TOPIC OF INTERES THAT AFFECT POPULATION HEALTH Research Paper

TOPIC OF INTERES THAT AFFECT POPULATION HEALTH - Research Paper Example The increase in elderly population and emergence of various lifestyle chronic diseases requires nurses with advanced skills that are offered by advanced nurse practitioners (White & Trauax, 2007). Scholarship is important for advanced practice nurses and entails conducting literature reviews that influence the current and future nursing interventions. Scholarship for advanced practice nurses refers to academic study of higher level or grants that awarded to support their higher education based on achievement. In order to attain the scholarship, the individual must first obtain the registered nurse’s (RN) license by passing the required national examinations that are the diploma from accredited nursing schools, associate degree or bachelors degree from nursing schools. According to the literature reviews, nurse practitioner status starts with a Bachelor of Nursing (BSN) and practice as a Generalistic registered practitioner for several years before the individual can attain licensure as registered nurse. Becoming advanced nurse practitioner requires enrollment in to a Masters of nursing practice programs and some individuals continue up to doctoral level. According to Jansen & Zwygart-Stauffacher (2010), the advanced programs focus on specialized nursing knowledge and skills such as cardiology, surgery and emergency medicin e (p 35). Accordingly, the nurses are required to pass a national board certification exam in special population focus such as adult-gerontology, psychiatric and family practice (Miller, 2008, p 257). Furthermore, the nurse practitioners are expected to attain a minimum continuing medical education credits and practice hours in order to attain licensure that is offered by the state boards of nursing (DeNisco & Barker, 2013). The literature reviews has identified some topics as health promotion, pathophysiology, different diagnosis and radiography

Theory of Knowledge Essay Example | Topics and Well Written Essays - 2000 words

Theory of Knowledge - Essay Example This, therefore, leads to justification of our beliefs. Justification is established by the distinction between believing that something is true and between knowing that something is what it is. For instance, for a belief to be justified, it has to be endorsed by some other idea so that it can be dependable or relied upon. More so, the concept supporting it must be believed to be true and lastly, it is significant that we have a substantive or credible and viable reason for us to believe that the idea endorsing our belief is actually real. When all these ideas are put together, it constitutes true and credible knowledge. Additionally, it is important that our knowledge that we acquire be true or real. Truth is the capability of the information acquired being consistent with evident presented and truths about it. Thus, all information is believed to be true and it is known to be true, which in turn makes up credible, reliable knowledge. Rationality is the ability to act using reason i n relation to the facts of reality of certain scenario or situation (Allen 31). Thus, if one is having false knowledge, they are not in a position to act rationally but on the other hand, if they have true and credible knowledge, they will be in a position to act or behave rationally. It is vital to note that it is possible for people to act reasonably or rationality without their knowledge since they posses wrong knowledge. The only way to avoid such kind of situation is that individuals need to reason cautiously about any scenario before they act on it. Immanuel Kant formulated his principles regarding what is right and wrong. He developed a system of three questions he referred to as formulations which an individual need to ask before undertaking any action in order to decide upon ethicality of the action. It is significant for a person to ask himself if the action they are about to partake corresponds to a rule, which should be used universally. It is good to view other people a s our end objective rather than the means to gain personal goals. For Kant, the driving force is a determining factor to what extent can an action be regarded as ethical. This driving force is known as motive. Kant’s objective morality can be well understood from a more precise philosophical vocabulary (Allen 36-7). Although, it is natural that everything in the universe acts in accordance with the law, Kant argues that only rational beings in obedience and respect to the objective principle influenced by practical reason can influence their actions. Human beings have got subjective impulses such as desires and inclinations that may contradict how they reason. According to Kant, human beings hold a significant place in creation and morality can be said to be ultimate commandment of imperative or reason. For instance, objective principle includes acting in accordance with the law and ignoring other agents such as inclinations and desires in making moral judgments. Moral action is not justified if it is done out

