Tuesday, December 31, 2019

Risk and Quality Management - 1593 Words

Risk and Quality Management Assessment Summary Angelina L. Crudo HCS/451 University of Phoenix Lisa Kehlenbrink July 8, 2013 Risk and Quality Management Assessment Summary Risk management is about reducing the likelihood of errors with the aim of improving and monitoring the quality of health care services. The purpose for risk and quality management is to improve the care of the patients and reduce liability among the staff and the patients. In following risk and quality management protocols†¦show more content†¦Quality management names are use to determined the meaning of a project, or issue. For instance, one would know that medical records refer to the patient’s chart. However, when one says that they need information on payroll that would have to do with the employees of the organization. Typical long-term goals for hospitals could be expansion, offering more services, and quality management and assurance. Short-term goals to reach the long term goals could be funding, more medical equipment, and surveys. A hospital would need funding for new equipment, expansions, or services, so a look over the financial situation of the hospital would be needed. Finding areas to add funding, cut funding, or do fundraising could then be approached. Furthermore, quality assurance and management, there are several short-term goals such as questionnaires, quality and risk management (Wasik, M. 2006). Affordability should be applied to the hospital setting. There have been many patients that are in the hospital on an extended stay and they are not able to afford such things like a television in their room or, maybe the patient does not have family and they are on a fixed income. The hospital should have a policy in place that allows the hospital to go into a fund that is set up for patients that are in need. Hospitals should apply policies within their organizations that benefit the community and staff. A policy should be in place to ensureShow MoreRelatedRisk and Quality Management1659 Words   |  7 PagesRisk and Quality Management Assessment Summary Kelly Hennessey HCS/451 02/18/2012 Lauri Rose Risk and Quality Management Assessment Summary Evergreen Woods health and rehabilitation center is located in Spring Hill Florida. The center has been serving Hernando County for over 25 years. Services that the center offers are: Post-acute services, Rehabilitative services, skilled nursing, Short and long term care through physical, occupational and speech therapists. The mission of Evergreen WoodsRead MoreEffective Quality Management And Risk Management874 Words   |  4 PagesIII. Effective Quality Management Although hundreds of management methods are developed, most research considers a non-holistic software quality management (SQM) viewpoint and focuses on development-phase-specific quality assurance (QA) methods and activities. 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The significance of proper risk identification and management has reached across the broad underwriting lately, in that its essential in that amid the early phases of examination of t he project. It is of direct assistance in establishing project constraints and provides useful data to assist the choice between projects. Risks in building projects are treated with little care by contractors andRead MoreThe Quality Risk Management Plan1331 Words   |  6 PagesThe quality risk management plan for this case study scenario includes identifying areas of risk and healthcare errors, in order to protect future patients from having their safety compromised. The case study describes two patients who received wrong-site surgery; which is considered a sentinel event – preventable and should never occur. 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It has an annual budget of $800 million, 860 clinics, at least one representativeRead MoreQuality Risk Management in Construction Industry3809 Words   |  16 PagesQuality Risk Management in Construction Industry Temitayo Lewis University of Maryland University College PMAN 639 Dr. Eva B. Cruz Morel Date: 11/28/2010 University of Maryland University College Executive Summary†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...4 Quality Management and Overview†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5 Quality Assurance†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..7 Quality Control†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..7 Total Quality Management†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...8

Sunday, December 22, 2019

Kellogg s The Ethical Supply Chain And Supplier Code Of...

