Advantage and Disadvantage of Telecommunication

Communicating with patients The New Medicine Service (and MURs) provides a formal opportunity for pharmacists to communicate with patients on a one-to-one basis about their medicines and underlying medical condition(s). The NMS permits the interventions to be done either as a face-to-face appointment or via telephone. Careful consideration must be given as to which of these communication methods is adopted by the pharmacy as each method brings its own advantages and disadvantages. Although face-to-face communication would be the preferred method of conducting an intervention, it is likely that elephone interventions will be used by most pharmacies at some stage. This brief guide will help you and your staff communicate more effectively when using the telephone as part of the NMS. The words we use make up less than 10% of the way we communicate in a face-toface situation, with the way we say these words (paralinguistics) and body language making up the remaining percentage. When you a re dealing with someone over the telephone you cannot see them, which deprives you of most of the information you would normally have about the other person (body language, eye contact etc). Related article: Disadvantages of Aquatic PlantsYou can base your judgements only on the words you can hear and the way they are being said, which can sometimes present challenges. Advantages and disadvantages Some of the advantages and disadvantages of telephone communication are: Telephone communication Advantages of communicating by telephone: †¢ ofteneasiertoreachsomeonebyphone than by trying to arrange to see them in person; more convenient for patients †¢ morelikelytosucceedincontacting someone – especially if a time / date has been agreed (few people are able to ignore the telephone and leave it ringing) telephoneconversationsare,onaverage, shorter than face-to-face conversations as it’s easier to control the conversation and take the initiative. Disadvantages of communicating by telephone: †¢ it’smoredifficulttoestablisharapporton the telephone, as you don’t have all the visual signals that help you to get on the â€Å"same waveleng th† as the other person †¢ whenphoningsomeoneit’spossibleto intrude at an inconvenient time and not realise it †¢ it’seasytoassumethatyouhavetheother person’s undivided attention †¢ youaremorelikelytogetdistractedand let your attention wander itismoredifficulttoavoid misunderstandings – you cannot use visual behaviour to get feedback on whether your message has been understood or if there are things left unsaid †¢ somethingsareimpossibletocheckover the telephone such as inhaler techniques †¢ youaremorelikelytobelieveyoucando other things at the same time as using the telephone – DON’T! Voice matching Thefirstthreesecondsofaphonecall are important, as this is when the other person makes a judgement about the caller. When making an outgoing call listen to the pitch, speed, volume and tone of the other erson’svoicewhentheyfirstspeakandtry to â€Å"match† it. Matching is a good way of building rapport , which can otherwise be difficultoverthetelephone,andmakesthe other person feel more comfortable. Tips for effective telephone interventions Opening the conversation NMS intervention Introduce yourself clearly and ask to speak to the patient using their preferred title / name. Check it’s still convenient to speak to the patient. If the patient is concerned about disclosing sensitive personal information over the telephone and cannot besatisfiedthatthecallerisringingfrom he pharmacy he / she may contact the pharmacy directly instead. Explain in a clear, simple manner the purpose of the call – check the patient understands the nature of the NMS and the reasons for the discussion. Youshouldalsoconfirmconsentatthis stage. Inform the patient you will be asking a series of questions about their new medicines and that you will be making notes as you go along. Listen to the patient’s responses as you work though the questions – resist the temptation to interrupt . Demonstrate you are listening by making noises such as â€Å"um†, â€Å"yes†, and â€Å"really†.Use assertive behaviour to stay in control of the call – use open / closed questions as appropriate (open questions invite detailed answers whereas closed questions invite single word answers). Body language Body language, even though it can’t be seen, can affect our voice when on the telephone. Therefore, think about your posture whilst on the phone. If you are comfortable and relaxed your voice is likely to reflect this. Remember to smile – even though it can’t be seen it will be â€Å"heard† and you will sound friendly and assertive. If you are standing up whilst n the telephone this can also make you sound more assertive, and it is another way of ending a telephone call if you stand up during a conversation. Using a closed question for example is often helpful in stopping an enthusiastic patient digressing from appropriate line s of questioning. Do not rush through the call. Talk at the patient’s pace and pause after providing advice or offering solutions to a problem to allow the patient to air their views about this. Finally agree the time / date for any followup intervention. Remember to give the call your undivided attention!

