Tuesday, January 28, 2020

A chiropractic office Essay Example for Free

A chiropractic office Essay A chiropractic office lost all of its computer data, and I was hired for the amount of time that it would take me to type up all of their hard copies into their new computer system. It took me a total of two weeks to type up a three-foot stack of papers. The skills required were mainly typing and editing skills, and sometimes I had to be able to read the doctor’s handwriting. I felt that no further motivation was necessary regarding skill level, since I am a quick, accurate typist and I enjoyed learning about various alternative health remedies as I went along. I completed the entire stack of papers by myself, and I found the solitary work to be relaxing and enjoyable. I felt that my job was, indeed, meaningful since many of the papers were standard legal forms or alternative health information or recipes for kidney stones or other ailments. At any given point in time, I was either directly assisting the chiropractic office or the patients thereof. Since I was a friend of the chiropractor and a trusted member of the staff, I was given full autonomy to complete my assignment on my time, at my discretion and on my schedule. That motivated me to do a stellar job in a short amount of time. Afterward, everyone was impressed by the quality of work I did, but especially the short amount of time in which I did it. I felt satisfied and like I accomplished something worthwhile and in an efficient manner. Â  I will use this same chiropractic office as my next example. An example of strategic planning is when the chiropractor refers the patient to their next appointment, telling them what needs to be checked up on or corrected next time. In this manner, he is not leaving it up to the patient to decide, but recommending a timeframe for when they should return. In this manner, for as long as the patient needs his help, he is providing himself continuing clientele. An example of functional-level planning is when he hired me to type up his paperwork or hired a receptionist to take care of patient evaluation and scheduling of appointments. In this manner, he is allowing himself to give the patients his full, undivided attention which will heal them faster, and allocating other work responsibilities to other people. In this way, he remains organized and punctual. The differences in decision making between the chiropractor and, say, his receptionist is drastic. If the receptionist were to determine when a patient was finished with treatment, a patient could be over-treated or under-treated and lose a lot of money, which would be spread by word-of-mouth and cost the business lots of money. And if the chiropractor made it his responsibility to take care of the tax reports, he would spend hours away from his treatment table, when he could be taking walk-ins or checking the status of a patient’s healing.

Monday, January 20, 2020

Huck and finn :: essays research papers

Jim’s Perspective   Ã‚  Ã‚  Ã‚  Ã‚  All of a sudden I woke up to someone saying hello and I jumped up and turned around to see who was on the island with me. To my surprise I saw Huckleberry Finn, thinking that he was dead i dropped to my knees and said â€Å"doan’ hurt me dont’t! I hain’t ever done no harm to a ghos’. I alwuz liked dead people, en done all i could for ‘em. You go en git in de river ag’in, whah you b’longs, en doan’ do nuffin to Ole Jim, ‘at ‘uz alwuz yo’ fren’.†   Ã‚  Ã‚  Ã‚  Ã‚  Then Huck explained to me what had happened to him and amde me understand he was alive and not a ghost. After expalining Huck says â€Å"It’s good daylight. Le’s get breakfast. Make up your campfire good.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"What’s de use er makin up de camp-fire to cook strawbriesen sich truck? but you got a gun, hain’t you? Den we kin git sumfn better then strawbries.† I said.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Strawberries and such truck,† he said. â€Å"is that what you live on? â€Å"I could’nt get nuffin else,† â€Å"Why how long you been on the island Jim?† â€Å"I came heah de night after you’s killed.† â€Å"What, all that time† â€Å"Yes indeedy† â€Å"And you ain’t had nothing but that kind of rubbage to eat?† â€Å" No sah nuffin else† â€Å"Well you must be starved ain’t you?† â€Å"I reck;n i could eat a hoss. I think I could. How long you ben on de islan’?† â€Å"Since the night I got killed.† â€Å"No W’y, what has you lived on? But you got a gun. Oh, yes. you got a gun. Dat’s good. Now you kill sumfn en I’ll make up de fire.†   Ã‚  Ã‚  Ã‚  Ã‚  So we went over to where the canoe was, and whuile I built the fire in a grassy open place amongst the trees, Huck went off and feched a meal and bacon and coffee, and a coffee-pot and frying pan and sugar and tin cups, and I was set back considerable because I reckoned it was all done with witchcraft. He caught a good big catfish and I cleaned him with my knife and fried him. When breakfast was ready weolled on the grass and eat it smoking hot. I laid it in all my might , because i was most starved. Then we had got pretty well stuffed, we laid off and lazied.   Ã‚  Ã‚  Ã‚  Ã‚  By and by I said: â€Å" But looky here, Huck who wuz it dat ‘us killed in dat shanty ef it warnt you?† Then he explained to me th whole thing and I told him it was smart.

