The Struggles Of Immigrant Students And The Children Of...

An issue that has become very important to me is that of fair education, specifically, in regards to ELL programs (English language learners) . This issue is very important to me because I’ve seen the struggles that immigrant students/the children of immigrants face when it come to the education system. During my early school years, I grew up in a predominantly hispanic neighborhood in East Harlem, therefore the schools in the surrounding neighborhoods had many native Spanish speakers. I didn’t encounter any problems in school with language, since English was my first language, but many of my classmates has trouble. I would often see teachers get frustrated with students when they could not communicate effectively with them. Instead of†¦show more content†¦For their other classes, the assignments were amended to complement the ELL program. There was also an after school program with teachers for homework help. When I saw this very different program, I wondered why Through my bibliographic search, I was able to learn the specifics of what scholars were discoursing on in regards to this topic. Current debates began with the teachers themselves. One article found that ELL teachers were generally â€Å"unwelcoming† (Reeves 2006). Reasons for this were the concern that there’s not enough time to address all the students’ needs, too much work for teachers when students are also enrolled in non-ELL classes, and feelings of unqualification to teacher ELL students (Reeves 2006). Another area of discussion is whether ELL programs should take an inclusion approach vs exclusion (from normal school curriculum) approach. Inclusion is when students are mainstreamed for most of the day, with some specific ELL classes. If only in ELL classes, students may not have access to the mainstream education needed to succeed (Reeves 2006). One article stressed the importance of education at home as well. If English is not also spoken at home, acqui sition is slowed (Allen 2011). Pride also affects the rate of learning, students will often claim to understand, even though they d not, to avoid the perception of being ignorant (2011). Research also found a need for more â€Å"professional development†.Show MoreRelatedImmigrants And The United States Essay1215 Words   |  5 PagesImmigrants have been migrating to the Unites States for years. Many people in the United States have different opinions on immigrants: some are negative and some are positive. Some Americans assume that immigrants are here to destroy the United States, but immigrants are here for many purposes: to support their families, succeed in their future, or to escape violence occurring in their home countries. Many Americans think that once an immigrant has settled in the United States that he or she willRead MoreThe Face Of Education And The Changes It Has Undertaken Throughout History1425 Words   |  6 PagesThe face of education and the changes it has undertaken throughout history in the U.S. is a constant flow that thus alters the fabric of the American society. To provide an educated workforce for the future has been the job of educ ators for centuries, but with a greater immigration movement and presence, an educator s’ ability is limited and the fate of such children are left to suffer. Pulling from America’s position as a â€Å"melting pot† of different cultures and people, students should not be subjugatedRead MoreQuality of Secondary Education for Immigrants in the United States2521 Words   |  11 PagesStates was founded. American schools were built on the foundation of European traditions that have come to be problematic due to the increased number of immigrants from different regions of the world. There have been recent arguments over the quality of education migrants, legal and illegal, are receiving in secondary education. There are various differences amongst legal and illegal immigrants’ education in the United States that are controlled by environmental situations that alter achievement in theRead MoreDisadvantages For Bilingual Education1370 Words   |  6 Pages1. T he 1.6 million students in California public schools who speak another language other than English come from diverse backgrounds. Some of these students might be immigrants or refugee children who are new to America and its culture, and they might be English language learners (ELL). Therefore, as a future teacher it is important that my ELL students get the appropriate bilingual education to ensure that they have an opportunity to learn English and be successful in school. Furthermore, it isRead MoreThe Education For Alien Minors Act1332 Words   |  6 PagesMany immigrants come to America in an effort to achieve a better life, and with hopes of achieving the â€Å"American Dream†. Many adults are grateful for any work that pays, but for their children the hopes are to get an education and become what they could not. Even with these opportunities many children of undocumented citizens are finding that once they complete high school their efforts of attending college are al l but a dream. To assist this population the Development, Relief, and Education forRead MoreUndocumented Immigrants Should Be Legal Essay1321 Words   |  6 PagesUnited States, some immigrants come for educational opportunities, but most of them overstay, and their visas got expired, so they became â€Å"undocumented immigrants.† Being an undocumented highly affects them financially especially in higher education. For them to pursue a college education they have to deal with a lot of problems such as lower college acceptance rates, and lack of work opportunities and for that, it’s difficult for them to pay for college. Undocumented immigrants should be able to receiveRead MoreUndocumented Immigrants And The United States Through Education2191 Words   |  9 Pagescitizen should have an equal opportunity to achieve success through hard work and education, determination and initiative. Latino Immigrants come to America for this hope, to have a good life, to have grea t education, to have rights, opportunities and so much more. Legal Latino immigrants have these opportunities and they don’t have to go through struggles and obstacles as much as illegal immigrants. Undocumented immigrants have always been the target for American government. They have always struggledRead MoreWhat s Taking Place Around The World? Essay1631 Words   |  7 Pages In the past few years, there been a strong focus on globalization and educations. For this reason, issues of culture are brought up. The problem with culture is maintaining it, and one of the questions that are asked when culture is a topic of interest is how can individuals maintain their cultural identity but still be open to a culture different from theirs? Globalization, as defined by Wan Shun Eva Lam, is what s taking place around the world concerning integration, migration of laborRead MoreWhy Immigrants Students Get Up On Their Path Through Education2915 Words   |  12 PagesMarà ­a Marte English 101 Seek Section 6 Prof. Dalisay November, 28, 2014 When my family and I decided to move to the United States, it was with the hope to obtain a better life and a better education for my brother and me. But when we arrived, our expectations turned out to be different than what we found here. Above all, to achieve a good education is not that simple because I have to face many barriers that make my education difficult, including adapting myself to the American culture, having parentsRead MoreThe Rio Grande Valley, And Immigration1426 Words   |  6 Pagespaper focuses on the Rio Grande Valley, and immigration. The purpose of this research paper is to demonstrate that immigration to the Rio Grande valley has had a negative impact. Effects immigration has on the Valley s economy, employment, and education are discussed. The concepts of informal and underground economy by Richardson, C. and Pisani, M. are covered to demonstrate the unique economy the Rio Grande has. Poverty rates at a national and local level are compared. Studies by Rich ardson

Love in A Midsummer Nights Dream Essay - 609 Words

How does William Shakespeare use the play to make the audience think about aspects of love through the play ‘Midsummer Nights Dream? The play Midsummer Nights Dream is written by William Shakespeare during the Elizabethan era. During the Elizabethan times comedies were popular and this play is also written as a comedy. Comedies during the Elizabethan times consisted of a specific story of lovers and ends with everyone marrying and living happily ever after again, some of these plays were also very funny e.g. Pyramas and Thisbe. This is very different to what we think is a comedy nowadays. In our minds a comedy would be something that makes the audience laugh and consists of many jokes. The play would have been played in the Globe arena†¦show more content†¦Usually in them days the rich could talk to the peasants how ever they like and could kill them without a word going out. Where as the peasants had to show up most respect to the rich. This is all changed around in the final performance where the workmen perform the play ‘Pyramas and Thisbe’. The play Midsummer Nights Dream combines both hu mor and fantasy. This reflects on the two audiences, rich and poor. The rich would have liked more ordered lifestyle which is shown in the characters of Theseus and Hippolyta. On the other hand the peasants would have believed in fairies like Puck, Obereon and Titania. They believed in these fairies as there lives are very chaotic compared to the influential people. The play Midsummer Nights Dream consists of many types of love. William Shakespeare does this so that he can make the audience compare how the types of love fluctuate. The types of love vary from emotional love to political love. Other types of love in the play is Titania and Oberon who have been married for a very long time, both inflict pain and trickery on each other regularly. The romantic relationships in this play all act upon one straightforward quote said by Lysander —‘the course of true love does not run smooth’. One type of love which is shown in the play is political love. This is shown in the play when both Theseus and Hippolyta get married. Hippolyta’s country is inShow MoreRelatedLove in A Midsummer Night’s Dream1043 Words   |  5 PagesLove in A Midsummer Night’s Dream Throughout the events which unfold in A Midsummer Night’s Dream, Shakespeare delivers several messages on love. Through this play, one of the significant ideas he suggests is that love is blind, often defying logic and overriding other emotions and priorities. Helena loves Demetrius unconditionally and pursues him despite knowing that he loathes her; conflict arises between Helena and Hermia, childhood best friends, over Demetrius and Lysander; and becauseRead MoreA Midsummer Nights Dream- Love1141 Words   |  5 Pages In the play, A Midsummer Night’s Dream, written by William Shakespeare, a literary technique known as â€Å"doubling† is used to convey entertainment, mystery and reality as the story line for Lysander and Demetrius, Helena and Hermia, Oberon and Theseus, and Titania and Hippolyta. †Doubling† shows indistinguishable personalities of each character but completely contrapositive background stories and actions. Lysander and Demetri us are completely identical except for their personality, actions, and theRead MoreTheme Of Love In A Midsummer Nights Dream1041 Words   |  5 PagesAn Analysis of Love in A Midsummer Night’s Dream Love within the modern society has taken on a flippant meaning, depending on the phraseology used around the context of the word. Love is used interchangeably with the idea that â€Å"I love apple pie† to â€Å"I love this new car† to the point in which the term love is devalued within our society. How can one say they love their spouse or children and not devalue the true meaning of this intent, when they claim to love apple pie as well? Within the playRead MoreTheme Of Love In A Midsummer Nights Dream907 Words   |  4 PagesA Midsummer Night’s Dream Essay There are several types of love that can be found within the play, â€Å"A Midsummer Night’s Dream† by William Shakespeare. I will cover the following three types of love found in the play, forced love, romantic love, and parental love. In the play Shakespeare actually tries to show the audience just how fickle love can be and even goes out of his way to poke fun at those who cannot let go of the love that they feel for another person. Another concept that ShakespeareRead MoreEssay on Love In A Midsummer Night’s Dream524 Words   |  3 Pageselements as well as characters Puck and Oberon, the true message of love in William Shakespeare’s A Midsummer Night’s Dream is revealed. The four lovers know the direction in which their hearts are inclined to turn, but when the love potion is administered, the bounds of their rectangle are thrashed without knowledge or consent. The rapid shifts in affection between the play’s â€Å"four loversâ⠂¬  is representative of the idea that love isn’t a conscious choice, but a cruel game in which we are the figurinesRead MoreTheme Of Love In A Midsummer Nights Dream704 Words   |  3 PagesShakespeare’s A Midsummer Night’s Dream central theme of love A common theme in literature is love. Love can take hold in an instant and can make you do things you never would have done otherwise. Love appears in several different ways in Shakespeare’s A Midsummer Night’s Dream. Hermia and Lysander show true love, while Helena demonstrates unrequited love. Titania and Bottom presents us with magic love. In the play, love is also the cause of a few broken hearts. While there is no one common definitionRead MoreMidsummer Night’s Dream: The Power of Love1260 Words   |  6 Pages Love is a powerful emotion, capable of turning reasonable people into fools. Out of love, ridiculous emotions arise, like jealousy and desperation. Love can shield us from the truth, narrowing a perspective to solely what the lover wants to see. Though beautiful and inspiring when requited, a love unreturned can be devastating and maddening. In his play, A Midsummer Night’s Dream, William Shakespeare comically explores the flaw s and suffering of lovers. Four young Athenians: DemetriusRead MoreThe Theme Of Love In A Midsummer Nights Dream755 Words   |  4 Pageshaving a cheerful ending. A Midsummer Night’s Dream is a comedy with a theme of love’s difficulties. Articulating the theme, Lysander, one of the main characters, states, â€Å"The course of true love never did run smooth,† (I.i.134). Female characters of the play, Hermia, Helena, Hippolyta, and Titania, have a significant role in the delivery of the theme of love’s difficulties. Hermia, the â€Å"disobedient† daughter of Egeus, has much in common with today’s females. She let love and the potential of happinessRead MoreTheme Of Love Gone Love And A Midsummer Nights Dream1892 Words   |  8 PagesLiterature Theme Comparison Love is a popular theme in a multitude of literature pieces throughout the times. Forbidden love seems nearly as popular as does love gone wrong and unconditional love. Two tales that contain the theme of forbidden love, the theme of love gone wrong, and the theme of unconditional love are: William Shakespeare’s A Midsummer Night’s Dream and Fay Weldon’s â€Å"IND AFF or Out of Love in Sarajevo.† Though these stories were both written many years apart, they have a commonalityRead MoreDifferent Types of Love in Midsummer Night’s Dream1508 Words   |  7 PagesTypes of Love in Midsummer Night’s Dream Love and lovers, both can be described as many different things. William Shakespeare shows us this in his play, A Midsummer Night’s Dream. In this play we see all types of love, from passionate love to foolish love. Along with this we also see different types of lovers and pairs. Examples of these lovers come from pairs like, Hermia and Lysander, Demetrius and Helena, Titana and Bottom, and Oberon and Titana. It seems that in A Midsummer Night’s Dream, Shakespeare

