Case analysis Study Example | Topics and Well Written Essays - 2000 words

Analysis - Case Study Example He speaks in a stream of words that refer to the world and how â€Å"screw up it is†, when he reflects back on the traumatic experience he underwent. Signs of PTSD can be activated by sounds, memories, and dreams linked to the past trauma (American Psychiatric Association, 1994). In addition, seeing the objects or the people who may have taken some part in the trauma may trigger the symptoms of PTSD. He desperately wants to call his sister because he feels that she could be a source of solace when he is in problems. Jack exhibits post-traumatic stress symptoms, which are classified into three DSM IV categories. First is the persistent re-experiencing of the incident, which is also referred to as the intrusive signs. In this category, the victim could be experiencing vivid recollections, nightmares and a feeling of re-living the incident. Second is the persistent evasion of any stimuli, which might remind them of the traumatic condition. Finally, is a state where the victim experiences hyperaousal condition that causes hepervigilance, sleep interruption, and startle reflexes (Yehuda et al. 2002). The consequence of all these behaviors is some level of mental distortion, which prevents the victims from taking part in their daily activities. Other signs include bad temper, emotional liability, agitation, and sometimes eruption of violent behavior. If Jack is not treated on time, he may result to substance abuse in an attempt to seek self medication. Depending on the duration that Jack has suffered from this disorder since he experienced the traumatic event, the disorder can be categorized based on the DSM IV 4 including acute stress reaction, acute PTSD, chronic PTSD and delayed onset of PTSD. A multiaxial Diagnostic System commonly denoted as DSM-IV-TR uses diagnostic system with 5 levels used in the classification of disorders and illnesses. These five levels assist whoever is providing a

Nursing - Staffing Issue Essay Example | Topics and Well Written Essays - 1750 words

Nursing - Staffing Issue - Essay Example Although the government has attempted to develop robot nurses, the scientists are yet to succeed in that front. Up to date all nurses are still human thus the need to adopt staffing policies in consideration that the players are human in nature (Roussel, 2011). Staff ratio Staffing ratio entails the number of registered nurse per patient. The ratio could compare the registered nurse per surgical or hospitalized patient. Further, the ratio could be a registered nurse per shift or per patient day. It is imperative for the proportion to be as low down as feasible so that a lesser number of patients is assigned to registered nurses. Nurses being human, also suffer fatigue and exhaustion. When exhausted, a nurse’s effectiveness deteriorates and could lead to the death or atrophication of the patient’s health (Finkelman & Kenner, 2012). Shift rotation and duration Nursing can be structured in shifts whereby the nurses have specific times when they would be on duty. The length and time of the shift is critical in the effectiveness of the nurse. Ideally, the nurse should be on duty for the duration in which s/he is able to concentrate fully. Patients whether surgical or hospitalized would need attention and the nurse should be at her/his best to give attention. When a shift takes too long, the nurse would suffer from fatigue and lose concentration (Griffin, 2011). This gives leeway for the occurrence of procedural or medical errors. The duration must therefore, be long enough to cover for the economic ability of the hospital management but also short enough to guarantee the concentration of nurses. The shifts must also be rotated among the nurses. It is prudent to spread the shifts to all the nurses so that everyone enjoys the burdens in a particular shift. This especially relates to the night shifts which is usually less convenient for most nurses. It is important to provide incentives that would encourage participation by nurses in the night shifts. The management must however consider other factors such as the age of the nurses, marital status and family commitments in electing the night shift nurses (Griffin, 2011). Overtime and weekend staffing Nurses may be forced to work overtime due to strained resources. However, this is risky and should be a measure of last resort. An overtime worker has never been productive in any industry. The nursing profession is more delicate as it deals with the life of patients. It is proper to avoid working nurses overtime as this compromises their effectiveness hence poor delivery which translates to higher risk of hospital mortality. The management should adopt the more difficult option of hiring more nurses rather than opting for overtime (Fernandez, 2010). Weekend staffing is inevitable considered that patients do not cure during weekends. Policy formulators need to appreciate that packages must be friendlier to attract nurses to work over the weekends. The effectiveness of a nurse working ove r the weekend is however not compromised by the fact that the days are weekends (Fernandez, 2010). Empirical evidence Research has attempted to estimate the ratio of hospital mortality to nursing hours. In this analysis, hospital mortality refers to death in the hospital or within thirty days after admission in the hospital. Research has proven that an increase in the