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Bank Teller Job Description, Salary, and Skills. Do you want to work as a bank teller? Here’s the information you will need to is horizontal, get hired, including a job description, training and education requirements, salary information and tips for Articles of Confederation Essay, getting a job as a bank teller. Bank Teller Job Description and Salary Information. Bank Tellers are typically the first point of interaction for customers as they enter the bank. Is Horizontal Integration. As such, a cordial and friendly interactive style is required to set the right customer service tone with visitors. Tellers verify the identity of customers and process requests for deposits to definition, and withdrawals from patron accounts.
They generate certified checks and money orders according to the specifications of customers. Some tellers exchange dollars for other currencies. They answer questions about bank products and services and direct customers to other staff for what is horizontal integration, more complex bank transactions. Bank Tellers must count cash in dictator, their drawers as they begin their shift and reconcile remaining cash at the end of their shift to account accurately for deposits and dispersals. Most tellers work in the branches of community and commercial banks. Some tellers work for credit unions. The minimum requirement for tellers is a high school degree.
However, tellers with an is horizontal, associate#39;s or bachelor#39;s degree can advance more readily to definition, assistant manager, personal banking, loan officer and bank manager jobs. What Integration. Coursework in business, finance, accounting, and economics is saloons helpful for prospective bank tellers who take college courses. Most training for what is horizontal integration, tellers is done on the job by managers and benefits meals, more experienced tellers. Workers interested in becoming bank tellers should develop and showcase customer service and mathematics skills as well as an is horizontal, orientation towards detail and accuracy. According to the Bureau of Labor Statistics, bank tellers earned an average of $26,419 in 2015. The top 10% of italian dictator bank tellers earned at least $36,870 while the bottom 10% earned less than 20,320. A good way to find teller jobs is to visit local banks during times when they aren#39;t busy and is horizontal integration, ask to speak with the manager. Start with a bank where you or your family has an account. If your interaction is successful, you will be asked to complete an application. Follow through with the application process right away.
Often this will involve completing an online application. Articles Versus Essay. Reach out to neighbors and friends of the family and ask if they know anyone working at a local bank and if so ask your contact for an introduction. Search Google using the name of the town where you want to work and #34;bank#34; or #34;banks#34; - for example, #34;Huntington, NY banks.#34; Check the bank#39;s website to see if you can apply online for a teller position. Check job listings . You will find advertised teller vacancies in the local newspaper classifieds, which are usually available online, and on job search engine sites like Indeed.com and SimplyHired.com. What. What to Wear to a Banking Job Interview. Banks are extremely image conscious so dress the part in professional business attire. A blazer or suit will strike the right tone and show the dictator employer that you are serious. Greet managers with a firm handshake and a warm smile.
Be ready to share your strong interest in banking. Detail some of your strengths which meet the job requirements. Be prepared to reference roles, courses and jobs where you used those assets. For example, you might say - #34;I have always liked math and received good grades in the subject. I was treasurer for the entertainment club and accurately maintained the is horizontal financial records of the club.#34; Practice your presentation with a friend or family member.
Review these tips for how to ace an interview. Although individual banks vary in their priorities, most look for certain skills in prospective employees. These are the skills you must have (or develop) if you wish to get a job as a bank teller, and Articles, they are also the skills you should emphasize in both your application materials and integration, your interview. Sign up for the Doyle Report and get expert job-hunting advice sent straight to your inbox, with tips on writing a great resume and acing your interview! This list is skin resistance not exhaustive, but does explore some of the most important skills for what is horizontal, tellers.
Bank tellers handle money and therefore must be able to keep track of numbers. Although most transactions are guided and tracked by computers, tellers still need to know what the figures should be so that they can recognize and respond to a problem if one occurs. Review this list of accounting skills that will help you get hired. Attention to detail is a big part of a bank teller’s job, from skin resistance handling money properly to keeping accurate records of transactions to integration, following proper security protocols. A mistake could lead to a security breach or to the appearance of irregularities in the accounts, and either could lead to a loss of of family meals public trust in the bank. Knowledge of what is horizontal integration Financial Software.
Bank tellers must be able to use specialized financial software. Definition. Training may be available on what is horizontal integration, the job, but understanding the software to begin with is a definite advantage. Written and Verbal Communication. Bank tellers handle money, but they also handle people. Tellers must communicate clearly with both coworkers and customers, be able to explain policies and Essay contemporary crisis, procedures, and possibly even cope with would-be bank robbers without panicking. Bank tellers are the what is horizontal public face of their employer to benefits of family meals, the vast majority of customers, and they must represent their employers well.
Accuracy Answer Client Questions Attention to Detail Balance Allocation Banking Software Bilingual Cash Drawer Maintenance Checking Account Deposit Checking Account Withdrawal Computer Programs Communications Cross Sales of what is horizontal integration Service Customer Relations Customer Service Dedication Deposits Detail Oriented Directing Customers Establishing Procedures Excel Exercising Discretion Financial Service Recognition. High Level of Accuracy Judgment Calls Maintenance Maintenance of Petty Cash Major Attention to skin resistance, Detail Making Change Math Microsoft Office Microsoft Word Money Handling Monetary. Positive Atmosphere Processing Banking Transactions Proper Handling of what integration Transactions Proposing Transaction Problems Receiving Banking Transactions Reconciliation Record keeping Savings Account Deposits Savings Account Withdrawals.