Accreditation Audit Essay Example for Free

Accreditation Audit Essay A1. Evaluation Nightingale Community Hospital (NCH) is committed to upholding the core values of safety, accountability, teamwork, and community. In preparation for the upcoming readiness audit, NCH will be launching a corrective action plan in direct response to the recent findings in the tracer patient. Background information on the tracer patient is as follows: 67 year old female postoperative patient recovering from a planned laparoscopic hysterectomy turned open due to complications. Patient developed infection that formed an abscess and was readmitted to the hospital for surgical abscess removal and central line placement for long term IV antibiotics. The tracer methodology was employed when auditors reviewed this patient’s course. Many things were done well and right with this patient and NCH is pleased to know that the majority of items analyzed with this patient proved that NCH was in compliance with regulatory standards; however, there were some troublesome areas that we need to focus on. The primary focus area that we will put our energies into will be the fact that there was not a history and physical completed on the patient within 24 hours of admission, and in fact it was greater than 72 hours before one was completed. See more: My Writing Process Essay The Joint Commission mandates standards that are to be met in order to maintain compliance. Standard PC.01.02.03 states that history and physicals must be documented and placed in the patient’s medical record within 24 hours of admission and prior to procedures involving conscious sedation or anesthesia. History and physicals are also considered in compliance if documented 30 days prior to procedures as long as there are no changes documented or the changes in status are specifically noted. (Joint Commission Update, n.d.) A2. Plan Often, rules and regulations are met with disdain and it is usually because there is no explanation provided as to why the rule exists. The rules for History and physical documentation are in place for a reason and are not just to make things more complicated. History and physicals provide  all health care providers that participate in a patient’s care a glimpse into that patient’s health status and immediate concerns. (Shuer, 2002) The information provided in a history and physical paints a portrait for all other health care team members to follow and treat accordingly. Often, emergent situations may arise where other health care specialty providers may not have the time to glean medical background information from patients and/or their representatives and the history and physical then serves as the go to source of information. Compliance regulations can be hard to understand the reasoning behind them sometimes, but if we all work together to make sure that we meet them, then NCH will continue to embrace the core values that we have worked so hard to instill and embrace. The following outline is a corrective action plan that will ensure compliance with the Joint Commission and bring us up to par for the readiness audit. Action Accountable Parties Timeframe Measurement History and Physical Physicians physician assistants 1. Within 24 hours of admission. 2. Within 30 days prior to a procedure involving conscious sedation or anesthesia. Chart reviews and if requirements are not met, patients will be held in the surgical admitting unit and procedures will be delayed. There must be 100% compliance. B. Sources Joint Commission Update Study Guide. (n.d.). Retrieved August 31, 2014, from med2.uc.edu/libraries/GME_Forms/Joint_Commision_Upd_1.sflb.ashx Shuer, L. M. (2002). Improvement needed on hp documentation. Medical Staff Update, 26(5), Retrieved from med.stanford.edu/shs/update/archives/May2002/chief.html

