The Role of a Nursing Practitioner Essay Example for Free

The Role of a Nursing Practitioner Essay Introduction The Department of Health Services and Social Safety (2006), applies palliative care services which aims to achieve the best quality of life possible for patients and their family through active identification, holistic assessment and appropriate management of problems, when progressive advanced disease is not responsive to curative treatment.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There are over a half million older adult aged 65 or over whom are living in care homes (nursing and personal care) and a large number end their lives in these care settings. Unfortunately, care homes can only provide appropriate terminal care if barriers to the provision of care are addressed. The National Council for Hospice and Specialist Palliative Care Services (NCHSPCS) holds documents containing practice recommendations and therefore, the provision of appropriate terminal care makes the process of dying more comfortable and meaningful for a person and their family. Literature Review   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Patients usually experience depression and lack of resistance. More often than not, an ill person doesn’t enjoy life during admission.   Lying in a bed with in the four corners of the hospital room may sometimes lead the patient to self pity and unenthusiastic. They sometimes feel anxious and bored. Providing effective care plans for these patients will help them recover their health and self esteem. In order to formulate a holistic care plan for respiratory problems, it is necessary that health care workers give more time for patients and have patience. Educating patients with self management is quite beneficial for them. With this, hospital admission will be reduced. It also reduces constant day off or sick leaves from work as well as unscheduled visits to the doctor. It is recommended that accurate conditions for respiratory problems should be universally available. Written care plans in order to facilitate self management should therefore be recommended. Many organizations have already prepared written care plans and self management materials for patients with respiratory problems. Important data should be included in the written care plan such as clear explanation of the specific diagnosis, a history of medicine allergens and its effect when taken,   an up-to-date record of medications, dosage and treatment schedules and potential side effects. Written step by step instructions of how inhaled and oral treatments should be properly taken or how to properly handle equipments should be available. Duties of a Nursing Practitioner As a nursing practitioner, one must first understand Nightingale’s (1860) theory on nursing which evolves around the concept that the patient’s recovery is highly related to the conditions of his environment. The environment of a patient has a direct effect on his recovery or his deterioration. According to Nightingale, â€Å"Nature alone cures.† With that she stresses on the healing properties of the physical environment of the patient; fresh air, light, warmth, cleanliness and a suitable diet. Nursing practitioners should maintain an environment that not only refers to the physical aspect but also to the psychological and social environment surrounding the patient. Healthy communication with the patient and healthy environment keeps the patient’s mind active and stimulated. Here Nightingale stresses that communication should be soothing and a form of therapeutic aid to the patient’s suffering. How the nurses interact with the patient, may it be verbally or non-verbally also plays a role in the patient’s recovery. They were to give comfort and ease the patient’s suffering. She adds that there is a need for social awareness or social education on the disease of the patient, his family or the immediate people of that environment Nurses are there to control the environment and give the patients their basic needs to aid patients in their healing process and achieving their former strength. Nurses are not only to be focused on controlling the environment for the patient, but also in disseminating helpful information about the important aspects of the disease to the patient, the family and immediate community.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Within Nightingale’s nursing theory are the assumptions that are significant to applying the theory. First and foremost, Nightingale stresses on the need to understand that a disease is a reparative process. An inflicted goes through the natural healing process and those sufferings are indications of the body healing itself. The patient then needs energy to deal with this healing and an unhealthy environment will only bring him stress and lessen his much needed energy to recuperate.   Another is the need for a nurse to be sensible and highly observant of his patient. If a nurse has these abilities, then she will be more focused and effective in her goal of balancing the right and healthy environment for the patient. Nursing is a calling to those who have the determination to help. Conclusion   A sensible nurse would take the initiative to think ways of keeping the patient’s mind active and optimistic despite his sufferings. Nightingale also gives emphasis on the important fact that nursing is a practice apart from medicine. The nurse’s concentration is on the patient’s reparative process and not the disease itself.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In order to support a partnership approach between patients, carers and primary health and social care professionals, the DHSSPS will work in collaboration with GPs and other professionals to develop a Directed Enhanced Service under the General Medical Services Contract. This will support the regular review of patients and evidence based practice within primary care settings and promotes information sharing, education and implementation of individualized self-management plans. (Department of Health, 2006) REFERENCES    Nightingale, F. (1860). Notes on Nursing: What it is, and What it is not. A Celebration of Women Writers. Retrieved February 7, 2007 from http://digital.library.upenn.edu/women/nightingale/nursing/nursing.html Department of Health. (2005). RD annual reports by NHS organizations in England for 2005. Department of Health [online] Retrieved February 7, 2007 from http://www.nrr.nhs.uk/2005AnnualReports/ProgrammeSameIDRecords.asp?Code=5EYTitle=Older+Persons