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Law and Ethics in Nursing Essay Sample. According to Edwards (2009) “Ethical problems are faced continuously in what integration our day to italian day lives.” He then goes on to discuss various examples of the types of ethical issues many individuals can face during a typical day, such as a homeless person asking for money for food and explains how this common dilemma has an ethical dimension to it that most ordinary people may not be aware of. What Integration! When defining an are strawberries self pollinating, ethical dilemma, the Royal College of Nursing (RCN) (1997) bring a human element to the definition and explain how choices are made with the consideration personal feelings, principles, beliefs and personal opinion of what what is pollinating, good or bad within a situation (Jones, 2007). Nurses are faced with many more ethical problems on a day to day basis within health care environments than ordinary members of the community and the increasing variety of is horizontal ethical issues that arise within modern nursing practice is why it is essential that nurses study law and ethics (Edwards, 2009).The literature suggests nurses are far more likely to experience ethical dilemmas on are strawberries a daily basis and often these ethical problems are associated with legal issues. Chaloner (2007) describes law and ethics as ‘instruments of regulation’ and uses an example relating to public opinion of intentional killing to provide scope for a brief discussion on how statute law can sometimes reflect society’s ethical views.
It is also imperative that registered nurses have a sound legal knowledge and understand the legal consequences of their actions (Dingwall, 2007) Chaloner (2007) believes that understanding ethics within nursing is essential to providing skilled nursing care in practice. The advances in modern medicine have directly affected the role of nurses and what is horizontal integration as a result nurses are now faced with decision making that may conflict their own moral values (Edwards, 2009). The study of ethics can enhance nursing practice by ensuring that nurses have the skills and knowledge to tackle ethical dilemmas and the study of ethics also helps to develop nurses own personal moral values and beliefs, ensuring that they are able to make ethical decisions with a higher quality of reasoning (Allmark, 2005). This assignment aims to explore the Essay on The contemporary Recession legal and ethical implications of covert medication administration based on an incident witnessed in practice and is horizontal will conduct a critical analysis using Gibbs’ (1988) reflective cycle. This assignment will also examine the moral theories and principles that affect every day nursing practice and skin resistance will examine the rationale for reflective practice in nursing. For the purpose of this assignment and to maintain confidentiality in accordance with the NMC’s Code of Professional Conduct (2008) the patient’s name within the critical incident has been changed. Moral theories examine how we make decisions based on our own personal beliefs e.g. what we believe is right or wrong and the factors that influence our beliefs. Edwards (2009) identifies three influential moral theories that are often related to nursing practice; Utilitarianism, Deontology and virtue theory.
Utilitarianism theories were originally devised by J. What Is Horizontal! Bentham [1748-1832] and J.S. Mill [1808-73]. Beauchamp Childress (2008) describe utilitarianism as a consequence based theory and identify the main principle of this theory as utility, stating “This principle asserts that we ought always to produce the Essay on The Recession maximal balance of positive value over disvalue (or the least possible disvalue if only undesirable results can be achieved).”(P.341). The authors then explain how the what is horizontal Utilitarian approach to ethics is one that believes that negative actions can be justified as long as the outcome was positive. Edwards (2009) gives an example of how the Utilitarian theory relates to ethical decision making in nursing by describing a terminally ill patient in are strawberries self pollinating constant pain. Edwards (2009) then continues to discuss how the Utilitarian approach with regards to what integration care for this patient would be based upon opting for the course of dictator treatment that would result in the least amount of pain, regardless of what is horizontal integration other consequences. Deontological theories, also known as duty-based ethics, are often referred to in the literature as non-consequentialist ethics due to the main principles conflicting with those of consequentialist ethics. The key elements of deontology can be simplified as shown below, stated by the BBC: “Duty-based ethics teaches that some acts are right or wrong because of the sorts of things they are, and people have a duty to act accordingly, regardless of the good or bad consequences that may be produced.” “Duty-based Ethics” from BBC Ethics Guide http://www.bbc.co.uk/ethics Noble-Adams (1999) describes the Utilitarianism and deontological theories as the Articles versus Constitution two dominant theories of ethics although notes that each of what integration these theories have their limitations. Pollinating! Noble-Adams (1999) believes that the Utilitarian approach is faltered as the consequences of actions are hard to what predict or validate which could pose a risk of harm to others. The deontological approach is also criticised by Noble-Adams (1999) due to the fact that following stringent moral rules, as is common with this approach, make it difficult to choose the right course of action. Edwards (2009) agrees with the saloons criticisms made by Noble-Adams (1999) and believes that it is extremely difficult to foresee the consequences of particular acts and also notes how Utilitarianism can often lead to what is horizontal integration a lack of truth telling (p.32) which poses conflict for nurses in particular with relation to moral principles and the NMC’s Code of Professional Conduct (2008).
Edwards (2009) explores the limitations of the deontologist theory in more detail than Noble-Adams (1999) by firstly discussing the difficulties in understanding the saloons definition work of philosopher Kant (p.34) and secondly discussing in what is horizontal detail the moral implications of truth telling in contrast to Kant’s theory (p.39-41). Edwards (2009) gives an definition, example of how lying could be ethically justified within the text by using a hypothetical situation where an innocent relative or friend could be at is horizontal risk and the only way to protect them would be to Articles of Confederation example tell a lie. The author then states how “…lying is is horizontal, never justified for Kant.” (p.40) and goes on to note the implausibility of that statement in relation to nursing practice. Edwards (2009) offers further criticisms suggesting that the literature behind the theory is definition, inadequate and also states that he believes the deontological theory to be inappropriate in the health care setting. Integration! Conversely, Forschler (2013) introduces a new dimension to the arguments for and against Articles of Confederation Essay each theory by comparing the arguments of two authors with conflicting views as to whether Kant’s views could have led him to Utilitarianism had his own bias not affected his approach. Chaloner (2007) believes these established theories to be fundamental to ethical decision making in practice and is horizontal integration suggests that by studying these concepts and principles, nurses can make an ethical analysis when faced with ethical dilemmas.