Customers Kellogg’s always tries to engage with their customers and future customers through various ways like its interesting advertising campaigns. Like, TV and newspaper ads and Kellogg’s also use social media such as Facebook and Twitter to approach its customers, conduct various surveys to get to know their customers’ expectations and interests. Kellogg’s always tries to create two-way engagement platforms to interact with its customers about its products as well as its CSR initiatives. Suppliers 70% -83% In Kellogg’s suppliers are another important stakeholder group. Kellogg’s is follows to an ethical supply chain and Supplier Code of Conduct that all its suppliers must obey. This code requires all Kellogg’s suppliers to observe with fair labor practices and ethical business standards. These codes of conduct specially focus on environmental and health and safety issues. Kellogg’s performs number of farmer development programs to engage its suppliers. The main objective of these initiatives is to reduce poverty and promote economic development, through supporting Kellogg’s K-Values and vision. For example, like in rural area of Mexico, Kellogg’s supports the sustainable production of amaranth, an ancient grain thought to be a staple in the diets of the Incas and Aztecs. Kellogg s is one of several funders of Mexico Tierra de Amaranto (MTA), which teaches community members how to grow and use the plants in cooking and how to sell that food. Thi s initiative taken byShow MoreRelatedProcessed Cheese and Kraft Foods30876 Words   |  124 Pagesdistribution Channels(YL) 32 Cost disadvantages Independent of Scale(YL) 32 Government Policy(YL) 33 Expected Retaliation(YL) 33 Product Differentiation(YL) 33 Power of Buyers(YL) 34 Power of Suppliers(YL) 34 Threat of Substitutes(YL) 34 Intensity of Rivalry among Established Firms(YL) 35 External/ Macro Environment (KH) 36 Technological (KH) 36 Macro economical(KH) 36 Political /Legal (KH) 39 Demographic Forces(KH) 41 Global Read MoreComment on How Changes in Macro and Market Environment Forces Impact on the Level of Competition in an Industry.18606 Words   |  75 Pagesenvironment explain the distinction between the microenvironment and the macroenvironment discuss the impact of political and legal, economic, ecological/physical environmental, social/cultural and technological forces on marketing decisions explain how to conduct environmental scanning discuss how companies respond to environmental change Political and Legal Forces The marketing environment FIGURE CHAPTER 3 73 marketing-orientated ï ¬ rm looks outwards to the environment in which it operates, adaptingRead MoreMarketing and Aesop12007 Words   |  49 Pagesbecause of recess economy. Buyers who are retailers can have backward integration by providing their own brand. 4. Bargaining power of suppliers: Low Bargaining power of suppliers in cosmetics industry is low because there are a high number of market players and large suppliers. Moreover, Italian consumers prefer cosmetics that made from nature and there are many suppliers around the world who can offer the low price material such as Asian countries to cosmetics manufacturers. 5. Threat of substitutes:Read MoreMonsanto: Better Living Through Genetic Engineering96204 Words   |  385 PagesThe case of Cochlearâ„ ¢ – an Australian C A S E O N E high-technology leader Delta Faucet: Global entrepreneurship in an emerging market C A S E T W O DaimlerChrysler: Corporate governance dynamics in a global company C A S E T H R E E Gun ns and the greens: Governance issues in Tasmania C A S E F O U R Succeeding in the Sydney indie music industry C A S E F I V E Nucor in 2005 C A S E S I X News Corp in 2005: Consolidating the DirecTV acquisition C A S E S E V E N Shanghai Volkswagen: ImplementingRead MoreMarketing Management130471 Words   |  522 Pages Marketing management – an introduction Unit structure: 1. Introduction 2. Learning Objectives 3. Marketing Management 3.1. Evolution of marketing management 3.2. The Role of Marketing 3.3. Marketing concepts 3.4. The Marketing Mix (The 4 P s Of Marketing) 3.5. Corporate Social Responsibility (CSR) and Ethics in Marketing 4. Have you understood type questions 5. Summary 6. Exercises 7. References 1. INTRODUCTION: The apex body in United States of America for the Marketing functions, AmericanRead MoreBusiness Strategies Of Tesco PLC24572 Words   |  99 PagesUniversity’s Regulations and Code of Practice for Taught Postgraduate Programmes. I also affirm that all reference sources have been fully acknowledged and reported. I further declare that this dissertation has not previously, in its entirety or in part, been submitted to any University apart from University of Wales in order to obtain an academic qualification. I further declare that I have fully followed all the appropriate and relevant ethical guidelines in the conduct of my research. Fur thermoreRead MoreRÃÆ' ©sumÃÆ' © Marketing Management, 14th Edition - Kotler Keller26673 Words   |  107 PagesThe smart competitor must design and deliver offerings for well-defined target markets. II. The value Chain Michael Porter of Harvard has proposed the value chain as a tool for identifying ways to create more customer value. According to this model, every firm is a synthesis of activities performed to design, produce, and market, deliver, and support its product. The value chain identifies nine strategically relevant activities-five primary and four support activities-that create valueRead MoreAccounting 1-4 Chapter100452 Words   |  402 Pagespersonal legal liability: Corporation. Tax advantages: Sole proprietorship and partnership. Easier to transfer ownership: Corporation. Action Plan †¢ Know which organizational form best matches the business type, size, and preferences of the owner(s). Action Plans give you tips about how to approach the problem. Related exercise material: BE1-1 and Do it! 1-1. Users and Uses of Financial Information The purpose of financial information is to provide inputs for decision making. AccountingRead MoreKraft Annual Report99993 Words   |  400 Pagescharter) 52-2284372 Virginia (State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.) Three Lakes Drive, Northfield, Illinois 60093-2753 (Address of principal executive offices) (Zip Code) Registrant s telephone number, including area code: 847-646-2000 Securities registered pursuant to Section 12(b) of the Act: Name of each exchange on which registered Title of each class Class A Common Stock, no par value New York Stock Exchange Securities registered pursuantRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagesand permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photo copying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290. Many of the designations by manufacturers

