Describe in detail at least one example where the choice of words you or someone else used to describe something had consequences.

Giving something a name makes it possible to talk about it. For example, the phrase “sexual harassment” was not common in English until around 1975. (See the screen shot below of how often it was used in print in English since 1900.) Before then, it was called “being fresh” or “making a pass”. You can’t solve a problem, for example, if something doesn’t have a name.

 

Describe in detail at least one example where the choice of words you or someone else used to describe something had consequences.

Patient advocacy

Advocacy is described as helping others to grow, providing informed consent and alternative options, and speaking up for a patient when they cannot speak up for themselves (Marquis & Huston, 2021). Patient advocacy is also described as safeguarding and championing social justice for patients (Abbasinia et al., 2020). On our inpatient/covid unit, covid patients were not permitted to have any visitors. At times, one visitor per non-covid patients was allowed but it was mandated that it be the same visitor throughout the entire stay. My covid patient was about to get intubated and had been with use for 4 weeks under covid precautions (this in itself was a fight to get her off of covid precautions). I had a gut feeling that she was not going to come off of the ventilator and wanted her to be able to say goodbye. I had called all of her 4 children and the 4th one answered the phone and happened to be at the hospital for a doctor’s appointment. Without approval, I made the decision to tell her to come to the floor to be able to talk to her mother before she was intubated because I did not want to take a chance at hearing “no” as an answer. After my supervisor came back from a meeting, she noticed the patient’s daughter leaving the floor and I explained why I made that decision. I also discussed with my hospitalist that I had called the daughter and he offered to put in an order for a visitor if needed. She ended up supporting my decision and I knew that she would have advocated for me if there was an issue stemming from her supervisors. My patient ended up passing away a week later at the higher acuity facility and I will never regret that decision to allow one of her family members to get that last hug.

stress in the work place can affect decision making, causing nurses to be hyper vigilant when making bedside decision.explain

Our Cancer Center’s medical hematology/oncology was recently split between the two local hospitals and two new centers were created. Prior to the split we had a big town hall with both institutions. Then we all had to apply for positions and wait to find out where we were hired. Once we were hired they had virtual town halls to keep us up to date on the progress. Now that we have been part of the organization for a year, we hold monthly staff meetings. There are also huddles for individual teams. We went through a period of time where we had distrust as the organization did not ask for input when developing the new center. Now as I look back those decisions were made early on before hiring staff and needed to be made using data from other cancer centers within the organization. As I look back on this experience it seems they used the Traditional Problem solving process to make the original decisions when developing the program. (Marquis & Huston, 2020) One of the more recent decisions the staff have been asked to help with is from our healthcare foundation. There is a fund which we can contribute to as staff and then each quarter we are asked to vote on which project will get funded. Departments apply for funding and then those proposals are shared with the staff and whoever gets the highest vote gets the funding that quarter. As a person who donates to that fund, I find it refreshing that they ask and honor our opinions. In a pandemic where a lot of decisions are taken away from the bedside this allows the staff to be part of process. It is known that stress in the work place can affect decision making, causing nurses to be hyper vigilant when making bedside decision. (Denizsever et al., 2021) Having been a manager in previous roles it is a balancing act to hear staffs voice, then look at the organization and then communicate back to the staff why or why not that suggestion will be put into effect.

Describe childhood acute lymphocytic leukemia (ALL) and G6PD deficiency and the incidence, pathophysiology, clinical manifestations, evaluation, and treatment of each.
  • Describe childhood acute lymphocytic leukemia (ALL) and G6PD deficiency and the incidence, pathophysiology, clinical manifestations, evaluation, and treatment of each.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

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Describe the morphology of erythrocytes, the mechanism, and primary cause of the following anemias: Pernicious anemia, folate deficiency anemia, iron deficiency anemia, thalassemia, and sickle cell anemia.

1. Describe the morphology of erythrocytes, the mechanism, and primary cause of the following anemias: Pernicious anemia, folate deficiency anemia, iron deficiency anemia, thalassemia, and sickle cell anemia.

2. Describe the most common causes and provide examples for neutrophilia, neutropenia, eosinophilia (i.e., eosinophilia caused by asthma, hay fever, or parasitic infection), eosinopenia, basophilia, monocytosis, monocytopenia, lymphocytosis, and lymphocytopenia.

  • Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

2pages