheses 2.1, the view of transformational authority was decidedly connected with seen leadersââ¬â¢ extraversion. On the off chance that writing survey/meta-examination or evaluate: Conclusions - Significance of article according to: different articles, your theme for the most par t or earlier research. There is an expansion of research that centers exclusively around supporters and shows they esteem a superior comprehension of the job of devotees in the authority procedure. The consequences of this examination will be useful to business associations later on in light of the fact that it will permit them to set up valuable correspondence channels for devotees to address their pioneers. Confinements of article Eg area, industry, center and so on Because the information are cross-sectional, it can't demonstrate that the bearings of the bolts in the model introduced in Figure 1 are right. Likewise, the impact of character attributes inspected in this examination is constrained. Different components impact the discernment and acknowledgment of administration other than followersââ¬â¢ characters. Quality/s of article A clear connection is found between extraverted devotees and transformational pioneers. This shows
Tuesday, May 26, 2020
Bachelor Degree in Nursing Online Nephrology Nurses Attend to the Complex Needs of Patients with Kidney Disease 2019
Kidney disease can affect or threaten patients of all ages throughout the lifecycle. Nephrology nurses who care for patients with kidney disease also treat a variety of other conditions that stem from kidney malfunction. Consequently, in order to provide quality patient care, nephrology nurses benefit from the advanced training provided by a bachelor degree in nursing online. What is a Nephrology Nurse? A graduate with a bachelor degree in nursing online who chooses to work as a nephrology nurse cares for patients who are experiencing, or are at risk of kidney disease. Nephrology nurses provide care to prevent onset and worsening of kidney disease. They approach the treatment process from a holistic perspective as the treatment of kidney diseases can involve every organ system in the body. Possible occupations as a nephrology nurse include hemodialysis and peritoneal dialysis nursing, patient education, and research. Required Education to Become a Nephrology Nurse Nephrology nursing can be a highly complex field that changes with new technology and research. Many employers prefer to hire Registered Nurses who have earned a bachelor of science in nursing due to the advanced training and critical thinking development it provides. Some schools are now offering a bachelor degree in nursing online for working Registered Nurses who wish to advance their nursing skills. For example, Kaplan University offers a Bachelor of Science in Nursing online combined with clinical and lab work that is coordinated through students and the university. Advanced education also provides nephrology nurses with the option of pursuing management and leadership positions within hospital nephrology departments and nephrology clinics. Related ArticlesOnline Nursing Schools Learn How to Offer Hope through Hospice Palliative Care NursingBachelor of Science Nursing Specialty Sexual Assault Nurse Examiners Care for Victims and Investigate CrimeOnline Nursing Class Programs Employment in Long-Term Care Expected to GrowBachelor Degree Nursing Online Program Forensic Corrections Nurses Provide Needed Treatment to InmatesBachelor Degree in Nursing Science Assist Patients in Rehabilitation from Spinal Cord InjuryHealth Care Degree Opportunities .u0190b83fa45989f3b0673c1ea231849c { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .u0190b83fa45989f3b0673c 1ea231849c:active, .u0190b83fa45989f3b0673c1ea231849c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .u0190b83fa45989f3b0673c1ea231849c { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .u0190b83fa45989f3b0673c1ea231849c .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .u0190b83fa45989f3b0673c1ea231849c .postTitle { color:#000000; text-decoration: underline!important; font-size: 16px; } .u0190b83fa45989f3b0673c1ea231849c:hover .postTitle { text-decoration: underline!important; } READ Find Online Business and Management Degree Programs
Friday, May 15, 2020
Essay on Yankââ¬â¢s Absurd Inheritance in The Hairy Ape
Yankââ¬â¢s Absurd Inheritance in The Hairy Ape It is intriguing how Eugene Oââ¬â¢Neill stages the audience for The Hairy Ape. When the curtain opens upon the forecastle of the transatlantic liner, the audience is immediately beset by Yankââ¬â¢s seemingly unassailable sense of identity. ââ¬Å"Everting else dat makes de woild move, somepââ¬â¢n makes it move. It canââ¬â¢t move without somepââ¬â¢n else, see? Den yuh get down to me. Iââ¬â¢m at de bottom, get me!