Tuesday, February 25, 2020

Case Study of Patient presenting with flu-like illness 2500 words Essay

Case Study of Patient presenting with flu-like illness 2500 words - Essay Example Patient satisfaction evaluated using typical patient questionnaires is said to be higher after advanced nurse consultations for flu-like illnesses and minor illnesses. It is from such data that it is discovered that advanced nurses give longer consultations and necessary information as compared to general practitioners. However, some patients who have ever visited a nurse practitioner for insignificant illness care have recorded a preference to seeing practitioners next time, regardless of the fact that they were satisfied with the consultants with the advanced nurse. Patients may not anticipate their general practitioner to create time and listen to hem but they may have much confidence that an advanced nurse would do so (Moulton, 2007). The aim of this evaluation is to determine how the consultation process is carried out by an advanced nurse, inclusive of the methods used in the context of general practice. The method used Subjects were interviewed before and up to one week follow ing their consultation with an advanced nurse. Constant comparative methods and semi-structured interviews were utilized to explore the matter from the patients’ point of view. ... Therefore, a specified 1-year practice-based training program was initiated. It was comprised of the Higher Professional Education Masters Degree in Advanced Nursing Practice (MANP), inclusive of training on managing common complaints. As the program went on, the advanced nurses were employed, educated, and facilitated with general practices. Common complaints associated with the flu-like illness was compiled for which the participants seek he nurses’ medical attention. According to Keenan, J, 1999, such common problems will always result in minor health issues. The role of the advanced nurse in this study was to assess symptoms like physical examinations, and diagnose or make decisions where appropriate. However, the advanced nurses were not permitted to prescribe any medications, meaning that the general practitioners were frequently available for consultations and validations on referrals and prescriptions. The process required that patients who had appointments for the stu dy be assessed for inclusion. Patients aged over 18 years and had come for the first consultation were welcomed to take part in the study if they requested for an appointment on a day when the advanced nurse was around and had time availed to him or her in the schedule. There was random choice of patients to be allocated in either the reference group or the intervention group. Assignments were given at random by an independent individual and he codes generated. In each project, a research assistant gave an explanation of the research to the patients as they came in and informed consent was achieved. Collection of data and the analysis Before the consultation in the general practice same day consultancy room, the first interview was performed, and the

Sunday, February 9, 2020

Strategic Covert Action Essay Example | Topics and Well Written Essays - 500 words

Strategic Covert Action - Essay Example Having the aforementioned accurate information will help a state to identify a point of priority and to respond accurately and appropriately [by for instance funding, making legislation, using diplomacy, and/ or engaging in military combat or proxy war] (Loch, 1989, 75). In the event that an intelligence agency is the same that uses secret information to carry-out executive decisions to engage in covert action, there is likely to be an absence of accountability. Again, the conflict that this trend is likely to herald is the usurpation of the roles of the foreign affairs docket and its offices. When an intelligence agency uses secret information to carry-out executive decisions to engage in covert action other important aspects such as accountability and oversight are easily bypassed and excesses become a reality. There is a strong and clear point of convergence between the use of covert action support the practice of state-craft and the use of covert action to carry out actions to further security, military, economic, and business interests. This makes it impossible to disassociate the use of covert action from supporting the practice of state-craft and furtherance of security, military, economic, and business interests. This is because covert action supports the practice of state-craft [achieving, consolidating and wielding power to control outcomes, actors, issues and events in international relations]. Indisputably, this power is also used to consolidate and perpetuate a state’s security, military, economic, and business interests. The specific subject of covert action has suffered a lack of serious and in-depth study because of the failure to produce theoretical concepts to explain instruments of foreign policy such as diplomacy, trade and force. It is because of this failure to address the theoretical concepts to explain instruments of foreign policy that the