Wk 10 (67) Essay Example | Topics and Well Written Essays - 500 words

Wk 10 (67) - Essay Example Beverly is upset because her surgery is next week and although she will not stop it, she is not sure how to talk to Sally about this final situation. From the conversation it seems that Beverly is asking the counselor to help her help Sally. The first strategy may be to explore the idea that Sally is grieving the loss of someone she dearly loves. This final step is the last identification that Sally has with Beverly as a man. This is now going to go away and Sally is probably going through the various phases of grief; this would be something to explore. According to Carroll and Gilroy (2002) counselors must first understand this issue and move part their own transphobia (p. 235). Certainly a man who is turning into a woman who legally married a woman can be cause for concern for the counselor, so they would need to deal with their own problems with the situation before counseling Beverly. Carroll and Gilroy also suggest getting more information through novels, films, biographies and periodicals (p. 235). In terms of counseling a client centered approach seems to be best because many transgendered people have challenges with trust in someone who is not transgendered because of ill treatment in the past (p. 238). Carroll, Gilroy and Ryan (2002) suggest that counselors should also have a growing knowledge of terminology that is evolving in the transgendered community along with "local, regional and national support networks (p. 134). This information can assist the client and give more information. Mark is a 35 year old male of mixed heritage. His father was black and American Indian and his mother identifies as "white" because her parents were Jamaican and Scotch Irish. Mark grew up in a home where he had no real understanding of any heritage because his family did not identify with any one group. As Mark grew older and left the family he has tried to interact

Quality Essay Example | Topics and Well Written Essays - 1250 words

Quality - Essay Example Improving the performance of trauma units is something that includes ensuring that there is constant monitoring to ensure that beneficial medical techniques are used while also always seeking to identify opportunities that can be used to effect improvements. Some progressive factors that could be used in effecting performance improvement in trauma units include patient satisfaction surveys, keeping records on the incidence of falls in the trauma unit and their consequences, and monitoring the incidence of decubitus wounds in an effort to avoid them from becoming additional threats to a patient’s health. Patient satisfaction-measured with surveys In many medical institutions today, it is an accepted fact that patient satisfaction is one of the principal determinants of quality related issues (Thrasher & Purc-Stephenson, 2008). Moreover, patient satisfaction can be quite challenging for medical practitioners to confront because it tends to be is multifaceted. The reality is that patients’ expectations of what they expect in terms of care are what contribute to their satisfaction. Their expectations may be influenced by different factors such as psychosocial factors like depression and pain. In the trauma unit, issues concerning patient expectations can be even more challenging as the patients may expect doctors and nurses to allocate them more time and empathy than the medical practitioners are willing to give. This is because the trauma center has critically ill patients, and practitioners tend to be more inclined to ensuring that the different methods of treatment are well performed; other than in the importance of being seen to be empathetic to their patients. There may also be time constraints that make it impossible for trauma nurses to allocate time to each and every patient in the unit (Thrasher & Purc-Stephenson, 2008). Moreover, ensuring patient satisfaction is still an important function that ought to be performed regardless of such realit ies. Data Collection Quantitative surveys are the best method of collecting data on patient satisfaction in the trauma unit. In the first place, they are not open-ended and so will not be strenuous for patients who are critically ill and require rest. The questions in the survey can cover different subjects such as the patient’s communication with trauma unit nurses, pain management techniques, the responsiveness of staff in the medical facility, discussion with the medical practitioners about medicinal prescriptions, the cleanliness of the room of the patient, discussions on discharge information, transition of care, and the quietness in the trauma unit (Thrasher & Purc-Stephenson, 2008). Using surveys in collecting such information from patients is beneficial because it allows the patients to understand that their ideas and feelings about their hospital environment are important. Surveys can also allow medical practitioners to be able to quickly correct issues that are conc erning their critically ill patients while also identifying new opportunities to effect new changes that will contribute towards better standards. Hospitals are likely to benefit from making such changes based on patient satisfaction surveys because their patients might recommend them to other people. One disadvantage of using