Daniel Malloy there is a use of force continuum. These continuums are based upon the amount of force that can be justified at that particular time. This means that the use of force must be regarded as necessary in light of the circumstances. It can thus be argued that the notion of necessity implies that the use of force must correspond to a pressing need and that it is proportionate to the legitimate aim pursued (Daniel Malloy, Chief of US Capitol Police, US Capitol Police Headquarters, Seminar on 8/30/12). Mr. Malloy pointed out that the police should only use physical force if the situation dictates that lesser means must be considered inadequate or inappropriate.
Western Governors University RTT1, Task 1 The following essay will identify how nursing-sensitive indicators could improve the care of Mr. J. The paragraphs below will discuss how application and tracking of these indicators can be beneficial to the overall care provided at the hospital. In addition, there will be discussion of how the lead nursing supervisor can use the identified principles to resolve ethical issues in care. A. Nursing-Sensitive Indicators Nursing-sensitive indicators were developed by the American Nurses’ Association (ANA) to reflect the structure, process and outcome of nursing care. Structure is measured by the staff: amount, skill-level, and education or certification.
These steps of concept analysis by Walker and Avant, gives the researcher a foundation to process their concept in a formalized manner. Purpose of Self care concept In this paper the concept of Dorothy Orem’s self care theory will be reviewed and the importance of self-care in the prevention and self-management of acute and chronic illness. A concept analysis by using Watson & Avant model on concept analysis will be conducted about Dorothy Orem’s self care theory. The following will be identified in this paper. The Literature review of self-care to find the key attributes of self-care.
Theoretical Basis: Watson's Theory of Human Caring An advanced practice nurse (APN) to help guide professional practice and provide a working framework can use many different theories and models. Theories provide a foundation in which an APN can seek to understand patients and their problems and effectively plan interventions. Basing our practice on a particular theory can help improve the care we provide by not only providing structure but also providing boundaries and goals for our nursing actions and it defines a framework to evaluate the effectiveness of the actions we provide (Eldridge, 2014). This paper is going to review Watson’s theory of human caring and provide a description of the interrelated concepts for the grand nursing theory. The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice.
Elements of a recognised framework by Cormack (2000) will be used as a guideline through the critique process. Critique is defined by Polit et al (2000) as a careful critical appraisal of the strengths and limitations of a piece of research. They state that a written critique should serve as a guide to researchers and practitioners, and should help to advance a particular area of knowledge. The critique should also help those who are practising nursing, to decide how the findings from a study can be best incorporated into practice (Nieswiadomy, 2002). Knapp (1998) points out that if research is to provide convincing evidence on which to base practice, it must be capable of withstanding scrutiny regarding the quality and relevance of the researchers work.
According to Gill, the four criteria that define behaviour as aggressive are: There must be physical or verbal behaviour. It must involve causing harm or injury, whether it is physical or psychological. It must be directed towards another living thing. There must be intention to cause harm or injury. Baron stated that: “aggression is any form of behaviour toward the goal of harming or injuring another living being who is motivated to avoid such treatment.” (Baron, R.A. Richardson, D.R.
Sixth principles “Police use Physical force to the extent necessary to secure observance of the law or to restore order only when the exercise of persuasion advice and warning is found to be insufficient”. A lot of police agencies get in a lot of trouble because of wrongful death or injury. You can only use deadly force when the public put the officer in danger life or harming the public. If he uses the deadly force he has to have a better reason to the chief to use that type of force. Seventh principle, “Police at all times should maintain a relationship with the public that gives realty to historic tradition that police are the public the public are police the police being only members of the public who are paid attention to duties which are incumbent on every citizen in the
Contra indications) Life experience and physical characteristics: - Age - Gender/Sexuality - Race/Culture - Physical Health - Psychological reaction - History of physical/sexual abuse Contra indications: Take medical advice on the use of physical intervention if the service user has: - A history of heart disease or heart problems - Difficulty in breathing: a history of respiratory illness - Problems with digesting food; gastro-intestinal conditions - Recent fractures; a history of dislocated joints - Downs syndrome (vulnerability to neck/spine injury) Other factors suggested by research include: - Obesity - Sickle Cell Anaemia - Drug/Alcohol abuse 2. What factors can act to compromise safety during restraint? Be aware of own mindset: - Punitive staff attitudes (‘I’ll show you who’s boss’) - Fear ( leading to indecisive staff action – or – conversely use of excessive force) - Misinterpretation (the restrained person often explicitly states ‘I cannot breathe’, before dying. Staff did not believe them) - Ignorance (lack of knowledge of risk factors and symptoms of distress) Danger is increased by: - Time – the restraint goes on too long - Prolonged struggle – Lactic acid may build up (Acidosis) - Ignoring distress – Have a non involved staff member monitoring the subject at all times - Restricting breathing – Restricting the free movement of the diaphragm 3. What is your understanding of the term ‘Positional Asphyxia’ in relation to restraint?
This report will also explain the importance of stakeholders an how quality is identified. The review of the purpose of physician and patient pertaining to Quality Improvement will be discussed in this report. Why Quality Management is necessary in the healthcare
The case may be something you have encountered in your clinical practice or a nursing ethical dilemma that is of concern to you. Utilize the Carole Levine text,Taking Sides, as a resource while conducting your