Adn vs. Bsn Essay

The nursing profession continues to argue whether a nurse who holds a BSN is desirable to the Associates-Degree-prepared nurse. This has been a topic of debate since 1965, when the American Nurses Association published an opinion paper advocating for the baccalaureate degree to be the minimal standard for entry-level nurses. While some say that the level of education isn’t relevant once you orient a nurse to a certain setting, others disagree and assert that the baccalaureate degree prepared nurses demonstrate higher levels of skill in communication, delegation, assessment, teaching and supervision. Most agree, however, that each degree program provides a different level of preparation and competencies for the graduating nurse. The focus of ADN programs has been to prepare the nurse with considerable clinical experience and technical nursing skills needed to provide patient care at the bedside, while the BSN program concentrates on evidence-based practice, research, leadership skills and communication. An additional difference is the target client. Associate-degree graduates are prepared to meet the needs of the patient. The baccalaureate graduate’s scope is widened to include the family and interdisciplinary groups. According to a study done in 1988 by the Texas Higher Education Coordinating Board, nursing competencies across the spectrum of nursing education, â€Å"varied in complexity, depth, and breadth. †(Poster, 2006) Entry-level competencies were evaluated on three categories: provider of care, coordinator of care, and member of a profession. There was virtually no difference noted in the provider of care category other than the use of an evidence-based analytical approach by the baccalaureate-prepared nurse, as opposed to a critical thinking approach to decision making by the associate-degree-prepared nurse. In the category of coordinator of care, the major contrast was between how the advanced-degree-prepared the nurse to act as more of a facilitator of care between multiple factions of the healthcare team. As a member of a profession, the BSN nurse acted as a leader rather than in the participant role of the ADN nurse. Where the major differences occurred was in the â€Å"knowledge required for achievement of competency. †(Poster, 2006)The diploma prepared nurse bases her plan of care on the nursing diagnosis. The advanced-degree nurse’s basis for developing the plan of care uses â€Å"evidence-based and theoretical analysis of available data. †(Poster, 2006) An example of this difference might be in the care of patient who has a chronic condition, such as congestive heart failure. This patient undoubtedly is seen multiple times in the course of a year for symptoms pertaining to his health condition. Nurse A, with the associate’s degree, does a good job of taking care of the patient. She sees to it that he gets all of his medications in a timely fashion, and that he completes all of his scheduled tests; that his basic needs are met. Her plan of care would include all of the interventions to reflect such care. She would weigh him daily, make sure his meals followed the proper diet, and etc. Nurse B, with the BSN, also provides the afore-mentioned care. However, in addition, she may look at why this patient has frequently been admitted to her floor. She would perhaps investigate whether the same symptoms precipitated his decline and question the patient as to whether he is weighing himself daily, what types of food he is eating at home, and whether he has been taking his medications on a routine basis. She might find that he doesn’t have a scale at home, does not have access to his medications all of the time, or is simply non-compliant. Her plan of care may include a social worker and case management are more involved in his discharge planning to insure that the patient has the equipment and resources required to manage is illness at home. Nurse B might also collaborate with the patient to develop a plan he can agree to follow and provide a list of community resources that are available. Both Nurse A and Nurse B have seen to it that the patient got what he needed during his hospital visit. The healthcare industry is changing rapidly. The life expectancy of the average patient has extended due to the increase in technological advances and life-saving measures and requires that professional nurses have the ability to mange these complex patients. The baccalaureate-degree program provides an opportunity to build on the communication, problem-solving and decision-making skills taught in the ADN program to facilitate better patient care. Whether it be a an associate-degree-prepared nurse or one holding an advanced degree, one thing I am sure we can all agree upon is that better educated nurses will better serve the profession as a whole.

