ClarionCaseStudyUnfortunateAdmission.pdf Download ClarionCaseStudyUnfortunateAdmission.pdf
Analyze the case study by completing the following areas:
Errors/Issues-discuss the errors, and/or issues that occurred
Use the Root Cause Analysis to identify the major issues causing problems.
For the problems identified, provide recommendations/action plans on how the hospital can correct the problems.
Requirements: Provide a detailed case analysis using APA format-title page, references and in-text citations. Submit the assignment in Canvas as a Word document.
Length requirement: minimum 500 words. This does not include the title page and reference list.
Surname 2 It is easy to get tempted to order fast food
It is easy to get tempted to order fast food when you are hungry and late for an important function. The fact that the food is cheap and appetizing increases the temptation further. Fast foods are considered to be the food that can be swiftly served and prepared such as hot dogs, hamburgers, pizza, and fried chicken. There is research conducted in 2020 that claims that by the time it reaches 2027, the global fast-food market is expected to reach $931.7 billion due to the increased number of fast-food chains globally. Although fast food is popular around the world, the globalization of American fast-food chains is unsustainable, and contributes to climate change, threatening not only the lives of humans but also the survival of Earth.
The production of fast food brings about a lot of garbage which destroys the environment.
Fast foods entail a lot of packing so that people can pick them up and eat them on their way. The packaging of fast foods counts for approximately 40% of all litter in the environment with Styrofoam as the most common food waste. The increased level of packaging causes the environment to have enormous amounts of trash from all the wrappers, boxes, and other containers. Even though the containers entail a recycle logo, they are rarely recycled because they get contaminated by oil from the food. This makes people not see the need of recycling them anymore and they only dispose of them in the dump. As people dispose of the containers, they turn out to be harmful to the environment because the waste like Styrofoam takes 900 years to break down in landfillsll. The garbage, later on, leads to overloaded landfills and litter pollution in the ocean and on land which affects the health of the planet. The negative effects increase when people dispose of the plastics and other recyclable packaging products incorrectly. Furthermore, Disposing of plastics in the ocean is harmful because it kills and injures marine life. The sea creatures could easily ingest the plastics which could make them suffocate. If there will be no halt to the disposal of plastic wastes in the ocean, over 700 species of sea life could go extinct in the coming years. Current data reflects that 267 types of animals have already been affected, the most famous of which is the sea turtle.
Recyclable food packaging is made from organic materials which emit methane when they decompose in landfill conditions that lack oxygen. Therefore all organic food packaging that finds its way into the landfills, emits greenhouse gas and contributes to the rising climate.
Yet another issue with the incorrect disposal of biodegradable or compostable food packaging is that it is often added to the recycling alongside the traditional materials. Because compostable plastic and cardboard are similar in appearance to their original counterparts, there has been widespread confusion among consumers and well-intentioned recyclers. Unfortunately, when organic food packaging is added to the recycling process, it contaminates the purity of the raw materials which results in large batches being sent to the landfills.
However, the Garbage Project found that fast-food packaging accounts for no more than one-third of one percent of the total volume of the average landfill.” This is an issue that has been unfortunately blown out of proportion, but the fact is that there is still a fair amount of trash resulting from this amount of consumption.
Not only does this waste factor affect our landfills, but there is also the factor that people are too lazy even to reach a trashcan. Pollution is a continuous problem in our society, and the pollution of such things as fast food packaging can have consequences on our environment. An example of these effects is pollution leading to bioaccumulation; which is caused when chemicals from fast food packaging get absorbed into the ground. Bioaccumulation is very important for the accumulation of vitamins and minerals but can be disastrous when it occurs with harmful chemicals. “Everything that touches the ground or goes in our trash eventually ends up in our rivers, drinking water, or on our plates at dinner. Plants are capable of taking up toxic chemicals from soil contamination. These toxins can then bioaccumulate through animals (including humans) eating the plants directly or from consuming another
The increased production of fast food has negatively affected the quality of water because of the enhanced use of drugs, pathogens, and fertilizers that seep into the water supplies. The fast-food industry approximately consumes 10 percent of global water flows. The poor quality of water, later on, causes people who consume it to have waterborne diseases such as E. Coli), marine dead zones,
Fast foods increase the production of Greenhouse Gases which cause global warming
An enormous amount of greenhouse gas discharge emanates from farming activities, raising livestock, storing, transporting, packaging, and dumping food. There is a high number of greenhouse gases that are discharged by the food industry as well. Animal agriculture extremely affects the environment because t highly relies on land, food, and water for livestock as it creates fast food products.