My Teaching Philosophy Essay -- Education Educational Essays

My Teaching Philosophy Education. What is Education? What does it mean to be an educator? Education is a field of study dealing with methods of teaching and learning. I feel that education goes far beyond the teaching aspect. It is my job as a teacher to make sure that every student has a better understanding and knowledge towards helping others. In doing this I plan on teaching them strict morals such as how to be respectful, considerate, and appreciative of themselves and others throughout their life. In this paper, I plan to describe to you my personal beliefs on being a successful teacher, my goals and aspirations, and my philosophies on how I plan to teach each of my students and help them feel more confident about learning and themselves. Approximately two years ago I really started thinking about my life and where I was going with it. During that summer, I decided that my life wasn't up to me, but it was about what God wants for me. I went to a church camp that summer and decided that it was my turn to be the educator. Joshua 1:9 says, "Have not I commanded thee? Be strong and of a good courage; be not afraid, neither be thou dismayed: for the Lord thy God is with thee withersoever thou goest." I know that God is with me throughout all of my decisions. I also know that if I am doing his will for my life, he will grant me the wisdom and knowledge that I need to become the best educator possible. I believe that showing my students my Christian beliefs and morals, will help reflect upon their lives. Knowing that I have been a lasting impact on someone will bring, to me, the largest amount of joy possible. Teaching good morals and ethics will be important in my classroom. Some parents believe that... ...I plan on seeking a job in West Virginia, and gradually working on my master's. Having an impact on all the students I have is my goal. It may be outrageous, but I have the desire to achieve that goal. I want every student that I have to jump out of bed every morning and rush to school ready and willing to learn. Being an educator is not about myself, it is about each and every one of the students I will come across in my lifetime as a teacher. I am not entering this profession for the money or the holidays off, but for each of those young children that want to learn. Will I have a lasting impact on each of the students? Will they remember me when they are twenty years old sitting behind the computer typing their philosophy paper? Will I influence their life? That is my goal. As I said earlier, being an educator is not about me, it is about the children.