Cats vs. Dogs as Pets Free Essays

The most popular pets in today’s society are cats and dogs. There has always been a debate for both sides. It’s a matter of opinion to which animal is superior. We will write a custom essay sample on Cats vs. Dogs as Pets or any similar topic only for you Order Now This essay is going to compare and contrast the two animals. One of the most obvious similarities is that cats belong to the feline family. Cats are independent and require less attention from their owners. Dogs belong to the canine family. Dogs are pack animals; this means they require more attention by their owners so they don’t become depressed and lonely.Looking at both animals, they both have different needs, habits and attitudes. Cats need less grooming because they clean themselves. Cats use a litter box and don’t have to be trained like dogs to use the bathroom outside. Cat litter can be expensive also. Dogs need to have baths, be brushed and taken care of when they use the bathroom. The cost for food is more expensive for dogs. The habits of both animals are very different and should be considered by the owner. Dogs, if allowed, will share a meal with their owner. They can also share furniture such as bed, recliner, and couches.They like to be petted and go for walks. Dogs bark and can bother neighbors. Dogs nail care has to be done by a veterinarian which can cost you. Cats do to but don’t have to be walked. Cats can be trained though to walk on a leash. Cat’s meow, purr, growl, and hiss. Cats may scratch furniture and are very hard to train them not to do so. Cats can be declawed to deter the tearing up of furniture. The other difference between cats and dogs is that cats are nocturnal and dogs are daytime animals. The attitudes between the animals can be very different. Dogs can be loving, loyal, protective and do tricks if trained. Some dogs are really good with kids and some are not so you might want to look into which breed of dogs are good with children. Cats on the other hand can be unpredictable and scratch children. They can be sweet in nature and snuggle up with you. Cats enjoy playing with simple toys such as; paper balls, toilet roll cardboard, mouse toys and yarn. Cats don’t have to be entertained by their owners because they are independent animals. Sometimes cats can bring you surprises such as birds, mice, moles. They even chase and kill flies.Some cats may be shy and skittish around other people so they like to hide in different places throughout the house. There are many reasons we choose to have a pet. One reason may be to relieve stress. Some pet lovers might choose to get a dog to protect their house. Some prefer to own a cat instead of a dog and vice versa. Older people prefer cats for the companionship. Younger couples usually choose a puppy for their children to play with. It is also good to research all the options you have that will suit you and your family. Whether you choose a cat or dog you should always consider they both have different needs, habits and attitudes. How to cite Cats vs. Dogs as Pets, Papers

Four Steps To Success Essay Research Paper free essay sample

Four Stairss To Success Essay, Research Paper For many human existences, decease is feared greatly. Maybe it is the enigma environing it, possibly it is enigma of what happens after it, or possibly it s the fright that one can no longer be with his or her loved 1s. Whatever the instance may be, it is a known fact that decease can frequently take to mourning, choler, and solitariness. In the verse forms To Think of Time and Song of Myself by Walt Whitman, nevertheless, Whitman presents a different position of decease, in which he shows the positive facets of decease. In fact, Whitman presents the goodness and fortune of decease in his account of the ageless psyche. While Whitman s position of decease may hold differed from society, his ain position remained the same, in both To Think of Time, and in the subdivision of Song of Myself known as The Sermon ( Chants 42-50 ) . We will write a custom essay sample on Four Steps To Success Essay Research Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Here, Whitman presents a talk of kinds, in which he guides human existences through the many facets of their lives. Most of import in this, though, is Whitman s position that human being should be accepting of decease. In making so, Whitman really ends up depicting a four-step procedure for all worlds to accept decease. The first measure Whitman describes to accomplish this is admiting that there is a more of import life waiting for us to ship upon after decease. In Song of Myself, Whitman says, We have therefore far dog-tired millions of winters and summers ; / There are millions in front, and millions in front of them ( Myself, ll.138-139 ) . By stating this, Whitman is mentioning to the humbleness of his ain and everyone else s ain clip on Earth, because it is a fiddling sum of clip when compared to the whole timeline of the planet. Therefore, Whitman shortly says how worlds must acknowledge that there is a greater intent, which will non be embarked upon until after decease. He says, Have you feared the hereafter would be nil to you? Is today nil? Is the beginningless past nil? / If the hereafter is nil they are merely as certainly nil ( Time, ll.3-6 ) . In stating this, Whitman reassures his reader that there genuinely is a life after decease, which is merely every bit of import, if non more of import than the life presently being lived. Harmonizing to Whitman, this will let worlds to accept it, because they will be able to non fear decease as much, cognizing that there will be something waiting for them on the other side. Last, by cognizing that there is a more of import life to be lived after decease, human existences can hopefully populate their life on Earth confidently, without the fright of losing everything someday. The 2nd measure for human existences is to pay less attending to the fiddling chases of mundane life, and alternatively, expression at the whole thing. In Song of Myself, Whitman says, A few quadrillions of epochs, a few octillians of three-dimensional conferences, do non guess the span, or do it impatient, / They are but parts.any thing is but a portion ( Myself, ll.1193-1194 ) . Here, one time once more, Whitman explains the pettiness of our life on this planet. But alternatively of sounding insistent, Whitman expands on his thought when he says, These besides flow forth to others.you and I flow forth ; / But in due clip you and I shall take less involvement in them ( Time, ll.61-62 ) , after a short period of cataloguing, in which Whitman lists a series of things we tend to worry about in life. Whitman is seeking to state his readers to acquire rid of all of their junior-grade grudges, because in the terminal, they re non traveling to count. Alternatively, worlds should pass more clip looking at life as a whole, specifically life after decease. Finally, by making this, one will be able to hold a greater focal point in life, on what Whitman would victimize ider to be more of import things, taking one to hold a greater credence of decease, because of the sum of readying that has gone into it. Whitman s 3rd measure in accepting decease is for worlds to accept the way that they are given. Whitman says, And I call to mankind, Be non funny about God, / For I who am funny about each am non funny about God, / No array of footings can state how much I am at peace about God and about decease ( Myself, ll. 1271-1273 ) . In other words, human existences should acknowledge when their clip is up and should run into decease with credence. Whitman so continues this thought when he says, The jurisprudence of the yesteryear can non be eluded, / The jurisprudence of the present and future can non be eluded, / The jurisprudence of the life can non be eluded.it is ageless ( Time, ll.84-86 ) . This jurisprudence that Whitman describes is the basic truth that all human existences must decease. Whitman believes that all human existences must recognize this, and at the same clip, acknowledge that this jurisprudence can neer alter for any circumstance. By recognizing that decease is something th at all human existences must digest, Whitman believes that people can go more accepting about their ain decease, and the deceases of others. Therefore, in the terminal, worlds can be concerned with populating their lives after decease, alternatively of making everything in their power to forestall acquiring at that place. The 4th and concluding measure Whitman gives for worlds is to acknowledge the ageless psyche. Whitman says, It is non chaos or decease.it is form and brotherhood and program.it is ageless life.it is happiness ( Myself, l.1308 ) . Here, Whitman emphasizes the fact that a happy life continues after decease, through the ageless psyche, which lives on and on. Whitman continues this thought in To Think of Time, when he says, I swear I think there is nil but immortality! / That the keen strategy is for it, and the cloudy float is for it, and the cohering is for it, / And all readyings is for it..and individuality is for it..and life and decease are for it ( Time, ll.133-135 ) . Therefore, being like Whitman, which entails believing that there is no terminal to life, allows human existences to accept decease. First, by believing in the ageless psyche, human existences will hold nil to fear from decease, because of the immortality of the psyche. In following this last measure, people will ev entually be able to hang up all of their frights of decease and accept it, and will besides be able recognize that their ageless psyche will populate merrily everlastingly. Therefore, there should no longer be any ground to non accept decease, since a belief in the ageless psyche will forestall any fright of one s being being ended. In both Song of Myself and To Think of Time, Whitman presents four stairss to human existences to accomplish credence of decease. In making so, human existences may go more like Whitman, because they will be able to recognize that life doesn t terminal after the clip here on Earth, but alternatively continues everlastingly, for longer than anyone can conceive of. Through the recognition and credence of certain things, such as the way we are given, the being of the ageless psyche, the more of import things in life, and the greater importance of life after decease, human existences can go more accepting of decease itself. By recognizing that decease is non something that should be worried about, human existences can alternatively concentrate on doing the most out their clip on this planet. Whitman knows that as a whole, human existences likely fear decease more than anything else. Therefore, Whitman knew that by showing a bit-by-bit manner for worlds to be accepting of decease, he coul d basically pacify those that are worried about the great beyond.

