The Truth About Journalism Media Essay

The Truth About Journalism Media Essay Journalism, a profession of unveiling truth, bringing facts in front of people has been under discussion for quite a while. The main reason why media and journalism has attracted so many spotlights in recent years is the freedom of speech and independence of media from any governmental influence. It was a profession of honor, now has become a taboo in some of the societies. Should journalism be verdicts or just another literature in a hurry? Journalism has been a respectful profession not just a game of mud splashing and money making in no time, it was a source of information for the people belonging to that nation. It should be so today as well as tomorrow. What is journalism in real? Is it just the challenge of satisfying the space or it is a discipline of assembling, authenticating, covering and analyzing information drawn together regarding current events, including development, problems and people? Journalism informs society about itself and makes public that which would otherwise be private (Tony Harcup, 2004). Those who practice journalism are known as journalists. Journalism plays a vital role in society. Different journalists have different viewpoints, some say that it is important to go in depth of the issue and trace back its history, while others say that it is not important to know the history of power and authority however only to put the fact as it is in real is foremost important (Tony Harcup, 2004). Supportive arguments with documented evidence Journalists who think that it is vital to find out about the history of politics and power related to any issue in a certain place hold this perception because of many reasons. Firstly knowing the societies through their own perceptions is very necessary. Until a person understands the historical context of that area or society, it will be very difficult to judge their behavior and give a verdict about what is being done wrong here. Learn from the article Different societies have different norms and values. They think differently and act differently, for them there might be something wrong which is right in our society. So to decide whether this should make the newspaper as someones gossip, it is necessary to find out about the right and wrong from the eye of the commoner (Bird, E. 1990). Supportive arguments with documented evidence If journalists are to live up to the principles of their occupation, they need to glance further than the expected confines of politics and journalism as they now survive-limits which, in large gauge, they themselves have set since they take pleasure in a relatively elevated extent of autonomy in democratic societies. Too often, the master narratives are about disagreement, and winners and losers, which in turn produce the shallow story that not passes to effect necessary social change and development (Ron Smith, 2008). Learn from the article News, issues facts and information about a society does not hang outside in just some ethereal way that journalists pass it on. News is not a commodity to be sold or that can be apportioned for readers and viewers. This is the point where a journalist comes in and extracts the important matter and makes it into news. For that understanding the cultural, historical context of the society is most important. There are journalists who do not think that it is important to understand the context and background of the news before making it public. They believe that truth and honest facts should reach the nation as they are in real. No manipulation should be done to the facts to show the concerned people in a positive spotlight. Facts should be made public no matter how gross they might be. Supportive arguments with documented evidence These types of journalists think that in journalism, assertions should be reported as if they were true, whether or not they have been stranded in a thorough process of confirmation. In fact, the assumption is such a fundamental constituent of all journalism that it extends to both so-called excellence and tabloid reporting. Learn from the article A tabloid story is accurate if it realistically reports what was said or printed by sources. By this standard much of what is written in tabloids can be claimed to be extremely accurate including, one might add, the declaration of experts on alien abductions (Bird, 1990: 378). Wilkinss argument, then, is a call for a much more sophisticated understanding of what comprises truth and fact than journalists are typically armed with. I as a person interested in journalism would rather prefer the truth based journalism. No doubt that the historical contexts are very important but now the political conditions all around the world has worsened so much that giving the right facts and timely information to the public is more important. Learn from the article Honesty is integral part of journalism which is for what the public and nation keep their eyes in search for. Whether the news is related to local and common people or any breaking news about the well known figures of the state, the news should be authenticated and should be without any manipulation. Learn from the article Recently in Jamaica there was uproar about the government that it sold the Sandals Whitehouse hotel to Gordon Butch Stewart. One week after this announcement that Cabinet has approved the proposed sale of the five-star Sandals Whitehouse hotel to Gordon Butch Stewarts company, Gorstew Limited, the office of Contractor General has asked to halt the sale. It must be made unmistakably obvious here, that the contractor general is