The greenhouse gases are discharged through the activity of agriculture when methane is emitted from meat and dairy farming. The fast-food restaurants are believed to sell an enormous amount of meat and a high number of this meat is manufactured on the factory farms which increasings leads to global warming.
Apart from the effect of burgers on the environment, the ready meals and other prepared foods also damage the planet. The trucks that are used to distribute the products usually add to the pollution, discharge, and congestion which contributes to climate change. There is an increased carbon cost because people do not want to prepare food in their homes but they want to drive to the restaurants and pick fast food as they head to work. The environment is not solely influenced by the chemicals that are emitted in fast food but also by the whole chain of manufacture.
Meat and dairy farms are the biggest factors behind change in the way land is used globally, often prompting deforestation and diverting resources away from other valuable needs.
Environmental pollution is mainly caused by the environmental pollution of beef through agriculture and livestock. The livestock industry is projected to contribute around 70% of the total allowable greenhouse gas emissions by 2050 (McGrath, 2019). These emissions include carbon dioxide (CO2), methane (CH4), and ammonia (NH3) which are naturally released by animals such as cows, pigs, and chickens (Dopelt, Radon, and Davidovitch, 2019). Furthermore, the production of animal products also produces a lot of water wastage and water pollution. Water pollution is caused by runoff water from these farms into water bodies that contain manure, antibiotics, hormones, fertilizers, and pesticides (McGrath, 2019).
. Carbon dioxide, methane, and nitrous oxide concentrations are now more abundant in the earth’s atmosphere than at any time in the last 800,000 years.5 These greenhouse gas emissions have increased the greenhouse effect and caused the earth’s surface temperature to rise. Burning fossil fuels changes the climate more than any other human activity.
Carbon dioxide: Human activities currently release over 30 billion tons of carbon dioxide into the atmosphere every year.6 Atmospheric carbon dioxide concentrations have increased by more than 40 percent since pre-industrial times, from approximately 280 parts per million (ppm) in the 18th century7 to 414 ppm in 2020.8
Methane: Human activities increased methane concentrations during most of the 20th century to more than 2.5 times the pre-industrial level, from approximately 722 parts per billion (ppb) in the 18th century9 to 1,867 ppb in 2019.10
Nitrous oxide: Nitrous oxide concentrations have risen approximately 20 percent since the start of the Industrial Revolution, with a relatively rapid increase toward the end of the 20th century. Nitrous oxide concentrations have increased from a pre-industrial level of 270 ppb11 to 332 ppb in 2019
GLOBAL WARMING ALSO affects the health of people because it causes more frequent and severe weather
More frequent and severe weather. Higher temperatures are worsening many types of disasters, including storms, heatwaves, floods, and droughts. …
Energy is closely linked to environmental predicaments because it is implausible to manufacture, transport, or use energy in the absence of remarkable environmental influence. Some of the environmental predicaments that are linked to the manufacture and use of energy include the pollution of thermal, water, air, and climate change A lot of energy is consumed in the manufacture and supply of fast foods in the United States. Urban air pollution is commonly caused by the discharge of air pollutants from fossil fuel combustion. Burning fossil fuels is also regarded as a major benefactor to the discharge of greenhouse gases. Diverse water pollution predicaments are linked to energy consumption through oil spills. During petroleum operations, there is a boundless chance of the oil being spilled in either water or on the earth. Coal drilling can also pollute water because the alterations in the groundwater flow manufactured by mining operations can bring otherwise unpolluted waters into contact with certain mineral materials which are leached from the soil and produce an acid mine drainage. Solid waste is also considered to be a result of some forms of energy consumption.