Violence In Us / Guns Essays - Behavior, Misconduct, Human Behavior

Violence In Us / Guns Violence in the basis upon which we live. Wherever we go there is some form or act of violence. Most people have lost the concept of right and wrong. The line that once stood between them is now blurred. People find that they do no harm when they commit an act that's wrong. Violence is seen in many forms today that there was ever before. Media has a large part in broadcasting violence. Violence is due to some of these issues such as easy access to weapons, the people who commit crimes have low self-worth and self esteem and religion has become a lesser and lesser part of society. In the United States they have the Second Amendment which is the right to bear arms. This means anyone in the United States can have a gun. In the States it is said that they have enough guns to arm all the adults and half of the children. Then they wonder why their children go out and shoot people at their school. If they were such a gun happy country they would not have one of the highest death rates (by gun wounds) in the world. Since the access to many forms of weapons is gained to easily it is hard to regulate who has weapons and who doesn't. Many people who do own weapons get injured or even die from their very own weapons. The Internet also makes it easily capable to make weapons such as bombs. Although the Internet can not be controlled the access to information on any subject is great. In America they have the easiest access to weapons. Most of the kids who had been found guilty of shooting their peers at school had very low self-esteem and self-worth. Most of these kids could have been helped in one way or another. Teachers, parents, and friends of these people could have seen the warning signs. When children mope around and think nothing of themselves there is something wrong. A lot of tragedies could have been averted . If a lot more influence was put on thinking higher and better of yourself many of these children would be alive or free. Also, many of these children had been taunted or teased. If we could raise awareness on this many children would be free of depression. Most of all depression is the main cause for self-worth and self-esteem. If these kids had not been taunted they would have not sought revenge. Now a days in a catholic school when asked most kids they said they did not go to church at all. If religion was a lot more reinforced would there be so much violence? People find other types of religion much more attractive. Such as cults and gangs. They find they belong more and the benefits are greater. They have false hopes in false gods. Also the lack of a solid family life results in a poor knowledge of individuality; who they are and where they belong. In conclusion the awareness for violence needs to be looked at. How many school shootings, deaths, and other teen violence acts does it take before we realize what has gone wrong. We shouldn't have to sit there and see out friends die because of these savage acts caused by a minor dispute. Everyone needs to listen up and learn. We need to avoid the useless acts of violence. It's easier said than done but once we crack down on violence there will be a lasting difference. English Essays

Howard Hendricks Essay Example

Howard Hendricks Essay Example Howard Hendricks Paper Howard Hendricks Paper Howard G. Hendricks, the author of Teaching to Change Lives, earned his B. A., Wheaton College, 1946; Th. M. , Dallas Theological Seminary, 1950; D. D. , Wheaton College, 1967; graduate study, Dallas Theological Seminary, Wheaton College Graduate School, Biblical Seminary in New York and has been a professor at Dallas Theological Seminary for over fifty years. He has a passion for teaching and it show in this book. Dr. Hendricks presents us with seven laws or principles rules for teaching. Summary Dr. Hendricks has presented to all who take the time to read this book a tool that will enable even the most seasoned teacher an avenue for change that will improve, not only their teaching skills, but enhance the learning skills of the their students. This book is base on seven easy to understand proven principles that enable direct application from the book to the classroom. These principles are as follows; The Law of the Teacher, of Education, of Activity, the Law of Communication, of the Heart, of Encouragement, and the Law of Readiness. The first of these principles the Law of the Teacher states, â€Å"If you stop growing today you stop teaching tomorrow. † He also shares a philosophy that should be adopted buy all. Hendricks says, â€Å"that I, as a teacher, am primarily a learner, a student among students. I am perpetuating the learning process; I am still en route. And by becoming a student again, I as a teacher will look at the education process through a radically new- and uniquely personal- set of eyes. Chapter Three The Law of Activity caught my attention. Its states, â€Å"Maximum learning is always the result of maximum involvement. It was if God was saying this is you and I believe this holds true for everyone as long as the student values the activity. One example that I believe he talked about and is near and dear to my heart is evangelism. You can teach an evangelism class and you can teach how to evangelize people, but it doesn’t mean you will be successful. You have to be active and get out and witness. One area that troubles me that he may have not elaborated enough is under the Law of Teaching page 29. He talks about not labeling kids, which I agree, but, in this same section, it also talks about how they come into our church excited and energetic and we get on to them. I have worked with these kids and they need structure and discipline and a firm hand sometimes however, it should always be done with the love of Christ. Conclusion This book is not only for the experienced teacher but for the novice as well. All can and will benefit from this book. One can tell that Hendricks is very enthusiastic about teaching and helping the learner to learn especially when it comes to the spiritual aspect of teaching. I believe that the seven laws, implemented properly, will allow every teachers, pastors, and laypersons the opportunity to impact the lives of people for Kingdom of Heaven. This is a must read for anyone, especially for those in ministry.

Respirtory case study Essay Example | Topics and Well Written Essays - 1250 words

Respirtory case study - Essay Example It can also be due to the allergic rthinitis, as well as the rhinitis that occurs following an environmental irritant. The patient’s condition might be indicating that he or she has influenza infection. Part 2 In order to reach at a conclusion concerning the patient’s condition, certain questions are essential in helping eliminate some of the range of suspected diagnosis (Bass, 2004). Following the initial physical examinations, the patient was said to have a prolonged coughing that is persistent with chest pressure radiating to the back. This implies that in order to be sure that the patient’s case is not as a result of acute cough or common cold, such questions as how often do you sneeze or at what frequency do you sneeze, do you feel any sort of obstruction in your nose do you feel any irritation in your throat, have you been experiencing a postnasal drip lately, shall be of use. The rationale behind these questioning is that, in case, the patient presents sig ns of irritation and lacrimation in her/his throat, nasal obstruction, signs of sneezing, signs of postnasal drip, with a normal chest, and possibly rhinorrhea, then common cold or acute cough shall be responsible for the patient’s conditions. On the contrary, if the patient fails to show this signs, then common acute cough may be ruled out of the possible causes of the patient’s condition. ... The rationale behind asking this question is based upon the idea that the patient is a smoker and thus prone to noxious particles from tobacco smoking that can end up triggering an abnormal inflammation response in the patient’s lungs. In ascertaining if the patient’s condition suggest anything that he/she is influencer affected, the essential questions shall be do you feel feverish or chilly, has your sore throat lasted for more than 3 days, do you experience frontal or retro-orbital headache and how severe is it, do you have any burning sensations, or pain upon motion, do you feel weak or fatigued when performing normal activities, do you experience shortness of breath and pains in your chest. A range of questions set above are meant to help rule out influencer as the possible cause of the patient’s condition. Part 3 lungs shall be the vital system that I would checked by performing lung functioning tests. The rationale behind checking the lungs is that at admi ssion, the patient was said to be a smoker, and had cough accompanied by chest pressure radiating to the back. This implies that smoke particles must be the causal agent for patient P’s condition. Part 4 Diagnostic tests The Recommended treatment plan for each of the Differential Diagnoses Diagnosis of the exacerbation of the chronic obstructive pulmonary disease needs lung function tests Diagnosis of acute cold require laboratory tests. b. Therapeutic regimens Acute cold due to common cold can be treated with dexbrompheniramine plus naproxen and pseudoephedrine. Ipratropium for relieving rhinorrhea and sneezing along with zink Lozenges. Antibiotics for treating bacterial infections due to bacterial sinusitis. In treating the exacerbation of the

Court Case related to the topic Sexual Harrasment at Workplace Essay

Court Case related to the topic Sexual Harrasment at Workplace - Essay Example She had worked as a part-time lifeguard for the Marine Safety Section (Buchanan & Wiswall, 2009). During her tenure, her immediate supervisors were Bill Terry, David Silverman, and Robert Gordon. After her resignation in 1990, she took an action against Terry, Silverman, and the City. Faragher complained that both Terry and Silverman had repeatedly created a sexually unfriendly environment while at the beach. Also, she alleged that the duo had subjected fellow female lifeguards to offensive and uninvited touch by the use of prurient remarks and by speaking of women in decadent ways. The complainant said that at some point, Terry had vowed never to give a promotion to any woman. On the other hand, Faragher specified that at one point, Silverman asked her to date him and failure to which he would make her clean the lavatories for a whole year. Pointing out that both Terry and Silverman were agents of the City and that their conduct resulted in discrimination in their conditions, privil eges, and terms given by the employment, the complainant sought judgment against the City. Initially, Faragher had not complained to the higher management about both Terry and Silverman. At first, she reported the matter to Gordon, who was the training captain and was working with Silverman. However, Gordon reported the matter to his supervisor, Terry and afterward took no action since he felt that the City could not be concerned about such issues. Faragher’s bench trial realized that two months before her resignation, a former lifeguard had written to the City’s Personnel Director, with complaints of harassment she had faced from Terry and Silverman. After the complaints, the City concluded that the duo had misbehaved and were therefore reprimanded. They were required to choose between facing a suspension without pay and forfeiting their annual leave. From these findings, the District Court that was

Imposing Tax on Economic Rents Essay Example | Topics and Well Written Essays - 500 words

Imposing Tax on Economic Rents - Essay Example The company can now make significant gains by availing the security for patent rights. The company will get large amounts of economic rents as long as the patent remains. This means that the marginal cost of producing the drug is less than the price charged for the drug. The government should impose a tax on the economic rent earned by the company to ensure that the successful drugs available in the market should stay in the market. But this would have certain long-run consequences. The pharmaceutical company would reduce resources for the discovery of new successful drugs. So, economic rents are phenomena in the short run. In the long run, it acts as a source for rewarding risks taken in society. Thus, it holds good not only for this pharmaceutical and drug business but also for the sports and entertainment sector. Dominant firms in the market practice such strategies that encourage the development of an oligopolistic market structure. Mergers are the most common way to develop this structure. This refers to the process of joining of two or more firms to bring it under one single ownership or control. Mergers result in the establishment of huge corporations that operate in the market. Thus, firms which have the prospects of raising huge capital in the market and operating successfully are deterred from entering the market. The market is already saturated with large oligopolistic firms. The two most common types of mergers are vertical and horizontal mergers. Horizontal mergers refer to the joining of those firms which have been producing and selling the same kind or similar products. An example of a horizontal merger is the joining of two daily newspapers within the same city. Vertical mergers occur between firms which maintain a buyer and seller relationship. This usually occurs between companies operating in the same industry, but at different stages of the production process.