Killings vs. in the Bedroom

After reading the story â€Å"Killings† by Andre Dubus and watching the movie â€Å"In the Bedroom,† there are several noticeable differences and a few similarities. Since the movie was derived from the short story, the plot is practically the same throughout. â€Å"Killings† is portrayed as a revenge story, whereas â€Å"In the Bedroom† it appears to be a love story. As the plot progresses we find out this is not the case at all. One of the biggest differences I saw between the two was the arrangement of the story.Dubus’ written version starts out in the middle at Frank’s funeral and the movie starts the story from the beginning with Frank and his lover Mary Ann (Natalie) running in a field. The film gives you more of a sense of the characters, their emotions, and the relationships they share with one another, while the written story gives you the view from Matt’s perspective only. The movie showed a lot more of the background details such as: the father-son bond between Matt and Frank, and the loving bond between Frank and Mary Ann.The story proceeded to show more of Matt’s feelings and internal thoughts on a different level then the film, which displayed very little interaction between him and his son in their lifetime. â€Å"It seemed to Matt that from the time Mary Ann called weeping to tell him until now, a Saturday night in september, sitting in the car with Willis, parked beside Strout’s car, waiting for the bar to close, that he had not so much moved through his life as wandered through it, his spirit like a dazed body bumping into furniture and corners. He had always been a fearful father; when his children were young. t the start of each summer he though of them drowning in a pond or the sea, and he was relieved when he came home in the evening and they were there; usually that relief was his only acknowledgment of his fear, which he never spoke of , and which he controlled within his he art† (100). Another difference that made the movie more personal was by not having Frank’s older brother figure that we read about in the story at the funeral. The movie showed the viewer the connection that they had as a father and a son that the story didn’t portray.Another difference that made the film more enjoyable was the hatred that was shown for Strout. The story didn’t give enough justice for how much the Fowler family really resented him. The moment in the movie when Ruth lays her eyes on him in the convenient store foreshadows the breakdown she had and the isolation she experienced. Ruth knowing that he is a free man that killed her son is something she couldn’t live with under any circumstances. The relationship that Mary Ann’s sons had with Frank in the movie was much stronger than in the book. This partly labels Frank as a hero and makes Strout look like even more of a bad person.In my opinion, One of the best scenes in the movi e was when one of the boys that Frank and Matt took fishing rode his bike down to the docks to see Matt and they just stared at each other with a burning look. This scene wasn’t talked about in the story, however it gave you a view of the actual killing scene. In the book, Strout shot Frank in front of his two sons. â€Å"Richard Strout shot Frank in front of the boys. They were sitting on the living room floor watching television, Frank sitting on the couch, and Mary Ann just returning from the kitchen with a tray of Sandwiches.Strout came in the front door and shot Frank twice in the chest and once in the face with a 9 mm automatic. Then he looked at the boys and Mary Ann, and went home to wait for the police† (100). He shot him in rage without any hesitation. This proves to the reader how much of a terrible, heartless person that he was, but the movie was not able to display such rage. The movie, however, does a great job of telling a clear story from start to finis h without interruptions. It made the makeup of the story so much more powerful.This gives the reader time to establish Frank as the main character that he is. Throughout the story, whether it be the written version or the movie, you really began to understand the love that has not only been lost, but the love that was left behind as the story comes to an end. Overall, love was a major theme in both of these stories, no matter how you look at it. Frank’s life was over much earlier than expected because of love and envy. In the end, Strout was killed because of the love that will never be forgotten between a father and son, and even between a husband and wife.A strong meaning was conveyed when Matt was unsure about not being able to be alone with Strout for that long of a time. He couldn’t stand the thought of being so close to this man that he had so much hatred for. Both of the killing scenes were portrayed in different ways. In my opinion, Matt killed Strout better in the movie than in the book. In the movie, Strout wasn’t trying to escape when Matt shot him. In the story he tried to run away from Matt. This gave Matt more of a justification for killing him. This showed the amount of hatred he had towards Strout, and even more of the endless love he had for his son.