Saturday, December 14, 2019

Notes on Different types of customers Free Essays

Dealing with customer complaints why do customers complain? Customers complain mainly because of bad customer service The product they received is of bad quality not happy because of the staff Delayed flights not good service untidy accommodation product they received was not as it was descriptive. Not a not seats on the plane not getting what they want queues why do organizations need to know about customer complaints? To keep their reputation keep one customer happy expand business keep customers keep business to improve o fix one problem How to deal with customers? Offer a discount or a complimentary Item such as a drink. Food item etc. We will write a custom essay sample on Notes on Different types of customers or any similar topic only for you Order Now ) or a refund If they take It further ask If want to speak to the manager Reply a. s. A. P start by apologizing Don’t interrupt whilst they are complaining Ask what’s wrong face to face offer something else e-mail written communication make it formal be sympathetic make eye contact Listen suggest the course of action check the customer is happy with the solution and ask them if there is anything else you can do for them. Keep calm keep customer informed at all times Why is It Important to resolve a complaint? O keep the customers happy so you will get customer loyalty so you don’t get a bad image/reputation of you or the organization To prevent it from happening again so I OFF quality of service they give how good their products are minimum standard of quality procedures they follow Equally With respect Fairly Friendly Welcomed well With a helpful manner NIce Politely Regardless of the customer type all customers have different needs. A hen party traveling to Lo ndon for the weekend. Transfers Accommodation Group accommodation rah reception Information on local nightlife Different types of customers Mobility Pre-boarding Disable Access Guides Wider corridors Handrails Ramps Treated with respect and equally Special seating Bigger facilities Information about excursions suitable for their needs Special cabins/accommodation specifically for the disabled Lifts Visually impaired Braille White stick Career Guide dogs Assistance Be sensitive Hearing impaired Hearing aid Hearing loop Lip reader Sign language translator Speak loud and clearly Signs Devices to help them in case of an emergency el calling people, phone ringing, fire alarm going off Cultures/Countries Health documents Leaflets in their language Maps in their language Treat them equally and with respect Helpful staff Injection Visas/Passports Currency exchange Insurance Translator Elderly/Confused Treated with respect Show empathy Speak slowly and clearly Make sure they understand the information they were confused about Communication methods best suited to the cust omers needs. Hearing – Written, Face to face (For lip readers) Visual – Telephone, Verbally Elderly – Face to face, verbally Different language – Written – diagrams How to cite Notes on Different types of customers, Papers