entirely correct when he says his office, the Office of the Contractor General, is an autonomous anti-corruption commission of Parliament which is authorized by law to perform enquiry into the award of government awards and to make sure that everything is above board (John Maxwell, 2010). Learn from the article He is right again when he says that it is against the law for a contractor general in the effect of his authority, to be subject to the dictates, direction or control of any person or authority. He must be totally satisfied that the Gorstew deal is in the best interest of the country and complies with all the necessary protocols and rules. Supportive arguments with documented evidence The transaction of the embattled Whitehouse hotel in Westmoreland to Gorstew has obtained many remarks with some quarters laboring under the misinterpretation that it is a sweetheart deal that is injurious to taxpayers. Learn from the article The news channels and news papers are making this issue their front page headlines, no matter that the government is involved in the deal of this sale of the hotel, the facts and figures related to this matter has been made public with entire openness, may be with not so much honesty, only to get the high rating on news channels and papers, yet these facts reach the public knowledge. Learn from the article Journalism is a tool to effect the needed change in society.   But unluckily, with the course of time, its real meaning has gone astray. Today, for the so-called journalists, robust salaries and of course, quick promotions alone, matter. And the insincerity is that while publishing any news what concerns them most is that they should beat their counterpart. The purpose should be to take on the troubling rudiments and explain to people who bank on the media to keep themselves knowledgeable and updated. Its not at all a felony to provide amusement but if it starts corrupting the roots/base obviously it will raise many eyebrows.    Journalism is sometimes said as the mirror of any society, but this was the ideology long time back, now it has changed. According to Thomas Jefferson I do not take a single newspaper, nor read one a month, and I feel myself infinitely the happier for it  People think that newspapers and media has gained too much freedom that it has forgotten the ethical values. Supportive arguments with documented evidence Journalism in the 20th century was explicitly an instrument of state control; this gave way to its becoming comparatively independent however it still remained liable to manipulation by those in power. This means that the conventional role of the journalist may actually become evanescent within a decade (E Quinn 1980) If the role of the journalism is to help us make decisions in national affairs, then we could ask for fewer retrospective stories and more challenging questions about governmental activities plans for the future and instead of only raising our eyebrows to communicate our anguish, we should get up against it so the line of work regains its lost grandeur. Though it sounds studious, I dont see any other solution. If we have an unflinching desire, I think we can do it (DB Bobrow 1973) Conclusion Journalism is a revolutionary aspect where individuals can decide to spread the truth, or make their own. Governments dont need liberated press, but liberated journalism needs egalitarianism or democracy. Free journalism is simply unattainable without one. A democratic system would be unachievable without trying to incorporate the community into governmental dealings. A French novelist once said, Free press can, of course, be good or bad, but, most certainly without freedom, the press will never be anything but bad. Journalism, for healthier or for poorer, is the best paradigm of the freedom of individuals and the significance of free deliberation in a dictatorship. If we can come to a conclusion why society needs to be well educated about the issues, matters and troubles going on in the world, then we can ask what kind of journalism they need and how they should use the existing media. It is our by and large conclusion that raising questions would be the superlative way to encourage debate among journalists and political theorists.

Reflective Account Essay

Introduction This assignment will show a detailed account based on an experience in my second year community placement. The framework I shall be using to reflect is Gibbs’ (1988) model of reflection. Within this model are six phases incorporated into a cycle. Each phase will allow me to think systematically about the experience and identify areas where improvement is needed. This reflective account will incorporate the Scottish Patient Safety Programme (SPSP) aim to ‘Prevent Pressure Ulcers’ (SPSP, n.d.a). Pressure ulcers are defined as â€Å"an area of damage to the skin and underlying tissue that is caused by unrelieved pressure, friction and/or sheer forces† (Posnett and Franks, 2008). The SPSP is co-ordinated by Healthcare Improvement Scotland (HIS) and aims to improve patient safety and reduce adverse events. (SPSP. n.d.b). This aim is relevant to the patient involved in this experience as they are a high risk of developing a pressure ulcer therefore preventative measures need to be addressed. To ensure privacy and confidentiality in accordance with the Nursing and Midwifery Council (NMC, 2012a), I have renamed this patient Mathew for the purpose of this assignment. Description Mathew is an 82 year old man who recently suffered a fall within his home and was admitted to hospital with a fractured hip and subsequently had to have a total hip