Most of the energy that is consumed emanates from non-renewable sources of energy which makes it critical to find d-different ways to lessen the consumption of fuel. It would be possible for the United States to minimize the use of energy if the people were to adopt traditional farming methods and decided to eat healthy foods. This is because too much energy is required to fast food as compared to staple foods. Therefore, lessening the consumption of fast food equally minimizes the use of fuel and it also aids in enhancing the health of people
Surname 2 Name Professor’s name Course Date Fast Food Advertising In America,
Research Assignment 01 Essay Religion and Theology Assignment Help Surname 2
Fast Food Advertising
In America, fast foods overconsumption has been the main cause of diseases and death. Conditions such as obesity have been disturbing, especially among young people, due to the high intake of fats and sugar. Health authorities advise that unhealthy information regarding fast food advertising is a primary cause of unhealthy consumption. On a daily basis, kids view an average of 15 advertisements on television regarding fast foods. In most cases, fast food advertising depicts unhealthy eating habits with positive outcomes. The good taste of fast foods coupled with advertising makes promotes significant preferences and purchases. Fast foods have high calories and low nutrient levels, making them unhealthy if over consumed. Fast food advertising has been the main cause of health issues such as obesity: exposure to unhealthy information has influenced children and adults towards overconsumption.
I have learned that fast foods overconsumption leads to health issues. Diseases such as obesity are associated with consistent intake of fast foods due to the high calories in the meals. Children are the most affected by fast-food consumption due to their regular advertisements. Fast food advertisements done on televisions are viewed by a significant number of kids, making them attracted to consume them. On average, children consume more fast foods after watching approximately 8-10 kids’ food commercials than viewing the advertising for other products. I have realized that adults’ food consumptions patterns and behaviors are associated with external influences. When adults are exposed to such meals, they develop the desire to consume them. The meals usually have an appealing taste, enhancing the likelihood of consumption or even overconsumption. I have established that adults face challenges in resisting the advertisement of fast foods due to their appealing and delicious nature.
I have realized that when fast food advertising is done, the marketers consider attractive advertising models through packaging. Fun and snacking are conveyed in advertising, which creates an awareness of a relaxed mindset. The characters advertising fast foods on television portray a feeling of happiness and satisfaction. Such marketing strategies make people admire the feeling, attracting them to fast foods and beverages. On televisions, fast food advertising is consistently done during commercial breaks when a significant number of people are watching. Information spreads rapidly as awareness is maximized, enhancing the likelihood of more consumption. I have learned that television advertising is powerful in influencing viewers’ decisions about consuming fast foods. The display of the meals conveys suitability in consumption and is associated with an appealing taste.
In summary, fast food advertising has been the main cause of the high intake of unhealthy meals. Marketers have targeted key advertising areas such as televisions which have a significant number of viewers ranging from kids to adults. Fast foods have high calories levels and, if over consumed, lead to diseases such as obesity. People add more weight, become inactive and end up unfit. Fast food marketers have adopted strategic advertising options such as attractive packaging to influence the targeted clients. The packaging is associated with snacking and fun, attracting more people to consume the products. On televisions, fast food advertising portrays an appealing and appetizing picture that quickly attracts people to purchase the products.
Harris et al., Fast Food Advertising. (n.d).
Fatim NPR2067 Introduction In this assignment, I will be reflecting on how
In this assignment, I will be reflecting on how I obtained and utilised feedback from practice to help enhance my professional development. The provision of feedback by instructors forms an integral part of the nursing learning process as it is a powerful tool that helps a learner improve their educational progress by providing a judgement of the performance (Panneerselvam, 2018). According to Burgess et al. (2020), once a student receives feedback about their performance, it helps enriches their learning experience by helping arrow the gap between the student’s actual performance to the desired performance of the role. Additionally, effective feedback is essential in helping in helping reinforce good nursing practice as it motivates the learner towards achieving the desired outcome (Calleja et al., 2015).
