Evaluation Of The Psychiatric Emergency Room - 1391 Words

Anna’s stay The average stay in my unit, the psychiatric emergency room, is typically anywhere from four hours to twenty four hours. One patient recently broke the record with her stay being close to two weeks. This was a major concern for our unit as placement for her was difficult to find and staff had never dealt with a stay this long in the past. This particular patient’s story was heart breaking. The patient (I will call her Anna) was a foster child who had been bounced around from home to home. Her most recent foster family was an elderly couple who was well-to-do and took care of the patient in their 1.2 million dollar home. Unfortunately, this child had some major behavioral issues and oppositional defiant disorder as a result of her difficult upbringing. Therefore, her foster family finally had enough and dropped the child off to our unit. She was a very challenging patient and her patience was being tested as a result of her long stay- as well as the nursing staff’s patience. A typical day working with this patient usually included the patient ending up in restraints. Restraints were a daily occurrence for her. She spent the majority of her stay in the secure core. The secure core is an area in the psychiatric emergency room that includes three rooms and a small nursing station. The secure core is reserved for patients that pose a risk for themselves or for patients that are psychotic and have lost touch with reality. TheShow MoreRelatedMental Health Care Disparities Among Minority Populations1434 Words   |  6 PagesDisparities in Minority Populations Erin Bertelson Denver School of Nursing Mental Health Care Disparities in Minority Populations Across the country, a steady increase has been noted in the number of patients presenting to emergency departments for psychiatric complaints (Zun, 2014). Patients also attempt to use their primary care doctors to treat their mental illnesses. The mental health care options for these patients are extremely limited, especially for minority populations such as AfricanRead MoreAlternatives For Overcrowding Emergency Departments1745 Words   |  7 PagesALTERNATIVES FOR OVERCROWDING EMERGENCY DEPARTMENTS Meeting the Challenge and Filling the Gaps in America’s Healthcare System Executive Summary: Many visits to the Emergency Department are made for non-emergent needs. This causes congestion in the healthcare system and makes it harder for those who truly need emergent medical attention receive the care they need. Aging populations, under or non-insured patients, Medicaid expansions, and Psychiatric/Behavioral Health problems directly impact overcrowdingRead MoreIs The Self Mutilation Is Characterized By Autoagressive Behaviors Without Intent Essay1340 Words   |  6 Pages3% in general psychiatric patients. 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It is the nurse’s responsibility to make every effort to provide a safe environment and care for patients without making errors. In an effort to keep patients’ safety intact, â€Å"The Joint Commission and the Agency for Healthcare Research and Quality developed standards for healthcare organizations to employ in an effort to reduce the number of errors† (HuntRead MoreAn Overview of Lisas Case1693 Words   |  7 Pagesgoing to school because, as she claimed, the Secret Service was watching her. She claims that there have been listening devices installed in her radio and TV in her room. She is afraid to leave the house, stays in her room most of the day, and keeps the curtains drawn. She does not turn on the TV or radio and when her mother came in her room and opened the curtains and turned on some music she became very angry and smashed the radio on the floor. 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Various research applications of Peplau’s interpersonal relations theory include application in emerge ncy and rural nursing (Senn, 2013), patients with long-term serious mental illness (Kim Kim, 2007), psychiatric workforce development (Armstrong Kelly, 2007), adolescents with mental health problems (Davies Huws-Thomas, (2007), and healthcare professionals and ethnopharmacology (Warren, 2008). CritiqueRead MoreMental Health Facility And The Emergency Room1512 Words   |  7 Pagesthen just the inpatient floor. The hospital also includes, hospital based ambulatory care centers, and long term acute care centers. In the hospital based ambulatory care centers patients can undergo simple outpatient surgeries, to visit to the emergency room. Physicians can work in outpatient medical practices and care for their patient’s that do not need around the clock care that would be provided under an inpatient stay. Patients are able to see their specialist that may have provided services

Personal Narrative My Favorite Thing - 1297 Words