Sunday, January 12, 2020

Iom Report Impact on Nursing

Difference Between Nurses at the Associate vs. Baccalaureate Degree Level To this day there are three types of programs that exist to allow an individual to practice as an RN: the diploma, the Associate degree, and the Baccalaureate degree. The diploma route is a hospital based program that prepares an individual to sit for the NCLEX-RN. It is usually a two to three year program. It prepares the student for nursing jobs for delivering direct patient care in the hospital or other inpatient setting.The associate route RN is typically a two-year program that focuses on teaching the student technical nursing skills with basic education requirements in math, science, and English. It prepares the student for entry-level nursing jobs in hospitals and inpatient facilities. The baccalaureate route RN holds the higher level of education in nursing. It is achieved through a more rigorous educational study through research and evidence-based practices that prepares them for leadership and manage ment positions. In comparing the associate degree nurse vs. he baccalaureate degree nurse, in order to increase patient safety, the associate degree nurse should attain their baccalaureate degree for standardization in with our continually changing health care systems. In looking back in history, the associate degree of nursing (ADN) was designed by Mildred Montag in 1952 to help the nursing shortage as a collegiate alternative (Creasia and Friberg, 2011, p. 27). It started as a pilot project at seven sites that has now grown to be very successful and desirable when compared to the 4-year baccalaureate route.The 2-year associate degree route is sought out more for its cost effectiveness while achieving the same goal of being able to take the NCLEX-RN for licensure. Especially as studies from the Committee of the American Society of Nursing Service Administration noted that they saw no difference among beginning practitioners from BSN, ADN, or diploma programs (Schank and Stollenwerk , 1988, p. 254). The key word here is beginning practitioner, there is no difference between the performances of the two.However, if an individual desires to advance in their nursing career, the associate degree separates the baccalaureate degree holding RN from a higher position and pay for example in a managerial or supervisory role. The baccalaureate degree was intended by the ANA to be the entry point into professional nursing practice (ANA, 1965). Those who choose the BSN route are prepared to practice nursing in beginning leadership positions. In order to take on a leadership role, the baccalaureate holding nurse needs to have a more in depth education with skills in communication, leadership, and critical thinking.The inclusion of public health in the BSN program requires a nurse to be adequately knowledgeable to educate beyond the individual onto the communities and population. Not only is the BSN nurse able to communicate beyond the individual but also better able to collab orate with those holding higher educational degrees as well. Being able to communicate clearly the knowledge learned, through critical thinking based on evidence-based practices is what differentiates an associate degree from a baccalaureate degree nurse. Because of these qualities, it also affords them the ability to take on leadership roles.Higher education enables BSN nurses to go outside the small circle of practice. Studies have shown that patient outcomes can be attributed to higher levels of nursing education. More knowledge enhances the nurses’ concept of nursing as a profession to better adapt to a continually changing health care environment. More knowledge enhances the nurses’ concept of nursing as a profession to better adapt to a continually changing health care environment and by having experience in research of evidence-based practices gives the nurse a firm foundation. Their knowledge is broader to help promote positive patient outcomes (Spencer, 2008, p. 08). In one study they found a â€Å"10% increase in proportion of BSN nurses was associated with a 5% decrease in likelihood of death† (Ridley, 2008, p. 152). One aspect of the BSN student that the ADN student does not acquire is delving into evidence based practices. The BSN nurse, therefore, is transitioned from the basic clinical aspects of nursing from the individual patient onto a broader spectrum. Research enables the RN to become more reflective by evaluating past clinical experiences, honing in on critical thinking skills to help better understand our changing healthcare environment.In evaluating the table from the studies of the Examples of Activities included in the 1999 RN Practice Analysis with Average Frequencies of Performance (Smith, 2002, p. 493), I found that the tasks that required more critical thinking and collaboration with higher disciplinary teams, were slightly higher amongst the BSN group. The average of 3. 73(BSN) vs. 3. 40 (ADN) would consult wi th other health care providers about client care, average 3. 15 (BSN) vs. 2. 92 (ADN) would act as the clients advocate, and 0. 85 (BSN) vs. 0. 5 (ADN) would plan and develop a health promotion program based on a community assessment (Smith, 2002, p. 493). Many of the activities shown on the table reflect that there were not many differences among the ADN and BSN nurse. The BSN nurse has better communication skills would collaborate with other disciplinary teams and act more often as a patient advocate. Because the BSN nurse also has a more rich understanding of evidence based practices and research, he/she would be more likely assist in developing a health promotion program.In conclusion, even though it is more cost efficient in obtaining an associates degree or even diploma to qualify for RN licensure, the baccalaureate degree should be the standard goal. Our health care system is continually changing, it is the responsibility of the nurse to also strive to grow with our environme ntal changes by achieving higher education. Not only does the BSN nurse qualify for higher positions in the health care system, but it also produces better patient outcomes. References American Nurses Association. (1965). A position paper. New York, NY: American Nurses Association; 1965. Creasia, J.L. , & Friberg, E. (2011). Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. , 2011. Pageburst Online. Web. 21 February 2013 . Ridley, R. T. (2008). The Relationship Between Nurse Education Level and Patient Safety: An Integrative Review. Journal of Nursing Education, 47, 149-156. Retrieved from http://ehis. ebscohost. com. library. gcu. edu:2048/eds/pdfviewer/pdfviewer? sid=e2ae0a10-62a7-418b-ab46-32ad87faa068%40sessionmgr113&vid=4&hid=3 Schank, M. J. , & Stollenwerk, R. (1988, June 1, 1988). The Leadership/Management Role: A Differentiating Factor for ADN/BSN Programs?Journal of Nursing Education, 27, 253-257. Retrieved from http://ehis. ebscohost. com. l ibrary. gcu. edu:2048/eds/detail? sid=f2a65c9b-fb18-4dd4-ba84-717a1f32bb14%40sessionmgr4&vid=5&hid=102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=rzh&AN=1988078948 Smith, J. E. (2002). Analysis of Differences in Entry-Level RN Practice by Educational Preparation. Journal of Nursing Education, 41, 491-494. Retrieved from http://ehis. ebscohost. com. library. gcu. edu:2048/eds/pdfviewer/pdfviewer? sid=a9aecc8d-204c-4c13-b26c-12ce8475eea0%40sessionmgr111&vid=4&hid=4

