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Caring for a Child or Young Person with Severe Illness

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Introduction This assignment will reflect on and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The incident will be described and analysed, followed by the process of reflection using Driscoll’s Reflective Model (2000) as it facilitates critical thinking and in-depth reflection which will help me to accumulate learning objectives for the future. To comply with the Nursing and Midwifery Council (NMC) (2015) Code of Conduct, confidentiality will be maintained therefore the individual will be known throughout as Ben. Reflection is defined as a process of explaining and expressing from our own experiences and helps to develop and improve our skills and knowledge towards becoming professional practitioners (Jasper, 2003). I have chosen to use the Driscoll’s Reflective Model (2000) as a guidance as it is straightforward and encourages a clear description of the situation which will allow me to look at the experience and identify how it made me feel, asking what was good and bad, and what I can learn (Sellman and Snelling 2010). Wolverson (2000) includes this as an important process for all nurses wishing to improve their practice. What? Ben was born prematurely following an emergency caesarean section, whereby he received prolonged resuscitation and suffered severe hypoxic-ischaemic encephalopathy (HIE). According to Boxwell (2010), infants with severe encephalopathy have a 75% risk of dying with coma persisting, or progressing to brain death by 72 hours of life. There was a realisation that continuing treatment may be causing Ben harm in that it was unlikely to restore his health or relieve suffering. Boxwell (2010) further states that survivors of HIE carry an almost certain risk of poor neurological outcome. It is these times when consideration must be given to withholding and/or withdrawing treatment, subsequently re-orientating treatment to compassionate care. I was informed by my mentor that there would be a multi-disciplinary team (MDT) meeting to discuss and justify the decision to withdraw treatment. I was invited into the MDT meeting by my mentor to both witness and actively participate in the discussion if I felt confident enough. The MDT consisted of two paediatricians, a paediatric registrar, the neonatal sister, and myself, a paediatric student nurse. The Royal College of Paediatrics and Child Health (RCPCH) (2004) suggest that all members of the health care team need to feel part of the decision-making process in that their views should be listened to. At the time, I was hesitant to contribute due to my knowledge, understanding and experience surrounding the clinical and ethical matter. However, I was reassured that greater openness between disciplines will facilitate better understanding of individual roles and enhance the sense of responsibility (RCPCH, 2004). We considered what was legally permitted and required, but also at what was ethically appropriate. In considering quality of life (QOL) determinations, it was important to refer back to the ethical foundation involved with surrogate decision making, which is the standard of best interest. Some professionals argued that Ben had no prior QOL on which to base a judgment. The Children Act (1989) provides an overall statutory framework for the provision of children’s welfare and services but makes no specific provision concerning withholding or withdrawing treatment (RCPCH, 2004). It does however state that the welfare of the child is paramount which is further supported by The United Nations Convention on the Rights of the Child (1989). Article 3 under this legislation states that actions affecting children must have their ‘best interests’ as a primary consideration (RCPCH, 2004). The NMC (2015) framework governs the maintenance of standards of practice and professional conduct in the interests of patients, acting as a guide to ethical practice within nursing. The principle of non-maleficence is one of the hallmark principles of ethics in health care which prohibits healthcare professionals from doing any action that will result harm to the patient. Also paramount, is the goal to restore health and relieve suffering, promoting good or beneficence. In the principle of beneficence, nurses are obliged to protect, prevent harm and maintain the best interest for patients (Beauchamp

Archaeology writing paper-02

Archaeology writing paper-02.