replacement. Mathew was discharged from hospital back to his home with the care of District Nurses visiting him on a daily basis to administer his Clexane injection. Due to Mathew’s injury his mobility has been compromised and has subsequently become incontinent. During our first visit with Mathew my mentor asked me to carry out a ‘Waterlow’ assessment with him. This tool is a scoring system which identifies if a patient is at risk of developing a pressure ulcer (HIS, 2009). As the score was above 10 Mathew was deemed ‘at risk’. Both my Mentor and I discussed with Mathew regarding his risk level, we suggested a pressure†¦ In this assignment, I need to reflect on the situation that taken place during my clinical placement to develop and utilize my interpersonal skills in order to maint ain the therapeutic relationships with my patient. In this reflection,  I am going to use Gibbs (1988) Reflective Cycle. This model is a recognized framework for my reflection. Gibbs (1988) consists of six stages to complete one cycle which is able to improve my nursing practice continuously and learning from the experience for better practice in the future. The cycle starts with a description of the situation, next is to analysis of the feelings, third is an evaluation of the experience, fourth stage is an analysis to make sense of the experience, fifth stage is a conclusion of what else could I have done and final stage is an action plan to prepare if the situation arose again (NHS, 2006). Bairdand Winter (2005, p.156) give some reasons why reflection is require in the reflective practice. They state that a reflect is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and satisfaction as well as to value, develop and professionalizing practice. However, Siviter (2004,p.165) explain that reflection is about gaining self-confidence, identify when to improve, learning from own mistakes and behavior, looking at other people perspectives, being self-aware and improving the future by learning the past. In my context with the patient, it is important for me to improve the therapeutic relationship which is the nurse-patient relationship. In the therapeutic relationship, there is the therapeutic rapport establish from a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004, p.243). (Peplau 1952, citedin Harkreader and Hogan 2004, p.245) note that a good contact in a therapeutic relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 1961, cited in Arnold and Boggs 2007, p.200) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a therapeutic nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003, p.33). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people. Chitty and Black (2007, p.218) mention that communication is the exchange of information, thought and ideas via verbal and non-verbal which both present simultaneously. They explain  that verbal communication is consists of all speech whereas non-verbal communication consists of gestures, postures, facial expressions, tone and level of volume. Thus, in my reflection in this assignment would be discussed on my development of therapeutic relationship in the circumstance of the nurse-patient relationship using the interpersonal skills. My reflection is about one patient whom I code her as Mrs. A, not a real name(Appendix I) to protect the confidentiality of patient’s information (NMC, 2004).In this paragraph I would describe on the event takes place and describe that event during my clinical placement. I was on the female psychiatric ward having a 2 weeks clinical placement for mental health care in semester 3.Generally, there were two separated psychiatric wards which were male psychiatric ward and female psychiatric ward but both wards were sharing the small cafeteria in the area of psychiatric ward. The psychiatric wards were locked up from one main entrance. In the ward, the female psychiatric patients were encouraged to walk out from the female ward and combine with the male psychiatric patients at the small cafet eria during their meal time. During lunch, I noticed one lady was still sitting on her bed. She was Mrs. A, 76 years old been diagnosed a schizophrenia. She was unable to control the muscle also called tremor due to lack of the chemical as she was having a side effect of antipsychotic medication which was a Parkinsonism (Sahelian, 2005). She could not walk herself and need to be assisted if she wanted to stand or walk. So I took the Mrs. A’s lunch meal and fed on the bed. This old lady was unable to feed on her own. So I checked her diet and served her meal. I fed her meal until finished. In this paragraph, I would discuss on my feelings or thinking that took place in the event happened. Before I started to feed her, I introduced myself and approached Mrs. A. So I tried to build a good rapport with her as I do not want her to feel strange as I was not her family members or her relatives. My first approached was to her was to ask whether she wanted or refused to take her lunch. She was on soft diet as she was having a difficulty in swallowing or dysphasia. Then I asked her permission to feed her. She looked at me and looked like blur. In this situation, I showed up my emphatic listening as I put myself in her shoes and assuming I was having a hearing problem. According to Wold (2004, p73) the emphatic listening is about the willingness to understand the other person not just judging the person’s  fact. Then, I touched her shoulder, kept saying, and raise my tone a bit because I was afraid if she had a hearing trouble. At the same time, I did somebody gesturers which could be interpreted an action of eating. I