Saturday, January 4, 2020

Teen Plastic Surgery - 2711 Words

Teen Plastic Surgery Cosmetic plastic surgery has been increasing rapidly in the medical field, and making its way to the top of the beauty spectrum when it comes to what is important. Teenagers, especially adolescent girls, have been exploring the new ways to enhance their external appearance, and not with just lipstick and eye shadow. In the past three decades, surgeons, magazine editors, and book authors have been investigating the consequences, good and bad, of having cosmetic surgery at such a young age and what exactly is influencing this surgical epidemic. The question is this: should teenagers be able to get cosmetic surgery at such an early age? A review of both anecdotal experiences as well as scholarly evidence will prove both†¦show more content†¦Maturity When studying adolescent teens, you must consider the maturity level of understanding the different implications of surgery and all that it entails. Although there is no prohibition against performing surgery on patients younger than 18, some surgeons say they are reluctant to do so in part because they may still be growing (Boodman, 2004). At such a young age, it is hard to imagine deciding on a serious procedure that could affect the patient for many years to come and to understand the risks that are involved. The teens who seem to be getting these procedures do not realize that their bodies are still growing mentally and physically. Even though one might think that getting these procedures will enhance beauty and self-esteem, it will not guarantee happiness. Having cleavage may be the most important thing when youre 18, but its not when your 25, Zuckerman stated (2008). Knowing your priorities and putting what is most important first can save a lot of financial hardships and personal dissatisfaction. So why talk about only girl teenagers; what about boys getting cosmetic surgery? The truth is, that anyone and everyone tends to become more masculine looking with age. For boys, this is a wonderful trait that can increase self-esteem, but for girls, it is their worst nightmare. Studies have shown that society as a whole has a tendency to put more pressure on girls to look good which makes forShow MoreRelatedSocial Media On Teen Plastic Surgery1177 Words   |  5 PagesUnderstanding plastic surgery. b. Knowing the reason why people would most likely operate plastic surgery. c. Knowing whether plastic surgery is a way to promote beauty or destroy it. II) The Main Conflict a. Knowing how plastic surgery destroys beauty rather than promote it. b. Many people go overboard with surgery to look MORE beautiful. c. Lack of self-confidence guides people into fakeness. III) Plastic surgery in a developing teenager a. The influence of social media on teen plasticRead MoreAmerican Teen Cosmetic And Plastic Surgery1432 Words   |  6 Pages American Teen Cosmetic and Plastic Surgery Plastic and cosmetic surgeries have become a persisting issue in The United States, with the steady advancement of social media and technology being exposed to teens, many are falling victims to the country’s perception of standard beauty and resorting towards surgical procedures features that are not considered to be attractive among the general public. The United States makes it very easy for teens to proceed with aesthetic surgicalRead MoreShould Teens Get Forced Into Getting Plastic Surgery?1656 Words   |  7 Pagesmother looks different from her, due to the fact she has gotten a lot of plastic surgery done to herself. Whose little girl wants to grow up and look beautiful, just like her mother, but doesn’t understand the risk of plastic surgery. When the little girl grows into a teen, she thinks she is finally ready to get her first cosmetic surgery done, a nose job. Her mother is all for it, since she has had plenty of cosmetic surgeries before, but is this perfe ctly team getting this for herself, where to makeRead MoreShould Teens Undergo