Reflecting on feedback I got from the supervisor will help point out areas I excel at and areas I need to work on. According to Grobbel (2013), reflection allows nurses to develop knowledge of their strengths and weaknesses. Additionally, students who reflect on their daily experiences have a better understanding of their actions, allowing them to develop their professional skills (Fragkos, 2016). I will be using the Gibbs reflective model to structure this reflection as its understandable ad easy to use structure allows individuals to learn over time from their experiences. To help protect patient confidentiality and privacy, I will refer to the patient as Opal.
During my placement at a local hospital, I was tasked with helping meet the daily needs of Opal, a 24-year old female who was being returned into the ward having undergone surgery after swallowing an object with the support of a HCA. She had an EUPD diagnosis and had been placed in isolation as per the ward/hospital covid-19 policy. In my interaction with Opal, I was to check her vital signs every 4 hours and record the readings on RIO and the NEWS2 chart. This was done to help monitor recovery or deterioration. I was also tasked with ensuring that she had enough fluid intake by providing and encouraging drinking and recording it in the food and fluids chart.
Before meeting the patient, I read her care and PBS plan to gain an in-depth understanding of her condition and to get to know her better. Once I completed this, I approached the nurse who made a complete handover by introducing me to the patient and informing her of my reason being there and left me to work with the HCA. Then with her consent, I stayed behind with the help of the HCA to have a chat, get to know her and asking her if there was anything she needed at the moment. To help achieve my task, I made sure to observe the ward covid-19 protocols of wearing a PPE when visit her as she was I isolation waiting for covid-19 results. I also made sure to clean and disinfect the equipment I used to monitor her vital signs to help reduce chances of spreading the infection. I also was keen to make sure that the patient’s food is del9vered in time and recording what she had taken afterwards in the food chart. I also encouraged regular fluid intake ad recorded this accordingly. During my checks, I would check if she had used the toilet both opening bowels and passing of urine and this was recorded.
While I made sure to ask and gain consent from the patient at each instance before taking the vital signs, there was one instance of checking the patient’s vital signs, where I reached for her upper arm without asking her which one she preferred me to use. This made the patient angry and, she said that I did not need to use the upper arm and that I should use the lower arm. I apologised for my inconsideration and thanked her for the prompt. Since I was not familiar with taking blood pressure from the lower arm, I did it anyway and after, I went to my mentor and enquired about this for clarification. I also researched and learned that blood pressure can be read/taken from certain points on the body such as the calf, lower arm, and wrist.
Thoughts and feelings
Prior to meeting Opal, I felt nervous that this situation would prove challenging and this would result in bad feedback from my supervisor. However, after having a complete verbal handover and having read the patient’s care plans, I felt that I had the knowledge to give me the confidence to execute my given task effectively and with the support of the HCA. Courage, which is part of the 6 Core values of nursing enables nurses to do the right thing for their patients by overcoming barriers such as fear, allowing them to focus on patient safety and care (Lindh et al., 2010).
Despite having success in almost every aspect of the episode of care, I felt afraid after her mood changed having tried to reach out to her arm without asking for her consent. My main thoughts within that moment was that this mistake would erase the hours of good work and chats I have had with Opal. However, having apologised for my inconsideration, I felt that this would allow me to make amends with her.
I was proud of myself for the feedback I received from the supervisor. I had performed excellently when taking care of Opal. Additionally, I felt motivated when he mentioned areas I did not do well and explained what I should have done differently. This allowed me to identify what I can do to improve my practice.
In the evening once the shift ended and we handed over Opal to other care staff in the ward, I approached the supervisor for feedback. According to Adamson et al. (2018) the responsibility of providing feedback should not be on the instructor alone, but also the student, who should obtain it and utilise it for professional and self-development.