â⬠(261). Yank trumpets himself, in effect, as the prime mover of the industrial world. He ââ¬Å"belongsâ⬠because that world, like its metonym the ocean-liner, depends upon him to function: ââ¬Å"Iââ¬â¢m de ting in coal dat makes it boin; Iââ¬â¢m steam and oil for de engines . . . Steel, dat stands for de whole ting! And Iââ¬â¢mâ⬠¦show more contentâ⬠¦Treat ââ¬Ëem rough, datââ¬â¢s meâ⬠(255). When the ââ¬Å"alienation effect intervenes,â⬠notes Brecht in his discussion of Chinese acting, it does not inhib it the spectatorsââ¬â¢ emotions but instead disengages those emotions from their implicit connection to character so that they ââ¬Å"need not correspond to those of the character portrayedâ⬠(Willet 94). It is not so much that Oââ¬â¢Neillââ¬â¢s audience, at the beginning of the play, reacts with Yank, as it is that his audience reacts to Yank. Oââ¬â¢Neill, then, stages his audience to be as critical towards, as they are sympathetic to, both Yankââ¬â¢s ideology in this opening scene and to his struggle to belong in the scenes that follow. It is clear that Oââ¬â¢Neill intends Yank, at least in part, as a modern day Everyman. In an interview for the New York Herald Tribune in 1924, Oââ¬â¢Neill describes Yank as ââ¬Å"a symbol of man, who has lost his old harmony with natureâ⬠; but Yank is not exclusively symbolic, for later in the same interview, Oââ¬â¢Neill admits, ââ¬Å"I personally do not believe that an idea can be readily put over to an audience except through charactersâ⬠(110). It is, instead, that Yank is an allegorization of humanityââ¬âboth ââ¬Å"an abstract expressionistic symbolâ⬠and ââ¬Å"a concrete dramatic character,â⬠to borrow Peter Egriââ¬â¢s terminology (98). But if Yank is an Everyman whose struggles allegorize those of humanity, then he is clearly an Everyman made strange. The reason why Oââ¬â¢Neill distances his audience undoubtedly derives from what he considers to be
Wednesday, May 6, 2020
The Age Of Enlightenment By Francois Marie Arouet
The Age of Enlightenment was a time of philosophical movements and new ways of thinking that prevailed in Europe and spread all over the world in the 18th century. This era saw the rise of many writers and philosophers that are still recognized and praised today. Goals like tolerance, reason, progress, and the removal of the injustices of church and state were prominent in works by Enlightenment thinkers. Although they shared similar goals, methods to accomplish them were varied. Writers brought these new ideas to life and were key in the widespread changes in thinking we see occur during the Enlightenment. One of the arguably most controversial individuals of this time was French philosopher and writer Francois Marie Arouet, better known by his pen name, Voltaire. He attacked autocracy, intolerance, and any religion he deemed ââ¬Å"too strict.â⬠He was extremely critical of the Catholic faith, and thought of the Bible as outdated moral reference. Voltaire saw himself to be a Deist; he did not believe that absolute faith, based upon any particular or singular religious text or tradition of revelation, was needed to believe in God. It was this belief that fueled his writings that quickly became some of the most well known and talked about during the Enlightenment period. Another important figure during the Enlightenment was Olaudah Equiano, a man who was kidnapped and brought to the New World as a slave. Like Voltaire, his writings brought to light new ideas and called forShow MoreRelatedThe Enlightenment Era Of 1620 And 1789910 Words à |à 4 Pages Enlightenment Era of 1620 and 1789 The European politics, communication, science and philosophy were radically reoriented between 1685 and 1815, during a time that was referred to as the Age of Reason, or in other words, the Enlightenment Era. The European thinkers from Britain, France and throughout Europe started questioning the traditional authority and developed the idea that humanity could be made better through rational change. As a result of the Enlightenment, there was production of numerousRead More Age of Reason Essay example1161 Words à |à 5 Pages An Age of Reason ââ¬Å"Those who can make you believe absurdities can make you commit atrocities.â⬠This brief quotation was spoken by the famous writer and philosopher Voltaire; I believe it vaguely points out that some people are full of absurd ideas, and for others to follow such nonsense is foolish. The quote is just a taste of Voltaireââ¬â¢s wisdom and knowledge of the world, during the Age of Reason. The Age of Reason or The Enlightenment is defined as a change in not just a way of thinkingRead MoreA Summary On Voltaire s Candide 1496 Words à |à 6 PagesJason Ross 2/15/16 David Morroe History 185 C02195103 Pre-draft Candide Voltaire known as French Enlightenmen, author, historian and a theorist. Franà §ois-Marie Arouet was born on November 21, 1694. He was so weak when being born and not expected to live Marguerite Daumard and Francois Arouet were his parents. As a student, he was an inspiration young man. He was close with his mother, and sister. Voltaire had an uneasy relationship with his father, who depressed his literature desire and triedRead MoreAge Of Reason And The Scientific Revolution1089 Words à |à 5 Pages2015 Age of Reason The Age of Reason took place in Europe from the mid 1500s and ended in the late 1700s. This can be categorized into two different time periods. First, was the Scientific Revolution when many scholars created new ways of thinking about the natural world. The Scientific Revolution ended around the late 1600s. Although this time period was over, common ideas spread to the next period. The second time period in the Age of Reason