Plastic Surgery?1565 Words   |  7 PagesShould teens undergo cosmetic surgery? In todays society the picture of beauty is a rail thin super model with the body of a goddess posted on billboards all around the world. Children are brought up playing with Barbie dolls with the body measurements of would be 39, 18, 38. Because of these pictures and other figures of beauties projected all over, today teenagers are convinced to believe that to be beautiful and happy they must look like these images. According to a survey by Bliss MagazineRead MorePro Teen Plastic Surgery Debate Information3238 Words   |  13 PagesCurrent event- Historical event- She is just 14, going to undergo plastic surgery. her face bears the painful-looking raised scars and puckered skin of a burn victim. Blikis was burned in an acid attack. Acid eating through the skin on their faces, destroying cartilage and bone in minuetes. As she waits for her first surgery to help restore her face and her future. Driscoll, Amy. World of Hope for Acid Attack Victim. Miami Herald (Miami, FL). 15 Jul 2001: 1B+. SIRS Issues Researcher. Web.Read MoreEssay about American Teenagers and Plastic Surgery1189 Words   |  5 PagesAmerican Teenagers and Plastic Surgery Plastic surgery is not a new field of medicine. Traditionally, plastic surgery dealt with fixing abnormalities of the body, but recently people are enjoying the luxury of plastic surgery simply because they are not happy with their appearance. People make appointments with plastic surgeons for procedures such as rhinoplasty, liposuction, tummy tucks, face lifts, and most commonly breast augmentation. These people look forward to desired results fromRead MoreCosmetic Surgery: A Risky and Costly Procedure1355 Words   |  6 PagesIf one is considering cosmetic surgery I suggest reconsidering. Research shows cosmetic surgery can be a risky and costly procedure. Society is pressuring people to look more attractive. Media shows actors to be flawless and the public feels that one should be compared to these actors. Cosmetic surgery is becoming more popular is today’s culture. People are turning to cosmetic surgery for many reasons, some of them are not healthy. Why do people go to such dangerous measures to look more attractiveRead MoreTeen Cosmetic Surgery is Ugly1059 Words   |  5 Pagestrendiest, expensive clothes, I wanted it all. This was all a part of growing up. However, there are exceptions. When it comes to permanent, life-altering choices at such a young age, conformity is not the right decision. Why is it so hard for teens to accept who they are? Why do the feel the need to look and be something or someone there not? What happens when it gets out of control? Is it more than the desire to follow a trend? Answers to these questions are not easily found due to all ofRead MoreThe Plastic Generation (Persuasive Speech on Child Cosmetic Surgery)960 Words   |  4 PagesThe Plastic Generation Famous actress and model Patricia Heaton once said â€Å"Plastic surgery is like the big elephant in the Hollywood living room,† (Brainy Quotes). For celebrities, a plastic surgery operation is just another trip to the doctor’s office. After all, in this day and age, image is everything. We see this in high profile professions, and in large cities across the country. However, recently in Beverly Hills, California, girls as young as 16 are getting nose-jobs as a â€Å"Right of Passage†Read MoreTeenagers and Cosmetic Surgery1573 Words   |  6 Pagesare more likely to have cosmetic surgery to blend in, to avoid peer harassments, and to stop further inner torments. Keep in mind that plastic surgery and cosmetic surgery are different even though both surgeries are used to fix someone’s physical body. Plastic surgery are used to mend looks that are ruined due to terrible accidents, and is pay by insurance, while cosmetic surgery are used to enhance someoneâ⠂¬â„¢s look which insurance does not cover. Cosmetic surgery has helped many patients fit in with