Carbonated Beverages

CARBONATED BEVERAGE INDUSTRY CASE ANALYSIS Team 4 Marketing Management/MGT-704 19 November, 2011 CARBONATED BEVERAGE INDUSRTY CASE ANAYLSIS Hypothetical Market Structure provides four different categories an industry can be classified. Each category identifies a specific role a target market is classified. The carbonated beverage industry is no different. It has four target markets and they are classified as market leader, market challenger, market follower and market nichers (Kotler & Keller, 2009, p. 301). The market leader is usually one company that â€Å"has the largest market share†¦ and usually leads the other [companies] in price changes, new-product introductions, distribution coverage and promotional intensity† (Kotler & Keller, 2009, p. 301). The market challenger â€Å"sets high aspirations† to market their resources to meet or exceed the market leader (Kotler & Keller, 2009, p. 308). The market follower’s strategy is â€Å"product imitation† of the market leader (Kotler & Keller, 2009 p. 310). The market nichers are different from the market leader, the market challenger and the market follower. The market niches are leaders in small markets that the other three marketers are not interested in developing specific products for. The Hypothetical Market Structure for the carbonated beverage industry is the Coca-Cola Company is the market leader. PepsiCo Inc. is the market challenger. Dr, Pepper Snapple Group (distributer of RC Cola) is the market follower and a market nicher is the Jones Soda Co (Beverageworld, n. d. ). The carbonated beverage industry is very competitive. The Coca-Cola Company is the carbonated beverage market leader and PepsiCo Inc. s the market challenger striving to increase its market share by creating a comparable but yet slight different products in which customers feel is better and have more value. The competition between market leader and challenge is severe. Both companies’ prices are very competitive and comparable, they offer carbonated beverage products that include cola based drinks, they distribute to similar markets and both have extensi ve marketing campaigns for their own products, as well as, campaigning against each other. It is these reasons we see the most dynamics of competition between the market leader and the market challenger. The Dr. Pepper Snapple Group (distributer of RC Cola) is the market follower to Coca-Cola Company and PepsiCo. Inc. This is shown by how the pricing of Dr. Pepper Snapple Group is the same or less than the Coca-Cola Company and PepsiCo Inc. The advertising campaign is minor and new products are not being developed the same as compared to the market leader and market challenger The Jones Soda Co. is a market nicher. It â€Å"incorporated unique marketing initiatives in its strategy† and was â€Å"recognized and awarded for its unique packaging that features constantly changing labels† (Jones Soda Co. n. d. ). It does not compete against the other three markets because it creates a customized product for a small niche group and not the masses. Therefore, while the Coca-Cola Company is the market leader, PepsiCo Inc. is the market challenger, the Dr, Pepper Snapple Group is the market follower and Jones Soda Co is a market nicher there is a lot of opportunity for all the d ifferent types of carbonated beverage industries and combining the right target market to a product is the key to market success. References: Beverageworld. (October 2011). Citing Websites. Worldwide 100. Retrieved November 16, 2011, from http://www. beverageworld. com/userfiles/documents/BB_Top_100. pdf. Jones Soda Corporation. (n. d. ). Citing Websites. About Jones Soda. Retrieved November 16, 2011, from http://www. jonessoda. com/company/about-us. Kotler, P. , & Keller, K. L. (2009). Marketing Management 13th Edition (Pearson Education, Inc. Upper Saddle River, New Jersey, 07458) 301-312.

Book Review of The World is Flat, Written by Thomas L. Friedman essays

Book Review of The World is Flat, Written by Thomas L. Friedman essays Hundreds of years ago, Christopher Columbus returned from the New World to the Old World to declare that the world was not flat, but round. Now, in the 21st century, New York Times columnist Thomas Friedman returns from the developing world to the developed world to declare that the world is flat, as flat as that screen on which a budding Indian entrepreneur can host a meeting of his whole supply chain (Friedman 7). By flat, Friedman means that globalization has created a level playing field for more and more of the nations, industries, and individuals in the modern, technologically forward-thinking world. Friedman sees globalization, for all of its problems, as a force for good. It has the power to unite more than it has the power to divide, and to create equality rather than increase the tensions between the haves and the have-nots, as is sometimes alleged. However, although his enthusiasm and vibrant prose is at times infectious, ultimately Friedman seems frighteningly unconcerned about the costs to the developing and the developed world of the unchecked power of multinational companies. Globalization may have benefited some people in the developing world, like the young Indian entrepreneurs, accountants, and engineers that so impress Friedman, but it is questionable if their success can be used to stand for all workers in ever hemisphere of the globe. Friedmans thesis revolves around the proposition that the world is flattening quickly because of convergence of factors. The collapse of the Berlin Wall ended the divisions between the communist and capitalist nations of the world. While the idea that the end of communism as a worldwide movement was a seismic political event is hardly new, Friedman believes that the ability of this advance to break down political and communications barriers between nations in economic terms is just as important as the freedoms and regional instabilities it spawned. &q...