Advance Nurse Practitioner Roles Research Paper

Advance Nurse Practitioner Roles - Research Paper Example al areas the access to health care is very limited because many physicians are less likely to practice in the rural areas where APRN’S can readily venture into (Cross & Rimmer, 2002). APRN’s are divided into four main categories having different roles although their educational backgrounds may be the same. These four categories of APRN’S include: the certified registered nurse anesthetist, the certified nurse-midwife, the clinical nurse specialist and the certified nurse practitioner. The Certified Registered Nurse Anesthetist (CRNA). The role of a certified registered nurse anesthetist is to provide a full range of clinical services especially the role of administering anesthesia during surgery but these people usually work hand in hand with an anesthesiologist and they are found mostly in operating rooms. In the case of an operation, a CRNA should be aware of the extent of the operation so that they can determine the type of sedation that will be used on the patient. These people also have the responsibility of following up on the patient in order to ensure that these patients recover completely from the effects of sedation. Certified nurse midwives have the role of helping mothers through the process of giving birth as well as giving advice to mothers on how to take good care of the new born babies. They have advanced knowledge that enables them to deal with various complications that occur during pregnancy although their scope of work is only limited to normal deliveries (Chism, 2013). Clinical nurse specialists are the types of nurses who provide services in their area of specialization and due to their strong knowledge base they can be consulted by other registered nurses according to their area of specialization. The varieties of field these nurses can specialize in vary from operating room nurses, oncology nurses or intensive care unit nurses. Nurse practitioner provide generalized health care and do tasks like diagnosis as well as giving

Separation of Powers Essay Example | Topics and Well Written Essays - 2250 words

Separation of Powers - Essay Example the courts of law, according to the recognized and established laws. The separation of powers of the varied aspects of the state that are the legislature, executive and the judiciary is the strongest possible safeguard against the concentration of power and authority in any one single pillar of the British democracy. The separation of powers is also the best possible protection against the possibility of misuse or manipulation of power by specific individuals, groups or institutions for achieving vested interests and gains, to the detriment of the will of the citizens.2 However, realistically speaking, the separation of the powers in Britain is at the best partial and the British state suffers from a blatant overlapping of powers in between the executive, legislature and the judiciary. Much needs to be done before the UK has a satisfactory separation of powers. Separation of Powers: The Concept In a specifically democratic context, the primary role of the varied instruments of state is to protect the rights of the citizens. However, history is replete with examples and instances when the governments went despotic, when the legislature became all powerful and when the judiciary turned corrupt. So, since the dawn of the Western civilization, the political thinkers and philosophers have tried their best to come out with measures and instruments aimed at preventing the pillars of the state power going awry. The concept of separation of powers is actually a model of state governance, in which the authority of the state is segmented into varied branches, with each branch being allocated disparate areas of responsibility and the associated and requisite powers, with no branch enjoying a power greater than any other branch.3 Here, the independence of one branch from other comes with multiple meanings.4 Either it may mean that the selection of each and every branch is independent of other branches or that no branch is dependent on any other branch for its existence. Tra ditionally speaking, the UK being a parliamentary democracy has been more prone to the fusion of powers. This tendency makes the United Kingdom vulnerable to interference by one aspect of the state into the area of authority of the other. A rather more intimidating possibility is collusion between varied aspects of the state. Separation of Powers: Philosophical Background Separation of powers is a concept that has attracted the attention of academicians, philosophers, architects of constitutions, political thinkers and scientists since ages. In a UK specific context, the debate on the separation of powers has mostly hovered around the possibility as to whether the UK’s un-codified constitution is based on the doctrine of separation of powers, in theory and in practice? It is next to impossible to pinpoint the exact genesis of the doctrine of separation of powers. An analysis of the writings of Greek thinkers, say Aristotle, point towards a preliminary version of the doctrine of the separation of powers. In Politics, Aristotle classifies the elements of the state authority, that are deliberative, which meditate and ponder on the issues of common importance, the officials, which practically run the affairs of the state and the judicial, responsible for dispensing

