...This past summer, I was selected to participate in a research internship at the University of Illinois studying cancer and public policy. Lab work, being entirely new to me, was something I approached with vigor and anticipation, albeit a bit of nervousness, as I didn’t have much lab experience. However, I knew I was ready to step out of my comfort-zone and begin learning. The only way to improve was to put in the effort, and I was ready to start. At first, the work challenged me intensely. The language of academia was difficult to understand, and I had to learn to decipher the meaning in the texts I read during my literature review. As I grew more accustomed to the analytical vocabulary and prose present in scientific journals, my work...
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...I still remember my first patient from my first clinicals. She was about my age, but came from a much different background. She was African American and came from a low-income family. Despite our diversity, we began to talk and she began to tell me about how lonely she felt and how none of her friends would visit her during her frequent hospital visits. Even though I had assignments to do and charting to finish, I sat in her room for hours and let her know that she had a friend. We talked about all the things she had going on in her life and I just sat and listened. I made sure that anytime she was readmitted to the hospital I would visit her and let her know that she had people that cared about her. I did not let any prejudices get in the...
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...This week, clinical assignment here at McKay Dee Hospital was in the Emergency Room. This is one of the largest Emergency Room serving northern Utah and southern Idaho. This clinical has been the one that I have been most looking forward to, after hearing stories from my cohort about their experiences in the emergency room that, only made me more excited for tonight. This is bad to say, I am not wishing harm anyone, but I was really wanting to see some acute trauma patients come through tonight. However, Windy and I care for multitude of patients tonight. We had pediatric patients present with fevers and we treatment with Motrin and were discharged home. One patient Windy referred to has having meth mouth, which came in with a large abscess...
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...Experiences shape our path I would probably say that one of my formative experience is how a colleague and I constructed a narrative of our experiences at SSA that began with we’re the oldest students here, unsure of what classes to take, we could never be full time students, take more than 2 classes and/or work and attend classes—only to have some transformative moment or moments that then made us the social workers we are today. On the flip side, I feel like we all have this platonic ideal in our minds about passing all of our classes with grades higher than a “C,” and we expect, contrary to our own experiences and contrary to the experiences of some of the students in our cohort, is that not to stress ourselves, and do the very best we can. Unlike my colleague, my concern was graduating undergrad 30 years ago, coming to a prestigious discipline, and feeling inferior in my first year of not knowing how to write papers or conduct research. I came from a very small college, and had no preparation whatsoever in 30 years what school was about currently. Moreover, graduate school has given me the opportunity to apply a theoretical foundation to describe my own undergraduate experience—after spending four years going through college and witnessing my own development, I am now learning why I went through such development and how I can best help those develop and grow just as I did. SSA has removed all self-doubt, and helped me leap past my own assumptions of what I knew to be true...
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...My service learning project was at a seventy six year old woman’s home, throughout four weeks with one visit a week at an hour and a half per visit. I had originally discussed with R.T. about what she would like to have her occupational outcome to be (long term goal), she told me that she would like to visit family more but was worried about leaving home, afraid something would happen when she was away. Some of my strengths and skill/talents that I felt I exhibited during the visits were good verbal/non-verbal communication, asked open ended and non-open ended questions, teach back method, research and therapeutic use of self. Therapeutic use of self (TUS) as defined by AOTA allows occupational therapy practitioners to develop and manage their therapeutic relationship with clients by using narrative and clinical reasoning; empathy; and a client-centered, collaborative approach to service delivery. One of the limitations I had with my client R.T. was that I couldn’t travel with...
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...increasing emphasis on efficiency and effectiveness in health care, how a nurse manages her time is an important consideration. Whilst time management is recognized as an important component of work performance and professional nursing practice, the reality of this process in nursing practice has been subject to scant empirical investigation. Aim. To explore how nurses organize and manage their time. Methods. A qualitative study was carried out, incorporating narratives (22 nurses), focus groups (24 nurses) and semi-structured interviews (22 nurses). In my role as practitioner researcher I undertook observation and had informal conversations, which provided further data. Study sites were five health care organizations in the United Kingdom during 1995–1999. Findings. Time management is complex, with nurses using a range of time management strategies and a repertoire of actions. Two of these strategies, namely routinization and prioritizing, are discussed, including their implications for understanding time management by nurses in clinical practice. Conclusions. Ignoring the influence of ‘others’, the team and the organization perpetuates a rather individualistic and self-critical perspective...