was the Enlightenment. The Enlightenment was whenRead MoreThe Enlightenment: An Incredible Change1163 Words à |à 5 Pages The Enlightenment is known as the age of reasons because of its gradual changes or transitions from traditional to modern societies. It was a big change from faith or religion towards science and the intellectual reasoning. Also, many societies or people changed their styles of living and beliefs such as they went from rural to urban, agriculture to commerce, believe to reason, religion to science, and so on. During the Neo-Classical era, many world famous writers such as Jean-Baptiste PoquelinRead MoreSynopsis Of Voltaire s Candide 1011 Words à |à 5 PagesAP English: Major Works Data Sheet Title: Candide Author: Voltaire (Francois-Marie Arouet) Date of Publication: 1959 Genre: Satire Biographical information about the author Francois-Marie Arouet, Voltaire, was born in 1604 in Paris, France. He was passionate about writing. As a result, Voltaire defies his fatherââ¬â¢s desire for him to become an attorney. Voltaire composed various types of text like essays and historical surveys as he was acknowledged as a writer from the publication of Oedipus. AfterRead MoreContribution And Influence Of Voltaire760 Words à |à 4 Pages The age of enlightenment and the influence it has played in the development of society is one of many layers. There have been many influential people who have directly contributed to the progression of our literatures and societal norms. One of the more outspoken and notable philosophers was French born Francois-Marie Arouet also known by his pen name of Voltaire. He was born in Paris in 1694 into to wealth. His father was a well-known lawyer and dignitary who had great notoriety and influenceRead MoreFrench Revolution: the Solution to Class Inequality1141 Words à |à 5 Pag esmore egalitarian society through their newly created Republic. When Enlightenment thinkers such as John Locke, Jean-Jacques Rousseau and Baron de Montesquieu introduced individual liberty, natural rights and equality the ideas of revolution emerged. As the ideas from the Enlightenment spread across the country, people start to vision a new government that could be the solution to the on going class struggle. The Enlightenment and the American Revolution impelled the inevitable French RevolutionRead More Voltaire760 Words à |à 4 Pages Voltaire was a talented, assertive, and controversial French writer from the eighteenth century enlightenment period. He was born in 1694 to a wealthy family in Paris, and given the name Francois-Marie Arouet. During the early years of his life Voltaire endured many hardships. For instance, his mother passed away when he was seven leaving only his father and older brother to raise him. Unfortunately, this added insult to injury as Voltaire despised both his father and brother. NeverthelessRead MoreThe Enlightenment Essay999 Words à |à 4 Pagesideas about our universe were not widely accepted, especially from the church. This soon changed due to the hard work and perseverance of several scientists and philosophers who unbeknownst to them brought about an era known as the Enlightenment. The Enlightenment, which eased into existence in the seventeenth and eighteenth centuries created a new way of thinking based on rationality. Scholars and intellects were free to debate and have informed discussions about such things as science, religion
Tuesday, May 5, 2020
Mental Health
Question: Discuss about the Mental Health. Answer: Introduction Nurses in mental health setting require skills and expertise in order to provide mental health care. However, nurses in mental health setting need to further develop in order to provide effective care. The fifth National Mental Health Plan is the collaborative government action. It focuses on seven priority areas for national action. This paper focuses particularly on the priority area- Physical health of people living with mental health issues. In the context of this priority area the paper critically discusses the how nursing practice has and needs to further develop in order to effectively reflect the values expressed. The rationale for selecting this priority area for the paper is the rich literature that showed poor physical heath in the people with the mental illness. Due to poor heath these people are twice as likely to die as the general population (Crawford et al., 2014). Discussion Nurses have good communication skills to communicate with people from different cultural backgrounds. However, there is a need of eliminating the stigmatizing attitude among nurses. Even when patients with mental illness arrive with physical symptoms in emergency department, nurses overlook and judge the patient as psycho or schizophrenia (Shefer et al., 2014). In most cases the nurses would perform only one set of observation for mentally ill patients in ED. On the other hand those without mental illness were subjected to two-three sets of observations. The attitude of stigma and discrimination needs to be changes. There is a need of development programs for nurses to eliminate this attitude to address the physical health of the patients in addition to the emotional concerns. Nurses if continue to have this