Answer 9 questions Essay Example | Topics and Well Written Essays - 1500 words

Answer 9 questions - Essay Example different language because in most cases, word pronunciation makes a great deal in bringing our messages across no matter how wide one’s vocabulary is in a certain language. Sound production is a widely recognized problem and considered to be the most challenging part in learning a second language. Intonation and accentuation are equally challenging but do not give much problems in contrast to sound production because it is the pronunciation of the word correctly that makes one coherent. Older learners have difficulty in achieving a native-like pronunciation because they have already been used to the accent and intonation of their own tongue. This may be compared to training a plant to follow a bend that the florist desires for it to have a unique design wherein, if it is still young, the plant is easily bent while when it is already of age with its trunk hardened, there would be difficulty in bending it. Thus, if one wants to learn another language, it is best to start while he is still young and is able to develop the communication skills more effectively. Pronunciation should be taught not only in a certain period of time where the lesson is concentrated in sound formation but should be taught in all levels of the teaching process. Correction is more effective when the mistake is brought to light right then and there because the student is most aware of the mistake when he just made it. Whereas, when you let a mistake pass and try to correct it later during a spe cific pronunciation class, the student tends to forget and deny the mistake he committed. Thus, pronunciation should not be treated separately but should be taught all throughout. For beginners, I teach pronunciation separately during the first lessons. Of course it would be irrational to be teaching beginners many words that would just confuse them and worst, might scare them. Thus, I introduce my lessons systematically starting with the basic and common sounds and even giving examples to magnify

From Pencils to Pixels Essay Example | Topics and Well Written Essays - 1250 words

From Pencils to Pixels - Essay Example My parents are both hard-working people who had little spare time when I was young. My father in particular was away from home a great deal of the time, and I saw very little of him when I was very young, because I was generally in bed before he came home from work. My earliest and best memories are of the evenings when he would creep into my room and tell me a bedtime story. I remember the smell of cigarettes and chemicals on his clothes, and I know he enjoyed telling me stories because he used to make silly voices for all the characters. This is probably why I learned to love books, and perhaps why I enjoy poetry and drama also. We used to have a boxed set of fairy tales based on the Walt Disney cartoons, and these were my favorites. I thought there was something magical in storybooks and I used to have vivid dreams about the fantastic places in these stories. Writing was connected with pictures for me at first. I used to make pasta paintings, finger paintings, and sponge paintings and my mother encouraged me to make shapes like the letters of the alphabet. In my bedroom there was a poster with the letters of the alphabet in the shape of different animals. To this day I connect the letter d with a donkey and p with a parrot! I could write my name before I went to school, and I remember that I did not like writing with wax crayons. They are difficult to use because they do not have a well defined point, and I hated the way that the colors rubbed off on each other. In my pre-school years, then, reading and writing were connected in my mind with happy times in the family and I had a generally positive attitude towards literacy. I was happy to experiment with any new writing tools, although I do remember being in disgrace for a few days after a little experiment with some indelible markers and the wallpaper in the hallway. When I went to school I was surprised at the number of children in the class who did not seem to know what to do with a book or a pencil and p aper. I was not the best student when it came to writing, and in fact spelling is still not my strongest point, but at least I was willing to learn and I liked writing much better than math or science. Sometimes I used to buy notebooks and letter writing sets with my pocket money and my favorite toy was a post office set with tiny stamps and envelopes. The method of teaching reading in my first school involved a series of graded reading books which my parents were supposed to read with me. I hated these books because nothing exciting ever happened in them. They were usually domestic tales about children and dogs, or famous extracts from history. I remember there was one interminable story about pioneers but I don’t remember what happened in it. In my mind at that time, there was reading and writing for school, which was by definition not pleasurable, and then there was reading and writing for fun, which I did at home or in the local library and this very definitely did give m e pleasure. Looking back now with the benefit of hindsight, I think this was an unhelpful distinction, but at the time this was how I saw it. I came rather late to computers, compared to some other children in my class at school. I preferred music when I was a young teenager, and I used to listen to music until late into the night. In general I think that my awareness of language comes mainly through listening, and this may explain why I prefer television or YouTube when I am looking for facts or explanations. It was not until the last