Narrative Observation of a Child Essay

Mother enters the room with takeaway from KFC and places it on the dining table. Subhaan (3:5) is the first child to approach the table and sit down on the seat. While aunt takes out food from the carrier bags, she asks Subhaan, â€Å"Is that your plate?† Subhaan replies â€Å"Yeah† and right before the aunt is about to put the food on his plate he immediately says†No, is that mine?. Aunt replies, â€Å"Yes† and places his meal on the plate. Subhaan sat on his knees and started bouncing on them as he picked two french fries to eat. While the aunt is emptying the bags, Subhaan stands on his knees and peeks into the carrier bags then sits back down to eat his food. Aunt ignores him as she continues talking to Subhaan’s mother. Subhaan attempts to pull out a paper cup from the stack and then hold it in both his hands. Ayesha (5:0) asks Subhaan, â€Å"Do you want water?† to which Subhaan holds up his empty paper cup and replies, â€Å"No, this is mine†. He starts playing with his cup as he tries to hold it to his mouth and then placed it on his eye, pretending it was a telescope, Subhaan started scanning the room from side to side. Subhaan puts his empty cup down and grabs another bite. He then makes a cranky high pitched noise that grabbed his aunt’s attention who noticed he was pointing at his empty cup. The aunt poured the drink half full in the cup. He takes a sip and watches Ayesha eat her meal happily. Subhaan continues his meal bouncing while sitting on his knees and then swaying from side to side as he eats. Subhaan notices a sealed straw on the table, picks it and points it at his mother loudly saying, † Mama.. mama, please open†. During the period the mother and aunt are continuously involved in a table conversation. His mother takes the straw and starts unwrapping when Ayesha asks, â€Å"Mama, what does he need that for?†. Mother ignores Ayesha as she continues the conversation with the aunt. Subhaan starts chewing his food slowly and sits back in a lazy manner. He then sits up and starts reading the children’s meal box in front of him. He sits up on his knees again to be able to drink directly from the straw fixed in his cup to his mouth using just the index finger and thumb of his dominant hand (right-hand). He sits back down, shakes his head a few times then starts looking under the table. He sits back up and starts slapping the wall on his left. He pauses to look at everyone else at the table still busy with their conversation, then returns back to his meal box and peaks inside it. He pushes away the meal box and looks at his mother to see if she noticed. However the mother is still occupied socially with his aunt. Subhaan makes a random loud noise, â€Å"Tadaaaaaa!† which made his aunt notice him and puts his meal box infront of him again saying, â€Å"Subhaan, you haven’t finished†. Subhaan does not reply instead he sinks back in his chair. After a few seconds he sits back up and drinks directly from the straw without using his hands or fingers to touch the cup. Subhaan rotates on the chair turning his back towards the table and facing towards the tv lounge. Soon he starts to rock the chair slightly from side to side. He turns back around and get off his seat to approach his mother and say,† Mama, mama† Mother replied,† Yes, son?† Subhaan answered shyly, â€Å"Toilet† and ran off towards the door and takes a glance back to see if his mother is following him or not. Meanwhile everyone has finished their dinner and settle down in the tv lounge. Subhaan enters the room followed by his mother. He quickly runs up to the sofa to join Ayesha who is running up and down the two joined sofas while singing, â€Å"I like you- I like you- I love you-I like you†. Subhaan follows Ayesha jumping behind her while repeating what Ayesha is singing. Ayesha comes down from the sofa and starts dancing and singing on the floor. Subhaan stands on the sofa leaning slightly on the wall behind to watch what ayesha was doing next and then runs off to his mother sitting on the chair. Mother looks up at ayesha and says, † Ayesha take him up and change, I’m coming†. Subhaan walks towards the door and waits there for Ayesha but notices ayesha avoid her mothers orders, instead shows off a paper sailboat to her aunt. Aunt smiles and replies, â€Å"Thats nice! come on lets go upstairs now.† Subhaan watches as ayesha ends her play by bowing down t o the audience and says, † Thank you for listening to my song†. Subhaan grabs their attention by walking up to his aunt and saying, † I want something from upstairs, come†. He then open the door and runs off towards the stairs as his Aunt and Ayesha followed him. Subhaan stopped at the entrance of the room to look upto the light switch but Ayesha pushes him gently to push the button on herself. At the same moment he says, â€Å"Put the lights on† and when the light switches on he expresses by saying, â€Å"Ahhhh, yes†. He then walks towards the end of his bed while Ayesha invites their aunt in bowing down once again to say, † Happy†¦..umm happy gentlemen and, and ladies. Subhaan stands in the corner and looks at her carefully. At this time the observation came to its end at 8:25 pm. Evaluation: During the 25 minute observation Subhaan (3:6) showed almost continuous play activity demonstrating his physical development and fine motor skills like a typical child of his age. For the most part Subhaan was happy playing by himself showing both physical and imaginative skills in solitary play. According to Parten ‘Solitary Play’ (Hughes, 1991) is when a child plays by himself. Often in this form of play children develop play and activities generating from their imagination as children in the pre-operational stage have vast imagination that helps them revise, repeat or practise their knowledge and skills into a playful activity (Sheridan, 1997). As I observe Subhaan invest time and energy in play I can see him learn and develop concepts about movement, noises and skills. Most of the time Subhaan was involved in ‘Locomotor Play’, including exercise play (e.g bouncing, running, etc) (Hughes, 1991). His ability to be engaged in continous exercise play supports the muscular and motor development of children his age as they are able to move freely with pleasure and confidence in a range of ways ( L.Dryden et al, 2007).For example, Subhaan sits with his feet up on the seat and elevates himself by sitting on his knees and bouncing up and down and moving from side to side during his meal. â€Å"The rocking, bouncing, hanging upside-down, skipping and hopping with which young children often express their excitement and enthusiasm- stimulates the brain and has a role to play in its development† ( Elliot(1991) in L.Dryden, 2007). For children 2 to 4 years of age, Field (1994) reports physical activity play accounting for 10% of all day-care behaviour. Children his age also run skilfully and negotiate space successfully adjusting their speed or direction to avoid obstacles (L.Dryden et al, 2007). This was identified when in later part of the observation Subhaan followed his sister running up and down the sofa. He was seen carefully balancing himself and slowing down while negotiating space to pass by when he would face an intersection from his sister coming from the opposite direction in a narrow space to cross. At an another occasion I observed Subhaan’s the moving and handling skills similar to children his age when he jumps of the chair and land appropriately balanced on his two feet. Subhaan attempts to sit on the chair with his back towards the dining table folding his legs against the back of the chair. At this time he attempts to rock the chair and succeeds to balance the chair while sitting backwards. Once he has attempted and achieved the action two to three times,he no longer felt the need or urge to perform it again. Bateson’s (1976) view of such play is â€Å"scaffolding†: Play functions in skill assembly, and then is disassembled when the skill is mastered. This could also be relevant to the observation. In the initial part of the meal Subhaan used his right hand fingers to stabilise the straw so that he could put it in his mouth; however towards the end of the meal he manages to place the straw in his mouth and drink without using his hand and fingers to touch the cup or straw. Therefore the initial play helped Subhaan gain more control of his activity and action once its assembled. I also observed exercise play affect Subhaan’s cognitive performance as it lead to heightened arousal and hyper-activity as he experiments with different ways of moving. Without a break Subhaan was rocking, bouncing, looking under the table, peeking into the boxes. According to the â€Å"In-verted-U hypothesis (Easterbrook, 1959) moderate levels of arousal lead to better performance than highly increased arousals that may lead to narrowing of attention to the core tasks. In Subhaan’s case this can be eating and finishing his meal. However I observed that by breaking up cognitive tasks while exercise play, Subhaan found the specifically playfully nature of the break to be considered more important than the meal, table conversation or any other activity that was taking place around him. The effects on his cognitive behaviour mediated by breaks and enhanced attention seemed to depend on enhanced feelings of mastery, well-being, after exercise play. This was noticed when every time Subhaan would master a movement he would return to his meal and find satisfaction and interest in eating once again. On the other hand Subhaan also showed interest in play with sounds as he slaps the walls beside him a few times to register the noise/sound it made (L.Dryden, 2007). There was some evidence of ‘Symbolic Play’ (Piaget in Macleod-Brudenell & Kay, 2008) when Subhaan uses the paper cup as a microphone when he puts it over his mouth and then later as a pretend telescope when he places it on on of his eyes and scans the room around him from left to right. Apart from these observation I also noticed another very common attribute in Subhaan of children his age. He likes to get attention and often he made a loud sound or noise to attract an adult’s attention when he feels neglected. For example when he shouts, â€Å"Tadaaaa† or at other occasion he would resort to calling his mother a few times until she listens or approach an adult physically to grab their attention by touch; such as Subhaan approaching his aunt to convince her to go upstairs by saying, â€Å"I want something from upstairs†.However in a different time and setting , for example at the dining table during the meal, Subhaan showed the ability to distract himself when neglected or upset by engaing in new play activity (Lindon, 1996) I would conclude by saying that Subhaan is showing typical normative motor skills and level of play even if some behaviour towards the adults can be interruptive, it might be a way to seek attention or an attempt to engage in interactive form of play.