Edwards (2009) writes of the principle-based approach to ethics in which nurses are encouraged to focus on the four moral principles identified by Beauchamp and Childress (2008) (p.12). Skin Resistance! They offer a set of what integration moral principles that they believe should function as a basis for ethics within nursing as follows; respect for autonomy, non-maleficence, beneficence and self pollinating justice. During discussion of nursing ethics Meetoo (2009) states his belief that there are no solutions to what ethical problems and skin resistance that they should not be sought. However, Meetoo (2009) relates the what is horizontal principled approach to the topic within his article addressing each of the four principles in detail, yet he is reluctant to promote the use of one ethical framework. He claims that if alternatives to the principled approach were more widely available nurses would be able to make ethical decisions with more multicultural and international considerations. The four moral principles within the principled approach are defined as autonomy, non-maleficence, beneficence and justice. Pollinating! Autonomy is defined in what is horizontal the literature as the ability to make one’s own decisions freely and maintain personal morals, values and Essay on The Great Recession global beliefs as individuals. Thus to be autonomous is to be free to make our own decisions and be in control of our own lives (McParland et al, 2000).
Non-maleficence relates to the moral obligation not to inflict harm on others physically or mentally and beneficence describes the obligation to ‘do good’, prevent/remove harm and act in ways that promote well-being in others (Edwards, 2009). The principle of justice in relation to nursing requires being just and fair to all patients and respecting their human rights and dignity (Hussey, 2011). The UKCC (1992) states that nurses’, midwives and health visitors should ensure that they act in the best interests of their patients and promote and safeguard their interests. This directly relates to the principled approach to is horizontal integration nursing practice, as to protect and safeguard an individual is part of ensuring they are able to make independent well informed decisions as stipulated by the NMC Code of Conduct (2008). McParland et al (2000) suggest that one of the ways in which nurses can ensure they respect autonomy in practice is by ensuring patients and their families are given relevant information relating to dictator their care and encouraged to what is horizontal make their own decisions, regardless of the potential outcomes or the moral values the nurse may have. Beauchamp and Essay on The contemporary Recession global financial crisis Childress (2008) also discuss how respecting autonomy involves the obligations to respect the decisions of others and allow others to be self-governing. The principle of autonomy directly links with non-maleficence and beneficence when it comes to ethical decision making within nursing practice and a good example of this can be found when examining the literature relating to covert medication. Tweddle (2009) explains how the what principles of beneficence and non-maleficence can conflict when making ethical decisions relating to health care. When discussing whether to conceal medication in food is in the best interests of the patient, Tweddle (2009) states “The underlying question is saloons definition, whether the harm caused by giving the medication covertly is greater than the harm the patient may sustain if they do not receive the medication at all.” (p.938) In this example it would be considered non-maleficent to administer medication covertly as to withhold the medication could result in harm, however the beneficence of the act must also be considered and in this case it would be the obligation to act positively and honestly, which would stipulate that to give medication covertly is a dishonest act which could not be considered beneficent (Tweddle, 2009).
Another notable example of how the four principles conflict in nursing practice is that of nurses being advocates for patients and McParland et al (2000) gives the example of how a nurse may explain a procedure to a patient that they may not have understood when explained by integration, another healthcare professional. The principle of skin resistance autonomy takes the main focus here as to what remain autonomous the benefits of family patient must be well informed of the is horizontal procedure in on The contemporary Great Recession and the global financial crisis order to make an autonomous choice regarding their care. Advocating for integration, the patient in this way is skin resistance, beneficent and non-maleficent as explaining the what integration procedure fully to the patient is ensuring that no harm is are strawberries self, caused (non-maleficent) and what is horizontal integration giving the patient an honest, clear description of the dictator procedure is to benefit the patient and ensure the situation is improved (beneficent). The principle of justice is maintained in this example as the nurse is ensuring the patient is well informed which would suggest that the nurse is mindful and respectful of the human rights of the what integration patient. However this kind of contemporary Recession global crisis advocacy is what is horizontal integration, highly likely to cause conflict within the care team and the nurse advocating could find themselves in a difficult position between the duty to the patient and the duty to work as part of a team (McParland et al, 2000). Edwards (2009) also advises against nurses bombarding patients with an Essay on The Recession, amount of information that they may find overwhelming. Even when all the information given by the nurse is relevant and/or important, Edwards (2009) warns that to do so is not to respect their autonomy. Tweddle (2009) discusses how the duty for health care professionals to respect autonomy can conflict with the principle of beneficence when related to the refusal of treatment. The author describes how beneficent acts aim to what integration promote physical wellbeing and reduce suffering yet acknowledges that it is not possible to define what beneficent acts are specifically as individuals have different ideas and definitions of illness and are strawberries pollinating pain (p.936). Each of the four principles will be explored in greater detail and related to the ethical dilemma within the is horizontal integration analysis section later in this assignment.
The use of the principled approach to ethical decision making interlinks with the use of reflective practice within nursing in the sense that the of family four principles can be reflected upon and explored further using reflection. The next section aims to highlight the importance of reflection in modern nursing practice and the ways in which nurses can reflect using reflective models. Integration! Reflection is a necessary part of nursing practice as it can facilitate the understanding of dictator actions carried out and the consequences that follow, and is a way of learning from experience (McSherry et al, 2002). There are two types of reflection that can be related to nursing practice discussed in the literature; reflection in action and reflection on action (Schon, 1991). Reflection in action is when an integration, individual reflects on the situation as it occurs and reflection on action is when an individual reflects on the situation after the event (Burns Bullman, 2000).
The reflection used within this assignment will be reflection on action, as the incident was reflected upon skin resistance after the event occurred. Atkins Murphy (1993) believe that the literature relating to reflection lacks depth and the clear concept of reflection is not clarified by the authors that explore it. This view is echoed by Andrews, Gidman Humphreys (1998) who also detail how reflection is more than just recollection and go on to discuss how reflection can be used as an educational tool for nurses if the process of is horizontal integration reflection is taught correctly. Skin Resistance! Taylor (2000) believes that there is a great deal of what importance in nurses aspiring to be reflective practitioners and discusses how describing, analysing and skin resistance evaluating care provided to patients could be imperative to the improvement of future nursing care. The literature relating to reflection and reflective practice highlights the importance of analysing critical incidents in order to what is horizontal integration fully understand the concept of reflection and use it to enhance nursing practice. However Andrews et al (1998) dispute the versus fact that reflection can immediately benefit and improve nursing practice by what integration, noting how there is little evidence in the literature to prove this theory and definition that often it is presumed that reflection will lead to what is horizontal better nursing practice with no theoretical proof.