Roe v Wade Essay -- Abortion History Illegal Legal Pregnancy Essays

Roe v. Wade   Ã‚  Ã‚  Ã‚  Ã‚  Have you ever wondered how abortion came to be legal? It was decided in the Supreme Court case of Roe v. Wade. The 1973 Roe v. Wade decision was a major landmark in not only the abortion issue, but also in American government.   Ã‚  Ã‚  Ã‚  Ã‚  In 1970, Norma McCorvey, a single and pregnant woman in Texas wanted to get an abortion. The state laws of Texas at that time stated that it was illegal to have an abortion in Texas. Even though the state told her that she could go to one of the four states in which abortion was legal to have the procedure done, she decided that she could not afford to travel to another state to receive the procedure. Norma McCorvey decided that she would sue the state of Texas, claiming that her constitutional rights were being taken from her. She then changed her name to the pseudonym â€Å"Jane Roe† to protect her right of privacy. The district court found that Roe did have grounds to file the suit against the state of Texas. They ruled on the grounds that the abortion laws in Texas infringed on the first, fourth, fifth, ninth, and fourteenth amendments of the constitution. The first amendment states that, â€Å"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances† (http://www.house.gov/Constitution/Amend.html). The fourth amendment states that, â€Å"The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized† (http://www.house.gov/Constitution/Amend.html). The Fifth Amendment states that,   Ã‚  Ã‚  Ã‚  Ã‚  No person shall be held to answer for a capital, or otherwise infamous crime,   Ã‚  Ã‚  Ã‚  Ã‚  unless on a presentment or indictment of a Grand Jury, except in cases arising in   Ã‚  Ã‚  Ã‚  Ã‚  the land or naval forces, or in the Militia, when in actual service in time of War or   Ã‚  Ã‚  Ã‚  Ã‚  public danger; nor shall any person be subject for the same offence to be twice   Ã‚  Ã‚  Ã‚  Ã‚  put in jeopardy of life or limb; nor shall be compelled in any criminal case to   Ã‚  Ã‚  Ã‚  Ã‚  be a witness against himself,... ...them to a bigger risk of being pressured into an unwanted abortion. Many women are pressured from their male partner, physicians, parents, or others. 2. The question, â€Å"When does life begin†? was an unanswered question in 1973. Now there are answers that say that life begins at conception. 3. People need to protect unwanted children after they are born. Women should no longer be forced to dispose of unwanted children by ending human life.   Ã‚  Ã‚  Ã‚  Ã‚  Whether you believe in legalized abortion or not, the Supreme Court case Roe v. Wade has definitely changed the way most American women treat unwanted pregnancies. It will be interesting to see what changes may occur from the next â€Å"Roe† case. Bibliography â€Å"Is Cerebral Palsy Ever a ‘â€Å"Choice’?† Lifeissues.net. 2000. 31 July 2004.   Ã‚  Ã‚  Ã‚  Ã‚  . Palmer, Gary. â€Å"Roe V. Wade Exposed. 22 Jan. 2003. Alabama Policy Institute. 31 July   Ã‚  Ã‚  Ã‚  Ã‚  2004. . Pavone, Frank. Interview. Interview with Dr. Philip Ney. 16 Jan. 2001. 31 July 2004.   Ã‚  Ã‚  Ã‚  Ã‚  . â€Å"Roe v. Wade†. The case. 22 Jan. 1973. 12 July 2004.   Ã‚  Ã‚  Ã‚  Ã‚  . â€Å"Roe v. Wade – Then and Now.† Reproductiverights.org. Jan. 2003. 9 July 2004.   Ã‚  Ã‚  Ã‚  Ã‚  .

Lost Gen And Harlem :: essays research papers

The Artists of the Harlem Renaissance and the Lost Generation diverged from the mainstream to begin a separate cultures. Harlem was an area in New York with an extensive African American population. During the ‘20s poets, writers and musicians like Langston Hughes, Claude Mckay and Zora Neale Hurston made the Harlem area the center of black art and culture. The lost generation was based mainly in Paris, France. It consisted of war torn men who could not re-enter society after World War I. In Europe nearly sixty two percent of men had been killed, captured or debilitated in the Great War. Famine and poverty plagued every nation. The Lost Generation was truly lost – they felt angered by the problems at home and many choose to abandon their pre-war land and values to move abroad and adapt a new culture and morals. The black artists of the post WWI era did not conform to mainstream society or even â€Å"regular† black society. Instead they formed their own culture aside the mainstream and the movement was dubbed the Harlem Renaissance. It was truly a coming together of black, and to some extent white, cultural figures. There was little outside influence on the Renaissance. Neither big industry, with their endless promotions to lure customers, nor the anti-prohibition, or speakeasy culture, that characterized the roaring ‘20s affected the diverse Harlem culture. Langston Hughes was a very prominent writer during the Renaissance. He was a very well cultured man who had traveled all over to places such as the USSR, Haiti and Japan. Refered to as the poet Laureate of New York, his writing was a vehicle to express social and political protest. His diverse use of Jazz and black folklore influenced many black writers of his time. He was also one of the first, along with Claude Mckay, black writers to attract a substantial white audience. Mckay was a Jamaican born poet and novelist. He was attracted to Harlem because of its immense diversity of culture. He had been oppressed and harassed during the Red Scare, a nationwide hunt for radicals, because of his status as a leftist newspaper editor. His style of writing attracted crowds of people never exposed to black culture. He â€Å"used traditional forms to express unfamiliar ideas†. Zora Neale Hurston was the prominent woman during the Harlem movement. She was very much involved in black heritage and southern culture.

