Evidenced Ba sed Practice and Research in Nursing Essay

Evidenced Ba sed Practice and Research in Nursing - Essay Example Mermel et al. (2009) recommends peripheral IV’s to be changed after every 72 hours at least to minimize the infection rate (p. 1-45). It has been established that thrombophlebitics and bacterial colonization of catheters are at high risk when catheters are in place for more than 72 hours. Peripherally inserted central catheter (PICC) is used instead of short peripheral catheter, when IV therapy will take more than six days (Mermel et al., 2009). If a bio-patch is present, seven days can pass before they are changed unless catheter-related infection occurs. The use of a central line insertion bundle reduces the risk of infection (Guerin et al., 2010). The Central line dressing should be changed every five to seven days if it has a bio-patch or as instructed or if the dressing becomes wet, loose or dirty; to minimize the probability of infection. Most patients in the ICU suffer from catheter-related bloodstream infections. These infections result in huge hospital bills, and patients stay longer in hospitals for treatment and some of the patients give in to infections and die. I would take advantage of evidenced based practice and research within my graduate role by demonstrating competency for central line dressing changes. Moreover, I would use this information as a guideline to help the patient get well without incurring extra costs on infection treatment that could be prevented by good handling of catheters. I would ensure this by reviewing the evidence and recommendations for central line maintenance. Being an educated graduate, I would educate all necessary staff on the prevention of intravascular catheter-related infections. K. (2009). Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. Clinical infectious diseases, 49(1),

Daughters of Liberty Research Paper Example | Topics and Well Written Essays - 1750 words

Daughters of Liberty - Research Paper Example Besides, the spreading of religion was another motivation behind colonization. On the other hand, the Native Americans have remained loyal to the British imperialists for â€Å"156 years after the settlement of Jamestown in 1607† supporting the English people fight many wars.1 However, many of the policies of the British Empire were so stringent and intolerable, which made the Americans to revolt against them. The most significant of the causes that triggered the revolution is the imposition of â€Å"new taxes and restrictions† by the English authorities on â€Å"colonial manufacturers and commerce.†2 Legalization of the Catholic Church, transplanting of the French with the Catholic Spaniards and their banning of American flatboats as well as the threat to close New Orleans Port, etc., also forced the Americans to embark on the path agitation. The American women, with their grit and selfless dedication, have played a major role in the revolt against British Imper ialism and helped the country in winning its freedom through their sacrifices. The spirit of freedom of the Americans makes them still remember with veneration the sacrifices of the men and women whose unrelenting determination and constant struggle have fetched them independence. These men and women have helped Americans to know the value of freedom and to transform the â€Å"bloodshed, division and violence† of the war and its ravages to â€Å"symbols of unity and cohesion.†3 Thus, the spirit of freedom that Americans celebrate today is the legacy of the men and women who have struggled and died for the American Independence. Women, though considered as lower in patriarchal societies, have always played a key role in the development of nations and evolving the history and cultures of countries. Similarly, in the Colonial America also women had a key role to play, not only in terms of tending to the families but also in the context of their involvement in national mov ements, culture, arts and literature. Mary Washington was one of the prominent women who made significant legacies to the cause of American Revolution. George Washington, her son and one of the most prominent leaders of America always emphasized that he â€Å"owed everything to his mother – in the education and habits of his early life.†4 Here, it becomes relevant that significant contribution from women towards any particular cause derives not merely from their participation in that event but through facilitating the grooming of the next generation to take up the mission and sustain its spirit in the future. Mary, who lost her husband early in life, had to fend for her children, with very limited economical sources. Despite this, she brought up her son, imbibing in him the right values and morals that enabled him to be the leader of such a nation and his ultimate elevation as its chief executive. Esther Reed is another woman who contributed immensely to the cause of A merican Revolution, despite her being a London born British national of French origin. During the Lexington and Bunker’s Hill episodes, she helped by channeling funds through her own agency for â€Å"relief of the sufferers in New England.†5 However, after she became a mother and her husband joined the revolutionary soldiers, her life endured many a turmoil. While her husband toiled in the â€Å"