Advantages, Disadvantages: Electronic Record Systems

Advantages, Disadvantages: Electronic Record Systems In the recent past there has been a significant emphasis for the need to implement Electronic Medical Record systems. However, the benefits and shortcomings of these systems need to be evaluated (Amenwert et al. 2004) and a sufficient evidence base gathered using a well structured scientific approach to justify the change and measure the organizational impact (Wager et al. 2000). This essay will address the benefits and challenges of implementing Electronic Record Systems. It will look at applications of these systems in different care settings located in different environments so as to provide a broader view of some of the issues. The roles of the various stakeholders as well as the benefits and challenges they derive from electronic health records will be outlined and a detailed evaluation of paper records and electronic records will be done. Conclusions will then be made based on this analysis. BACKGROUND In context of health care, electronic record systems can be defined as any structured record keeping system, specifically designed to support users by providing context specific information which is electronically accessible, relevant, easily transferable, accurate and complete. These records will usually hold information regarding patients care histories, non specific clinical data, medical knowledge or other health care centered information. (Coiera 2003) As the scope is very broad and Electronic Health Records (EHR) has not been well defined (Hayrinen et al. 2008a), the definition used was limited to EHR and allied systems such as Picture Archiving Systems (PACS), Pharmacy Management Systems, Computer Physician Order Entry (CPOE) amongst other systems used day to day in a clinical setting. These areas are well documented and evidence easily obtainable (Clamp Keen 2005) Role of electronic records and patient Information in population based care A study carried out by Qresearch utilized electronic records extensively with an aim to report on population trends and disease risk factors. The analysis covered a 5 year period and was able to establish that in the UK, London had the highest percentage of patients recorded as being smokers at 25% and the lowest in the South East and South West at 20%. It also established that majority of the smokers ranged from 25-34 years of age across all regions. (Qresearch- NHS 2008). The information obtained provided a platform for decision making to determine the interventions to be undertaken, where resources should be focused and to whom it should target. This kind of data mining is only possible when data is electronically stored (Bocij and chaffey, 2005) as paper records suffer from massive fragmentation (Dick et al. 1997) making it difficult to bring all the data for analysis. It has also been established that manual methods would be ineffective to deal with such large data sets and the multi dimensional analysis required (Fayyad 1996). The ability to perform such operations is a strong argument for electronic record adoption in decision support and knowledge discovery for population based interventions (Kraft et al. 2002). Furthermore, electronic records encourage consistent recording of clinical information and this becomes a key component when aggregating individual records to form datasets. Use of clinical codes allows relevant data to be derived from these unified datasets enabling reliable analysis across different sites. This in effect is key in providing specific information for health research as well as in public health planning (Ambinder 2005) Keeping in line with Pawsons model for context specific evaluation the literature was reviewed by looking at studies done in various sites represented on table 1 and later highlighting advantages and disadvantages to various stakeholders identified. General practitioners General practitioners are the initial point of contact between clinicians and patients, they play a pivotal role in ensuring that a patientÃÆ' ¯Ã‚ ¿Ã‚ ½s Electronic record is accurate, complete and current (Dick et al. 1997). As direct users of Electronic records, GPs benefit from the linkage of these record systems to other systems such as PACS or CPOE. Requests for ancillary care services can be done at a click of a button and results for tests can be accessed immediately they become available. This in effect enhances the completeness of patient records as they are updated in real time (Ambinder 2005) reducing the GPs administrative load as well as accurately populating records for future encounters (Wager et al. 2000). Additionally, GPs are able to view different aspects of a patients care at a glance, preventing duplication in testing or medication and reducing costs (Jones et al. 2008). Attention can also be drawn to areas that require GPs action through medical alerts thereb y guiding the clinician in the disbursement of care (Coiera 2003). In effect, this increases the efficiency of the GP and a study done in the Veterans Association has shown electronic records has allowed patients information to be available 100% of the time as opposed to 60% of the time reducing the amount of sessions required to resolve patient issues (Wilson 2009) this, as well as enhance patient safety through, for instance, reduced prescription errors (Kaushal et al. 2001) Unfortunately, there is a substantial learning curve and clinicians require training to use these systems (Anderson 2007). GPs may spend substantial amounts of time inputting and retrieving data from these systems at the expense of interacting with their patients (Poissant et al. 2005). As information grows exponentially there is also a fear of clinicians becoming overwhelmed due to the explosion of information (Berner 2005) and the paradigm shift in culture also presents opportunities for resistance to change (Hendy 2005). System usability is also a major concern when dealing with electronic records. Young (2006) argues that this has been a major deterrent to widespread adoption of these systems. Patients and their carers In the UK, The NHS care record service is responsible for holding Electronic records for all UK citizens centrally (NHS 2008a). There is policy in place that will see all patientsÃÆ' ¯Ã‚ ¿Ã‚ ½ summary records being held nationally and detailed records held locally within the various GP practices (NHS 2008a). This in effect will lighten the burden to the patients and their carers of having to remember the list of drugs, allergies or adverse reactions they may have encountered in the past (Jones et al. 2008).This will reduce the risk from adverse events and near misses that can occur from wrong administration of medication through prescription errors and increase the amount of confidence patients will have on their clinicians (Jones et al. 2008). Furthermore, In the UK, Patients will also be able to view their own summary care records via health space (Greenhalgh et al. 2010) and ensure their records are complete and accurate leading to better patient outcomes (Waegemann et al. 2002 ). Additionally, in emergencies, where GPs may not be readily available, rapid access to the patientÃÆ' ¯Ã‚ ¿Ã‚ ½s medical history can reduce the time taken to provide critical care (Potts et al. 2004) Ultimately, the main benefit to patients will be increased quality of care and patient safety through increased choice in their care options (Eysenbach Jadad 2001). This will largely be due to portability of these records across different care functions allowing for access by a variety of clinicians. Unlike paper records, electronic records are easily and readily accessible due to the interconnection of systems through networks making them vulnerable to unauthorized access (Berner 2005) This brings a set of legal challenges as to who has access to this information (Delpierre 2004). Under the UK data protection act of 1997 and the privacy act of 1974 in the USA, data about patients is protected by law (Koeller 2002). However, with records widely distributed and at times held by third parties adequate legislation needs to be put in place and security measures such as firewalls and audit trails need to be implemented to protect this data. This raises complexities in implementation as well as expands cost (Koeller 2002) Health service teams and clinicians Health service teams such as pharmacists alongside other health care professional benefit immensely when records are easily shareable and quickly available (Wager et al. 2000) This is information can be used to reconcile medication lists as well as provide key information to multi disciplinary health professionals in a secondary care setting where information is fragmented and spread across different care pathways (Miller Sim 2004). This will reduce clinical risk as well as save time and associated costs (Koeller 2002). Furthermore, the problem inherent in paper records of ineligible notes becomes nonexistent (Schloefell et al. 2001). Coding systems in electronic records also avoids incidents of ambiguity that may be present in free text during care episodes (Dick et al. 1997). On the other hand, there is currently no universal standard for indexing and coding clinical information (Schloefell et al. 2001) this in effect is a challenge to health teams who may have difficulty in accessing patients data across different system platforms (Schloefell et al. 2001)The lack of unanimity in creating uniform standards leads to interoperability across physicians systems, hospitals and pharmacies (Wilson 2009). This limits the amount of choices available to patients and adds unnecessary difficulty to health teams when such incidences occur. Health providers, and allied organizations In the UK health providers such as health trusts and Strategic Health Authorities derive their benefits as a result of benefits derived from patients and health care teams (Jones et al. 2008). Other gains are made from quantifying resources not utilized as a result of implementing EHRs (Byrne et al. 2010) these benefits accrue and are reflected as cost savings to these authorities. Funds realized as a result of these savings allow for better planning on both macro and micro levels with resources efficiently allocated to interventions that have greater impact on the populace (Jones et al. 2008). Furthermore, organizations concerned in medical research benefit immensely when records are electronically stored. The nature of the record allows for data to be easily derived for specific research purposes for learning and for use by other allied institutions with minimal overhead (Mathers et al. 2009). Alternatively, the cost, size and complexity of implementing these systems are prohibitive (Hendy 2005). Many health providers such as the NHS in the UK meet many of these costs. According to the Donabedian perspective, the inputs required in setting up a working electronic record system are both time and cost intensive (Koeller 2002). Infrastructure in terms of hardware and software, expertise, training and associated costs are high especially when these are scaled to a national level (Cressman et al. 2006). In the UK 105BN pounds has been allocated to the NHS for 2010/2011 fiscal year (DoH 2010) and $19BN has been allocated for the year 2011 to promote the adoption of EHR in the USA (Wilson 2009). This however is seen to be inadequate and further investments needs to be done. Comparison of Electronic and paper records physical and described as being material objects with concrete locations, attachments and marking (Bearman 1996). Data is usually handwritten and takes the forms of Narrative text in most instances forms can also be used to insert data. Data entry lacks validation and prone to errors. Conclusions The literature reviewed provides evidence that supports adoption of electronic health records. An analysis of the literature as represented on table 1 showed good evidence indicating improvement of patient safety and increase in efficiency of clinical staff as a result of implementing EHR. Evidence showing an increase in information quality was mainly qualitative and cost benefit analysis was scarce and hard to find. Future benefits and cost savings were predictive at best and were mostly attached to reduction in risk to patients and the assumed calculation of costs savings associated with this. Hayrinen et al. (2008b) stated electronic health systems are as yet not properly defined and methods to evaluate these systems are still not well developed as a result. This in effect raises major concerns, the first being the sustainability of these systems over the long term, the safety of the patients and the quality of information provided (Coiera 2009). As we move forward, systems are becoming larger and more complex and the cost to benefits have major implications to the national GDP of most countries implementing a nationwide health strategy. It is in this respect that the top down approach adopted by the NHS has been favored to the bottom up approach or sporadic approaches in other parts of the world (Cressman et al. 2006). This approach aims to reduce incompatibility in data reconciliation across systems which not only hinders the continuity of patient care but also makes deriving data in a coordinated and timely manner for use in public health highly complex. However, both systems are challenged and other arguments have been made that favor a middle out approach where local institutions drive the process but with oversight from governing bodies who set the standards and policy to guide it (Coiera 2009).

Personal Narrative - Our Marriage Essay -- Personal Narrative Writing

Our Marriage Our official journey began on August 2, 1997 in Las Vegas. That was our wedding day and my official entry into married life. Tim and I said, ?I do? in Clark County, Nevada. The clerk declared us 'best friends for life' in a ceremony with just the two of us. That declaration was more profound and welcomed than one any priest could have made. Our wedding cost a total of seventy-two dollars, this included the license and ceremony. I should also include the cost of what I call 'our wedding planner.' His name was Jake and he was a taxi driver, he charged us fifteen dollars and we tipped him fifteen for his extra duties, it was a special day. When we arrived in Las Vegas from Boulder our car started to over heat from the long drive through the hot desert. We decided to park it at the hotel. We hailed a cab and set off to find a place to get married. We had a deadline; our honeymoon was scheduled to begin the next day. The cab driver drove us past several different chapels giving us details about each one. After a brief survey of chapels we asked him to drop us off at the justice of the peace. The chapels just seemed too cheesy and besides, I had no real affection for Elvis. He dropped us off in front of a large, very official looking building to get the license and he directed us across the street to a small brick office wher e the ceremonies are held. I had the distinct feeling that he has provided this service a few times before in his career. I soon found myself waiting in line behind a frail elderly man with a huge smile on his face; he stood next to a young girl, she looked equally happy. The man wore a red velvet jacket and the girl wore a shimmering red dress with spaghetti straps. It was a dress that would... ...ming with life. The smell of the flowers was intense and enlivening. The breeze that was not restricted by car windows, the heat that was not reflected by a rooftop or eradicated by air conditioning, the rain that was not repelled by anything more than my poncho, I was one with all of it. As I biked past, I moo'd as loud as I could at the cows in the fields and felt happy doing it. I even occasionally rode in the van when I was tired. Today I question my fears before I give into them. The questioning usually results in nothing that I can rely on as a concrete reason for forgoing an experience. The way we chose to get married, I had up to the last minute to change my mind. No wedding guests, invitations, seating arrangements, flowers, or caterers. Today seven and a half years later, I can say my marriage is the thing that has brought me the most joy in my life.