What is Osteoporosis Essay Example | Topics and Well Written Essays - 1750 words

What is Osteoporosis - Essay Example After the maximal bone mass is attained at the age 30, the rate of bone loss for both gender is approximately 0.5% per year, and it increase to approximately 1% per year or more in menopausal women. This is so because, estrogen acts indirectly to suppress bone re-sorption, an action reduced/absent during menopause. Poor nutrition or an age-related decrease in intestinal absorption of calcium because of deficient activation of vitamin D is a culprit of the prevalence of Osteoporosis among elderly. "In the United States, 10 million people already have osteoporosis. Millions more have low bone mass, or osteopenia, placing them at increased risk for more serious bone loss and subsequent fractures"."Hip fractures are common and are often devastating in the geriatric population". Other risk factors found to be associated with this disease include, smoking, alcohol ingestion and genetic predisposition. As with the case at hand patient Hunt manifested almost all of the indicated risk factors , having had hysterectomy at the age 45 inducing early menopause, smoking and alcohol consumption and most of all, a history of calcium and Vitamin D deficiency as evidenced by Rickets disease in her childhood. Weight-bearing exercises like jogging, walking, rowing and weight lifting are important in maintaining bone mass. "Studies have indicated that pre-menopausal women need more than 1000mg and post-menopausal women needs 1500mg of calcium daily" (Andrews. 1998). This means that adults should drink 3 to 4 glasses of milk daily or substitute other foods that are high in calcium (Bukata & Rosier. 2000). Calcium supplements and a daily intake of 400-800 IU of Vitamin D is recommended because the latter optimizes calcium absorption and inhibits parathyroid secretion, stimulating calcium re-sorption from the bone (Weinstein & Ullery. 2000). Estrogen Therapy is the single most powerful intervention to reduce the incidence and progression of osteoporosis. If commenced immediately after menopause prevents early-stage bone loss and provides beneficial effects if administered throughout the eight decade of women's years (Gambert Et. Al. 1995). Women with breast cancer, active liver disease, a hist ory of blood clots, or unexplained vaginal bleeding should, under no circumstance, go on HRT (Cooper). Additionally women who have migraine headaches, high triglycerides, gallbladder or chronic liver disease, a history of cancer of the uterus or ovaries, fibroids, history of endometriosis, or a history of exposure to the estrogen DES should go under careful evaluation before even considering HRT (Hueseman, 2002). Active treatment of osteoporosis uses four types of agents; gonadal hormones (estrogen), calcitonin, fluorides and biphosphonates. Calcitonin can be used to decrease osteoclastic activity. Although the risk of endometrial cancer is increased with hormone therapy, risk is reduced with subsequent administration of progestin (Riggs & Melton. 1992). In the cases where fracture is involved, management includes immobilization, pain medication, early ambulation and wound care. Surgical intervention is done for stable fracture fixation that allows early restoration of mobility and functions; this means early weight bearing. Walking and