For this assignment, write about experimental archaeology. This approach provides many insights into ways to interpret archaeological remains found in sites (see Chpt 2 and 3 of your text, text link: https://drive.google.com/file/d/1EAzkRe1q75NEtYP5c…). Use ONE of the case studies listed below (A or B) to answer the following five questions in a 3 to 4 page double-spaced essay, word cont at least 1100 , with bibliographic references at the end (follow the format provided to you and use 2 + references):What is the archaeological context of the experiment? That is, what chronological period and cultural connection is the setting for the project.Who was involved in doing the experiment?What were they trying to learn?Describe what was done.What were the results and archaeologically-significant conclusions?A. The first option involves reconstructing a Bronze Age dwelling structure of wood in Germany:https://exarc.net/issue-2018-2/ea/construction-bronze-age-longhouse-model-dwelling-byre-style-using-experimental-archaeological (Links to an external site.)OR, option B:B. Experiments involving stone tool manufacture and replication. A basic review by Bruce Bradley of flake stone tool manufacture provides a good point of departure. Experimental Archaeology (Links to an external site.)You should submit your assignment in either .doc or .pdf file format (please no text entry) to the assignment page by 11:59 pm on Sun, October 20th. RubricANTH 145 Writing Assignment 1ANTH 145 Writing Assignment 1CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeMeets length & formatting requirements6.0 ptsFull Marks0.0 ptsNo Marks6.0 ptsThis criterion is linked to a Learning OutcomeIncludes bibliography with 2+ references5.0 ptsFull Marks0.0 ptsNo Marks5.0 ptsThis criterion is linked to a Learning OutcomeQ1: Archaeological context6.0 ptsFull Marks0.0 ptsNo Marks6.0 ptsThis criterion is linked to a Learning OutcomeQ2: Who was involved5.0 ptsFull Marks0.0 ptsNo Marks5.0 ptsThis criterion is linked to a Learning OutcomeQ3: What were they trying to learn6.0 ptsFull Marks0.0 ptsNo Marks6.0 ptsThis criterion is linked to a Learning OutcomeQ4: Describe what was done6.0 ptsFull Marks0.0 ptsNo Marks6.0 ptsThis criterion is linked to a Learning OutcomeQ5: Results & conclusions6.0 ptsFull Marks0.0 ptsNo Marks6.0 ptsTotal Points: 40.0
Archaeology writing paper-02

UKDW Urbanization Employment Opportunities & The Urban Environments Essay

i need help writing an essay UKDW Urbanization Employment Opportunities & The Urban Environments Essay.

I’m working on a geography question and need an explanation to help me understand better.

Take 5 minutes and complete the “5 minute essay”You can submit it in a separate link in this week’s folder. (worth 10 points)*Urbanization is the process of cities growing larger and becoming more modern. Urban centers consist of an urban core, surrounded by suburban areas, surrounded by rural areas.*What do you know about urbanization? Write a ½ to 1 page essay covering the following topics.*This is an “in class assignment” so you do not need references and should just write a quick essay. (*but please use good grammar*)+Is urbanization increasing or decreasing today? Why?+Where are the slowest growing (or even shrinking?) cities today? Why?+Where are the fastest growing cities today? Why?+Generally, is urban life preferable to suburban or rural life? Why?
UKDW Urbanization Employment Opportunities & The Urban Environments Essay

Post University Parameters Discussion

Post University Parameters Discussion.

Methods with identical names that have identical parameter lists but different return types are ambiguous. When you write the declaration for a method that can receive a parameter, you must include the following items within the method declaration parentheses:The type of the parameterA local name for the parameterPlease discuss the importance of providing parameters to methods and describe how a parameter is declared within a method header. Give examples.Please describe the features of methods, including the number of methods permitted in a program, method naming rules, the composition of a method, and variable scope rules. Please give an example of each one.
Post University Parameters Discussion

anthropology writing -04444

anthropology writing -04444.

For this assignment, you can choose one or two readings from the attached file . Describe what archaeologists might find as remnants of the culture group you chose, what of their material culture is likely to survive in the archaeological record. Describe specific types of artifacts and ecofacts you think would preserve, as well as features (or partial features), and site types. How might archaeologists distinguish this particular culture group, as separate from others, based on material remains alone?All answers must be written in proper essay format using correct grammar, spelling, etc.Essays should be a minimum of 750 words (2-3 pages, double-spaced).All articles and chapters referenced must be included in a separate References Cited page at the end.
anthropology writing -04444

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