paused, repeated my actions but this time I was using some simple words in the patient dialect. Then she looked at me again and nodded her head. Fortunately the body gesturers also helped me in the conversation with her. In the meantime, I was thinking whether the first language was not her mother tongue but I kept myself communicate verbally with her including using my body gesturers and facial expression. Body gesturers and facial expressions are referred as a non-verbal communication (Funnellet al , 2005, p.443). In my thinking, I needed to speak louder and know more words in her language so that she could understand and interpret of my actions towards her. I thought of the language barrier that breaks our verbal communication. Castledine (2002, p.923) mention that the language barrier arises when there are individuals comes from a different social background use their own slang or phrases in the conversations. Luckily, those particular body gesturers could make her understand that I was going to feed her lunch. During the feeding I maintained the eye contact as I do not want her to feel shy. This is because; my eye contact could show up my interest to help her in feeding. This is supported by Caris-Verhallenet al (1999) which mentioned that the direct of eye contact could express a sense of interesting the person to the other person involves in that communication. In the meantime I communicated with my best with her do that she felt comfortable. As a result, she gave a good cooperation and e njoyed the meal until finished. In my evaluating, I feel I make the right decision to accompany and assist Mrs. A in feeding. Furthermore, I could develop my nurse-patient relationship. Although McCabe (2004, p.44) would describe it as a task-centered communication as one of the element caused the lack communication among nurses, but I think my nurse-patient relationship communication both involved a good patient-centered communication and task-centered communication. In my personal opinion, I attended to Mrs. A as a patient to show my empathy because she was unable to feed herself. It was also as my duty to feed her so that I could make sure the patient get the best care in the ward. So my involvement in this nurse-patient relationship does not only restrict to the task-centered communication because (Burnard 1990, and Stein-Parbury 1993,  cited in McCabe 2002, p.44) define attending as a patient-centered process as wells as to fulfill the basic conditions as a nurse to provide the genuineness, warmth and empath y towards the patient. I was able to improve my non-verbal communication skills in my conversation with her during the feeding. As she was having a hearing problem and could not communicate in the first language properly, so the non-verbal communication plays a role. Caris-Verhallen et al (1999, p.809) state that the non-verbal communication becomes important when communicating with the elderly people who develop a hearing problem. Hollman et al (2005, p31) suggests some effective ways to maximize the communication with hearing impairment people such as always gains the person’s attention before speaking, visible yourself to prevent them feel frighten and try to use some sensitive touch. I feel this is a good experience to me because I learn to develop my non-verbal communication. I used most of the body gesturers because of the language barrier was being a gap in my conversation with Mrs. A. She could speak very limited in the first language so I tried to speak in her dialect. Furthermore, Wold (20 04, p.76) mention that gesturers are one specific type of non-verbal communication intended to express ideas and are useful for people who cannot use much words. However I also used my facial expressions to advise her to finish the meal. It might be not so delicious because she withdraws the meal after few scopes but I smiled and assured Mrs. A that it was good for her health to finish her meal. In addition, the facial expressions are most expressive which are not limited to certain cultural and age barriers (Wold, 2004,p.76). Therefore my facial expression worked out to encourage her to finish the meal. Although I could not explain detail to her about the important nutrition diet that she should take, but I could advocate her to finish the meal served because the meal was prepared according to her condition. In order to analysis of the event, I could evaluate that, my communication skills are very important to provide the best nursing care to Mrs. A. My communication with Mrs. A was the interpersonal communication. This is because the interpersonal communication is a communication which involved of two persons (Funnell et al 2005, p.438). I realized that my nonverbal communication did help me a lot in my duty to provide the nursing care to Mrs. A. Even though she could understand few simple words when I was asking her but I noticed that one of the  problems occurs within the communication was the language barrier. As the patient was not using the official language and the second language, I tried to speak in her language. I still could manage the communication in our conversation. However, it was quite difficult to promote the effective verbal communication with the patient. Besides, White (2005, p.112) recommend that a nurse should learn a few words or phrases in the predominant second language to put a patient at ease for better understanding. Although it was quite difficult but using the nonverbal simultaneously with the verbal communication did encou rage her to speak on her best to make me understand her words. In the event showed that, there was a response