Annotated Bibliography: Calling Out The Sacred Cow

Promptness is very important when monitoring feeding tubes. If a tube is clogged and it is not reached quickly, the patient is going without nutrients they need. A clogged tube basically starves the person because no formula is permitted to flow through the tube.

It is important to check the placement of the tube before suctioning or feeding, since

From early on, nurses learn to use their better judgment when providing care. Thinking critically can aid nurses greatly. Considering this, standard precautions are viewed as a systematic approach at preserving the well being of themselves and others. But if all of this is true, then what prevents nurses from implementing standards of precautions in their daily practice with each patient they care for? The purpose of this paper is to explore what factors may influence nurses to become noncompliant. For varying reasons, data shows that nurses have the lowest reports of compliance. Therefore, it is especially necessary to analyze these factors and educate nurses on the importance of adherence. Factors such as lack of knowledge, time pressure, and poor practice and/or qualifications contribute greatly to nurses not adhering to their standards of precautions when proving patient

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

Throughout my clinical rotation, the only concern for this patient was pain management and discomfort from the chest tube site. The patient was given Ketorolac for a pain of 4/10 using the numeric pain sale. The patient was also at risk for pneumonia and pressure ulcers from immobility and not coughing/deep breathing. Nursing interventions were getting the patient up to the chair and using the incentive spirometer ten-times per hour. Another concern was SOB and fatigue with activities.

Cattle across america is proddled, slaughtered, and abused on a daily basis. Similarily, a little less than 80 years ago fathers, mothers, and children were treated under the same circumstances. These cows are, “crammed onto trucks where they typically go without food, water, or rest for the duration of the journey, which can sometimes be days” (PETA). “Cows” can be switched for “human beings” and the recent sentence would have still been true during the halacaust. PETA also writes about how uncooperative animals are beaten if they do not comply. Jews were whipped, battered, raped, shot, and tortured in any other way thought of. Many prisoners were not lucky enough to be put to death right away like cattle, instead they suffered this treatment

Erica, the points made in your post are valid and I agree that nurses are not always provided with the research that is behind the reason for newly implemented guidelines. In my current role, I have interviewed nurses, providers and other staff concerning currently practices and why they may or may not feel they are just “busy work”. The most common response is, “I don’t know why I have to do this, I was just told to do it”. Once the reason for the practice or documentation need is explained, they seem to have no problem completing the assigned task. As noted by Hanrahan et al. (p. 4, 2015), some habits can be hard to change for many reasons including “a long lag before seeing an impact, low observability, an uncertain relative advantage,

There was once a man and his son who had a cow.They had very little grass for the cow to eat.A man who walked past their 3 bedroom Austrian house said “You should buy big pieces of land.” They did what he suggested .The cow happily munched on the grass for 4 days until the cow had eaten it up.They spent 3/4 of their money to buy a 5 acre piece of land.A week later a woman walking by their house said”Buy little pieces of land.”They listened to her suggestion as well.The 1 acre land then bought was eaten in 1 day buy the cow.They had 8/10 of the 1/4 they had left.4 days later a little boy seen the hungry cow being milked and the lack of grass.He happily suggested “maybe you could buy big and small land plots.The son told his father the idea

Exclusion criteria included patients with BMI less than 30kg/m2 , younger than 18 year, hade ASA physical status IV or V, required a nasal intubation, , or were at risk of regurgitation and aspiration (hiatus hernia, not fasted, or esophageal reflux). Also, patients with anticipated impossible intubation will be excluded [as patients with a history of impossible intubation, mouth opening (interincisor distance) less than 20 mm, or cervical spine fixed in flexionwere excluded due to susceptibility of impossible intubation.

/Sacred Cow/ Fig. Something considered immune from question or criticism, especially unreasonably so. In other words, an idea so pure and flawless that it evades all criticism. Can such an idea exist, and if so, should it? Absolutely not, I say. History has demonstrated time and time again that any ideology that escapes criticism has the capacity to be abused, or was created for abuse in the first place.

However, its use has since become questionable. N. Bhatia et. al. in “Cricoid pressure where do we stands” contend that its benefits and risks may not be fully understood. For example, the amount of pressure necessary to adequately occlude that esophagus is far from definitive, citing most practitioners description of the required pressure as “enough.” While more scientific assessments of the required amount of pressure ranged from 10 to 40N. Even when the generally accepted amount of pressure was applied to the cricoid cartilage 12% of the patients evaluated still regurgitated stomach contents. Finally, the use of cricoid pressure requires more than a basic understanding of its use and purpose, otherwise, either too much or not enough pressure can be applied, or the trachea can be displaced in an abnormal position making visual laryngoscopy difficulty. In addition, they contend that the proof used in the original article do not meet the basics of scientific proof. The use of cadavers as study subjects and the use of only 26 cases do not meet the minimum standards to adequately prove its overall benefit. However, Stewart et. al. in “Rapid-sequence intubation and cricoid pressure,” argue that despite its difficulties and complications, it is a learnable skill and has a purpose in rapid sequence

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

A nasogastric (NG) tube is an extended polyurethane or silicone tube that travels via the nasal passages via the oesophagus into the stomach (Khobragade.R, 2016). It is normally inserted in surgical practice for diverse reasons. Nasogastric tubes are inserted through nurses, junior medical doctors and every so often by way of anaesthetists in theatre. It is far vital that workforce placing them recognise an appropriate insertion method in addition to the process for verifying their correct

There have been several studies attempting to clearly identify the risk factors for the extubational difficulty. First of all, Demling et al. prospectively investigated the use of standard criteria for extubation in 700 patients in ICU, but could not find any good predictors for extubation failure (Demling et al., 1988). Leak test is still the controversial routine choice of many practitioners used to predict the potential occurrence for airway edema evaluating whether the airway caliber is sufficient for ventilation (Chung et al., 2006; Ding et al., 2006; Kriner, Shafazand & Colice, 2005). In one study, the evaluation of the leak test in 72 spontaneously breathing ICU patients indicated that the presence of a cuff leak may associated with

Other people's religious practices and beliefs may often appear to be wasteful. They seem to involve a large expenditure of scarce resources on ritual; they contain taboos that restrict the use of apparently useful materials. Their existence seems irrational in the face of ecological needs. One example that many cite in support of this viewpoifJt is the religious proscription on the slaughter of cattle in India. How can people permit millions of cattle to roam about eating, but uneaten, in a land so continuously threatened by food shortages and starvation? In this article, Marvin Harris challenges the view that religious value is ecologically irrational. Dealing with the Indian case, he argues that