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...bring 24 years of experience counselling children and supporting parents. Parents seek me out for my highly specialized knowledge and skill working with children and their caregivers. I bring my extensive knowledge of child development coupled with my family systemic approach to parent-child challenges, children struggling with school related challenges like bullying, learning challenges, children with anxiety, OCD, Autism, and general developmental challenges. I work to understand the unique skills and abilities that each person possesses. The process of counselling helps to uncover these abilities for a child and parent. Treatment of a child can comprise of parental consultations, family therapy and individual therapy. In my counselling with children I may use talk, art and play to help your child learn new ways of copying. Kids love coming to see Bruce. I’d like to think it is just because kids feel comfortable with me, but it might also have something to do with the volume of child focussed activities in my office, from Lego to Egg chairs! I also offer an extensive set of resources for parents to help them support their children....
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...Introduction In this essay, I will discuss my experience of interviewing a family and constructing a genogram guided by their narrative. For this task, I purposely chose a family that is very different from my family of origin in terms of their cultural heritage. I will reflect on differences and similarities between our families as well as my prejudices and hypothesis that I inevitably constructed before and during the process. To identify this family, I had to approach some colleagues proposing to them to participate in the interview. Fortunately, one of them introduced me to her friend. Francesca had an interest in psychology, and since she was free and not much committed, I did welcome her with a cup of coffee to share more about the interview. After I formally introduced myself to her, I laid down to her the framework of the interview, and she agreed to participate with her husband, Matteo. Family context The family I interviewed comes from Italy, but they moved to the UK 3 years ago. I noticed that knowing these few details I was already constructing hypothesis based on stereotypes. I was dreading the interview because I was expecting to have difficulty in stopping them talking since I was concerned about getting enough information to construct the genogram. I also hypothesized whether being new to the UK makes them consider participating in projects like mine to increase a sense of belonging. Another hypothesis where I imagined them to have very firmly attachments to...
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...Critical Reflection on current clinical knowledge and development Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within my previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker & Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between...
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...America, I had been watching as our justice system failed time and again to protect my community. The death of Trayvon Martin and the birth of Black Lives Matter ushered in a time of anger, frustration, and fear in my life. The experience of watching my disabled brother be arrested while sitting in a parking lot because the officer thought he “looked suspicious” affirmed a narrative that I had no agency over what happened in my life or community. The fight for justice, equal treatment, courage, and influence are all fights that the union takes on every day. As a union member, I saw black and brown people taking charge and demanding change. People of color, especially women, made...
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...Atul Gawande’s Being Mortal is about experiences he learned from while being a doctor. In his final chapter, “Courage,” he discusses the idea of death and how some of his patients and family went into it. As Gawande discusses the stories and emotions he shared with these people, he explores the idea of narrative medicine that Rita Charon discusses. Rita Charon is a physician that practices narrative medicine in her practice. In her Ted Talk, “Honoring the stories of illness,” Charon presents the idea that we, as doctors and caregiver, should act as if the patient is more than their illness. Instead of treating just their physical illness, helping them understand and process it, as well as helping their mental health, are just as important....
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...SUGGESTED TOPICS * Why do you want to be a physician (or dentist, or veterinarian)? What experiences have motivated and reinforced your desire to pursue this profession? Something to think about – but not necessarily state – is what can medicine offer that other professions do not. For instance, you can help people by being a teacher or social worker. What draws you specifically to medicine? * What experiences have allowed you to develop the skills necessary to be successful in medical school and to become an effective physician? * What have you learned about medicine and what do you want to learn more about? * What individuals have shaped your life and influenced you to pursue medicine? * What will you contribute to the medical school community? * What do you want admissions committees to know about you that is not addressed elsewhere in your application? QUESTIONS TO ASK YOURSELF ABOUT YOUR CHOICE OF TOPIC * Why is it important for me to tell admissions committees about this topic as it relates to me? * What does this topic choice tell admissions committees about me?; How does my choice of this topic reflect on me? * How is this topic relevant to my pursuit of the health professions and to my application to health professions school? QUALITIES TO PORTRAY Maturity Compassion and empathy Reflectiveness Genuineness and sincerity Honesty and integrity Leadership Clarity of thought Insightfulness ...
