Career Counseling Essay Example | Topics and Well Written Essays - 1000 words

Career Counseling - Essay Example It is also evident from the case that Randall has always been competitive and career oriented in his approach. Thus it is a very hard for Randall to overcome the accident and lead a normal life. Even the effects of the accident have taken a greater toll on the physical as well as mental abilities of Randall. But still it can be viewed that Randall have the desire within himself that gave him much required confidence. Though life after the accident would not be the same again but his attitude made it lot easier for him to lead life. Personal performances and accomplishments have considerable connection with that of efficacy. Even outcome expectations and personal goals play great role. Randall wanted to become an aeronautical engineer and was preparing for it but the accident turned away his attention from studies because it was quite taxing for him. But still it is known that Randall opted for CADD (Computer Aided Drafting and Design) after the incident and wanted to lead a simple li fe. He also felt that he was not different from others in any aspect. His optimism was one factor that made him more strong and confident. Determination and achievement are the other foundations of the social cognitive learning theory. The determination of Randall to achieve something after going through so much of turbulence is one such example. The social cognitive learning theory has both strengths and limitations but with bilateral perceptions. It depends a lot on the situation as well as the mind frame of the learner. It provides a more flexible focus on the development of the learner. The three bases which are efficacy, expectations and goals are three internal factors of the learner. Thus it is only with the learner’s willingness along with proper counseling that could turn the limitations into the learner’s advantage. Cultural approach only comes to play when there is any problem in relation with that of culture and the environment in a broader aspect.

Learning Plan Outcome Report Essay Example | Topics and Well Written Essays - 2000 words

Learning Plan Outcome Report - Essay Example Patient assessment skills in the area of emergency nursing are important for several reasons (Sbaih, 2001). The most important of them is gradually increasing patient loads and increased waiting time. Nurses may segregate patients needing immediate attendance by being able to identify the patients with serious problems. This also fulfils two graduate qualities of the nurses, which are ability to apply knowledge in real situations and ability to identify the methodological and substantive limitations of the field and to apply a disciplined mode of enquiry in practice. To be able to apply nursing assessment skills in the patients with TIA needs ability to execute a detailed central nervous system examination to know whether the patient is progressing towards CVA. This is a changing situation in the patient's clinical status which can be determined through a thorough clinical examination. This clinical information must be located, evaluated, managed, and used in the clinical context of the patient's condition. It is evident that the clinical skill of the nurse in this context will be limited, and an accurate assessment of learning will imbibe this point (Schriver et al., 2003). This means this would also involve the capacity to evaluate current knowledge. In the real clinical scenario of the Emergency Department, this means an independent demonstration of the skill, and therefore, it means taking the responsibility for learning development. In order to reach a diagnosis which would classify the urgency of the patient means responding confidently to changing clinical scenarios in a flexible and adaptable manner, and a critical thinking approach would develop through this which would also promote sustenance of intellectual interest for further learning (Hageness et al., 2003) Product Information Fact Sheet on Clinical Assessment of TIA and CVA in the Emergency Nursing Q1. What is TIA Ans 1. TIA or transient ischemic attack is a state of transient deficiency of cerebrovascular blood supply leading to alterations in vision or speech, dizziness, weakness, a sudden fall, or a temporary paralysis on one side of the body. Usually, this is reversible, but calls for a detailed neurological examination to rule out any permanent neurological deficits (American Association of Neuroscience Nurses, 2004). Q2. What is CVA Ans 2. CVA or cerebrovascular accident is also known as stroke or brain attack. By definition, it is occurrence and persistence of neurologic dysfunction for more than 24 hours as a result of disruption of blood supply to the brain in an irreversible manner (American Association of Neuroscience Nurses, 2004). Q3. How does CVA occur Ans 3. Most of the CVAs are ischemic. About 30% of these patients may have hemorrhage within the brain to be attended, supported, admitted, and managed immediately for higher mortality and morbidity. Thus, in the emergency nursing area, it is important to identify the categories of these patients so appropriate management can be provided (Hickey, 2004). Q4. What are the other associated conditions in these patients Ans 4. TIA or CVA originates from diseases of the blood vessels. In some patients the associated heart disease is the cause of TIA or CVA. Hypertension is commonly associated with most of these cases. While assessing a patient with CVA, it is to be remembered that many