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

great expectations mood essays

great expectations mood essays In the first three paragraphs of chapter three in Great Expectations, Charles Dickens uses mostly similies to present a mood of extreme guilt and fear of being caught, but also a little personification is used to describe the dampness. The diction that Dickens chose to use mainly consists of repitition of certain words, which brings more emphasis to the word itself, and the word itself establishes the mood and also the tone.The repitition of the word "round" is used for a particular purpose. "One black ox, with a white cravat on...fixed me so obstinately with his eyes, and moved his blunt head round in such an accusatory manner as I moved round, that I blubbered out to him, 'I couldn't help it, sir! It wasn't for myself I took it!' " Round means circular, and when you circle someone you are singling them out. Pip feels that the ox is singling him out as a thief, and, not realizing the ox doesn't know what he has done, he responds with his excuse. In paragraph three, Pip states, "...I couldn't warm my feet, to which the damp cold seemed riveted, as the iron was riveted to the leg of the man I was running to meet." Dickens chose to repeat the word riveted in order to set up an analogy between Pip's cold feet and th e prisoner's iron shackes. The two are similar because they both hinder movement, though neither are successful. Dickens used figurative language in the form of similies to convey the tone and mood by comparing Pip's thoughts and feelings to what is happening in actuality. Feeling guilty and afraid, Pip exclaims, "The gates and dikes and banks came bursting at me through the mist, as if they cried as plainly as could be, 'A boy with somebody else's pork pie! Stop him!' " This simile shows that Pip thinks in his mind that he'll get caught for sure. He imagines that the shapes appearing through the fog as he gets near enough to see them are denouncing him a thief and calling authorities to the area. In the first paragr...