Advanced Practice Nursing Role Essay Example for Free

Advanced Practice Nursing Role Essay Health professionals like nurses have a chance to go for autonomy in the nursing career which is beyond the practice of being a staff nurse. Various pathways for advanced specialization in nursing career have been established for the past few decades. This expansion of responsibilities and vision as a health professional helps nurses to fulfill growth as professional and as a person. Among the advanced practice nursing roles, the author deeply prefer Family Nurse Practitioner specialized in cardiology. This will help her utilize skills in nursing science and as a health care specialist with a twist on promotion of health of the cardiovascular system. Creative APN Role in Health Promotion The author has chosen the field of family nursing practitioner because of the challenges and roles that it holds. The current responsibilities of the family nurse practitioner posts promising personal as well as professional growth on the field of the health care industry. The advance practice nursing role of family nurse practitioner is composed of different skills which pertains to the areas of management skills of community health nursing, patient care, primary care, intervention on the desired population, and it also deals with community assessment and actions regarding the said assessment. It focuses on promotion of health and healthy living, avoidance of degenerative diseases, and the supervision of the illnesses in different ages, both chronic and acute. (UTA 2008) The author has chosen a specialized field in cardiology because in reference to the data given by the Centers for Diseases Control and Prevention for 2005 Death data table C, the leading cause of death in the United States is cardiovascular related. According to the statistics, 652, 091 deaths were related to heart problems (CDC 2008). The stated data poses a major concern that there is a very big problem related to cardiovascular disorders. In relation to this, the author envisions to help in solving this problem via the career chosen by the author. The family practice nursing with a specialization in cardiology will help the author contribute in building the foundations of a society with healthy cardio vascular systems. Among the probable setting that the author hopes to practice the stated advanced practice nursing role is in the Christ Hospital. It was established for more than 115 years and it was well known to be one of the leading hospitals which continue to promote, plan and innovate for the healthy future of the region. It was noted as one of the best medical institution in the United States for the last few decades consistently. The setting includes 555 beds with more than 1200 physicians and holds the most advanced and sophisticated technology for health care. It is a not-for-profit acute care facility which is supervised by the highly trained specialists that has great passion for health care. It focuses on the services for major surgery, orthopedics, cardiovascular care and other related fields (Christ Hospital 2008). The competencies required for this job ranges from clinical expertise to social relationship within the community. It requires expertise in retrieving records for the data regarding the health, medical history, psychosocial and family records. Ability to conduct physical examination, for the health problems related to the acute and episodic phases are required as well as the ability to interpret the laboratory findings. Provide health assessment to the visited areas or patients and to arrange referrals to other health professional. It is also required to have a knowledge on developing and implementing plans for the supervision of problems in the acute and episodic problems of the assessed in and out patients. In the competencies required to assess patients also include ability to enclose screening evaluation for the cardiovascular health and other relevant information regarding it, distinguishes between normal and abnormal change. Evaluate the pressure of the family or psychosocial factors on patient sickness, situations related to developmental delays and learning disabilities in all ages, reproductive health of both women and men, sexual health, pregnancy, and postpartum care, assess some problems like substance abuse like drugs. Performs and accurately documents appropriate comprehensive or symptom-focused physical assessment on patients of all ages. Recognize health and cardiovascular risk factors of patients of all ages and families in all stages of the family life cycle. Demonstrates proficiency in family assessment; show proficiency in functional assessment of family members. Assesses specific family health needs within the context of community assessment especially the ones that is related to the cardiovascular diseases. Identifies and plans interventions to promote health with families at risk of heart disease (NONPF 2002). Diagnosing of health status focused on the health of heart is also needed, the following competencies are required. Recognize signs and symptoms of acute physical heart disease across the life span. Recognize signs and symptoms of chronic cardiovascular disease across the life span. Evaluates and summarizes collected data for patients of all ages. Plans complete differential diagnoses, with relevance to the epidemiology, environmental and community characteristics, this also includes life stage development and the arrangement seen with increasing age, family, and heart risk factors (NONPF 2002). Upon diagnosis of the members with cardiovascular or heart related diseases. The planning caring and management of the treatment of the disease will proceed which requires a lot of competencies indicated below. It is required for the nurse to have abilities to provide health information for protection, health promotion, formulate strategies for the intervention and prevention of the cardiovascular diseases which aims in improving the cardiovascular system of the family, requires a knowledge on how to treat acute and chronic of cardiovascular diseases in all ages to minimize the risk of developing complications and increase quality of living, prescribe proper medication for the pharmacodynamics and pharmacokinetics, adapts care for to meet the needs of the at-risk patients, evaluate the effectiveness of the plan in relation to the plans made for the at-risk group. Assist the members of the family of the cardiovascular disorder patient, provide referrals to the health care professionals that can support the treatment of the heart disease, and apply the study regarding the idea that is family centered and can supply positive change in the health of the family. Family or Population Health Promotion Theories Models The family nurse practitioner specialized in the cardiology focuses on promoting health in relation to individual level and the family level. The health promotion theory that is suitable for the family nurse practitioner in the individual level is the Health Belief Model which focuses on the person’s perception of the possible risk and the evaluation of the actions that would prevent the problem from occurring again. In this case, the author’s future interaction with individuals who are at-risk to cardiovascular diseases will give her chance to use the said model in promoting the health information. Upon approaching, an at-risk patient, the author will be discussing the perceived susceptibility of the subject to cardiovascular diseases and the initial reaction of the patient will more likely to be curios. The next part is the explanation of the perceived severity and the possible consequences of the CVD in the patient; the next step is to discuss with the patient the possible benefits of positive action. In such case, the patient will soon realize the benefits of the perceived action. And will arrive eventually on the conclusion that the patient should consider on performing the perceived actions that could give benefits. The author also considers another theory of which the community level is involved. The community organization is theory which focuses the involvement of the members of the community in evaluating health problems. Upon interaction within community sites, the author will soon be empowering these families in relation to the participation in campaigns for heart related problems. The participation of the community and the relevance of the selected issue to the problem of the community like the cardiovascular diseases will greatly enhance the active development of the community. The most important activity that the author can do is the critical consciousness that she will be spreading in the community (HPA 2008). Agency and Financing of APN Practice The Christ Hospital will be the institution where the author hopes to apply in the mere future it was the medical establishment that was considered in this paper. It was established for more than 115 years and it was well known to be one of the leading hospitals which continue to promote, plan and innovate for the healthy future of the region. It was noted as one of the best medical institution in the United States for the last few decades consistently. The setting includes 555 beds with more than 1200 physicians and holds the most advanced and sophisticated technology for health care. It is a not-for-profit acute care facility which is supervised by the highly trained specialists that has great passion for health care. It focuses on the services for major surgery, orthopedics, cardiovascular care and other related fields (Christ Hospital 2008). The mission of the Christ Hospital is to lead the region in giving the excellent experience in health care especially the personalized one while forwarding clinical excellence, technology and education. The role that the author will be holding will help the institution in a way of providing personalized health care especially in the cardiology patients. The author’s expertise will also help the institution in advancing clinical excellence especially in the field of cardiology. The role will be financially supported by the hospital or allied services institutions relating to cardiology. In the specific case, the Christ Hospital will be responsible for the financial support of the role. The nurse practitioner in the said institution is included in the employee pay. Some stakeholders that can support the role are the health related institutions, hospitals, clinics, nurse organizations and cardiology specialty centers. The role of family practice nurse practitioner goes beyond the limits of a staff nurse which will promote personal and professional growth. The specialization in cardiology will greatly help in the regression of cardiovascular disease cases in the United States. Thus the APN role stated above will surely benefit not only the author but also the society at large.