Free Essays on America Expands

THE NEW WORLD IS SETTLED, 1492-1763 The history of the United States began with the discovery of North America by a European. On Oct. 12, 1492, Christopher Columbus landed in the Americas. He was searching for an all-water route from Europe to the Far East. This chance finding of a large continent was one of the great events in the history of the world. Columbus made his discovery while sailing under the flag of Spain. Later, daring sea captains from several European countries sailed across the Atlantic to explore the New World. In 1497 John Cabot reached the coast of present-day Canada in an English ship. The Spanish adventurer Ponce de Leon landed on what is now Florida in 1513. In 1519 Ferdinand Magellan's ships left Spain. They crossed the Atlantic Ocean and then the Pacific. Three years later one of his ships returned to Spain after completely circling the world. Because of Magellan's travels, North America was now definitively known to be a separate continent between two large oceans. Rising Interest in the New World At this time Europeans were not very interested in the New World itself. They only wanted to find a water passage through it to the Far East. France sent out Jacques Cartier to find such a route in 1534. He explored along the St. Lawrence River. France then laid claim to part of North America. The first land journey far into the interior of the continent was made by Hernando de Soto. In 1539 he landed in Florida with about 600 Spanish soldiers. They worked their way north- and then westward. They discovered the Mississippi River near the site of what is now Memphis, Tenn., in 1541. The Spanish were interested in the New World. In 1565 Pedro Menendez de Aviles made a landing in Florida and began building a fortified city. He named it St. Augustine. This was the first permanent settlement in what is now the United States. Meanwhile from Mexico the Spanish pressed northward into the New Mexico region. In 15... Free Essays on America Expands Free Essays on America Expands THE NEW WORLD IS SETTLED, 1492-1763 The history of the United States began with the discovery of North America by a European. On Oct. 12, 1492, Christopher Columbus landed in the Americas. He was searching for an all-water route from Europe to the Far East. This chance finding of a large continent was one of the great events in the history of the world. Columbus made his discovery while sailing under the flag of Spain. Later, daring sea captains from several European countries sailed across the Atlantic to explore the New World. In 1497 John Cabot reached the coast of present-day Canada in an English ship. The Spanish adventurer Ponce de Leon landed on what is now Florida in 1513. In 1519 Ferdinand Magellan's ships left Spain. They crossed the Atlantic Ocean and then the Pacific. Three years later one of his ships returned to Spain after completely circling the world. Because of Magellan's travels, North America was now definitively known to be a separate continent between two large oceans. Rising Interest in the New World At this time Europeans were not very interested in the New World itself. They only wanted to find a water passage through it to the Far East. France sent out Jacques Cartier to find such a route in 1534. He explored along the St. Lawrence River. France then laid claim to part of North America. The first land journey far into the interior of the continent was made by Hernando de Soto. In 1539 he landed in Florida with about 600 Spanish soldiers. They worked their way north- and then westward. They discovered the Mississippi River near the site of what is now Memphis, Tenn., in 1541. The Spanish were interested in the New World. In 1565 Pedro Menendez de Aviles made a landing in Florida and began building a fortified city. He named it St. Augustine. This was the first permanent settlement in what is now the United States. Meanwhile from Mexico the Spanish pressed northward into the New Mexico region. In 15...