attitude will lead to diagnostic overshadowing and misdiagnosis of people. Although not all the misdiagnosis cases are caused by this attitude, it is still considered a part of t he problem. It implies for training of nurses in ED that is focused on the parallel assessment of both teams (psychiatric and emergency team). The psychiatric nurses must learn how to enhance and structure the communication channels between the two departments. There is a need to overcome the disagreements over responsibilities between the two teams by fuller operationalisation for example to prevent delay in capacity assessments (Crawford et al., 2014). According to Happell et al., (2013) it is important for the mental health hospitals to mandate screening as essential for good practice. Diagnosis can be clarified by regular screening and monitoring of physical health. It is essential as clinical symptoms of anti-psychotic medication develop over time. The rationale for the need is to prevent the prioritization of the mental health over physical health due to stigma. I would like to relate this with the comments of one of my colleague which it is better to perform screening at six months interval as annual screening may be too late to modify risks as antipsychotics changes physical heath drastically. Therefore, mandating may help every nurse to involve in regular screening. The patients with mental illness have poor judgment and are highly likely to engage in sexual behavior that gives poor health outcomes such as HIV. The mental health nurses are in prime position to engage in discussion in patients regarding contraception, early detection of symptoms and need of sexual health checkups (Glasper 2016). However, psychiatric nurses fail to incorporate the sexual health as part of comprehensive nursing assessment and identify the individuals level of understanding. Nurses need intense training on importance of sexual reproductive health for physical wellbeing of people with mental illness and eliminate reluctance to raise such conversation with the patients (Crawford et al., 2014). As a nurse I myself felt the need of assistance to discuss the reproductive health with the patient. The study executed by Glasper (2016), showed that nurse perceive training needs for management in the area of cardiovascular health, nutrition and diabetes to provide effective care for patients with mental illness. As a nurse I did sometimes felt lack of confidence in technical skills such as resuscitation. Most of my friends including me believe that the only barriers in delivering effective physical health care was own workload and patients motivation. The mental health nurses in UK perceived training needs in the same areas mentioned above (Robson et al., 2013). As a nurse there were instances where I was in dilemma as to how to achieve therapeutic relationship with the client in order to encourage to quit smoking. I believed that the patients should be banned to quit smoking in the premises. On the other hand my colleagues suggested that nurses too should smoke along with the patients to ensure successful therapeutic relationship with the patients. This signifies that the nurses have a positive attitude towards delivery of physical of care of mentally ill patients. However, there is a lack of structured ways or protocol to initiate the care in the general areas. Consequently, there is lesser contribution paid to management of diabetes, sexual health advice and smoking cessation where are all the three domains significantly affect the physical health of the patients with mental illness. People suffering from schizophrenia and bipolar disorders are highly likely to have sedentary habits with obesity (Glasper, 2016). Nurses should encourage such patients to engage in physical activity and assess the same during assessment. However, most nurses do not consider this as their responsibility. It is my personal experience where I felt that patients should be referred to physical trainer for this purpose instead of taking entire responsibility on my shoulders. There is a need of guidelines for many other nurses like me to take action in this area instead of merely educating the benefits of it to the patients. This is possible only when the nurses need of work hour flexibility is handled. There is a need of hospitals to overcome staff shortage issues. Otherwise, nurses would focus only on mental health concerns and not on the physical health considering as additional burden. Poor dental and oral health is highly common in the people suffering from mental illness. Nurses do n ot incorporate the dental health assessment in screening and monitoring. Nurses are not aware that the medications for psychosis also effect dental health in addition to smoking and substance abuse. Therefore, nurses screen dental health only in substance users. This again indicates lack of awareness of what aspects to be included in screening and monitoring (Varcarolis, 2016). Patient fall is the other major significant physical health issue that is unmet by mental health nurses. Fall impacts the life of the patients and increases the hospital costs. However, nurses implement fall prevention for older age group ignoring the fact that some antipsychotic