Seeking Truth in A Dolls House :: A Dolls House Essays

Seeking Truth in A Doll's House. The characters, in Henrik Ibsen's A Doll's House, are hiding from each other and seeking the truth about each other and about life. The game of hide and seek that Nora plays with her children, she also plays with her husband. She hides her actions and her true personality from him. He also hides his life from her. Thinking that she would never even understand, he keeps all the business of their relationship secret from her. Although Nora hides from her husband, she also plays the role of seeker. Nora wants to seek out the truth of her life. Much of the play is a game of hide and seek. Excellent. Nora plays a game of "hide and seek"(Ibsen 506)* with her children. The simple game can be seen also as a symbol of real life in the play. Nora is playing hide and seek with the adults in her life. Nora is trying to keep something away from public knowledge and especially away from her husband. She hides the fact that she borrowed money to save his health. She was afraid that if Torvald knew that she had taken initiative to borrow money to help him that it would be "painful and humiliating"(Ibsen 501) for him. She knows that Torvald needs to feel in control of everything. So she hides her actions from him. Nora hides the fact that she has done something illegal from Torvald. She is given the opportunity to tell Torvald and maybe get his support or advise on the situation, and she lies to him to hide the truth. She claims that the reason that she does not want Torvald to fire Krogstad is that "this fellow writes in the most scurrilous newspapers...he can do [Torvald] an unspeakable amount of harm"(Ibsen 519). Nora hides the truth and replaces it with lies. Torvald does not know that if he fires Krogstad that the consequences will affect his whole family. Nora could have told him, but instead she decided to hide the truth from her husband. She also hides her own strength. She plays the part that she has come accustomed to, being the doll. The first time in the play that Torvald refers to Nora, he calls her a "little lark"(Ibsen 493). Throughout the play, he refers to her as a cute little animal, never with any word that might imply a situation of his peer.