Friday, December 6, 2019

Nursing Care for Depressed Occipital Fracture

Question: Discuss about the Nursing Care for Depressed Occipital Fracture. Answer: Introduction: Nursing care patients should be optimal, precise and patient centred. In the light of all the advancements to the health care industry nursing care has reached the pinnacle of success. There was a time when nursing care was viewed just as an add-on to the treatment by the clinical practitioners (FABIANO SHARRARD, 2017). As the health care advanced and treatment procedures became more complex, the weightage of nursing care in the health care industry transformed completely. Now nursing care is seen as a integral part of treatment procedure, and the importance of quality nursing care in the health care industry now is clearly understood (FABIANO SHARRARD, 2017). With the transformation of nursing care, the approaches to it has changed radically as well. There are a lot of different and modern techniques and approaches to nursing care and treatment. Out of all the approaches, evidence based practice has shine in heath care as a whole it makes nursing care be adequately patient centred and absolutely safe for the patients as well (Ribeiro dos Santos, de Carvalho Sousa, Oliveira Lima, Nadson de Sousa Ribeiro, de Arajo Madeira, da Silva Oliveira, 2016). This essay will attempt to string together a patent centred and optimal nursing care plan for depressed occipital fracture utilizing modern approaches to nursing care. Case scenario: The case scenario under consideration in this assignment describes an elderly patient named Mark Robinson aged 63, who fell from a ladder and suffered a depressed occipital fracture and lost consciousness for a while. His Glasgow coma scale showed almost normal behaviour scored at 14 to 15 regularly and the patient exhibited signs of slight drowsiness. Overnight the patient shows symptoms including slurred speech, fatigue and confusion. His nursing care must begin with thorough primary assessment. ABCDE approach primary assessment: The ABCDE approach is designed to provide the nursing professional a thorough examination of all the vital physiological activities. It starts with the airway examination, to ensure that the airway of the patient is not blocked in any manner and the patient is breathing enough air. Most of the emergencies turn fatal within the matter of minutes without the proper examination of the vitals, and checking the airway should be the first step to ensure that the Mark is at no risk to respiratory failure (Onakomaiya, Kruger, Highland, Kodosky, Pape, Roy, 2017). The second assessment in this approach is the examination of breathing, even if there are no blockages in the airway or respiratory tract of the patient there are high chances of irregular breathing patterns in the patients that could be indicative a number of respiratory distress. Hence the breathing should be checked as well. The third assessment criteria in this assignment are checking the circulation of Mark. As this is an emergency case, hypovolemia or other cardiac condition can enforce the patient to go under shock. Hence to rule out any possibilities of impending cardiac arrest the circulation of the patient must be checked (Onakomaiya, Kruger, Highland, Kodosky, Pape, Roy, 2017). The fourth assessment technique uses the examination of any signs of disability in the patient. It has to be considered that the patient suffered a fall that rendered him senseless for a few minute, so possibilities of a stroke cannot be overlooked. Other than that any other fall injuries can also lead the patient to mobility distress for the time being (Tume Jinks, 2008). A frightening reason in emergency or critical health care that generates as a small concern but can complicate the condition of the patient easily is dehydration. According to the dehydration policy adapted by most of the health care facilities checking the patient for possible signs of dehydration is extremely important (Wu, 2016). Lastly the patient must be taken for a full body examination for presence of any physical manifestation like rashes, inflammation and redness. This is the last step of primary assessment and it will reveal vital information about the Mark. Respiratory care and interventions: Pulmonary complications are very common in any brain injury, as the patient has lost consciousness for a substantial amount of time after the fall the possibilities for brain tissue injury cannot be overlooked. As the patient is showing signs of internal tissue damage indicated by slurred speech and confusion. Mark should be provided respiratory assistance in he cannot breathe properly (Meng, 2016). In order to prevent the chances of the patient going through hypoxemia the oxygen supply must be maintained and the patient should be monitored diligently. It will stabilize Mark and minimize the risks for secondary neurological complications (Ribeiro dos Santos, de Carvalho Sousa, Oliveira Lima, Nadson de Sousa Ribeiro, de Arajo Madeira, da Silva Oliveira, 2016). Cardiovascular care and interventions: Traumatic brain injury can give rise to catecholamine storm, an excessive secretion from the adrenal glands that seriously affect the cardiac functions within our body. As Mark already has suffered a depressed occipital fracture with possibilities of minor brain injury the chance of cardiac and myocardial overload and oxygen demand should not be overlooked (Gitto, Arunkumar, Maiese, Bolino, 2015). If the