Andrews et al (1998) examine the on The Great Recession global financial crisis literature and is horizontal integration conclude that the process of reflection bares more importance to the content of the reflection, noting also how there is a need for more research and clarification on this topic There are several processes for reflection defined in skin resistance the literature. Schon (1991) identifies three stages of reflectivity as conscious reflection, criticism and action (Atkins Murphy, 1993 p.1189). Integration! Atkins Murphy (1993) interpret the first stage as an awareness of uncomfortable thoughts and feelings, the second involving a critical analysis of the dictator situation and what is horizontal the third stage being the development of a new perspective following the italian use of stages one and two, concluding that the overall outcome of reflection is learning. Mezirow (1981) defines the conclusive stage as ‘perspective transformation’ (Atkins Murphy 1993, p.1190). The authors detail how the literature moves from studying reflective processes to reviewing the skills needed by those promoting reflection as an educational tool yet notes how the skills required are not specifically identified (p.1190).
Conversely, Andrews et al (1998) refer to reflecting as a ‘highly skilled activity’ (p.414) although the authors argue that the skills required for reflection are taken for granted in many cases and is horizontal discuss how assumptions are often made that reflection in saloons nursing practice does not require much effort, suggesting that nurses have always done it. The literature offers a multitude of ideas and opinions on why nurses should reflect and the key aspects have been developed into numerous frameworks available to assist nurses with the reflective process (Barnett, 2005). Broad frameworks have been developed by theorists Gibbs (1981) and Johns (1994) with a view to enable nurses to reflect critically using a logical approach (Somerville Keeling, 2004). Johns’ (1994) model of structured reflection asks the user five questions that aim to what integration enable the user to break down the events of the incident and reflect on the outcomes (see appendix 2). This model was originally based on Carper’s (1978) 4 patterns of knowing; ethics, aesthetics, personal knowledge and empirics (Johns, 1995). Barnett (2005) selects Johns’ (1994) model for her critical analysis as she believes that the model provides a systematic structure that encourages the user to examine personal thoughts and actions. Skin Resistance! Barnett (2005) also suggests that this model is suitable for practitioners who are new to reflection due to the simplicity of the framework and what the ability to adapt the model to most situations. The contrasting framework to be explored here is Gibbs’ (1988) reflective cycle. Comprising of six stages, (see appendix 1) Gibbs’ model asks the practitioner to answer questions about the event in a specific order, encouraging them to reflect on the experience with a structured and logical approach. Jones (2007) writes a reflective account using Gibbs’ (1988) model and of Confederation versus Constitution Essay explains that her reasons for doing so are due to what integration ways in which the model encourages personal development and the simplicity of the on The contemporary Recession global crisis framework overall.
She uses the model to what is horizontal integration identify the dilemma and then conduct an analysis of the incident in which she examines the legal and ethical perspectives before coming to a conclusion that includes her opinions on what she would do differently if the incident were to skin resistance arise again. Gibbs’ (1988) model will be used in this assignment due to is horizontal integration the simplicity of the questions within the model and the ways that the model encourages the user to explore and reflect on contemporary Great Recession and the financial every aspect of the is horizontal integration incident. Gibbs’ (1988) reflective cycle has been selected for this assignment after careful consideration and comparison to Johns’ (1994) model on are strawberries pollinating the basis that Gibbs’ (1988) offers a simplistic approach yet allows the user to fully explore each section. It was also discovered within the literature that Johns’ (1994) model encourages the user to integration explore more complex personal thoughts and are strawberries self feelings in greater depth than Gibbs’ (1988) model (Barnett, 2005), something that is not relevant to the critical incident that will be explored in this assignment. The use of the model by what integration, Jones (2007) suggests that Gibbs’ (1988) offers the correct framework to follow when exploring the versus critical incident below, as Jones (2007) is able to easily identify the legal and ethical implications within the incident in a logical style that is easy for the reader to interpret. The following critical incident will be explored using the six-stage cycle (see appendix 1) addressing each question as it is depicted within the cycle, beginning with the first stage which asks the reflector to describe the event to be examined. During a clinical placement in a community hospital I often observed the medication rounds and noted that a particular patient’s medication was being administered covertly on a regular basis.
The patient concerned was Mrs Green*, a 93 year old female suffering with dementia who had been admitted from a nursing home after developing a chest infection. Mrs Green was reluctant to take any medication when prompted and due to her lack of capacity, the what is horizontal integration nurses had taken to of Confederation versus administering her morning anti-psychotic medication hidden in her porridge. Mrs Green had no living relatives to advocate for her so the decision to administer her medication in this way was made by the nursing team. The nursing staff on the ward concluded that this was in what is horizontal her best interests after being informed by the nursing home staff that this was how her medication was administered in the nursing home. The ward sister was advised that the decision to hide the medication in food was due to the confusion and agitation Mrs Green experienced when she had not taken her medication and Articles of Confederation versus Constitution Essay she noted down this conversation into Mrs Green’s nursing notes to inform other staff of the issue. As my mentor, the ward sister instructed me to administer Mrs Green’s medication covertly and she supervised me as I did so, reassuring me that this was in Mrs Green’s best interests. With Gibbs’ (1988) reflective cycle in mind I can clearly recall my thoughts and is horizontal integration feelings after being instructed to saloons administer medication covertly.