A clockwork orange: chapter One Essay

One gets an initial impression of Alex and his friends from the first page: Alex says, â€Å"There was me†¦ and my three droogs†. Immediately this suggests that he and his friends are close, like a gang, and this leads on to the idea of conflict. The closeness of Alex and his friends is elaborated upon throughout the chapter. He frequently uses the phrase â€Å"The four of us† and, when speaking to Pete, Georgie and Dim, he says, â€Å"Oh my brothers†. Their close camaraderie is summed up on page six, where Alex describes it as being â€Å"usually one for all and all for one†. Then he begins to describe three â€Å"devotchkas†, whom one presumes to be members of a rival gang (the reader is told that Alex and his friends are â€Å"malchicks†). There is no brevity in Alex’s description, and he goes into detail when describing the clothes and make-up. It is likely here that Alex has a certain respect for these gang members, indicated by his lengthy description of their bright uniforms, and by the fact that he speculates on the large cost of these uniforms. But there is also a clear element of mockery. This is especially apparent in the sentence â€Å"These were supposed to be†¦ â€Å", with an emphasis on the word â€Å"suppose†. He is putting the credulity of the gang into doubt, debunking their claims. This is quite childish in some respects, and reminds the reader of his tender age. Alex and his â€Å"droogs† also wear uniforms, and Burgess describes them in a way that makes them unique to those four – by telling the reader what design each of the four had for their â€Å"jelly mould†, he is putting them apart from the rest of the world, giving them a uniqueness and style that no one else possesses. The uniforms are also a barrier between them and the rest of the world. This is also true of the â€Å"maskies† that the four often wear. As well as the more practical use of hiding their face from recognition, the masks separate the boys from the rest of society, making them stand out, and perhaps feel superior. Also, the outrageous costumes, to choose a better word, are a clear symbol of rebellion. It is ironic, therefore, that the boys wear them, as uniforms have always been associated with conformity. The language of the boys is the most successful at suggesting conflict with the outside. To begin with, the words are very harsh. Hard sounds, especially obvious with the many Ks, make the words infinitely more savage. The language used to describe other people is degrading: old women are â€Å"ptitsas† and men are â€Å"vecks†. The boys do not use this language when speaking to people who are not involved in gang warfare. To the man coming out of the library, Alex is polite and uses mostly understandable language. It is obviously because he is mocking the man, but it is also possibly because he would not understand (since it seems that he speaks normally). So this is their language, something they use to each other. This is a straightforward example of their conflict with the â€Å"outside†. But the language not only acts as a barrier between the four boys and the older members of society: it also acts as a barrier between the boys and the readers. For anyone starting the book for the first time, the words used are baffling, and it takes a lot of getting used to. What is more, Alex feels the need to explain what some of the words mean: â€Å"†¦ a rooker (a hand, that is)†. It is at this point that the readers become, in effect, a part of the society that Alex is rebelling against. We are on the outside. Finally, the language is used in such an extraordinary way, that it alienates us even further. It is in some instances quite chilling. Words like â€Å"poogly† are very childish; the best example is â€Å"appy polly loggies†, which is some corrupted baby version of the word â€Å"apologies†. It contrasts the stark violence of the book, giving it an even more savage tone. It is a strange mixture for Alex to use, reminding the reader that he is young. Plus, not only does it make the reader aware of the conflict Alex has with society, but also the deep struggle that is going on in Alex’s mind. 1. What impressions are we given of the society and the environment presented in chapter one? Use examples. (10 marks) The first impression one gets when reading about Alex’s world is what an absolutely seedy place it must be. The â€Å"Korova Milkbar† sounds very entertaining but rather run down, and one is informed that it is one of many â€Å"mestos†. Obviously it sells milk, but reading further on, one is told that this milk is â€Å"plus something else†, that something else being hallucinogenic drugs of some sort. It is then that one gets an idea of the depravity of the society in which Alex lives. Alex then mentions what he and his friends do to obtain money: either they can beat someone up in an alley and empty his pockets, or they can â€Å"do the ultra violent† on an elderly woman in a shop and steal the money from the till. One realises that, fairly obviously, something has gone wrong with the world in Alex’s time. Various violent and criminal topics follow, such as gang warfare and the description of a drug-induced â€Å"high†. It paints a morbid picture of a world in which violence reigns supreme, where there are no rules any more and society has disintegrated. This is backed up by the fact that any kind of law enforcement is not mentioned until later in the chapter. These â€Å"millicents† are obviously not important and Alex and his friends can easily outsmart them. So, in effect, there is no law enforcement. Early on, the only indication that some sort of legal system exists is the fact that â€Å"mestos† were not licensed to sell liquor (which does not seem to stop them any way). Another aspect of society that is not missing, but seems unpopular, is that of literature. Alex reports that â€Å"newspapers {are not} read much† – whether this is because of illiteracy or just lack of interest, one is unsure. The Public Biblio, which is the derelict-sounding municipal library, was something that â€Å"not many lewdies used those days†. Again, the reason why is not clear. Owing to the other â€Å"past-times† of the day, namely ultra-violent criminal activities, it is likely that nobody is interested in literature any more. This certainly fits in with the way in which Alex and his friends persecute a man just because they saw him coming out of the library with books in his hand. However, there are references to institutions that seem very active in the Alex’s world. The first is the health service. A â€Å"rozz† informs the gang that there have been â€Å"two hospitalizations†. The fact that the hospitals in Alex’s world are busy is blatantly obvious, due to the height of criminal activity. One is unsure of how efficient these hospitals are. In a State-run society such as this, one would imagine they were very inefficient indeed. The other institution that is still up and running is school. Alex himself tells us that he must go to school the following morning, and we later learn that this is a corrective school. Overall, the world in Alex’s day seems extremely bleak. Wherever Alex is, it is clearly a police state, where individual rights and freedoms do not stand for much. The older, and in some ways, unnecessary institutions, such as the library system and newspapers, seem to have lost appeal completely, presumably replaced by â€Å"worldcasts† and â€Å"Milkbars†. It does not sound like somewhere anybody would actually want to live.