from Mrs. A. when I was asking her questions. Funnel et al (2005, p.438) point out that a communication would occur when a person responds to a message received and assigns meaning to it. She nodded her head to assign that she agreed with me. Delaune and Ladner (2002, p.191) explain that the channel is one of the component of the communication process which act as a medium during the message is sent out. In addition, Mrs. A also gave me a feedback that she understood my message by transmitting the message via her body gesturers and eye behavior. Thus I could consider that the communication channels used in my conversation were visual and auditory. Delaune and Ladner (2002, p.191) state a feedback is that the sender receives the information after the receiver react to the message. However, Chitty and Black (2007, p.218) define feedback is a response to a message. In my situation, I was a sender who conveyed the message receiving the information from Mrs. A, the receiver who agreed to take lunch and allow me to feed. Consequently, I could analyze that my communication with Mrs. A involved of five component of communication process which are sender, message, channel, receiver and feedback (Delaune and Ladner, 2002, p.191).In a nutshell, for my reflection of this event explores about on how the communication skills play a role on the nurse-patient relationship in order to deliver the nursing care towards the patient especially the adult. She needed quite some time to adapt the ability changes in her daily activities living where I was trying to help her in feeding. I was concerning my feeling and thoughts during the feeding so that I could improve more skills in my communication. I successfully communicated with her effectively as she enjoyed finishing the meal. So it  is vital to build rapport with her to encourage her ability to speak up ver bally and non-verbal. Moreover, this ability could help her to communicate effectively with other staff nurses. Later, she would not be neglected because of her age or her disability to understand the information given about her treatment.(Hyland and Donaldson 1989, cited in Harrison and Hart 2006 p.22) mention that communication express what the patients think and feel. In order to communicate with adult, it is important to assess her common communication language and her ability to interact in the other languages. As I used some words in her dialect, I essentially encouraged the patient to speak out verbally and communicate non-verbal so that the message could be understood and do not break the nurse-patient communication. In my opinion, I evaluated that it does not a matter whether it was a patient-centered communication or task-centered communication because both communication mentioned by McCabe (2004) actually does involves communication to the patients. So it was not a problem to argue which type of communication involves in my conversation with my patient. After I analyzed the situation, I could conclude that I was be able to know the skills for effective communication with the patient such as approach the patient, asking questions, be an active listening, show my empathy and support the patient emotions (Walsh, 2005, p.34). Actually helping the adult was a good practice in delivering the nursing care among adults. My action plan for the clinical practice in the future, if there were patients that I need to help in feeding or other nursing procedure, I would prepare myself better to handle with the patients who would have some difficulty in communication. This is because, as one of the health care worker, I want the best care for my patients. So in related to deliver the best care to my patients, I need to understand them very well. I have to communicate effectively as this is important to know what they need most during warded under my supervision as a nurse. According to my experience, I knew that communication was the fundamental part to develop a good relationship. Wood (2006, p.13) express that a communication is the key foundation of relationship. Therefore a good communication is essential to get know the patient’s individual health status (Walsh, 2005, p.30). Active listening could distinguish the existence of barrier communication when interactions with the patients. This is because, active listening means listening without  making judgment to listen the patients ’opinions or complaints which give me chances to be in the patients’ perspective(Arnold, 2007, p.201). On the other hand, it also crucial to avoid the barriers occurs in the communication with the patients. I could detect the language barriers by interviewing the patients about their health or asking them if they needed a ny help in their daily activities living. However, I would remind myself for not interfere my communication with barriers such as using the open-ended questions, not attending to non-verbal cues, being criticizing and judging, and interrupting (Funnell et al, 2005, p.453). Walsh (2005, p.31) too summary that making stereotyping and making assumptions about patients, perceptions and first impression of patients, lack awareness of communication skills are the main barriers to communications. I must not judge the patients by making my first impression and assumption about the patients but I have to make patients fee devalued as an individual. I should be capable to respect their fundamental values, beliefs, culture, and individual means of communication (Heath, 2000,p.27). I would be able to know on how to build rapport with the patients. There are eleven ways suggest by Crellin (1998, p.49) which are becomes visible, anticipate