Although it was fully explained to me the reasons why the medication was given in this way and I was also shown the documentation supporting the decision to administer covertly, I could not help but feel as though I was not respecting Mrs Green’s autonomy. What Is Horizontal! I was certainly aware of her lack of capacity to self pollinating consent and felt that given the complexity of the issues relating to the administration of medication to patients who lack capacity, the ward sister should have given the medication instead. At the time I was not comfortable in administering the medication in what is horizontal integration this way as a student nurse, although upon reflection I became aware that the saloons definition ward sister presented me with a legal and ethical issue that I could learn from and encouraged me to deal with the situation as I would when I become a qualified nurse. What Is Horizontal! The second stage of of family Gibbs’ (1988) model asks the integration user to Constitution example evaluate the incident and decipher what was good and bad about it. In the case of Mrs Green, there are positive and integration negative aspects of the incident that can be identified using reflection.
The decision to definition administer medication covertly did not seem to have been taken lightly, the liaison between the nursing home staff and the ward sister suggests that staff on the ward did not instantly make this decision due to Mrs Green’s confusion and aggression. The fact that the ward staff contacted the nursing home could suggest that they were indeed trying to act in what the best interests of Mrs Green after discovering she suffered from dementia and had no living relatives to act as advocates. However the saloons liaison between the ward staff and the nursing home could also indicate a negative aspect of what this incident as it could suggest that the ward staff contacted the nursing home to ascertain how they administer her medication and upon discovering that they did so covertly, they have simply continued this practice without considering the Essay contemporary Great global financial legal implications or questioning the rationale behind this decision. From what I witnessed during the incident I feel it was a positive experience overall, as it seemed as though the staff were trying to advocate for integration, Mrs Green and by ensuring she took her prescribed medication they also ensured that she was calm and comfortable throughout her time on the ward. The next stage of Gibbs’ (1988) reflective cycle requires an analysis of the critical incident which will be conducted by examining the literature surrounding the skin resistance legal and ethical issues of covert medication. Haw Stubbs (2010) state that the literature relating to covert medication to older adults is is horizontal integration, ‘sparse’ and conducted a study to review the existing studies of the subject and also reviewed the dictator national guidelines of covert medication along with the legal and ethical implications of such practice. Covert medication is defined by Haw Stubbs (2010) as the practice whereby medication is administered to patients hidden in food or drink, without their knowledge or consent. Haw Stubbs (2010) describe covert medication as unethical when administered to patients who have mental capacity, capacity being defined by the Mental Capacity Act, (2005) however they give examples of what is horizontal when covert medication is considered to be in the patient’s best interests such as when a patient is incapacitated as a result of learning disabilities, schizophrenia and more commonly in saloons older adults diagnosed with dementia. It is widely considered more ethical to what is horizontal integration administer medication hidden in food and drink as opposed to using forms of skin resistance restraint or forcible injection (Haw Stubbs 2010, p.762). The authors also refer to English law by noting the is horizontal integration charges that could be brought upon italian a practitioner that has administered medication covertly, such as charges of assault or battery (p.765).
The literature stipulates the importance of adhering to the Mental Capacity Act (2005) when making decisions to administer medication covertly and this is integration, echoed by the requirements of the NMC’s Code of Professional Conduct (2008). Tweddle (2009) describes autonomy as the ethical principle that relates to free choice and are strawberries pollinating explains that all competent adults have the right to refuse treatment or refuse to consent to treatment. It is is horizontal, important to consider the issue of accountability when administering medication covertly and Tweddle (2009) highlights the importance of the health care professional being able to justify their actions and prove that they were in the best interests of the skin resistance patient e.g. to prevent suffering or to improve quality of life. Tweddle (2009) details the integration involvement of the incapacitated patient’s relatives as an important factor when making the decision to administer medication covertly. As noted earlier, Mrs Green had no living relatives that could advocate for her which raises the of Confederation versus Constitution issue of what is horizontal integration how the example decision to hide medication in food is made when there is no advocate for the incapacitated patient. Tweddle (2009) recommends that the decision should not be made in isolation and that health care professionals faced with this ethical decision should liaise with other health care professionals to gain a broader perspective, however this must be done in a way that respects the confidentiality of the patient. Another notable implication of covert medication raised in the literature is what integration, that of the saloons definition need for nurses to have pharmaceutical knowledge of medications and what understand the possible implications of crushing tablets or opening capsules (Honkanen, 2001). Stages four and five of Gibbs’ (1988) reflective cycle require the user to establish a conclusion and italian an action plan. With consideration of the above analysis of the critical incident concerning Mrs Green, I believe that the ward staff justified their decision to administer medication covertly by taking her condition into account, acknowledged her lack of capacity to is horizontal consent to treatment and ensured all discussions with the ward were documented.
The ward staff appeared to have made this decision with consideration of the possible result of withholding the medication. This could have resulted in Mrs Greens’ health deteriorating and the decision that was eventually made to administer the of family meals medication hidden in food suggests that the principled approach was used here and what is horizontal the principles of beneficence and italian non-maleficence may have conflicted, as discussed earlier. Upon reflection, if this situation arose again in practice, I would be more inclined to ask the ward sister how she would justify her decision to administer medication covertly from a legal perspective and also what my legal standing would be as a student nurse administering medication covertly under supervision. However I do believe the situation was addressed efficiently and careful ethical decisions were made with Mrs Green’s best interests at the forefront of the decision making at all times. Exploring the literature relating the critical incident establishes covert medication as a complex issue that should only is horizontal, take place under extreme circumstances and benefits of family any practitioner who does so must be able to justify their actions, be able to provide proof and in some cases legal evidence that it was the best option for the patient. The literature frequently makes references to moral principles, highlighting the need for nurses to what study ethics as an understanding of moral theories and principles is italian, needed in what is horizontal integration order to make ethical decisions in practice. It is important to note how the dictator four moral principles are challenged in relation to patients who lack capacity, such as in what is horizontal integration the critical incident, where the patient lacks the ability to be autonomous. The nurse must advocate for the patient in Essay on The contemporary Great and the global crisis ways that are beneficent, non-maleficent and ethically justified, something that the literature proves can be difficult due to the key principles of beneficence and integration non-maleficence often conflicting. Again, this is another finding that suggests it is imperative that nurses study ethics.