Heart of Darkness Inner Evil

Final Paper Realization of the inner evil in the Heart of Darkness. Evil is an inherent part of all humans. This is clearly illustrated in the novella Heart of Darkness, by Joseph Conrad. As Marlow takes on the journey to find Kurtz, he really is taking a journey to find himself. Much to his dismay he realizes that the same evil Kurtz possesses, he possesses as well. Conrad uses this realization to show the reader that under the right circumstances, evil can overtake anyone’s mind and actions. When Marlow was sent on the mission to find Kurtz, his true self came out.Kurtz was like Marlow when he first entered the Congo; he had good intentions. Marlow’s trip down the Congo represents a journey into his inner self. As he traveled further down the Congo he began to learn more about himself and became more savage. He started to realize he had more in common with the native savages than his own people. Kurtz was known as a smart and honorable man. He had been in the Congo fo r a very long time before Marlow was sent to look for him. Kurtz had been secluded from society for quite some time and had become a powerful, godlike presence over the inhabitants of the Congo.He was originally sent to find ivory but found power. The power he possessed was the power to be evil. â€Å"Kurtz became ‘savage’†¦ disconnected as it is from the restraining impulses of civilization, untrammeled, without sidewalks, or police men,† ( At the Heart of Darkness: Crimes Against Humanity and the Banality of Evil, Brigit and Daniel Maier-Katkin). The fact that Kurtz had no one to answer to, and, no one to judge him, gave him the opportunity to be evil. In the Congo, the only punishment is death, and Kurtz made sure that he wasn’t the one who’d be killed.With good knowledge of Kurtz, Marlow was still eager to meet him. When Marlow finally met Kurtz he found evil. He realized the evil within all humans. Conrad shows the reader what man is witho ut society, rules, and regulations. The reader learns how man can become a vicious animal in the wild and how it can exist in all people. When Marlow found Kurtz, he was very weak and was close to death. â€Å"As Kurtz emerges from his blankets †¦ his moribund condition is also personally retributive, and oblique revenge on himself. (Lying as Dying in Heart of Darkness by Garret Stewart. ) Conrad shows us the peril and consequence of evil with the condition that Kurtz is in. He reminds the reader that being evil is not the right way to live and will eventually take its toll on a person’s mind, body, and soul. Kurtz dies on the way back home in the boat and his last words were â€Å"The horror, the horror. † â€Å"His was an impenetrable darkness. I looked at him as you peer down at a man who is lying at the bottom of a precipice where the sun never shines,† Marlow said about Kurtz.This shows how empty and cold Kurtz looked as he was dying. When Marlow retu rned home he comes across Kurtz’s fiance. She was upset and asked Marlow about Kurtz’ last words. He lies to her and tells her his last words were her name. He lied because he didn’t have the heart to tell her that Kurtz went insane and became evil, he kept it to himself and made her last thought of Kurtz a good one: â€Å"I could not tell her. It would have been too dark-too dark altogether†¦. † Marlow's journey into the heart of darkness, into his inner self, was a positive life lesson.Kurtz, who represented evil, went down with the evil. When Marlow came out of the Congo he survived evil, he did not give in to the evil that was present throughout his journey. Marlow did not succumb to the temptations that Kurtz did. Even though he lies to Kurtz’ fiance he has still become a good person. He will forever remember the memory of Kurtz and the inner evil that he came across in the heart of darkness. Conrad shows that in the end evil will fail an d good will prevail.