The feedback provided suggested that I was effective in seeking patient consent prior to the task. I was also effective in reassuring the patient when she was distressed about feeling unwell and worried about her temperature. I also ensured that her meals, both food and fluid were served in her room in a timely manner. However, the feedback also suggested what I should have done differently within the episode of care. I should have assessed her mental state and mood before approaching her to check her vital signs. Conducting a mental state examination helps the nurse gain a comprehensive understanding of the patient’s mental state, allowing him/her to make an accurate diagnosis and formulation of care to be implemented. Additionally, I should have asked her which arm she preferred with the blood pressure cuff instead of making that choice for her. It is important that I seek consent for every action and support patient involvement in every decision about a patient’s care as this will be essential in improving the experience and outcomes for patients (Vahdat et al., 2014). Patients like to be engaged in the decision-making process of their care ad those who do tend to be more healthy and experience positive care outcomes (Stiggelbout et al., 2015).
The feedback I received helped highlight areas of strengths and weaknesses that I needed to work on. Feedback provided during practice is integral to the learning process as it engages the student with information about the quality of their performance, allowing them to work on areas that ca help them achieve optimal performance (Panneerselvam, 2018). Feedback helps support a learner’s decision-making by providing an instructional process that enhances and supports self-assessment and reflection on performance (Khowaja and Gul, 2014). The feedback stated that I had not only sought patient consent but also reassured the patient when distressed. After a surgery, patients can have multiple questions about their symptoms, wound healing, medication side effects and recovery expectations and reassuring the patient helps remove fears and concerns about illness (Ancker et al., 2018). It can also be essential in helping a patient respond to clinical situations with less fear and concerns. Additionally, by monitoring her vitals and meals and recording in the various respective charts pointed out to best practice in nursing. According to Melnyk and Fineout-Overholt (2011), best practices involves the use of techniques, procedures, interventions and methods based on high-quality evidence to help achieve improved patient outcomes.
The feedback also highlighted areas in needed to improve on, which include always asking for patient consent and assessing patient mood and mental state when approaching a patient. Asking for patient will be critical in helping reflect my ability to treat the patient with dignity and respect, which is a principle of person-centred care. Patients are often likely to lose their independence when they enter care, which might place their dignity at risk. It is therefore important that nurses maintain this dignity by respecting their wishes and treating them with compassion and empathy. To achieve this principle nurses should not invalidate patients care needs but work to respect their autonomy and right to self-determination, where informed consent is key (Ng et al., 2012). Additionally, the NMC code (2018) requires that nurses seek a patient’s informed consent and never presume it. Assessing the patient mood and reassuring her on her care will ensure that I treat her with compassion and respect (Reid, 2012).
Improving on the feedback will help exhibit my commitment towards providing optimal care to patients and promoting the nursing profession. Commitment, which is one of the 6Cs of care, requires that nurses place the interest of the patient ahead in providing care (Chadwick, 2017).
This experience has allowed me to learn a number of take ways that can be transferred to other areas of practice such as importance of patient consent, the need to prioritise patient needs and commitment towards improving my role. Observing patient consent helps respect their autonomy and self-determination regarding their care (Ng et al., 2012). Prioritizing patient needs, helps provide care in an order that benefits the patients and safeguards their safety. Committing to professional and self-development by improving on my role will ensure I remain up-to-date with my training so that I can deliver best care to patients (Price and Reichert, 2017). Reflection on the feedback has also provided insight into how I am developing as part of the nursing team and providing quality nursing care. It has helped me learn more about my boundaries and limitations in practice, which include prioritizing patient’s needs and practising effectively by relying on my knowledge to contribute to the teamwork (NMC, 2018). I addition to my courage, with this, members of the nursing team will now perceive me as an effective and knowledgeable team member and leader.
I will research evidence-based information on different scenarios that nurses are required to obtain consent to ensure that I am more knowledgeable ad prepared should a similar scenario arise.
Adamson, E., King, L., Foy, L., McLeod, M., Traynor, J., Watson, W. and Gray, M., 2018. Feedback in clinical practice: Enhancing the students’ experience through action research. Nurse Education in Practice, 31, pp.48-53.