Think of your favorite thing in the world to do. Something that defines you. Something that you can only experience from your eyes. For me it is soccer, and through that came a rite of passage that will be with me forever. I was born and raised in Haymarket, Virginia. Haymarket is a small town about 40 miles west of Washington, DC. If you were to drive 30 minutes one way you would be in the country. If you drive 30 minutes the other way you would be in the city. Haymarket is located in the middle between the county and city. My point here is that I have always been in the middle. I am the middle child, average height, and I never thought of myself as anything special. I would just stroll through life having a good time never worried or†¦show more content†¦My team the Battlefield Bobcats were never the underdogs going into a championship game. The clock was ticking down, there were only 12 minutes left in the game. My legs were tired, body aching, I was drenched in sweat and my team s energy was nowhere to be found. Every pass my team would make would not be completed. It was either a sloppy pass due to exhausted legs or intercepted by the other team. My head was down with frustration and my spirit was broken. I wanted to just fall to the ground and crawl into the shade. I felt defeated. I looked up at the scoreboard and the time read 8 minutes left. As I looked at the scoreboard I felt a jolt of energy enter my body. I had felt as if a fire was lit under me. My eyes opened as if I had just seen a ghost. I remember thinking to myself, â€Å"how can we lose this game?† I made a promise to myself that I would win 4 state titles while being at Battlefield High School. This was my sophomore year of high school and I had already won one state title, how could I give up now and let my dreams be crushed, I worked too hard for that to happen. In that moment I knew there was only one result I was going to walk off the field with, and that was with a win and another State Championship. I took a deep breath and thought to myself, â€Å"My team needs energy. They need a leader.† At this point in the game the other team was holding possession of the ball waiting for the time to run out and for the game to end.Show MoreRelatedReflection Paper1022 Words   |  5 Pages including in an English class. Throughout the semester I have grown as a writer. There are still things that I could of course work on, and get better at. But, as of recently I have become a better writer than what I started out as. Concepts that I have learned I can continue to build off of to become a better writer. Which is something I hope to do. Going into English 1010 I knew there were things that I could be better at. Therefore, I came into class with an open mind. 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Commerce Foundation Urbanization

Question: Does increasing urbanization occur at the cost of the environment? Answer: Urbanization refers to a phenomenon where the population move from rural to urban area. It is also referred to as a progressive increase in the number of people living in towns and cities as they have benefits such as health care, sanitation, education and transportation facilities. Urbanization helps in the overall economic development of a nation as the local talents get opportunities to explore their talent (Li, Wang, Zhao, 2016). This essay aims at exploring the benefits and cost of urbanization on environment. It is argued that urbanization occurs at the cost of the environment. According to Satterthwaite (2010), cities have a poor reputation for development or ecological sustainability. One of the common issues found in the cities is high density. The urban people interact with the environment. The consumption pattern of food, water, energy and land change thereby affecting the health and quality of life of the people living in urban areas. The urban population have high consumption of resources in comparison with the rural population (OECD, 2013). Also, the energy consumption such as transportation, electricity, heating and cooking is higher than that of the rural village (Fragkias et al., 2013). With higher consumption of energy, the emission rate of carbon dioxide into the atmosphere shall be higher. Also, higher usage of resources can lead to shortage thereby affecting environment sustainability adversely. With the increasing urbanization, it is difficult to find blue skies as the smo g level has increased (Wei et al., 2015). Taking the example of China, the per capita consumption of resources in the cities and towns are higher than that of the rural areas. According to Cui and Shi (2012), Shanghai experiences the greatest change in land cover and use in the last three decades. There has been increase in buildings changing the proportion of grassland and water body. The expansion of cities has lead to significant climate change. The mean surface temperature over Southeast China has increased by 0.05C due to increased urbanization (Cui, Shi, 2012). Also, urbanization has affected the urban atmosphere and water quality. The water quality has degraded in Shanghai with 94% variability (Cui, Shi, 2012). The garbage production amount has increased to 8900 thousand tons in 2010 from 960 thousand tons in 1950 (Cui, Shi, 2012). Public health has deteriorated and the people have got health issues like asthma, lung