Your People Skills and a Career in Human Resources Management 2019

Do you have a big circle of friends? Do you love socializing and making more friends? Are you a people person? Do you take pride in the type of friendship you have developed and maintained? If yes, then you undoubtedly have the required expertise needed to communicate with and guide others. If you want to turn this great ability of yours into a rewarding career, you need to earn a degree in human resources. This will allow you to work in a position where you can put this aptitude to work. Employees are the basis of every organization. Individuals who have the ability to recruit, train and retain the employees are very much in demand. If you are interested in this field of management, you should be aware of theories of management and all the aspects of interacting with human resources. You will need a degree in human resources to give yourself the edge, the expertise and the confidence to accomplish in this arena. In the process make yourself invaluable and indispensable to your organization. .ud4cdbdd98578a9797b329f20bdc49112 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .ud4cdbdd98578a9797b329f20bdc49112:active, .ud4cdbdd98578a9797b329f20bdc49112:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .ud4cdbdd98578a9797b329f20bdc49112 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .ud4cdbdd98578a9797b329f20bdc49112 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .ud4cdbdd98578a9797b329f20bdc49112 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .ud4cdbdd98578a9797b329f20bdc49112:hover .postTitle { text-decoration: underline!important; } READ Schools, Colleges, and Institutes of TechnologyThere is no need to sacrifice your current career in order to accomplish this objective. As there are a number of degrees and colleges which offer on line course in many sites that you can enroll in and earn the degree on your spare time. There is a list of major universities which offer human resources management courses on the website College-Pages.com. a few of the listed ones are University of Phoenix, Warren National University, and Capella University. A Master of Science in Human Resources Management is offered by the Warren National University. The curriculum is so planned as to ensure that students learn concepts and knowledge to face the real life challenges in the organization. Master of Science in Human Resources Management from Warren National University can be completed in 12-18 months. Other prominent courses are offered by Capella University. It offers a variety of degrees in human resources: Bachelor of Science (BS) in Human Resource Management, Master of Science (MS) in Organization and Management, Human Resource Management, PhD in Organization and Management: Human Resource Management, .u7d76f02cca780463113f8bf101db2854 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .u7d76f02cca780463113f8bf101db2854:active, .u7d76f02cca780463113f8bf101db2854:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .u7d76f02cca780463113f8bf101db2854 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .u7d76f02cca780463113f8bf101db2854 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .u7d76f02cca780463113f8bf101db2854 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .u7d76f02cca780463113f8bf101db2854:hover .postTitle { text-decoration: underline!important; } READ RN to Bachelor of Science in Nursing 10 Highest Paying Nursing Specialties in ColoradoWorking and managing effectively people are some of the biggest challenges that are faced by any organization. If you take pleasure in this area of management, this could be a great opportunity for you. A degree in human resources will make you understand the fundamentals of dealing with people in a affirmative way, and be a leader in your organization. Related ArticlesHuman Resource Management TrainingConsulting in the Human Resources FieldHuman Resource Management JobsBusiness Practices and TheoryWhat is Human Resource DevelopmentYour Entrepreneurship in Your Enterprise