It is evident from skin resistance examples within the literature that nurses are frequently required to what make ethical decisions instantaneously and that it is only really possible to consider the full legal and ethical implications of our actions upon reflection, which highlights the importance of italian reflective practice in nursing. Upon further investigation it is clear from the literature that there is a need for more research into is horizontal integration, the benefits of reflection within nursing practice as the benefits of family current literature on the subject is quite limited. However the literature that is what integration, currently available suggests that reflection has an invaluable effect on nursing practice, something discovered within this assignment as it was only upon reflection of the Essay Great Recession crisis critical incident that the full legal and ethical implications of covert medication were considered and explored further. Allmark P. (2005) Can The Study of Ethics Enhance Nursing Practice? Journal of Advanced Nursing 51(6), 618–624 Andrews M, Gidman J Humphreys A (1998) Reflection: does it enhance professional nursing practice? British Journal of Nursing 7 (7) 413-417 Atkins, S, Murphy K. (1993) Reflection: a review of the literature. Journal of Advanced Nursing 18, 1188-1192 Barnett, M. (2005) Caring for a patient with COPD: a reflective account. Nursing Standard. 19(36) 41-46 Beauchamp, T L, Childress, J F (2008) Principles of Biomedical Ethics.
6th edition Oxford, Oxford University Press Burns, S, Bulman, C. (2000) Reflective Practice in Nursing: The Growth of the Professional Practitioner. 2nd Edition Blackwell Science Limited, Oxford. Chaloner, C (2007) An introduction to ethics in nursing. Nursing Standard. 21, 32, 42-46. Chaloner, C (2007) Ethics in nursing: the what is horizontal integration way forward. Nursing Standard. 21, 38, 40-41. On The Recession Financial Crisis! Edwards, S D (2009) Nursing Ethics: A Principled-Based Approach 2nd Edition, London: Palgrave MacMillan.
Forschler, S (2013) Kantian and Consequentialist Ethics: The Gap Can Be Bridged. Metaphilosophy 44(1-2) Gibbs, G. (1988) Learning by is horizontal, Doing: A guide to teaching and are strawberries pollinating learning methods. Further Education Unit. Oxford Polytechnic: Oxford. Haw, C, Stubbs J (2010) Covert Administration of is horizontal integration Medication to Older Adults: a review of the literature and published studies. Journal of Psychiatric and Mental Health Nursing 17 761–768 Honkanen L (2001) Point-counterpoint is it ethical to give drugs covertly to people with dementia? West J Med 174: 229 Hussey, T (2011) Just Caring.
Nursing Philosophy 2012. 13, 6-14 Johns C (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Definition! Journal of what integration Advanced Nursing. Skin Resistance! (22)2, 226-234 Jones J (2007) Do not resuscitate: reflections on an ethical dilemma. Nursing Standard. 21(46), 35-39 McParland J, Scott P A, Arndt M, Dassen M, Gasull M, Lemonidou C, Valimaki M, Leino-Kilpi H (2000) Autonomy and clinical practice 1: identifying areas of concern. British Journal of Nursing 9(8) 507-513 McSherry, R., Simmons, M., Abbott, P. (2002) Evidence-Informed Nursing: A Guide for Clinical Nurses. Routledge Taylor and Francis Group, London Meetoo, D (2009) Nanotechnology: is there a need for ethical principles? British Journal of Nursing 18(20) 1264-1268 Mental Capacity Act (2005) The Stationary Office, London.
Mezirow J (1990) Fostering Critical Reflection in Adulthood Jossey-Bass San Fransisco Noble-Adams R (1999) Ethics and Nursing Research 1: Development, Theories and Principles. British Journal of integration Nursing, 8(13), 888-892 Nursing and Midwifery Council (NMC) (2008). Code of Professional Conduct: Standards of conduct performance and ethics for Constitution, nurses and what integration midwives. London: NMC Royal College of Nursing (1997)Ethical Dilemmas: Issues in Nursing and Health 43. RCN, London Schon, D. (1991) The Reflective Practitioner 2nd Edition Jossey Bass: San Francisco Somerville, D Keeling, J (2004) A Practical Approach To Promote Reflective Practice Within Nursing.
Nursing Times 100(12) 42 Taylor, B. J. (2000) Reflective Practice: A Guide for Nurses and Midwives. Open University Press, Buckingham Tweddle, F. (2009) Covert medication in older adults who lack decision-making capacity. British Journal of Nursing (18) 15 936-939. Is this the perfect essay for you? Save time and order Law and Essay on The contemporary Recession global Ethics in Nursing.
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Treatment involves a combination of is horizontal, chemotherapy, radiation therapy, and surgery, possibly resulting in a colostomy. A healthy lifestyle with a high-fiber, low-fat diet can help prevent colon cancer, and screening can detect it in the early stages. The colon, or large intestine, is where the benefits, body extracts water and salt from solid wastes. The waste then moves through the rectum and exits the body through the what is horizontal integration, anus. Colon cancer happens when out-of-control cell growth occurs in Articles of Confederation versus Essay, the large intestine. Most colon cancer originates from what is horizontal integration, noncancerous, or benign, tumors called adenomatous polyps that form on the inner walls of the are strawberries, large intestine. Cancerous cells may spread from malignant tumors to other parts of the body through the blood and lymph systems. These cancer cells can grow and invade healthy tissue nearby and throughout the body, in is horizontal, a process called metastasis.
The result is of Confederation versus, a more serious, less treatable condition. There are often no symptoms in the earliest stages, but symptoms may develop as the cancer advances. diarrhea or constipation changes in stool consistency loose and narrow stools rectal bleeding or blood in the stool abdominal pain, cramps, bloating, or gas pain during bowel movements continual urges to what is horizontal integration, defecate weakness and fatigue unexplained weight loss irritable bowel syndrome (IBS) iron deficiency anemia. If the cancer spreads to a new location in the body, additional symptoms can appear in of Confederation example, the new area. The liver is most commonly affected. Normally, body cells follow an orderly process of growth, division, and death. What Is Horizontal! Cancer happens when cells grow and divide uncontrollably, without dying. The exact causes are unknown, but colon cancer has several potential risk factors. Colon cancer usually derives from precancerous polyps that exist in the large intestine. The most common types of polyps are: Adenomas: These can resemble the normal lining of the colon but look different under a microscope.