The eNotes Blog Remembering Toni Morrison

Remembering Toni Morrison Toni Morrison, one of the most influential authors of the last century, passed away on August 5, marking the end of a long and prolific writing life. Although best known for novels such as Beloved, The Bluest Eye, and Song of Solomon, Morrison’s catalogue of work encompasses children’s stories, short fiction, plays, and non-fiction books exploring topics surrounding race, gender, power, and more. She held teaching positions in colleges and universities across the country, was the first African American to receive the Nobel Prize in Literature, was awarded the Medal of Distinguished Contribution to American letters, and was presented with the Presidential Medal of Freedom. Morrison’s life and legacy are an inspiration to many. She was the first African-American woman to work as an editor at Random House. She made a strong impact on the literary world with her debut novel, The Bluest Eye, in 1970. Her works focus on the experience and perspectives of African Americans in order to draw attention to this underrepresented community. She provided American literature with insight into the dignity and richness of African American culture using language and a willingness to engage with often overlooked parts of history. When questioned about her decision to exclude the white perspective from her novels, Morrison outlined her literary creed:   I never asked Tolstoy to write for me, a little colored girl in Lorain, Ohio. I never asked [James] Joyce not to mention Catholicism or the world of Dublin. Never. And I don’t know why I should be asked to explain your life to you. We have splendid writers to do that, but I am not one of them. It is that business of being universal, a word hopelessly stripped of meaning for me†¦ If I tried to write a universal novel, it would be water. Behind this question is the suggestion that to write for black people is somehow to diminish the writing. From my perspective there are only black people. When I say â€Å"people,† that’s what I mean. Though no summary can quite do justice to the depth and complexity of her work, these excerpts will inspire you to explore Morrison’s rich and masterful prose on your own: Love is never any better than the lover. Wicked people love wickedly, violent people love violently, weak people love weakly, stupid people love stupidly, but the love of a free man is never safe. There is no gift for the beloved. The lover alone possesses his gift of love. The loved one is shorn, neutralized, frozen in the glare of the lover’s inward eye. - The Bluest Eye You cant own a human being. You cant lose what you dont own. Suppose you did own him. Could you really love somebody who was absolutely nobody without you? You really want somebody like that? Somebody who falls apart when you walk out the door? You dont, do you? And neither does he. Youre turning over your whole life to him. Your whole life, girl. And if it means so little to you that you can just give it away, hand it to him, then why should it mean any more to him? He cant value you more than you value yourself. - Song of Solomon In this here place, we flesh; flesh that weeps, laughs; flesh that dances on bare feet in grass. Love it. Love it hard. Yonder they do not love your flesh. They despise it. They dont love your eyes; theyd just as soon pick em out. No more do they love the skin on your back. Yonder they flay it. And O my people they do not love your hands. Those they only use, tie, bind, chop off and leave empty. Love your hands! Love them. Raise them up and kiss them. Touch others with them, pat them together, stroke them on your face cause they dont love that either. You got to love it, you! And no, they aint in love with your mouth. Yonder, out there, they will see it broken and break it again. What you say out of it they will not heed. What you scream from it they do not hear. What you put into it to nourish your body they will snatch away and give you leavins instead. No, they dont love your mouth. You got to love it. This is flesh Im talking about here. Flesh that needs to be loved. Feet that ne ed to rest and to dance; backs that need support; shoulders that need arms, strong arms Im telling you. And O my people, out yonder, hear me, they do not love your neck unnoosed and straight. So love your neck; put a hand on it, grace it, stroke it and hold it up. And all your inside parts that theyd just as soon slop for hogs, you got to love them. The dark, dark liver- love it, love it and the beat and beating heart, love that too. More than eyes or feet. More than lungs that have yet to draw free air. More than your life-holding womb and your life-giving private parts, hear me now, love your heart. For this is the prize.† - Beloved