Alex Robbins.Durango Street

Durango Street Reading Log for Chapters 15, 16, 17 Character: Alex Robbins Alex Robbins is a social worker. His goal is to break up the gang â€Å"the moors†, but until chapter 17 he has no success. Alex Robbins is one of the main characters in the book, because he affects the gang â€Å"the moors†. In chapter 17 he is at Rufus’ home, because â€Å"The Gassers† cut the pigtail of Rufus’ sister. When Rufus comes home Alex Robbins is talking to his mother, that he wants to talk with â€Å"the Gassers† about what happened. But when Rufus asks about what happened, Alex tries to tell him a lie. But Rufus is smart and knows that he is telling a lie. After Rufus knows what happened, he is very angry and Alex sais that he wants to solve this issue, but Rufus sais that he has no idea of gangs. I think the idea of Alex is very absurd. In this case there is no way out. He can’t speak with the police, because it will make more problems. Alex also made a very inexperienced impression, when he talked the first time to â€Å"the moors†. Everybody laughed about him and he couldn’t accomplish himself. He seemed to be much untaught. He is a little bit the opposite of Rufus, who is very smart. Finally, I think Alex really wants to reach his goal to break up â€Å"the moors†, but he has to learn a lot, how to handle these guys.

Thrill of the Grass essays

Thrill of the Grass essays This storey was very short and meaningful. Throughout the storey the protagonist expresses many emotions and feelings for the game of baseball and the actual stadium itself. He loved to go to the stadium and just recap all his old memories from when he used to play and watch the game. Many of his thoughts and feelings he kept to himself as he would dream of baseball starting up again. The strike ruined the stadium and left it abandon. Many parts of this storey the man looks back on when he used to watch and play baseball and he describes all the feelings and atmosphere that was around. He dreams back from when he was a child and pictures himself in the same stadium playing ball. Youve always struck me as a man who dreams... I think we have things in common. I think you might like to come with me. I could show you what I dream, paint you pictures, suggest what might happen. There he is asking his friend to come and dream with him back at the old stadium at night. He wants everyone to see what he can see and share his memories with many people. He later tells his friend to invite friends and his friends to invite their friends or family. Throughout the storey this man shows great leadership and care in what he does. It shows how much he loved the game of baseball. Tomorrow night would be fine. But there will be an admission charge... There he is telling his friend that he wants him to bring friends and family to the empty field again but there will be an admission charge. A square of sod? Of the same grass? All the man asks in exchange is a piece of grass that they can place in the field where the turf is. They take out a piece of turf and fill it in with grass each time, so eventually the field will be all grass once again. The man is very loyal to his friend and to the ballpark. He makes sure people bring a piece of grass each time to get in and take out ...

Fibonacci essays

Fibonacci essays Leonardo Pisano Fibonacci, or more commonly known as Fibonacci, was born in Pisa, Italy in 1175. He was the son of Guilielmo Bonacci, a secretary of the Republic of Pisa. His father was only a secretary, so he was often sent to do work in Pisan trading colonies. He did this for many years until 1192. In 1192, his dad got a permanent job as the director of the Pisan trading colony in Bugia, Algeria. Sometime after 1192, Bonacci brought Fibonacci with him to Bugia. Bonnaci expected Fibonacci to become a merchant and so arranged for him in instruction of calculation techniques. One of the major themes in this involved the Hindu-Arabic numerals which had not yet been introduced into Europe. Eventually, Bonacci enlisted his son's help in carrying out business for the Pisan republic and sent him on trips to Egypt, Syria, Greece, Sicily, and Provence. Fibonacci took this grand opportunity offered by his father, to study and learn the mathematical techniques in use in these various re gions. Around 1200, Fibonacci returned to Pisa where, for at least the next twenty-five years, he worked on his own mathematical compositions. Fibonacci produced his most famous book, Liber abaci (the book of the Calculator). The book consisted of four parts, and was revised by him a quarter of a century later (in 1228). It was a thorough article on algebraic methods and problems which strongly emphasized and advocated the introduction of the Indo-Arabic numeral system, comprising the figures one to nine, and the innovation of the "zephirum" the figure zero. Dealing with operations in whole numbers systematically, he also proposed the idea of the bar (solidus) for fractions, and went on to develop rules for converting fraction factors into the sum of unit factors. At the end of the first part of the book, he presented tables for multiplication, prime numbers and factor numbers. In the second part he demonstrated mathematical applications to commerc...

Types of business entities and legal characteristics of Essay

Types of business entities and legal characteristics of proprietorships and partnerships - Essay Example For this reason, it becomes logic and less involving in coming up with other options of sharing profits apart from the dividends. One way used to evade double taxation is by putting all family members on a salary. The salary paid to employees is taxed at the corporation level. However, this is only legal if all shareholders have a well defined job description. If there is any form of over payment or illogical rewarding of salaries, the process may be termed to be illegal (Murphy & Higgins, 2011). In another way, the family members can restrict themselves from taking dividends and borrow money instead. If a shareholder borrows money from a company, the amount is not taxable and in all interest generated from the lease are directed in the company. According to Murphy & Higgins (2011) leasing of assets by the family to the company is also a legal way of evading double taxation. In this scenario, the family members will greatly rely on the compensation rates paid to leased assets. In other cases, the leasing of assets also involves easing of human resources. In the leasing process, the profits stay in the company and the family members have the right to acquire the benefits paid from their leased assets (Murphy & Higgins,

Folktale assignment Example | Topics and Well Written Essays - 500 words

Folktale - Assignment Example The morale of the story is not to take advice from the devil/fox/sharpest person as they always give open ended advice which can end in either way victory or loss. They never assure sincerity on the cost of their personal security. Secondly, brain power is necessary for any fight to become a success or loss, the more the merry one is. Once a Bear and Fox met while jogging, the Bear asked Fox , â€Å"who do you think is the cleverest of all creatures?†. Fox replied, â€Å"Of course, who else; the creator of artificial intelligence gadgets, facebook, google and cloning; the eminent Man.† Bear with his gigantic head and sturdy physique took it as an insult. He suggested to Fox that he can fight with man’s intelligence in just one blow. The fox and Bear sat on the bench and waited for the other joggers to pass by. A lady passed by and Bear asked her, who she was? She said, â€Å"I am Kim Kardashian, the reality television star.† The Bear grunted in disgust, â€Å"No, good for nothing!† requested her to continue her Jog. Fox and Bear waited and a young girl came across, the Bear stood in the path stopped her and asked her who she was. The girl replied, â€Å"I am not a girl, I am Justin Beiber a famous singer and iconic pop-star.† The Bear looked closely and said, â€Å"You definitely sound like a girl.† But his perfume and pink pants made him nauseated and he let him go quickly. Next came a police officer, the Bear jumped in between the path and asked, â€Å"Who are you?† The officer took out the gun and yelled, â€Å"Put your hands behind your head or I’ll shoot you!† Fox shouted, â€Å"He’s a man!† In no time Bear landed a KungFu Panda Kick to the officer and he fell far away. Bear gave a devilish smile to the Fox but just after a moment he was electrocuted by another officer. Bear severely injured stood up with difficulty and hid behind bushes. When he looked around for Fox to help him,

Hepatitis B Essay Example | Topics and Well Written Essays - 250 words

Hepatitis B - Essay Example Besides, the infant vaccination after birth would serve as a safety net against infection for infants whose mothers are not tested. Although the majority of infants receive the vaccination during one of their routine visits to health care, the strategy does not exist for adolescents and adults. Since a majority of Philadelphia residents contract the disease through irresponsible sexual behavior, it would be imperative to take care of the groups that engage in sex. Adolescents are known to engage in unprotected sex for lack of knowledge while infidelity among adults is an irresponsible sexual behavior that can to the disease. It is important to note that about 62 percent of HBV cases diagnosed in 2013 resulted from engaging in unprotected sex (Delaney 2013). In the US, for example, vaccination among adults reduced the infection rate by more than 90 percent (â€Å"MMWR† 2013). The same positive statics would be observed in the Philadelphia local