They can become cancerous. Hyperplastic polyps: Colon cancer rarely develops from hyperplastic polyps, as they are typically benign. Some of these polyps may grow into malignant colon cancer over time, if they are not removed during the early stages of treatment. Uncontrolled cell growth can happen if there is genetic damage, or if changes to the DNA affect cell division. A genetic predisposition can be inherited from family members, but most colon cancers occur in people without a family history. Some people are born with certain genetic mutations that make them statistically more likely to saloons, develop cancer later in what integration, life. Sometimes, a person will have this genetic feature, but cancer will not develop unless an environmental factor triggers it. Age is an of Confederation Essay example important risk factor for colon cancer. Around 91 percent of those who receive a diagnosis are over 50 years old. Colon cancer is more likely in people with sedentary lifestyles, those with obesity, and those who smoke tobacco.
As the colon is part of the digestive system, diet is an important factor. Diets that are low in fiber and high in what integration, fat, calories, red meat, alcohol, and processed meats have been linked to a higher risk of colon cancer. Some conditions and treatments have been associated with an contemporary Great financial increased risk of what, colon cancer. diabetes acromegaly, a growth hormone disorder radiation treatment for other cancers inflammatory bowel disease, such as ulcerative colitis or Crohn's disease. A physician will carry out a complete physical exam and ask about Essay on The Great and the crisis personal and family medical histories. Diagnosis is usually made after colonoscopy or a barium enema x-ray. A long, flexible tube with a camera on one end is integration, inserted into the rectum to inspect the inside of the colon.
The patient may have to follow a special diet for saloons definition, 24 to 48 hours before the procedure. The colon will also require cleansing with strong laxatives, a process known as bowel prep. If polyps are found in the colon, they are removed and integration sent to a pathologist for biopsy, an examination under a microscope that detects cancerous or precancerous cells. A similar procedure, called a flexible sigmoidoscopy, examines a smaller portion of the colorectal area. This involves less preparation, and a full colonoscopy may not be needed if polyps are not found, or if they are located within a small area. This x-ray procedure uses a liquid called barium to provide clearer imaging results than a standard x-ray can give. Before a barium enema, the patient must fast for benefits, several hours. A liquid solution containing the element barium is then injected into the colon through the what is horizontal integration, rectum, followed by a brief pumping of air to smooth over barium layer for optimal results.
The x-ray of the colon and rectum is then taken. The barium will appear white on the x-ray, and tumors and skin resistance polyps will appear as dark outlines. If a biopsy suggests colon cancer, the doctor may order a chest x-ray, ultrasound, or CT scan of the integration, lungs, liver, and abdomen to assess the spread of the of Confederation Constitution example, cancer. There may also be a blood test for a substance produced by some cancer cells called carcinoembryonic antigen (CEA). Following a diagnosis, the doctor will determine the stage of the what integration, cancer based on the size and extent of the tumor, and on Essay contemporary and the crisis the spread to nearby lymph nodes and distant organs. There are various systems for what is horizontal, staging a cancer, but the main scale is from 0 to IV. Stage 0 : The tumor has not grown beyond the benefits meals, inner layer of the colon or rectum and has neither invaded deeper tissues nor spread outside of the colon. Stage IV : The cancer has spread to distant sites and other organs throughout the body. A cancer's stage will determine the treatment options and inform the prognosis, or the likely course the cancer will take. Treatment will depend on the type and what stage of the saloons, cancer, and the age, health status, and other characteristics of the patient. There is no single treatment for what is horizontal, any cancer, but the most common options for colon cancer are surgery, chemotherapy, and radiation therapy.
Treatments seek to remove the cancer and relieve any painful symptoms. Surgery to remove part or all of the colon is italian, called a colectomy. The surgeon removes the what, part of the colon containing the cancer and the surrounding area. Surgery for colorectal cancer often means a person will need a colostomy. A bag collects waste from a stoma, bypassing the dictator, need for the lower part of the large intestine.
Nearby lymph nodes are also usually removed. The healthy portion of the colon will either be reattached to the rectum or attached to a stoma depending on the extent of the colectomy. A stoma is an opening made in the wall of the abdomen. Waste will pass into a bag, removing the what is horizontal integration, need for benefits of family, the lower part of the colon. This is what integration, called a colostomy. Some small, localized cancers can be removed using endoscopy.
Laparoscopic surgery, using several small incisions in are strawberries self, the abdomen, may be an option to remove larger polyps. Palliative surgery may relieve symptoms in cases of what is horizontal, untreatable or advanced cancers. The aim is to relieve any blockage of the colon and manage pain, bleeding, and other symptoms. Chemotherapy administers chemicals that interfere with the cell division process by italian damaging proteins or DNA in order to damage and kill cancer cells. These treatments target any rapidly dividing cells, including healthy ones. The healthy cells can usually recover from any chemically-induced damage, but cancer cells cannot. Chemotherapy is generally used to treat cancer that has spread because the medicines travel through the is horizontal, whole body. Treatment occurs in cycles, so the Essay on The Great global crisis, body has time to heal between doses. Common side effects include: Combination therapies often mix multiple types of chemotherapy or combine chemotherapy with other treatments. Radiation treatment damages and kills cancer cells by is horizontal focusing high-energy gamma-rays on them.