patient shows any signs of neurogenic cardiovascular dysfunctions, administering arterial pressure will help in minimizing the after affects of a catecholamine storm, by administration of b-androgenic blocking agents that can limit the myocardial dysfunctions. After catecholamine storm subsides however an ECG should also be performed to rule out any chances of further complications. Furthermore Mark should be monitored every other hour for any signs of relapse of cardiac malfunctions for the rest of the day (Wu, 2016). Nutritional care and interventions: A depressed skull fracture and associated brain trauma can be turn detrimental to the health and wellbeing of the patient if proper care is not taken. Nutritional requirements can vary from patient to patient however in case of skull injury the nutritional priorities will include high calorie substation with high glucose proportions (Forbes, Reig, Tomycz, Tulipan, 2010). In case of any aftermath of trauma the metabolism rate is increased than the normal and the oxygen and glucose expenditure rate is also high. Care should e taken to compensate the rate of expenditure adequately. As mark has been showing signs of fatigue and lack of nutrition his nutritional requirement should be judged. In case he cannot take food with the normal route intravenous administration is advised. The nursing professional must ensure that patient receives glucose supplements that allow the calorie count of the patent to reach 2500Kcal as that can help the patient with seedy recovery. The patient should be monitored for any signs of blood glucose level drop periodically and should be checked for improvement in fatigue (Balak, Aslan, Serefhan, Elmaci, 2009). Neuromuscular care and electrolyte balance: A bran trauma associated to severe skull fracture can lead to neurogenic motor skill dysfunctions that can lead the patient incapable of movement. In order to treat and manage neuromuscular defect in the patient the very first step should be assessing the neuro-motor activities that the patient is still capable of (Morris, Kushner, Tiwana, 2012). As the patient has difficulty rousing it can be assumed that the patient is in need for adequate neuromuscular interventions. Neuromuscular blocking agents can serve the purpose of delimiting the chances of permanent neuromuscular damage and intracranial pressure can help as well in returning some of the motor skills (Sullivan, 2000). However intracranial pressure can lead to fatal consequences for patients with severe traumatic injuries hence discretion should be take to handle the administration delicately and with proper precautions (Balak, Aslan, Serefhan, Elmaci, 2009). Interventions to provide comfort and reassurance: A traumatic brain injury associated with depressed skull fracture can render the patient incapable of normal motor skills, confusion and lack of speech. In such a condition the patent has to depend completely on the dependence of the nursing professional. Dependency and incapability coupled with panic and stress can induce feelings of inhibition and irritation, hence the nursing professional has to ensure that the patient is comfortable at all times (Bell, Dierks, Brar, Potter, Potter, 2007). The intervention include having the patient under constant vigilance and monitoring, brain trauma patient are generally on different supportive clinical equipments that can malfunction at any time, hence the nurse must take that into consideration as well. Moreover the patient should be comfortably dressed and well hydrated to ensure hygienic and safe care practice. The nursing professionals must also be empathetic and supportive to the needs of the patients and the patient should be reassured periodically to keep him stable (Balak, Aslan, Serefhan, Elmaci, 2009). Communication with patient: It has to be considered that communicating with the patient leads to the best and most focussed patient centred care. In various health care research studies communication has been discovered to e one of the most vital and important sectors of treatment and nursing care. There are a lot of complications that can arise in a complicated health care setting for the patent as well as for the health care professional (Grant, Grinspun, Hernandez, 2010). Effective communication between the patent and the health care professionals will ensure that there is effective harmony in the planning and implementation of the treatment patterns. Apart from that studies suggest that engaging the patent in relaxed conversation increases their sense of involvement with the treatment and boosts their psychological recovery (Gitto, Arunkumar, Maiese, Bolino, 2015). Hence the communicational interventions of the nursing professional regarding the patient under consideration should include engaging the patent in active communication to build a mutually respectful relationship with the patient that will make him feel comfortable and reassured about his safety along with enabling him with confidence to share any grievances with the nursing professional (Sullivan, 2000). Venous thrombosis prophylaxis: In any case of brain trauma, the risk of the patent developing venous thrombosis is very high. In case the patient under consideration faces any risk to VTE, the intervention should not be delayed at any circumstances. The most abundantly used intervention for VTE include mechanical compression prophylaxis technique (Damkliang, Considine, Kent, Street, 2016). In this technique the various