How did war world 1 impact women Essay Example for Free

How did war world 1 impact women Essay There are all types of information including lesson plans, articles and news. BBC origin is a British Broadcasting Corporation. Established in 1922,London. The founders of BBC are John Reith and George Villers. BBC purpose is to â€Å"enrich peopleÊ ¼s lives with programs and services that inform, educate and entertain.† The values of the source are that it has beneï ¬ ts of hindsight; this is because they wrote this a long time after the event, which makes them less likely to have strong emotions that will make them biased. The source was written long after the event, so it has a greater ability to see turning points/ key events. This source has credibility, because it was written by academic authority. The limitation of the source is that it is not ï ¬ rst hand, meaning that facts could be changed or interpreted differently over time. This source might be biased because it is British. It might take their side. In my opinion overall BBC is a trustworthy source. Notes Beyond Domestic Services: -WWI changed the role of women politically and economically. -WWI gave women bigger opportunities in paying jobs. -Around two million women took over menÊ ¼s jobs The War left women with a a wide range of jobs that were not available to them before and different jobs opportunities in different ï ¬ elds â€Å"The war revolutionised the industrial position of women it found them serfs and left them free.† Said the founder of Cambridge College in 1918 The war changed womens roles in factories. It gave women job opportunities which was not available before. Summary: WW1 affected women in the home front because it gave women an opportunity to prove themselves in a male role, doing more than house work and caring for their family. How did war world 1 impact women at the home front during the war? Sources Book: The us borne introduction to ï ¬ rst war world (December,6,12) O.P.V.L â€Å"The Usborne Introduction to ï ¬ rst World War† book is a reliable source because it is a book which provides detailed information and published works of the ï ¬ rst world war. The origin is Great Britain, published in 2007. The authors of the book are Ruth Brocklehurst and Henry Brook. The purpose of  the book is to â€Å"provide a fascinating and detailed introduction to the First World War. It also includes a selection of recommended websites to take readers even further, with ï ¬ lm footage, photographs and eyewitness accounts.† The value of the source is hindsight; this is because they wrote this a long time after the event, which makes them less likely to have strong emotions that will make them bias. The source was written long after the event, it has a grater ability to see turning points/ key eve nt. This source has credibility, because it was written by academic authority. The source is published, meaning that it was checked for accuracy many times. The limitation of the source is that the source is not ï ¬ rst hand, meaning that facts could be changed or interpreted differently over time. This source might be biased, because it is a british book. In conclusion this is a reliable source because it is a published book. Even though it may be biased it has facts that need to be edited. Notes Women into work -Before the war, jobs were available to to women, but they were limited (e.g. domestic work). -Before the war most were expected to watch over their family -In beginning of war, women were mostly involved in in charity work (e.g. making bandages and socks to send to the soldiers). -The war created many new jobs, keeping the soldiers supplied with basic needs. -Government used many posters to persuade women of all ages and classes to help out in the war and factories. -Millions of women helped out -Women operated telephones exchange, drove busses, worked agriculture and even worked dangerous, heavy jobs (e.g. mining, shipbuilding and packing explosives shells.) Summary WW1 affected women in the home front because women replaced men jobs, they helped in any area they could, from sending the soldiers basic needs to working dangerous jobs. How did war world 1 impact women at the home front during the war? Sources http://www.nls.uk/ learning-zone/history/ themes-in-focus/womenin-the-great-war (december 7,12) O.P.V.L NlS (national library of Scotland) is a reliable source because it is a library with information for educators and others. NIS origin is a library established in 1880s in Britain. NIS is a government funded organization. NIS purpose is to give educators and others a verity of resources and information. The values of the source is, The source has beneï ¬ ts of hindsight; this is because they  wrote this a long time after the event, which makes them less likely to have strong emotions that will make them biased. The source was written long after the event, it has a grater ability to see turning points/ key event. This source has credibility, because it was written by academic authority. The limitation of the source is that it is not ï ¬ rst hand, meaning that facts could be changed or interpreted differently over time. This source might be bias, because it is a british government funded organization, the government might want good things to be said. In my option overall TIS is a trustworthy source because it is government funded, meaning information is checked. Notes Women at work -During the ï ¬ rst year of the war, there was a lot of unemployment. -Women now took over menÊ ¼s jobs. -Even though women enjoyed working and earning money on their own, life for them was not easy. -Women worked long hours, plus they had to care for their children Summary: WW1 affected women in the home front because it changed the role of women, it changed the daily lives of women, and how the society looked at womenÊ ¼s roles in general. How did war world 1 impact women at the home front during the war? Sources http:// www.nationalarchives.go v.uk/education/ homefront/women/ factories/default.htm (December,11,12) O.P.V.L The National Archives, is a reliable source because it is a source which provides detailed information and reliable government sources. The origin is Great Britain, published in 2006. The purpose of the source is to â€Å"Provide many resources and documents for members of the public as well as professionals.† The value of the source is hindsight; this is because they wrote this a long time after the event, which makes them less likely to have strong emotions that will make them biased. The source was written long after the event, it has a greater ability to see turning points/ key event. This source has credibility because it was written by academic authority (government library). The source is published, meaning that it was checked for accuracy many times. The limitation of the source is that the source is not ï ¬ rst hand meaning that facts could be changed or interpreted differently over time. This source might be bias, because it is a british online library, the sources in the library might take sides. Overall this source is reliable because it has a wide range of government supported sources. Notes -Although women worked  in factories before. There was a big increases when the war started. -When men were called to the home front women were there to replace them. -Women did many different kinds of work. -they worked in the chemical and explosive industry,made shells and bombs, electrical cable and wire, uniforms, clothing etc.. -Around 7 million women were employed during the war. -Many women never worked before and had to learn how to cope with it all. (e.x. coping with working and taking care of their family) -Some had to travel far to work. -Some had to work part time so they could look after their children. -Some work for women was dangerous and risky. Summary: WW1 affected women in the home front because it gave women a change to showed a different side of women (e.g. how they are able to work and balance life.) Reï ¬â€šection on action plan: I thought I did a overall good job on my reï ¬â€šection plan. I thought I organized my reï ¬â€šection plan well. I like how I colored coded the plan and added check boxes next to the task. This helped me to stay organized and to see my progress. I thought overall I did a good job with keeping up with my reï ¬â€šection plan. Except for 2 days where I did not complete the OPVl. But ended up completing them the next couple of days. I think the action plan did help me with this task. It kept me organized and on task.

Caring for a Child or Young Person with Severe Illness

Caring for a Child or Young Person with Severe Illness Introduction This assignment will reflect on and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The incident will be described and analysed, followed by the process of reflection using Driscolls Reflective Model (2000) as it facilitates critical thinking and in-depth reflection which will help me to accumulate learning objectives for the future. To comply with the Nursing and Midwifery Council (NMC) (2015) Code of Conduct, confidentiality will be maintained therefore the individual will be known throughout as Ben. Reflection is defined as a process of explaining and expressing from our own experiences and helps to develop and improve our skills and knowledge towards becoming professional practitioners (Jasper, 2003). I have chosen to use the Driscolls Reflective Model (2000) as a guidance as it is straightforward and encourages a clear description of the situation which will allow me to look at the experience and identify how it made me feel, asking what was good and bad, and what I can learn (Sellman and Snelling 2010). Wolverson (2000) includes this as an important process for all nurses wishing to improve their practice. What? Ben was born prematurely following an emergency caesarean section, whereby he received prolonged resuscitation and suffered severe hypoxic-ischaemic encephalopathy (HIE). According to Boxwell (2010), infants with severe encephalopathy have a 75% risk of dying with coma persisting, or progressing to brain death by 72 hours of life. There was a realisation that continuing treatment may be causing Ben harm in that it was unlikely to restore his health or relieve suffering. Boxwell (2010) further states that survivors of HIE carry an almost certain risk of poor neurological outcome. It is these times when consideration must be given to withholding and/or withdrawing treatment, subsequently re-orientating treatment to compassionate care. I was informed by my mentor that there would be a multi-disciplinary team (MDT) meeting to discuss and justify the decision to withdraw treatment. I was invited into the MDT meeting by my mentor to both witness and actively participate in the discussion if I felt confident enough. The MDT consisted of two paediatricians, a paediatric registrar, the neonatal sister, and myself, a paediatric student nurse.   The Royal College of Paediatrics and Child Health (RCPCH) (2004)   suggest that all members of the health care team need to feel part of the decision-making process in that their views should be listened to. At the time, I was hesitant to contribute due to my knowledge, understanding and experience surrounding the clinical and ethical matter. However, I was reassured that greater openness between disciplines will facilitate better understanding of individual roles and enhance the sense of responsibility (RCPCH, 2004). We considered what was legally permitted and required, but also at what was ethically appropriate. In considering quality of life (QOL)   determinations, it was important to refer back to the ethical foundation involved with surrogate decision making, which is the standard of best interest. Some professionals argued that Ben had no prior QOL on which to base a judgment. The Children Act (1989) provides an overall statutory framework for the provision of childrens welfare and services but makes no specific provision concerning withholding or withdrawing treatment (RCPCH, 2004). It does however state that the welfare of the child is paramount which is further supported by The United Nations Convention on the Rights of the Child (1989). Article 3 under this legislation states that actions affecting children must have their best interests as a primary consideration (RCPCH, 2004). The NMC (2015) framework governs the maintenance of standards of practice and professional conduct in the interests of patients, acting as a guide to ethical practice within nursing. The principle of non-maleficence is one of the hallmark principles of ethics in health care which prohibits healthcare professionals from doing any action that will result harm to the patient. Also paramount, is the goal to restore health and relieve suffering, promoting good or beneficence. In the principle of beneficence, nurses are obliged to protect, prevent harm and maintain the best interest for patients (Beauchamp Childress, 2001). Those involved needed to be conà ¯Ã‚ ¬Ã‚ dent in their ability to understand the ethical dilemmas they faced, and had to ensure they were aware of the underlying ethical principles to support their contribution to the discussion. The decision to withdraw life sustaining treatment should be made with the parents on the basis of knowledge and trust, but ultimately, the clinical team carries the responsibility for decision making, as an expression of their moral and legal duties as health care professionals. It is not uncommon for parents to feel indecisiveness, shame or guilt about the decision to palliate their neonate, particularly when the outcome of the neonates condition is uncertain (Reid et al, 2011). However, the final decision to withdraw intensive care was made with the consent from both parents, and this was clearly recorded in his clinical notes, together with a written account of the process and factors leading to the decision. So What? Parents impending the loss of their infant experience a complex emotional reaction to their situation, typically one of anticipatory grief, shock and confusion (Gardner and Dickey, 2011). They may also experience feelings of profound loss, related not only to the imminent loss of their child but also to a loss of their expectations, aspirations and role as parents (Gardner and Dickey, 2011). Parents are fundamental in the decision-making processes around neonatal palliation and as it is they who will be the most significantly affected by these decisions (Branchett and Stretton, 2012), neonatal EOL care places a particular focus on caring for parents. Developing a flexible, transparent and family-centred care plan is essential, and so that their preferences are met, parents should take a key role in this process (Williamson et al, 2008). Spence (2011) recommends that a holistic approach is taken to clarify the familys wishes, desires and needs in order to effectively advocate for infa nts. Whilst most parents wish to be involved in decisions and planning around EOL care for their baby, some may find this responsibility overwhelming (Williams et al, 2008). Despite this, we exposed the parents to a range of options which they synthesised in order to make the best decisions for their family. However, it was important for the neonatal nurse and I to realise that highly emotive situations can often cause significant deficits in parents ability to comprehend and process such information (Williams et al, 2008). As competent nurses, it is our responsibility to provide nursing care that advocates for our patients rights in life and death, showing respect and dignity towards them and the family. We advocated for Ben by protecting his rights, being attentive to his needs, ensuring comfort and protection, and by participating in the ethical discussion to ensure a collaborative perspective of ethical negotiation (Spence, 2011). The National Association of Neonatal Nurses (2015) suggests that palliative care should include comfort measures, such as kangaroo care, an ongoing assessment of pain using an appropriate pain assessment tool and written care plans to manage discomfort, pain and other distressing symptoms such as seizures using the least invasive effective route of administration. As the parents wished to be present at time of death, the neonatal nurse prepared the family for what they would observe as life-sustaining treatment was discontinued. This included informing them of gasping and other noises, colour changes, and stating that Ben may continue to breathe and have a heart rate for minutes or hours. This is an fundamental aspect of palliative care, and provides the family with the opportunity to ask questions. However, a study conducted by Ahern (2013) stated that nurses often express anxieties surrounding how to support parental grief and how to prepare them for the imminent death of their inf ant. Parental preferences were also assessed, including whom they wish present, whether they want to hold the infant, and whether they wished to participate in any rituals or memory-making activities. Although my mentor took the lead role in planning the infants EOL care, my contribution focused on memory-making activities. Although this is often nurse initiated, making memories is increasingly recognised as an aid in parental coping and grieving (Schott, Henley and Kohner, 2007). However, McGuinness, Coughlan and Power (2014) reported that rather than physical keepsakes, parents and families instead appreciated other actions and gestures that demonstrated respect for their needs, including having time alone with the infant and being encouraged and supported to provide care to their baby. I asked the parents if they would like photos to be taken, and although parents declined photography, I offered to take some to keep in the medical records in case they decided they would like them at a later date which they appreciated (Mancini et al, 2014).   Despite this, the parents were acceptant of the offer to keep items that were related to Bens care, including his wristband, blank ets and hat. Throughout planning Bens EOL care, the effectiveness of the therapeutic relationship in meeting the familys needs was achieved by showing empathy, and by doing so I obtained the individuals trust, and respect. Carl Rogers (1961) has influenced the shift from a task- to a person-centred and holistic view of nursing care, with the adoption of Rogers core conditions (Bach and Grant, 2005). Rogers identified unconditional positive regard, genuineness and empathy as necessary conditions for helping someone change effectively through a good therapeutic relationship. This was   achieved through both proficient nursing knowledge and utilising interpersonal communication skills. According to Jones (2007), there is little research in nursing literature that discusses interpersonal skills, particularly in nursing education. There is also a critique that nursing education is often removed from the realities that students experience during their clinical practice (Bach and Grant, 2005). I felt confident and assured that my interpersonal skills would bring positivity throughout a very difficult time, helping them through the grieving process. I acknowledged that both parents appreciated my forward-thinking and empathy towards the current situation. Being empathetic during this situation required my ability to be understanding not only of the parents beliefs, values and ideas but also the significance that their situation had for them and their associated feelings (Greenberg, 2007). Egan (2010) identià ¯Ã‚ ¬Ã‚ es certain non-verbal skills summarised in the acronym SOLER that can help the nurse to create the therapeutic space. I did this by sitting facing the family squarely, at a slight angle; adopting an open posture; leaning slightly forward; maintaining good eye contact, without staring and presenting a relaxed open posture. To enhance the communication through these skills, I used active-listening skills to ensure a successful interaction through techniques that facilitated the discussion. I did this by using sounds of encouragement, demonstrating that I was listening and assimilating the information provided by the parents. This was also done by summarising, paraphrasing and reflecting on the feelings and statements. Effective use of reà ¯Ã‚ ¬Ã¢â‚¬Å¡ective skills can facilitate exploration, build trust, and communicate acceptance and understanding to the individual (Balzer-Riley, 2004). Geldard and Geldard (2005) state that it is often the paralinguistic elements of speech rather than what is actually said that betray true feelings and emotions. Now What? As EOL approached, Ben was extubated on the neonatal unit and transferred to the bereavement suite whereby my mentor continued to provide one-to-one care.   I was not present throughout the final palliative care phase as I wanted to respect the familys privacy. At this point, I held emotions of helplessness, sadness and anxiety, therefore I took some time to reflect on what had happened. It is important that nurses recognise and confront their own feelings toward death so that they can assist patients and families in EOL issues (Dickinson, 2007). Nurses often experience sadness and grief when dealing with the deaths of patients, and without any support, can suffer distress (Hanna and Romana, 2007). Debriefing is a beneficial intervention designed to help nurses to explore and process their experiences. Irving and Long (2001) suggest that debriefing demonstrates a significant reduction in stress and greater use of coping strategies through discussion in a reminiscent fashion to let their feelings out. Through reflection, I have come to the realisation and understanding that patient death is an integral part of nursing practice in palliative care settings. I have recognised that support from all members of the MDT have positive implications for nursing students coping with stressors associated with patient death. Furthermore, the experience helped me learn the importance of both verbal and non-verbal communication. As an aspiring nurse, I have to continuously improve my communication skills because I shall be interacting with more varied patients in the future. I have also been able to utilise my knowledge of ethical principles in relation to withdrawing treatment, thereby integrating theory into practice. Conclusion To conclude, the care that patients receive has the direct potential to improve through reflective practice. Becoming a reflective practitioner will help me to focus upon knowledge, skill and behaviours that I will need to develop for effective clinical practice. Reflection helps to make sense of complicated and difficult situations, a medium to learn from experiences and therefore improve performance and patient care. Reference List Ahern, K. (2013) What neonatal intensive care nurses need to know about neonatal palliative care. Advanced Journal of Neonatal Care. 13(2), pp. 108-14 Bach, S. and Grant, A. (2005) Communication and Interpersonal Skills for Nurses. Exeter: Learning Matters Balzer-Riley, J. (2004) Communication in Nursing. Mosby, MO: Mosby/Elsevier. Boxwell, G. (2010) Neonatal Intensive Care Nursing. 2nd Edition. New York: Routledge Branchett, K. and Stretton, J. (2012), Neonatal palliative and end of life care: What parents want from professionals, Journal of Neonatal Nursing. 18(2), pp. 40-44. Dickenson, G. E. (2007). End of life and palliative care issues in medical and nursing schools. Death Studies, 31, pp. 713-726. Driscoll, J. (2000) Practising Clinical Supervision. London: Balliere Tindall Egan, G. (2010) The Skilled Helper: A problem management and opportunity development approah to helping.9th edition. Pacific Grove, CA: Brooks/Cole. Geldard, D. and Geldard, K. (2005) Practical Counselling Skills: An Integrative Approach. Basingstoke: Palgrave Macmillan Greenberg, L.S. (2002) Emotion-focused therapy: Coaching clients to work through feelings Washington, D.C: American Psychological Association Hanna, D.R. and Romana, M. (2007). Debriefing after a crisis. Nursing Management. 8, pp. 39-47. Irving, P. and Long, A. (2001). Critical incident stress debriefing following traumatic life experiences. Journal of Psychiatric and Mental Health Nursing. 8, pp. 307-314. Jasper M (2003). Beginning reflective practice. Cheltenham: Nelson Thornes Mancini, A., Uthaya, S., Beardsley, C., Wood, D. and Modi, N (2014) Practical guidance for the management of palliative care on neonatal unit. London: Royal College of Paediatrics and Child Health McGuniess, D., Coughlan, B. and Power, S. (2014) Empty arms: supporting bereaved mothers during the immediate postnatal period. British Journal of Midwifery. 22(4), pp. 146-52. National Association of Neonatal Nurses (2015) Palliative and End-of-life Care for Newborns and Infants. Chicago: National Association of Neonatal Nurses Nursing and Midwifery Council (NMC) (2015). The Code: professional standards of practice and behaviour for nurses and midwives. London: NMC Reid, S., Bredemeyer, S., van den Berg, C., Cresp, T., Martin, T., Miara, N., Coombs, S., Heaton, M., Pussell, K., and Wooderson, S. (2011) Palliative care in the neonatal nursery. Neonatal, Paediatric Child Health Nursing. 14(2), pp. 2-8 Royal College of Paediatrics and Child Health (2004) Withholding or Withdrawing Life Sustaining Treatment in Children: A Framework for Practice. London: Royal College of Paediatrics and Child Health Schott, J., Henley, A. and Kohner, N. (2007) Pregnancy loss and the death of a baby: guidelines for professionals. 3rd Edition. London: SANDS Sellman, D. and Snelling, P.C. (2010) Becoming a nurse: A textbook for professional practice. Harlow: Pearson Education Spence, K. (2011) Ethical advocacy based on caring: A model for neonatal and paediatric nurses. Journal of Paediatrics and Child Health. 47, pp. 642-645 Williams, C., Munson, D., Zupancic, J. and Kirpalani, H. (2008) Supporting bereaved parents: Practical steps in providing compassionate perinatal and neonatal end-of-life care. Seminars in Fetal and Neonatal Medicine. 13(5), pp. 335-340. Wolverson, M. (2000). On reflection. Professional Practice. 3(2), pp. 31-34