medication triggers fall such cholinesterase inhibitors, which may also happen with young men and women with mental illness (Hamaideh, 2016). I failed to prevent fall despite adequate training. I felt the need of support and assistance from multidisciplinary team which in most case is not available (Thongsai et al., 2016). This inhibits fall preventions and this area is overlooked by the organization I worked previously. According to Robson et al. (2013) training in areas where nurses need to learn specific protocol or awareness on particular health concerns can be provided. Nurses who have post-registration in physical health care training and experience of work in inpatient setting showed greater involvement in meeting physical health needs. There is need of innovative strategies to establish therapeutic relationship with clients having substance dependency. However, the study says that no specific training can be provided to change the attitude of the nurses or reluctance to address the physical health needs of the patients. According to Gray and Brown (2016) nurses did not consider physical health a priority for the service users and some greatly ignore the adverse effects of antipsychotic medication. This can be dealt by implementing stringent policies such as cancelling the licenses of the nurses showing discriminatory attitude towards patients or reluctant to encourage patient to quit addictio n. This will trigger fear and motivation to work hard among nurses who are well trained but tend to avoid delivery of appropriate care as a result of prejudgment. Positive attitude of the nurses is imperative in effecting outcome of care. Therefore, this is a key target of future research and training initiatives argued (Gray Brown, 2016). One of my batch mate identified the gap between the screening policy and the practice in various mental health hospitals in Australia. For example there were instances where I was told to manage crisis or address immediate event and it worked against the screening of physical heath. There is need to keep basic checks in place in addition to policies. The organization must clarify nurses about legal liability in cases where nurses fail to screen and follow up the same within specific time. It is needed because without following up screening would not be of any benefit to the client (Emerson et al., 2016). Conclusion: Nurses in mental health setting pay significant role in improving physical health of people suffering from mental health disorders. Based on the literature review and personal experience there is a need to overcome the barriers in physical care by addressing the nurses liability concerns, roles and responsibility issues and need of training and development in the area to allow nurses to be more certain about the involvement in the cancer screening, dental and eye health checks, sexual health promotion and providing cardiac health and nutrition advice. In addition to training initiatives there is a need of implementing stringent nursing practice for mental health nurses to eliminate reluctant attitude and multidisciplinary team support. This will allow them to have better awareness of their roles and responsibilities. References: Crawford, M. J., Jayakumar, S., Lemmey, S. J., Zalewska, K., Patel, M. X., Cooper, S. J., Shiers, D. (2014). Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study.The British Journal of Psychiatry,205(6), 473-477. Emerson, T., Williams, K., Gordon, M. (2016). Physical health screening for patients with severe mental illness.Mental Health Practice,20(1), 21-25. Glasper, A. (2016). Improving the physical health of people with mental health problems.British Journal of Nursing,25(12), 696-697. Gray, R., Brown, E. (2016). What does mental health nursing contribute to improving the physical health of service users with severe mental illness? A thematic analysis.International Journal of Mental Health Nursing. Hamaideh, S. H. (2016). Mental health nurses perceptions of patient safety culture in psychiatric settings.International Nursing Review. Happell, B., Scott, D., Nankivell, J., Platania?Phung, C. (2013). Screening physical health? Yes! But: nurses views on physical health screening in mental health care.Journal of clinical nursing,22(15-16), 2286-2297. Robson, D., Haddad, M., Gray, R., Gournay, K. (2013). Mental health nursing and physical health care: A cross?sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.International Journal of Mental Health Nursing,22(5), 409-417. Shefer, G., Henderson, C., Howard, L. M., Murray, J., Thornicroft, G. (2014). Diagnostic overshadowing and other challenges involved in the diagnostic process of patients with mental illness who present in emergency departments with physical symptomsa qualitative study.PloS one,9(11), e111682. Thongsai, S., Gray, R., Bressington, D. (2016). The physical health of people with schizophrenia in Asia: baseline findings from a physical health check programme.Journal of psychiatric and mental health nursing,23(5), 255-266. Varcarolis, E. M. (2016).Essentials of psychiatric mental health nursing: A communication approach to evidence-based care. Elsevier Health Sciences.
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