needs, be reliable, listening, stay in control, self-disclosure, care for each patient as an individual, use humour when appropriate, educate the patient, give the patient some control, and use gestures to show some supports. This ways could help and give me some guidelines to improve my communication skills with the patients. Another important thing to add on my action plan list is to know which the disabilities of the patients have such as hearing disability, visual impairment and mental disability. Once I could know the disability that a patient has, I could well-prepared my method of communication effectively as Heath(2000, p28) mention that communicating with people who was having some hearing impairment, sight impairment and mental health needs required the particular skills and considerations. Nazarko (2004, p.9) suggest that do not repeat if the person could not understand but try to rephrase and speak a little more slowly when communicating with the hearing difficulties people. Hearing problem commonly occurs among adults because of ageing process (Schofield,2002, p.21). To summarize for my action plan, I would start a communication with a good rapport to know what affects the patients’ ability to communicate well and  to avoid barriers in effective communication in future. In conclusion of my reflective assignment, I mention the model that I chose, Gibbs (1988) Reflective Cycle as my framework of my reflective. I state the reasons why I am choosing the model as well as some discussion on the important of doing reflection in nursing practice. I am able to discuss every stage in the Gibbs (1988) Reflective Cycle about my ability to develop my therapeutic relationship by using my interpersonal skills with one patient for this reflection. Reflection on a Clinical Skill The purpose of this assignment is to reflect upon a clinical skill that I undertook whilst on my second year community placement. I have chosen to use Gibbs (1988) model of reflection. In accordance with the Nursing and Midwifery Council (NMC), The Code of Professional Conduct (2008), confidentiality shall be maintained and all names changed to protect identity. The clinical skill I have chosen to reflect upon during this assignment is the monitoring of capillary blood glucose (CBG). I have chosen this skill as during my previous acute placements as a student I was not permitted to undertake them, and whilst in the community the Primary Care Trust (PCT) allows it. Having yet to develop this skill I thought that by reflecting on carrying it out would help me to gain the knowledge and confidence needed to perform it in the future. According to Siviter (2004) reflection is about gaining confidence, identifying when you could have improved, learning from your mistakes and about your beha viour, viewing yourself as others do, self awareness and changing the future by learning from the past. Description During a routine daily visit with my mentor Jane, a District Nurse, to Nisha, an elderly Asian lady who was Diabetic, Jane asked me whether I would like to take Nishas CBG. As I had only started doing CBGs during this placement I thought it would be a good learning opportunity so I agreed to do it. Jane asked Nisha whether she minded me doing her CBG and although she did not speak very much English she understood and consented for me to do it. I went into the kitchen and washed my hands. I returned to the living room where  Nisha was and asked her whether her hands were clean, to which she answered yes. I then assessed that Nisha was sat down on a low sofa, and thought it best to kneel down and lay my equipment out on the coffee table so that they were all to hand. Once checking that the blood glucose monitor had been calibrated and that the test strips were in date I opened a test strip and placed it into the monitor. I then put on gloves and asked Nisha whether she was comfortable and ready and which finger she wanted me to use, she said yes and held up her right third finger so I got the single use lancet and pricked the side of Nishas finger, disposing of the lancet into the sharps box. The blood came immediately and I applied it to the test strip and waited for the result, in the meantime I held a clean cotton wool ball to Nishas finger to stop the bleeding. I discarded the test strip and my gloves and recorded the CBG.I then washed my hands again. Once we had left Nishas property my mentor commented that I had done very well, but should have asked Nisha to wash her hands before commencing the CBG test. Feelings When Jane, my mentor, first asked me if I wanted to do Nishas CBG I felt slightly nervous as I had only done a few previously and was aware that she would be observing me through the procedure which also gave me reassurance that if I were to do anything wrong she would be there to highlight it. Once Nisha had consented to me doing the CBG I felt pleased that she trusted me to carry out the process, which allayed my nerves. During the procedure I was aware that my mentor was watching me, which once again made me anxious, but she was encouraging me the whole time and totally supportive. When I instantly got blood once pricking Nishas finger I felt a sense of relief that I had done it correctly. Once the whole process was over Nisha held my hand and smiled and in broken English said â€Å"thank you, thank you†, I was humbled by her response as I felt I was just doing my job. Overall I was satisfied with my performance and felt positive that I wouldn’t be so nervous next ti me round. Evaluation On the whole performing this clinical skill went really well, and having not had much