Radioactive gamma-rays are emitted from metals such as radium, or from high-energy x-rays. Radiotherapy can be used as a standalone treatment to shrink a tumor or destroy cancer cells, or alongside other cancer treatments. Radiation treatments are not often used until a later stage. They may be employed if early stage rectal cancer has penetrated the wall of the rectum or traveled to nearby lymph nodes. Side effects may include: mild skin changes resembling sunburn or suntan nausea vomiting diarrhea fatigue appetite and weight loss. Most side effects resolve a few weeks after completing treatment. If colorectal cancer is diagnosed in Stage I, there is of Confederation, a 92 percent chance of surviving at least another 5 years. Is Horizontal! At stage IV, the percentage is 11 percent. For this reason, annual screening is benefits of family meals, recommended for men and women aged 50 to 75 years, especially since symptoms may not appear until the cancer has progressed. The American Cancer Society suggest colonoscopy, for early detection of colon cancer, as it is the what, most accurate method.
It visualizes the entire colon and allows the surgeon to remove polyps during the procedure. Other screening tests include: annual fecal occult blood tests stool DNA testing flexible sigmoidoscopy every 5 years CT colonography every 5 years. These frequency recommendations depend on of Confederation versus example the individual's risk of what integration, colon cancer. Standard preventive measures include: maintaining a healthy weight exercising consuming plenty of fruits, vegetables, and whole grains decreasing saturated fat and red meat intake. People are also recommended to limit alcohol consumption and quit smoking.
Article last updated by Adam Felman on Tue 18 July 2017. Colon cancer (PDQ) patient version. (2017, February 27). Retrieved from. https://www.cancer.gov/types/colorectal/patient/colon-treatment-pdq Colorectal (colon) cancer. Essay Contemporary Recession! (2017, March 23). Retrieved from https://www.cdc.gov/cancer/colorectal/index.htm. Satia, J. Integration! A., Tseng, M., Galanko, J. A., Martin, C., Sandler, R. (2015, April 13).
Dietary patterns and colon cancer risk in dictator, whites and African Americans in the North Carolina colon cancer study. Nutrition and cancer, 61(2), 179-193. Retrieved from what is horizontal integration, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4394857/ Please use one of the following formats to cite this article in your essay, paper or report: Crosta, Peter. Colon cancer: Symptoms, causes, and treatment. Articles Constitution Essay! Medical News Today . MediLexicon, Intl., 18 Jul.
2017. Integration! Web. 3 Oct. 2017. https://www.medicalnewstoday.com/articles/150496.php Crosta, P. (2017, July 18). Colon cancer: Symptoms, causes, and treatment. Italian! Medical News Today . Retrieved from. Please note: If no author information is provided, the source is what is horizontal, cited instead.
I think people should get tested at an early age simply because a lot of Essay on The Great Recession and the financial, resources I have read said that its normally found in what, people around 50. My mother is 40 and definition has been batteling Colon Cancer for the past 3 years(which she was 38 when she found out) and no Doctor or professional can understand how it was found in someone her age. Eat healthy, drink pure filtered chlorine/ fluoride free water (body 70% water) fossil shell flour to cleanse body. Pysllium fiber to help cleanse. Apple cider vinegar to balance acid/alkaline. Lugols Iodine solution to what, help rebuild body. On The Recession And The Global Financial Crisis! Just my opinion. If you notice any symptoms of colon cancer, such as blood in your stool or a persistent change in bowel habits. Talk to your doctor about when you should begin screening for colon cancer.
Your doctor may recommend more frequent or earlier screening if you have family history of the disease. Where as, guidelines generally recommend colon cancer screenings begin at age 50. I just want to say that it is not wise to say that colon cancer had less chance to hit people who are under age. (20-30) my brother who had colon cancer in 2010 and is horizontal diagnosed with all operation chemotherapy and skin resistance many other radiation theraphy. Nothing happend. By each day my brother gets thinner and thinner. And after 6 month March 2011 when we were shifting to is horizontal integration, Mumbai her heart chocked and result was death. My brother was only 23 years of age and he never had taken tabacco.
Or nither he takes any alchol. Italian Dictator! Cancer can hit anyone. We also dont have any heriditary cancer issue also. Still cancer happend. So sad. We also invested a lot to help my brother. Taken to what is horizontal integration, rajaram hospital.
Appolo hospital. Rajiv Gandhi cancer hospital. Saloons Definition! City hospital. Nothing happend. 6 months ago my mother in what is horizontal, and out of hospital we seen few doctors but they didnt say its cancer. Are Strawberries Self Pollinating! They till us amoeba,myoma etc. What! Blood in Essay on The Great global financial, the stool,sudden lost weight,and very weak..we try another doctor finally only last week we got the results that my mother had stage 4 colon cancer. My mum is 56years old now..so sad. Reply Shirley Stephens February 6, 2016 11:14 am. Does friability of the colon indicate colon cancer.
It's really not an opinion but I was wondering if genes/mutation /DNA and what other s stuff mentioned be cause Ewing sarcoma? I've read here lately about Articles Constitution bad genes stuff as that could cause sarcoma. The reason I ask my grandson had ewings sarcome at 11 now his dad has colon cancer. Reply Juleia Smith November 30, 2016 12:08 am. I am a student and we are doing a project on cancer called faces of cancer. Basically in what is horizontal, this project we had to interview someone who has been affected by are strawberries self pollinating cancer and then write out integration, their story and are strawberries self pollinating make them a picture that represents them and so on. but we also needed to do some research on the type of is horizontal, cancer our interviewees were diagnosed with. This article was a great help and I give it a 10/5! I find the article very informative. But again no one can still really pinpoint the causes of cancer. Benefits! The article is a good guide to check our lifestyle. food we eat, environment, family genes.
It is good to what is horizontal, have a complete thorough check up annualy and do not assume if we see.some changes in our body metabolism. Are Strawberries Self Pollinating! see a doctor..as we pray for good health, we need to do our part. Well my father has prostate cancer but maybe his treatment might help other cancers too. Healthline Media UK Ltd, Brighton, UK. 2004-2017 All rights reserved. MNT is the registered trade mark of Healthline Media.
Any medical information published on is horizontal integration this website is definition, not intended as a substitute for what is horizontal, informed medical advice and you should not take any action before consulting with a healthcare professional.