Wednesday, February 26, 2020

The New Coalition Government in the United Kingdom Assignment

The New Coalition Government in the United Kingdom - Assignment Example These new statutory rules had taken effect last October 1, 2010 and pertain to the gathering of sensitive information and also the handling of confidential correspondence and communications related to child protection and other serious child care incidents.#2 These are all part of social work reforms that are being implemented. However, it must be emphasized that safeguarding is a bit different from child protection in the sense that the former pertains to protecting children from mistreatment, the prevention of impairment in a child’s development and ensuring children grow up in the right environment consistent with their safe and effective care. Child protection is just a part of the overall safeguarding and undertaken to protect vulnerable children who might be suffering.#1 It requires special skill to deal with family situations in which professionals have no other choice but to intervene, or intrude into the family life of a young child. Discussion Parents today are very protective of their children and this is understandable. There are some instances, however, when the children have to be separated from their parents and other adults who might be causing them harm. This is why the English government has taken a right to take care of these vulnerable children as the protector of society.... Although this reaction might be normal for any other person, it must not cloud my judgement on the proper actions to take, such as hesitating to report the matter immediately. For example, I would naturally feel pity for the young Steve and might get into the wrong conclusions about the conditions in the home of Steve and what his parents are doing to him. The appropriate professional response would be to observe Steve objectively, such as how he acts in the classroom or what his reactions are when his stepfather arrives to pick him up. My personal reactions can interfere with my own judgment about what needs to be done in this situation. I need to be quietly inquisitive into the circumstances of Steve’s family life without being obnoxiously intrusive. I have to protect the family’s privacy but not to the extent of possibly neglecting Steve or leaving him at the mercy of his parents. The idea is to correctly identify, understand and deal with possible child abuse. My pe rsonal reactions can lead to an over-reaction, such as reporting Steve’s parents to the authorities when in fact no child abuse has taken place. Steve might just be suffering from some physical ailment. 2. Immediate Concerns – there are some tell-tale signs that all is not well with Steve. The first is his reaction when told about his misbehaviour such as intentionally bumping into other people and his classmates. He was not upset when school staff had told him it is bad for him to keep knocking other people down and even seemed to relish the seemingly violent actions. He is quite aggressive and seems tired just coming into the school in the mornings. It is also noticeable that he is restless and seems always very hungry (which means

Monday, February 10, 2020

Nurses Role in preventing pressure Ulcers Dissertation

Nurses Role in preventing pressure Ulcers - Dissertation Example First, pressure ulcers (PRUs) are rather common medical conditions that have affected the patients for ages with ever increasing morbidity and mortality rates. For these reasons, pressure ulcers and their effects have prompted nurses to work tirelessly to address their detection, prevention, treatment and management (National Institute for Health and Care Excellence, 2013). Most importantly, that PRUs have metamorphosed into a national healthcare issue underscores the importance of its prevention to the nursing. The other reason this topic was chosen for this paper is that despite the tremendous efforts and strides made in other fields such as medicine, nursing care, surgery, and self-care education, pressure ulcers remain among the chief causes of morbidity and mortality for different types of illnesses (National Institute for Health and Care Excellence, 2013). The situation is particularly dire for people with prolonged immobility, weakened sensation and advanced age. This topic wa s also favoured by the need to aptly and effectively prevent and manage PRUs and the need for more research in the area of pressure ulcers with regards to their prevention, characterization and treatment. Unfortunately, more needs to be done with regards to caring for patients to prevent and treat pressure ulcer in hospitals. To this effect, the numerous guidelines available to professionals should be accessed and implemented. Generally, these guidelines pinpoint the various strategies of preventing and treating pressure ulcers. Among these areas are those of skin care and protection, positioning, use of pressure-relieving devices and nutrition (National Guideline Clearinghouse, 2006). Agreeably, keeping the skin clean, dry and moisturized is the first and an important preventive step. Other guidelines emphasise the avoidance of the massaging of bony prominences. Dry lubricants and/or other protective dressings such as transparent films and hydrocolloids are also recommended for use since they help avoid skin injury from friction during patient transferring and turning (National Guideline Clearinghouse, 2006). In addition, the use of skin protectants or incontinence skin barriers is recommended by experts (Allsop, 1995). Another skin-related intervention that comes highly recommended is the use of absorbent under-pads and undergarments to wick moisture away from the skin. The recommendations with regards to positioning and pressure-relieving devices include elevation of the head of the bed to about 30 degrees, the use of a 30-degree lateral lying position, use of trapeze bars to help with mobility, use of pillows or wedges to lessen pressure and the cushioning of high-risk areas such as the elbows, heels and sacrum (McInnes & Cullum, 2011). Others are emphasis on the need to avoid dragging or pulling patients and the use of lift sheets/equipment to reposition or transfer patients. According to the NICE, 2013, about half a million UK citizens develop at least o ne pressure ulcer yearly while the NHS reports that about one in twenty people admitted to hospitals with a sudden illness will develop a pressure ulcer. According to most media reports, pressure ulcers not only inflict severe harm to patients but also cost the NHS billions of pounds each year to treat (Manfred, 2005). Nevertheless, the majority of pressure ulcer cases could be prevented via rather