Internet Censorship Essay - We Need Censorship to Protect Children Online :: Argumentative Persuasive Topics

We Need Censorship to Protect Children Online    One Source Cited  Ã‚  Ã‚  Ã‚  Ã‚   This paper will elaborate the reasons why minors deserve legislative protection while using the internet, and how to implement this protection.    Most families agree that the custody, care, and nurture of the child resides first with the parent. On the other hand, the widespread availability of the Internet presents opportunities for minors to access materials through the World Wide Web in a manner that can frustrate parental supervision or control, for example, at the local public library(Morales). The protection of the physical and psychological well- being of minors by shielding them from materials that are harmful to them is a compelling interest to most parents.    To date, while the industry has developed innovative ways to help parents and educators restrict material that is harmful to minors through parental control protections and self-regulation, such efforts have not provided a national solution to the problem of minors accessing harmful material on the World Wide Web. Notwithstanding the existence of protections that limit the distribution over the World Wide Web of material that is harmful to minors, parents, educators, and industry must continue efforts to find ways to protect children from being exposed to harmful material found on the Internet.    Meanwhile, a prohibition on the distribution of material harmful to minors, combined with legitimate defenses, is currently the most effective and least restrictive means by which to satisfy the compelling interest of parents.    Such prohibition should include the following conduct: Whoever knowingly and with knowledge of the character of the material, in interstate or foreign commerce by means of the World Wide Web, makes any communication for commercial purposes that is available to any minor and that includes any material that is harmful to minors shall be fined and possibly imprisoned. Intentional repetition of this violation should accrue greater penalties.    This prohibition should not apply to carriers and other internet service providers, including:    (1) a telecommunications carrier engaged in the provision of a telecommunications service; (2) a person engaged in the business of providing an Internet access service; (3) a person engaged in the business of providing an Internet information location tool; or (4) similarly engaged in the transmission, storage, retrieval, hosting, formatting, or translation (or any combination thereof) of a communication made by another person, without selection or alteration of the content of the communication.