disease and heart issues due to growing urbanization. It was reported that the patients increased f rom 5.4 person-times to 9.1 person-times from 2000 to 2010 (Cui, Shi, 2012). The vegetation coverage has decreased in Shanghai, especially around the towns and urban areas (Cui, Shi, 2012). Therefore, urbanization is considered as one of the most powerful forces on Earth. Urbanization poses several environmental threats, as seen in the case of Shanghai related to climate, ecology and human health. As argued above, urbanization degrades the environment. However, there are a number of reasons and situations where urbanization has been proven good for the environment. Most of the literature is based on the negative effects of urbanization on the environment in the cities. However, there are positive environmental advantages of urbanization as it brings higher productivity. The Asian urban productivity is reported to be more than 5.5 times than that of rural areas (Wan 2012). It is argued that urbanization reduces the carbon footprint. The service sector is less polluting than the manufacturing sector, and requires urbanization so that it offers benefit to the environment. It is also argued that with high urban density, the public transport becomes more viable thereby reducing length of trips. Urbanization drives innovation and green technologies to adopt energy-efficient products (Wan 2012). Increasing urbanization has also lead to the crucial introduction and enforcement of the laws and regulations related to the environment (Wan, 2012). For instance, the amount of waste generation is increasing in urban India. Landfills are not considered as a viable solution. However, the nation is innovating technologies and infrastructure to manage waste efficiently (Waste Management Review, 2016). Further, urbanization allows people to utilize land efficiently. Research and development efforts taken in Brazil have substantially changed the land use. In case of Uganda, the policy makers are acting to ensure that the rapid urbanization can add to sustainable growth (Worldbank.org, 2015). It is argued that the close proximity of water consumers have higher scope for re-using wastewater or recycling. Also, the cities have scope to limit the usage of motor vehicles and use public transport. There is green innovation in the Asian cities that is massively supported by the vast market. The people are more likely to buy energy efficient products (Fragkias et al., 2013). Conclusively, it is argued that urbanization comes with cost and opportunities. The industrial activities such as construction, poor waste disposal, and carbon emissions from transportation harm the environment. Therefore, the cities must lower the carbon emissions and particle pollution to minimize the impact on the environment. The cities must improve energy efficiency and incorporate social costs and benefits. The consumption pattern of food, water, energy and land change thereby affecting the health and quality of life of the people living in urban areas. Urbanization drives innovation and green technologies to adopt energy-efficient products. There is a need to introduce laws and regulations in an efficient manner to avoid poor coordination on air and water quality. References Cui, L., Shi, J. (2012). Urbanization and its environmental effects in Shanghai, China.Urban Climate,2, 1-15. https://dx.doi.org/10.1016/j.uclim.2012.10.008 Fragkias, M., Lobo, J., Strumsky, D., Seto, K. (2013). Does Size Matter? Scaling of CO2 Emissions and U.S. Urban Areas.Plos ONE,8(6), e64727. https://dx.doi.org/10.1371/journal.pone.0064727 Li, T., Wang, Y., Zhao, D. (2016). Environmental Kuznets Curve in China: New evidence from dynamic panel analysis.Energy Policy,91, 138-147. https://dx.doi.org/10.1016/j.enpol.2016.01.002 OECD. (2013). Urbanisation and Green Growth in China.OECD Regional Development Working Papers. https://dx.doi.org/10.1787/5k49dv68n7jf-en Satterthwaite, D. (2010).The Role of Cities in Sustainable Development. Retrieved from https://www.bu.edu/pardee/files/2010/04/UNsdkp004fsingle.pdf Wan, G. (2012).Urbanization can be good for the environment | Asia Pathways.Asia Pathways. Retrieved 3 May 2017, from https://www.asiapathways-adbi.org/2012/12/urbanization-can-be-good-for-the-environment/ Waste Management Review. (2016).Addressing Indias waste management challenge - Waste Management Review.Waste Management Review. Retrieved 3 May 2017, from https://wastemanagementreview.com.au/addressing-indias-waste-management-challenge/ Wei, Y., Bao, L., Wu, C., He, Z., Zeng, E. (2015). Assessing the effects of urbanization on the environment with soil legacy and current-use insecticides: A case study in the Pearl River Delta, China.Science Of The Total Environment,514, 409-417. https://dx.doi.org/10.1016/j.scitotenv.2015.01.111 Worldbank.org. (2015).Managing Rapid Urbanization Can Help Uganda Achieve Sustainable and Inclusive Growth.World Bank. Retrieved 3 May 2017, from https://www.worldbank.org/en/news/press-release/2015/03/03/managing-rapid-urbanization-can-help-uganda-achieve-sustainable-and-inclusive-growth