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

Nursing assignment - Essay Example This confusion poses certain problems in the practice of critical care nursing. The nurse working in the hospice environment has a clear understanding of palliative care in allowing for natural death. But in the critical care area, this understanding is clouded and misinterpreted. The aim of this study is to investigate the lived experience of critical care nurses in relationship to their understanding and implementation of care based on their assumptions. Nurses, the primary caregiver to patients, are infrequently involved in the decision to terminate life saving measures. Many nurses question why a patient with a DNR order should be admitted into the critical care area, and what care is appropriate in light of a patient’s DNR status. The current economic crisis in health care is a very real and publicized problem. Hewitt & Marco, 2004, report that intensive care unit (ICU) costs have continued to climb and now total 20% of all hospital charges in the United States (p.19). Moreover, the growth rate of hospital beds has been 1.4% per year versus 6.2% for ICU beds (Hewitt & Marco, 2004). This issue is particularly relevant in patients with terminal illnesses where the goal of care and suffering are increasingly important issues. And should a DNR order influence other aggressive interventions that are only available to a patient in the ICU? Moreover, the term DNR has different meanings to different health care professionals, fostering a broad range of interpretation. The legal term DNR, indicates that cardiopulmonary resuscitation (CPR) not be initiated at the time of cardiac or respiratory arrest (Thibault-Prevost & Hodgins, 2000). However, there is confusion among nurse’s to interpret DNR as a measure to withhold all treatment (Puntillo, Benner, Drought, Drew, 2001). Critical care nurses are particularly affected by DNR orders because they aim to

Investment Essay Example | Topics and Well Written Essays - 250 words - 1

Investment - Essay Example Thus why they have steady feature for portfolio. Bonds also have a better planning. This is due to the higher stability in their returns as opposed to real estate. It is easier for a person to plan for his or her future. Having the knowledge that the amount you invested in bonds will pay you the interest it has earned in a year enables a person to set a target on the savings. Also he or she will be in a better position to estimate his or her return on investment. A house may is not an investment, this is because houses are not efficient ways of investing. They usually cost more to buy and to manage. Though it may seem as if it will have more returns in future this does not hold because of the cost that was incurred in purchasing it, renovating, insuring, repairing and paying taxes on it. All this costs will not make the house to appreciate in price in reality. Even if I was to sell the house in the future the profit I will earn is not a true one but it will just be a large refund of the cost incurred. I do not view jewelry as an investment because not all the times it appreciates in values. Many jewels although they seem to be pretty they may not be having any significant value in them. Most of the jewels are only covered with precious materials and the underneath material might be of less value. Others are not made of pure materials thus making them depreciate it value. Also other factors that determine the value of the jewelry are: when you purchase jewelry from a trader, its mark up is rather heavy. Also the size of the jewelry will determine how it is going to appreciate. A large size will appreciate more than a small one. A high quality jewel will have more value as compared to a low quality one. Lastly the jewel will appreciate depending on its history and uniqueness. The one which was made by a famous designer is likely to have more value. The more rare the jewel