Philosophy of Nursing

Every nurse holds her own personal views and beliefs about nursing. These views and beliefs encompass the nurse’s personal nursing philosophy. The nurse may find that her philosophy changes as her practice continues to grow over time. My philosophy as a new graduate nurse twelve years ago is much different from my philosophy today. I attribute this life experiences and to the growth I have experienced as both a person and a nurse. My personal definition of nursing is based on the nurse being a loving, compassionate, dependable, competent, responsible, comforting and passionate person. A nurse not only cares for her patient’s physical ailments but cares for the whole person and family unit. Nurses promote both physical and emotional well-being. Nurses should be able to recognize cultural differences and advocate for patients in a non-judgmental manner. Nursing is centered on health both good and bad. Nurses often find patients in poor health and work to assist them back to their normal health state. Often times, it is not realistic for patients to be able to return to their previous state of health. In this case nurses help patients adapt to their illness and lead productive lives despite managing chronic illness. Nursing not only consists of health promotion but also of illness prevention. Health promotion includes prevention of illness and also improving patient’s overall well-being. Nola Pender is a pioneer in health promotion and as a nurse I use her Health Promotion Model as a guide in my current nursing practice. To consider one’s philosophy of nursing, one inevitably considers our beliefs about man. I believe man exists as a unique and holistic individual within a culturally diverse society. In my culture, man is expected to be self-reliant and responsible for himself and his family. Self-reliance is attained by the ability to provide self-care. Self-care is the ability to provide for one’s own basic needs. If self-care is not maintained, illness/death may occur. My culture, like many others, considers the sick worthy of assistance. As nurses, it is our responsibility to offer assistance in bringing people back to their normal state of health if possible. Nurses do this by intervening in a manner that is acceptable to patients while also recognizing that patients have certain rights to refuse the care offered to them. It is important for nurses to recognize the many different reasons patients may not accept the care they are offering. Nurses should be non-judgmental and recognize cultural differences so that they may provide culturally competent care Philosophy of Nursing Every nurse holds her own personal views and beliefs about nursing. These views and beliefs encompass the nurse’s personal nursing philosophy. The nurse may find that her philosophy changes as her practice continues to grow over time. My philosophy as a new graduate nurse twelve years ago is much different from my philosophy today. I attribute this life experiences and to the growth I have experienced as both a person and a nurse. My personal definition of nursing is based on the nurse being a loving, compassionate, dependable, competent, responsible, comforting and passionate person. A nurse not only cares for her patient’s physical ailments but cares for the whole person and family unit. Nurses promote both physical and emotional well-being. Nurses should be able to recognize cultural differences and advocate for patients in a non-judgmental manner. Nursing is centered on health both good and bad. Nurses often find patients in poor health and work to assist them back to their normal health state. Often times, it is not realistic for patients to be able to return to their previous state of health. In this case nurses help patients adapt to their illness and lead productive lives despite managing chronic illness. Nursing not only consists of health promotion but also of illness prevention. Health promotion includes prevention of illness and also improving patient’s overall well-being. Nola Pender is a pioneer in health promotion and as a nurse I use her Health Promotion Model as a guide in my current nursing practice. To consider one’s philosophy of nursing, one inevitably considers our beliefs about man. I believe man exists as a unique and holistic individual within a culturally diverse society. In my culture, man is expected to be self-reliant and responsible for himself and his family. Self-reliance is attained by the ability to provide self-care. Self-care is the ability to provide for one’s own basic needs. If self-care is not maintained, illness/death may occur. My culture, like many others, considers the sick worthy of assistance. As nurses, it is our responsibility to offer assistance in bringing people back to their normal state of health if possible. Nurses do this by intervening in a manner that is acceptable to patients while also recognizing that patients have certain rights to refuse the care offered to them. It is important for nurses to recognize the many different reasons patients may not accept the care they are offering. Nurses should be non-judgmental and recognize cultural differences so that they may provide culturally competent care Philosophy of Nursing Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient.My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for.Personal Philosophy of NursingFor as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is â€Å"an analysis of the grounds of and concepts expressing fundamental beliefs,† and before entering to the profession of nursing, it is important to explore my personal values and principles that will guide my nursing practice.My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. My philosophy is one that focuses on the empowerment each patient in the delivery of holistic nursing care. This paper will explore the values I feel are necessary in relating to patients as well as health professionals, my personal work culture, and society as a whole.Personal Philosoph yThe Nature of NursingThe nature of nursing is something that cannot be simplified to one word or phrase. Nursing is more than a profession; it is more than treating those who are ill, rather it is a model of care and service to others, and it is  continually evolving. The nature of nursing revolves around commitment to public service and an undeniable desire to help those in need. It is my belief that crucial aspects of nursing include the prevention of illness, the treatment of the ill, and the promotion of health, as well as caring for clients.Caring acknowledges what is important to the patient (Austgard, 2006), and I feel this shapes the delivery of nursing care. I believe to say that caring is not intertwined with nursing is to say that breathing has nothing to do with oxygen; for the two go hand and hand, and nursing would not be what it is without its aspect of caring, just like breathing would not be possible without oxygen. The nature of nursing should revolve around res pect for each patient and reverence of human dignity.The nature of nursing is also rooted in science and medical knowledge. It is the goal to prevent illness and treat those who are ill, and this requires a base level of medical knowledge to make nursing care possible. Since the medical field is something that is continually evolving, nurses must keep up to date with the current best practices and delivery of patient care. Nursing is a process that requires continual research and learning.Nursing and Patient CareIn regards to nursing and patient care, my philosophy of nursing focuses on holistic, patient-centered care, as well as a caring and compassionate patient relationship. A holistic view of the patient allows the nurse to connect with patients on a relational level in which nurses get to understand the values of patients, and this kind of practice separates physician care from nursing care.â€Å"Holism involves studying and understanding the interrelationships of the bio-psyc ho-social-spiritual dimensions of the person, recognizing that the whole is greater than the sum of its parts,† (Dossey, 2010, p.14), meaning holistic nursing is not only concerned with a patient’s physical well being, but it also concerned with patient’s emotional, spiritual, and mental well being. Nurses, by nature are concerned with a patient’s comfort, for â€Å"comfort remains a substantive need throughout life and, as such, should be considered an indispensable constituent of holistic nursing care,† (Malinowski & Stamler, 2002).Patients who feel comfortable cope better with their illness and have faster rates of healing then those patients who admit to being uncomfortable  (Malinowski & Stamler, 2002) and as a nurse it is my goal to make sure my patient is physically comfortable as well as mentally and emotionally comfortable. It is my mission to make my care centered upon the patient’s needs and wishes. I believe it is important for patient’s to be informed and be active in their care, and I hope to have a collaborative relationship with my patients so that their needs and wants are met.I want my personal nursing to revolve around building a trusting and caring relationship with patients because â€Å"to establish a trusting relationship is necessary in order to see the situation from the patient’s perspective and an absolute prerequisite for acknowledging and realizing a patient’s values,† (Austgard, 2006, p.16). I value what is important to each patient, and even if his or her wishes are something I personally disagree with, it is still my moral and ethical responsibility to treat the personal needs of my patient and work for the best possible outcome.Nursing and Healthcare ProfessionalsNot only is nursing concerned with patient relationships, but also it involves relations with many other health care professionals as well, for nursing care could not be effective would not effectiv e without the help of other health care professionals. In the past, health care relationships stemmed from the hierarchal basis, and communication took place on a vertical level, but with health care delivery evolving, interdisciplinary teamwork has become a prominent aspect in patient care. As a nurse, I desire to have an open, honest, and effective relationship with other health care professionals while keeping the patient’s needs and wishes as the driving force for care.Communication is a key element in any relationship and it is essential in the health care relationships. Interprofessional collaborative practice has shown to improve patient outcomes and retention of medical staff (Wood, Flavell, Vanstolk, Bainbridge, & Nasmith, 2009), thus collaboration is something I feel is critical for my nursing practice. I would like for my relationship with other health care professionals to be one of collaboration, rather than competition.â€Å"Health professionals must be able to work in collaborative practice models such as interprofessional teams in order to ensure consistent, continuous and reliable care,† (Wood et al., 2009) and this supports the notion that interprofessional teamwork in nursing care is essential for the best patient care. I feel that effective  patient care and positive patient outcomes should be the driving force behind interprofessional health care relationships.Nursing and the Work CultureA work culture is the attitude and personality of a hospital unit, and I feel that a work culture can significantly influence patient care delivery. My preferred work culture would be one consisting of interprofessional collaboration, open communication, and positive attitudes. Teamwork is an essential component of nursing, and I would like to work on a unit in which teamwork is valued and put into practice.Communication is critical for a positive work culture, and I personally would like a culture in which the opinion of the staff is encou raged and valued. It is my philosophy that a positive work culture will positively affect patient moral, and this contributes to better patient outcomes. Nursing and the Environment and SocietyAs a nurse, I feel as though my responsibility to the health and safety of others goes farther than the hospital of clinic I work in. â€Å"Nursing has a disciplinary goal to contribute to the health of individuals and the overall health of society,† (McCurry, Revell & Roy, 2009) and I believe nurses are obligated to promote health in their communities and nationwide. Since my philosophy of nursing is more than a profession and that is something that is focused on the commitment to public service, it would be unethical for me to ignore the health care needs of my community.As a nurse, it is very important that I aid in addressing the healthcare needs of my personal community and environment as well as society as a whole. I feel as though it is my duty and responsibility to take an activ e role in healthcare issues among the country, including issues such as smoking cessation and primary prevention of health care. I personally would like to be a resource for my environment and take a role in health promotion throughout society.Nurses across the nation should take and active role in promoting health across the nation in working for the safety of all individuals. Not only do I feel as though it is important to focus on my community, but I also feel responsible for helping those who have limited healthcare access, especially those in underprivileged areas of the world. I desire to take part in medical trips  oversees to promote health education and wellness in areas where this information is limited.Vision of Personal Nursing PracticeMy vision for nursing practice focuses on what is doing what is most beneficial to my patient. I hope to build caring, trusting relationships with my patients as well as play a positive role in their health outcome. No two patients will ever be the same, and my vision is to individualize care for each of my patients so their personal, emotional, and physical needs can be met. I always want to value each patient as an individual and respect his or her needs and dignity.My goal is to empower each patient to be active in their care in hopes of improving patient outcomes. Personally, I would like to continue to practice nursing care that is congruent with the best evidence to date, and continue to research and discover better ways of doing things. My vision of my nursing practice is to deliver quality and reliable patient care while promoting health in my community.ConclusionThrough this philosophy paper, I have explored what nursing truly means to me, and have become more aware of principles I value for clinical practice. I value holistic nursing and want to value each patient as an individual with varying needs. Respect for every patient is essential in preserving a patient’s dignity.My goal is for the patient to always be the focus of care and to make sure the patient’s values are understood. Interprofessional collaboration is an aspect I hope to implement in my nursing practice in order to better serve my patients. I desire to work in a healthy working environment in which open communication is encouraged. Nursing is something I plan to extend beyond the hospital in an effort to improve the health of my community and the country as a whole. This information and these personal values will serve as a guide for my personal standards of nursing practice. Philosophy of Nursing Every nurse holds her own personal views and beliefs about nursing. These views and beliefs encompass the nurse’s personal nursing philosophy. The nurse may find that her philosophy changes as her practice continues to grow over time. My philosophy as a new graduate nurse twelve years ago is much different from my philosophy today. I attribute this life experiences and to the growth I have experienced as both a person and a nurse. My personal definition of nursing is based on the nurse being a loving, compassionate, dependable, competent, responsible, comforting and passionate person. A nurse not only cares for her patient’s physical ailments but cares for the whole person and family unit. Nurses promote both physical and emotional well-being. Nurses should be able to recognize cultural differences and advocate for patients in a non-judgmental manner. Nursing is centered on health both good and bad. Nurses often find patients in poor health and work to assist them back to their normal health state. Often times, it is not realistic for patients to be able to return to their previous state of health. In this case nurses help patients adapt to their illness and lead productive lives despite managing chronic illness. Nursing not only consists of health promotion but also of illness prevention. Health promotion includes prevention of illness and also improving patient’s overall well-being. Nola Pender is a pioneer in health promotion and as a nurse I use her Health Promotion Model as a guide in my current nursing practice. To consider one’s philosophy of nursing, one inevitably considers our beliefs about man. I believe man exists as a unique and holistic individual within a culturally diverse society. In my culture, man is expected to be self-reliant and responsible for himself and his family. Self-reliance is attained by the ability to provide self-care. Self-care is the ability to provide for one’s own basic needs. If self-care is not maintained, illness/death may occur. My culture, like many others, considers the sick worthy of assistance. As nurses, it is our responsibility to offer assistance in bringing people back to their normal state of health if possible. Nurses do this by intervening in a manner that is acceptable to patients while also recognizing that patients have certain rights to refuse the care offered to them. It is important for nurses to recognize the many different reasons patients may not accept the care they are offering. Nurses should be non-judgmental and recognize cultural differences so that they may provide culturally competent care