practice at doing this particular skill I was glad to have had the  opportunity to do it whilst under direct supervision from my mentor. I think that my communication with Nisha, even though she spoke little English was very good and that I had formed a strong therapeutic relationship with her. I feel that on reflection I should of asked Nisha to wash her hands before the procedure, and that my mentor should have ensured this, to guarantee that the reading was not contaminated. Analysis I will start by looking at the skill and the evidence supporting it. CBG monitoring is part of many diabetics daily routine. If a patient’s CBG goes up (hyperglycaemia) or down (hypoglycaemia) it can cause the patient to become unwell (Baillie, 2009). Dougherty & Lister (2008) state that in the short term CBG monitoring can prevent hypoglycaemia and ketoacidosis and in the long term can considerably lower complications arising that could affect the patient both vascularly and neurally. Patients can control their condition through diet, oral hypoglycaemic agents, insulin therapy or a combination of the above, (Higgins, 2008). By asking Nisha whether she minded me performing the CBG my mentor had gained informed consent in accordance with the NMC (2008), who say that consent must be gained before any treatment is commenced. I washed my hands following the Ayliffe (1978) technique in order to prevent the spread of infection, Pratt et al (2007) state that hands must be decontamina ted between each and every episode of patient care. I asked Nisha whether her hands were clean, as one of the main causes of inaccuracy of CBG readings are fingers that are contaminated with foodstuffs (Alexander et al, 2000). I assessed that Nisha was sat comfortably on a low sofa, Jamieson et al (2007) says to ensure patient comfort and prevent any injury occurring should the patient feel faint during the procedure . I then knelt down and laid my equipment out on the table, as Baillie (2009) suggests that all equipment needed for a procedure should be within easy reach, and avoid any twisting or stooping which could cause me injury, in line with the PCT Moving and Handling Policy and Procedure (2006). I then checked the CBG monitor had been calibrated and that the test strips were in date, to prevent false positive/ negative readings (Hastings, 2009). I then put on my gloves and asked Nisha whether she was ready and which finger she wanted me to use, Jamieson (2007) says  that gloves should be used to prevent the patient and nurse from any potential blood borne infection. The NMC (2008) state that you must allow patients to make decisions about their care, and also that patients should be treated indiv idually and with dignity. Suhonen et al (2007) conclude that individualised patient care leads to positive patient outcomes, such as patient satisfaction, patient autonomy and patients perceptions on health related quality of life. I used both verbal and non-verbal communication, which involved speaking slowly and clearly so that Nisha could understand what I was saying. I also used non-verbal communication through touch, eye contact, facial expressions and body language, (Funnell et al, 2009). I then using a single use lancet, in accordance with PCT (2005) policy on blood glucose monitoring, pricked the side of Nishas right third finger and disposed of the lancet into the sharps box. Baillie (2009) suggests that the third, fourth or fifth finger should be used as the thumb and index finger are important for touch, and to use the side as it is less painful. To prevent injury sharps and unused drugs must be placed in disposal boxes at the point of use, (Dougherty and Lister, 2008). I applied cotton wool to stop any bleeding and then disposed of the test strip and my gloves, washed my hands again using the Ayliffe (1978) technique and recorded my findings. Hastings (2009) recommends applying pressure briefly to the puncture site to prevent painful extravasation of blood into the subcutaneous tissues. The Department of Health (2007) state that to reduce the risk of cross infection any waste must be disposed of appropriately. Flores (2006) maintains that it is important to wash your hands after removing gloves as bacteria can contaminate them through small defects in the gloves or during removal. Records should be completed as soon as possible following an event (NMC, 2008), and as a student all documentation needs to be countersigned (Siviter, 2004). My mentor said that I should have asked Nisha to wash her hands, not if they were clean the rationale being the same as previously stated, (Alexander et al, 2000), and also Cowan (1997) also agreed that patients hands should be washed to ensure a non-contaminated result. Conclusion In conclusion I now appreciate how in depth a â€Å"simple† CBG procedure actually is, when done correctly. I have looked further for evidence stating that patients hands should be washed before the CBG test is performed and realise that I should have asked Nisha to do so as the result could potentially have been wrong. On reflecting on undertaking this skill I have developed my learning of the need to carry out this procedure and the importance of it to a Diabetic. I have also found that following guidelines is vital to accurate results. Action Plan In future when I carry out this procedure I will continue to practice as I have done as long as this is in line with local trust policy and supporting evidence. I will always ensure that the patient washes their hands before commencing the process, as this is what evidence suggests is good practice and also important for an accurate result.