Ancker, J.S., Stabile, C., Carter, J., Chen, L.Y., Stein, D., Stetson, P.D., Vickers, A.J., Simon, B.A., Temple, L.K. and Pusic, A.L., 2018. Informing, reassuring, or alarming? Balancing patient needs in the development of a postsurgical symptom reporting system in cancer. In AMIA Annual Symposium Proceedings (Vol. 2018, p. 166). American Medical Informatics Association.
Burgess, A., van Diggele, C., Roberts, C. and Mellis, C., 2020. Feedback in the clinical setting. BMC Medical Education, 20(2), pp.1-5.
Calleja, P., Harvey, T., Fox, A. and Carmichael, M., 2016. Feedback and clinical practice improvement: A tool to assist workplace supervisors and students. Nurse Education in Practice, 17, pp.167-173.
Chadwick, D., 2017. Care, compassion, courage, commitment, communication and competence: the 6 Cs. Journal of perioperative practice, 27(10), pp.209-211.
Fragkos, K.C., 2016. Reflective practice in healthcare education: an umbrella review. Education Sciences, 6(3), p.27.
Grobbel, C.C., 2013. The importance of reflective practice in nursing. International Journal of Caring Sciences, 6(3), p.319.
Khowaja, A.A. and Gul, R.B., 2014. Perceptions and experiences of written feedback of nursing students. International Journal of Nursing Education, 6(1), p.1.
Lindh, I.B., Barbosa da Silva, A., Berg, A. and Severinsson, E., 2010. Courage and nursing practice: A theoretical analysis. Nursing ethics, 17(5), pp.551-565.
Melnyk, B.M. and Fineout-Overholt, E. eds., 2011. Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Ng, J.Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E.L., Ryan, R.M., Duda, J.L. and Williams, G.C., 2012. Self-determination theory applied to health contexts: A meta-analysis. Perspectives on Psychological Science, 7(4), pp.325-340.
Panneerselvam, S., 2018. Feedback among nursing professionals: a narrative review. International Journal of Health Sciences and Research, 8(2), pp.266-271.
Price, S. and Reichert, C., 2017. The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences, 7(2), p.17.
Reid, J., 2012. Respect, compassion and dignity: the foundations of ethical and professional caring. Journal of perioperative practice, 22(7), pp.216-219.
Stiggelbout, A.M., Pieterse, A.H. and De Haes, J.C., 2015. Shared decision making: concepts, evidence, and practice. Patient education and counseling, 98(10), pp.1172-1179.
Vahdat, S., Hamzehgardeshi, L., Hessam, S. and Hamzehgardeshi, Z., 2014. Patient involvement in health care decision making: a review. Iranian Red Crescent Medical Journal, 16(1).
3 Fatima Transportation Funding Plan Name Institutional affiliation Fatima Transportation Funding Plan
Fatima Transportation Funding Plan
Fatima Transportation Funding Plan
Since we are a nonmedical transportation company, we hope to grow into a very profitable enterprise. Nonmedical transportation for the elderly or those suffering from minor health issues can make it easier for these individuals to get to their doctor’s appointments. This business is really capital intensive. It requires a lot of money to start up. With the high risk, much care needs to be done to ensure that no money is lost and profit is incurred throughout the business activities. For starters, we will require a total of 500000 dollars. This will cater to the purchase of the vans for transportation and other administrative costs like salaries, licenses, and taxes. We expect the business to pick up within one year of inception; therefore, the capital will run us through the year.
The source of financing for the business varies rapidly depending on the financial strength of the source. Contribution from the owners is the primary funding. These will be sourced from the proprietor’s savings and salary. The second source of finance is family and friends. Although more minor in prospect, the family will be handy in lending a helping hand to Fatima transportation company. Loans from the bulk of our financing source. We will seek loans from the traditional banks, although it will be difficult as there are no assets to the business. To bridge the gap, online lenders will partly fulfill the gap. Grants from the governments will heavily be sought as they bear no interests (Tom, 2020). Pitching to investors will also be critical.
Tom, M. (2020, May 3). How to source for funding as a startup. Retrieved from Startup.info: https://startup.info/how-to-source-for-funding-as-a-startup/