How to Use the Spanish Preposition Para

How to Use the Spanish Preposition Para Para is one of the most common Spanish  prepositions, But because para is usually translated as for, the same as por, it can also be one of the most confusing to English speakers. Unfortunately, for the beginning Spanish student, por and para are almost never interchangeable. So it is probably best to learn para and por separately and to think of para as a word that usually indicates purpose or destination, rather than simply as a translation for for. So in the examples of para usage that are given below, a translation (sometimes awkward) using a word or phrase other than for is given, in addition to a translation using for. By learning how para is used rather than how it is usually translated, you will eliminate much of the confusion. The preposition para should not be confused with the verb para, a conjugated form of parar, which means to stop. Para can also be a conjugated form of parir, which means to give birth. Para Meaning ‘In Order To’ When para is the equivalent of in order to, it is followed by an infinitive. Viajamos para aprender espaà ±ol. (We travel in order to learn Spanish. We travel for learning Spanish.)Para vender tu coche es importante que cuentes sus puntos fuertes. (In order to sell your car it is important to talk about its strong points. For selling your car it is important to talk about its strong points.)Vive para comer. (He lives in order to eat. He lives for eating.)Hay un plan maestro para destruir la civilizacià ³n como la conocemos. (There is a master plan in order to destroy civilization as we know it. There is a master plan for destroying civilization as we know it.) Para for Indicating Purpose or Usefulness The preposition can be used quite flexibly to indicate purpose, intent, usefulness, or need. It is often used in such a way that theres no simple one-word English equivalent. Estudia para dentista. (She is studying to become a dentist. She is studying for the dental profession.)Quisiera una bicicleta para dos. (Id like a bicycle for two. Id like a bicycle used by two.)Ganaron un viaje para dos. (They won a trip for two. They won a trip to be used by two.)Es hecho para nià ±os. (It is made for children. It is made to be used by children.)El poema fue escrito para su esposa. (The poem was written for his wife. The poem was written to benefit his wife.)Feliz cumpleaà ±os para ti. (Happy birthday to you. Happy birthday for you.)Tenemos agua para una semana. (We have water for a week. We have water to last a week.) ¿Para quà © estudias? (Why do you study? For what purpose do you study?) Using Para With Destinations One specific way in which para is used to indicate intent is with destinations. This is a specific way of indicating intention. In some of these cases, para can be used interchangeably with a, meaning to. Salimos para Londres. (We are leaving to go to London. We are leaving for London.)No voy para casa. (I am not going home. I am not headed for home.) ¿Para dà ³nde va el taxi? (Where does the taxi go to? Note that Spanish cannot end a sentence with a preposition in the way that English can.) Using Para for ‘No Later Than’ or ‘By’ In time statements, para can be used to indicate intent for completion of an action by a certain time. Translations can include no later than, around, about, and by. La casa estar lista para el sbado. (The house will be ready no later than Saturday. The house will be ready by Saturday. The house will be ready for Saturday.)Es necesario preparar el perro para la llegada de tu bebà ©. (It is necessary to prepare the dog for the arrival of your baby. It is necessary to prepare your dog by the time your baby arrives.)El pastel estar listo para la boda. (The cake will be ready by the wedding. The cake will be ready before the wedding. The cake will be ready for the wedding.)Llegamos para las cinco. (Were arriving around 5. Were arriving about 5. Were arriving for activities at 5.) Using Para To Mean ‘Considering’ Another use of para is to indicate perspective, the equivalent of words or phrases such as considering, in light of the fact or in view of: Para nià ±o, es inteligente. (Considering that hes a child, hes intelligent. For a child, hes intelligent.)Es caro para un papel. (Its expensive in view of the fact its a sheet of paper. Its expensive for a sheet of paper.) Using Para With Personal Reactions This is one way of indicating how a person feels or reacts to something: Para ella, es difà ­cil. (To her, its difficult. For her, its difficult.)No es justo para mà ­. (It isnt right to me. It isnt right for me.) Key Takeaways Para is a common Spanish preposition that is frequently used in indicating purpose, direction, intent, or perspective.Both para and another preposition, por, are often translated to English as for, but one of them can almost never be substituted for the other.Other possible translations for para include English prepositions such as to, at, and by as well as the phrase in order to.