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...Personal Philosophy of Nursing Cindy Lucas Jacksonville University November 12, 2012 Personal Philosophy of Nursing The nursing profession is not just a job, it is a higher calling. The amount of work, time, and emotion that goes into nursing practice holds nurses to a much higher standard than the average nine to five office job. Nurses must be proficient in a background of anatomy, physiology, and the way drugs and diseases work. Nurses must also combine that knowledge with sharp critical thinking skills and an unconditional compassion for humankind. While every nurse is unique in their own way, I hope the values that I have in my daily living can affect the way I conduct myself while on duty as a practicing nurse. The same theme seems evident in most nursing philosophies; caring, health and wellbeing, environment, and clinical excellence through education. As I contemplate what my philosophy of nursing is I have discovered that I also incorporate these aspects of nursing into my own personal values of what I believe it is to be a nurse. My personal belief system has always been that a nurse should possess strong ethical and moral values, a passion for caring, and a commitment to lifelong education. Ethical and Moral values One of the greatest challenges in nursing is how to integrate appropriately one’s own values and beliefs into the professional practice. The nurse’s primary commitment is to the patient and the patient’s family. Patient respect, advocacy...
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...iNTEGRATIVE Perpetual evolution: A dynamic integrative approach to developing praxis in counselling psychology Table of Contents Table of Contents 1 Theory Building in Counselling Psychology 2 The Impulse Toward Eclecticism 4 My Bohartian History 6 Adlerian Psychotherapy as Structured Eclecticism 10 My Adlerian Roots 11 Beyond Adler: Robertsonian Meme Therapy 13 The Nature of Self 13 The Potential for Using Memes in Counselling 15 A Use of Meme Theory in Counselling a Suicidal Youth 17 Holistic, Dynamic and Integrative: Looking Forward in Our Profession 21 Summarizing the Foundational Principles of My Practice 21 Revisiting Holism 23 Future directions 25 Footnotes 27 Theory Building in Counselling Psychology An early text lamented, “A good theory is clear, comprehensive, explicit, parsimonious, and useful. We appear to have a paucity of good theories in psychology” (Stefflre & Matheny, 1968). Lent attempted to reduce this paucity by formulating his own theory: Wellness is intended to capture the notion of health as a dynamic state or process rather than a static endpoint; psychosocial wellness acknowledges the importance of both intrapersonal and interpersonal functioning. The multiple aspects of wellness would include a) self-perceived (domain and/or global) satisfaction (hedonic well-being), b) domain/role satisfactoriness, c) presence of prosocial versus antisocial behavior, and d) low levels of psychologistical...
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...Annotated Bibliography American Association of Colleges of Nursing (2012). Nursing faculty shortage. Retrieved from http://www.aacn.nche.edu/media-relations/fact-sheets/nursing-faculty-shortage This site addresses the need for nursing faculty by showing how vast the shortage is, what factors are influencing the lack of teachers, and the actions taken to increase nursing faculty. There are some excellent statistics, as well as hyperlinks to use for further referencing. The AACN is a trusted source in nursing today, and I could use some of this information in my paper without reservation. Drury, V., Francis, K., & Chapman, Y. (2008). Where have all the young ones gone: Implications for the nursing workforce. The Online Journal of Issues in Nursing, 14(1). doi: 10.3912/OJIN.Vol14No1PPT03 Retrieved from http://gm6.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No1Jan09/ArticlePreviousTopic/YoungOnesandNursingWorkforce.html Three educators in Australia who identify and discuss the expanding nursing shortage on the undergraduate and graduate levels wrote this article. It shows how a lack of nursing instructors is directly influencing the need for nurses in the workforce. There are data regarding age and salaries, as well as a great list of resources for further study. The authors’ credentials are listed. I could use this article to show some of the recommendations to improve recruitment and retention in education...
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