Is Credit Card Necessary in Our Life Essay Example for Free

Is Credit Card Necessary in Our Life Essay A credit card is a card issued by a financial company to the holder in order for an individual to borrow funds often at a point of sale. It is important to note that credit cards charge interest and are basically use for short-term financing. Moreover, the interests charged on credits cards are enacted usually one month after purchasing is made and borrowing limits are pre-set. This is with regard to the individual`s card rating. Significantly, credit cards contain a higher interest rate that is about 19% per year than majority of the consumer lines or loans of credit. Consequently, many consumer stores allow payment through credit cards, an aspect that has seen the vast growth of these cards. Suze denotes says â€Å"For Americans who don’t pay their entire credit card bill each month, the average balance is close to $4,000. † In addition, they are a mode of payment in the current world by most companies and even the civil servants. However, the various limitations like dent limit make credit cards insignificant in our life. Credit cards are not necessary in our life because they impose various limitations to the card holders. First, charging items, goods, and services on plastic can be convenient but encourage poor spending habits. Credit cards are readily within one`s reach. Moreover, people walk with these cards in their wallets and handbags. This is not only, a limiting factor, but also encourages the issues of money expenditure. For instance, online stores have become a considerable element in the current American society. Buying of goods and services can be done within seconds, especially with the home delivery services at hand. Suze in her argument emphasizes, â€Å"But also realize that some of you are broke by circumstances. I believe you are Broke by Choice. † This is to indicate the practices that we engage with the accessibility to the cards. Credit cards expose high rate expenditure among people with even little goods they would purchase locally. Credit card debt is a considerable problem that each ground people every year. Rise in the interest rates is a limit factor towards the use of credit cards. It is evident that financial companies vary their rates within days and even a month. For instance, the interest rate may change frequently if the economy of the nation keeps alternating. This puts the credit card holders in a chilly spot. The fluctuation of interest rates has resulted to individuals going for loans since they cannot support their bills. Suze denotes, â€Å"The average interest rate charged on credit is 15 percent, with plenty of folks paying 18 percent † Moreover, the financial companies are after profits, and to ensure they have established this, they enact interest rates that are merely undistinguishable by the credit card holders. This exposes the card holders to vulnerability of inevitable charges by the organizations. Moreover, at times payments through the credit cards get missed. This is usual among the card holders. Various companies have emphasized on credit card payment mode. However, it is imperative to note that during the transfer of money from the corporative, some instances of money loss have been identified. Efficiency is a factor that cannot be relied on from payment and service coherence. Furthermore, online vandalism in the form of account hacking is a current problem facing credit card issuing financial corporations. For instance, payoneer company accounts that are issued online to individuals from various regions of the world have faced vandalism with clients and card holders losing millions of cash. Hacking online credit card accounts has become a common practice in the present society. This has forced people to limit the utilization of the credit cards. Credit cards are likely to accumulate debts if the monthly charges are not paid in time. â€Å"†¦if you are late on any other card, your zero deal can be in jeopardy. † In addition, credit card scores are trashed by the financial companies rendering to discrimination of the individual card holders. On the other hand, credit cards can be regarded to be very significant in the modern world. This is because they solve the issue of distance payment. For instance, an individual living in Great Britain can receive his/her salary even if working for a company established in the United States. This is because the credit cards allows funds to be deposited on the card holder`s card. Furthermore, the card holder can withdraw money from any card supporting Automatic Teller Machine (ATM). This is not only an advantage to the credit card holders but a limitation to knowing their bank ledger rates and various banking processes within the account. Majority of the credit card holders neglect the various conditions and terms they are subjected to during account application. Considerably, for the people who do not pay their credit card bill every month, it is significant to note that their average balance is estimated to $4,000. Considerably, the higher earning individual with an annual income that ranges $75000 and $100000, the average balance is approximately $8,000. â€Å"To see if you have been late on any card, not just their car. † This is a remarkably high cost in incorporating credit card in aspects of payment and other financial areas. It does not make meaning if an individual is paying, for example, 18 percent interest on a $7,000 balance and he/she makes just 1. percent minimum payment each month. This is because the individual will end up paying $20,000 in the averagely 50 years he/she will take to decline the balance to zero. It is important to note that those people who like buying goods on credit are at a big risk of ending up in great debts. The various transactions or credits that are made on the credit cards are crucial since they gain more interest to the related financial company. It is important to limit the rate at which one uses the credit card. Suze denote â€Å"Push yourself hard to make that extra payment as large as possible. Otherwise, an individual will end up accumulating a good amount of dents. Paying for groceries and friends drinks at the restaurant at your expense is a practice will finally get one to the unpaid credit balance. The card sets an individual for many snares and traps though the card companies in order for you to spend more creating more debts. The strategy for getting out of rid of the credit card debt is only by maneuvering the credit card companies with strategies that will ensure individuals pay the least amount possible interest rate. Considerably, the average interest charged on a credit card is about 15 percent. However, Suze says that, â€Å"majority of the people pay at around 18 percent and any balance carried by a credit calls for the rate lowered as possible. † In conclusion, it is important to note that credit cards are not necessary to our life. This is with consideration on the various credit debts they can amount to an individual. Further, they enhance high expenditure through online stores including groceries. Therefore, progressive use of credit cards even with minor goods and services that can be obtained readily endangers you to debts that are critical within credit card use. The most appropriate strategy in dealing with high-rate debt in the use of credit cards is ensuring that all your cards are equally used. â€Å"If you have a FICO score of at least 720, and you make at least the minimum payment due each month, on time, you should be able to negotiate with your current credit card issuer to lower your rate. If other cards are frequently used unlike others an individual would be paying the monthly charges and other interests for free. Therefore, credit cards are a critical aspect in the financial ground of an individual.