Financial Ratios Analysis Of Pumpkin Patch Limited

Introduction This is the report about financial ratios analysis of Pumpkin Patch Limited(PPL). This children’s clothing retail brand began with one store in 1991, now has about 600 employees across 43 stores in New Zealand and 1000 staff in 117 stores in Australia. However, it tripped into receivership recently. At the same time, Pumpkin Patch managing director Luke Bunt said â€Å"however, despite considerable efforts by the board and its management team, it has become evident that no solution is available to the company, at this time, to address the current over-leveraged and significantly capital constrained position.† (McNicol, 2016) This report will discuss the reasons for PPL’s failure, which is supported by the research mentioned†¦show more content†¦Moreover, comparing zero interest bearing liability in 2014 with 41 million in 2015, the current liability was increased from 30 million to 72 million. It also explained why current ratio was declined from 3.04 in 2014 to 0.88 and 0.73 in 2015 and 2016 separately. The quick ratio is a more rigorous test for the company’s ability to meet its short-term debts than current ratio because inventory was eliminated from current assets. The quick ratio for PPL indicates serious issues as it has decreased from 0.31 in 2012 to 0.07 in 2016. The low quick ratio implies that a considerable portion of the current assets of the company is tied up as part of its inventory (Bragg, 2007), which means that the lower level of quick liquidity ratio indicates a high level of financial risk. The balance sheet for PPL (PPL, 2016) revealed that, particularly in 2016, the inventory accounted for 90% of the current assets. Therefore, the company must improve its working capital to meet its near term current liabilities. The cash conversion cycle is a result of time taken by the company for their collection from receivables (average collection period) and time needed to convert material into goods (day inventory held) after subtracting the time taken to pay its current obligation (day payable outstanding). The average collection period of account receivable and the day inventory held ratio improved in 2016 after rose to the highest days in 2014, whichShow MoreRelatedAnalyses of the 2011 Annual Report of Pumpkin Patch Limited2372 Words   |  10 Pagesshareholders who are thinking to make an investment in Pumpkin Patch Ltd. Pumpkin Patch Ltd. are a child-clothing brand that based in Auckland, New Zealand. It was founded in 1990 by Sally Synnott, who is the current Non-Executive Director. Clothing design, marketing, retail and wholesale are this brand mostly focuses on. There are retail store all around New Zealand, Australia, United Kingdom, Ireland and United States. 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English Speech Terrorism Essay example - 506 Words

English Speech: Terrorism Good (morning/afternoon) and welcome to my speech. Today I would like to enlighten you with a subject that I feel strongly about. That subject is terrorism and what it has done to the world. My personal opinion is that terrorism is something that is causing havoc in this place called earth and it should stopped before it gets out of our hands. The word terrorism in the English dictionary means violent action for political purposes. This is the proper definition but my definition differs a little. My definition is a bunch of scumbags trying to kill other people as a hobby. Acts of terrorism has become a major issue in the past year and a half. Who could forget†¦show more content†¦This was a car bomb. Just before midnight on Saturday, Oct. 12, as people from across the globe danced at the Sari, a popular nightclub on the Indonesian resort island of Bali, a car parked outside-and packed with explosives-blew up. The most recent form of terrorism was when 2 terrorists entered a Hindu place of worship and with ease killed 33 innocent victims and injuring many more. This was the most hurtful act of terrorism for me as this Hindu place of worship was where I have prayed before and it was my religious building that got attacked. Fortunately, these 2 terrorists were brought to justice and killed. Due to the acts of terrorism security has been tightened all over the world but yet terrorists find ways of breaking into other countries and causing havoc. Security has been tightened in airports, buildings and even religious places of worship have got to grips with the true meaning of security. Many people i.e. terrorists, think that what they do is for the best and this was what the god Allah has said they have to do. They believe that Americagot what they deserved and there is still more to come. 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