compression devices are used to relieve the blood statis and increase the venous outflow in leg veins. One of them most popular and abundantly used technique for this is compassion stockings that are more effective and with much lesser side effects. Apart from that the patient can also be administered with unfractionated heparin in case the mechanical prophylaxis dose not elicit any results (Mitchell, Kirkness, Blissitt, 2015). Infection control: In case of brain injury patients infection is a common occurrence, with respiratory support they are more likely to develop respiratory tract infections. Interventions to avoid respiratory tract infections in the patient periodic suctioning should be done to ensure that the mucous accumulation in the airways does not lead to any infection and complete oral care should be taken with antimicrobial agents like chlorehexin so that the risk to infection can be overcome (Tume Jinks, 2008). Skin care and general hygiene: General skin care and hygiene can go a long way in patient care, hence the nursing professional should take adequate actions to encourage safe and hygienic stay in the heath care setting. Using antimicrobial washes and sponge bath technique the patent should be properly cared for. Daily excretory hygiene should also be diligently followed (Ladanyi Elliott, 2008). Bladder care: Brain injury can alter the bladder and bowel movements in the patients, and as Mark, the patient under consideration for this assignment is aging, the chances of him developing dysfunctional bladder are high (Balak, Aslan, Serefhan, Elmaci, 2009). The interventions should include cleaning the bladder periodically to keep his kidneys healthy. As the patient is incapable of movement the bladder can be cleaned with a catheter, attached to a drainage bag. The nursing professional should clean out the bladder by intermittent catheterization and proper cleaning techniques (Coco, Tossavainen, Jskelinen, Turunen, 2012). Dressing and wound care: As the patient has experienced skull fracture due to a fall the dressing care of his wild should not be treated lightly. The dressing should be changed during every bath in a scientific and hygienic manner. Care should be taken that the wound is not contaminated at any circumstances. If there is any tender point or press palpate site in the skull fracture wound, care should be taken so that the delicate skin does not bleed. Furthermore the gauge should be removed twice a day at the least to eliminate any risk of wound infection (Tam, McKay, Sloan, Ponsford, 2015). Communication with relatives: A quality patient centred care is incomplete without taking into consideration the preferences of the patient and their families. Facilitating active and effective communication with the patient family can ensure that there is a harmonious and mutually respectful relationship between both parties. Along with that care should be taken that the patient and his family is adequately informed about the severity of the patients conditions and the treatment procedures planned (Coco, Tossavainen, Jskelinen, Turunen, 2012) . Ethical and legal health care practice compliant with all the legislations enforced by regulatory health care authorities ensures consent and proper patient documentation to be essential in any treatment procedure. Hence it is essential that the nursing professional informs the family about the severity of the patients health conditions and discuss the relevance and effectiveness in the treatment procedure prior to administration of any treatment techniques and methods (Coco, Tossavainen, Jskelinen, Turunen, 2012). Conclusion: Nursing care is vital for any health care concern, irrespective of the severity and complications associated with it. In the face of contemporary health care outfitted with specialized multidisciplinary teams, nursing care is viewed as the most important link between the different disciplines. Without a functional nursing activity the continuum of the treatment procedure dependent upon different disciplines will be compromised. Without proper and effective transmittance of nursing cafe the ultimate goal of patent centred care can never be achieved. On a concluding note it can be stated that a traumatic brain injury due to a severe depressed occipital fracture can lead to a variety of complications within a very short period of time. Hence a health care concern like that demands a interdisciplinary and extensive nursing care. This situation enlightens us about the need of extensive skills and knowledge that is required for comprehensive nursing care in the current scenario of health and safety. Hence the nursing professionals should enhance their skills and expand their knowledge taking the assistance of evidence based practice. A reflective and integrated practice like based on practical evidences allows the nurses to determine the cause for complication and administer required intervention is a very systematic and scientific manner. Evidence based practice in health care has strengthened the patient centred care exponentially and it can be hoped that it will continue to benefit heath care in the future as well. Bibliography Balak, N., Aslan, B., Serefhan, A., Elmaci, I. (2009). Intracranial retained stone after depressed skull fracture: problems in the initial diagnosis. American Journal Of Forensic Medicine Pathology , 198-200. Bell, R., Dierks, E., Brar, P., Potter, J., Potter, B. (2007). 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