Do You Know What Your Weather Forecast Is Telling You

We all consult our local weather forecast on a daily basis and have done so since memory serves. But when it comes down to it, do we fully understand what the information thats presented to us means? Heres an easy-to-digest explanation of what the basic weather elements included in your daily forecast -- including air temperature, air pressure, chance of rain, sky conditions, dewpoint temperature, humidity, and wind -- are telling you. 1. Air Temperatures When someone asks what the weather is like outside, air temperature is often the first condition we describe. Two temperatures -- a daytime high and a nighttime low -- are always given for a 24-hour calendar day full days forecast. Knowing what time of day the max and min temperatures are reached is just as important as knowing what they will be. As a rule of thumb, you should expect the high to happen near 3 or 4 oclock pm local time, and the low, near sunrise of the following day.   2. Probability of Precipitation (Chance of Rain) Next to temperature, precipitation is the weather condition we want to know most. But what exactly does the phrase â€Å"chance of precipitation† mean? The chance of precipitation tells you the likelihood (expressed as a percentage) a location within your forecast area will see measurable precipitation (at least 0.01 inch) during a specified time period. 3. Sky Conditions (Cloudiness) Sky conditions, or cloud cover, tells you how clear or cloudy the sky overhead will be throughout the days entirety. While this may seem a frivolous weather observation, clouds (or a lack thereof) influence air temperature. They determine how much of the sun’s energy reaches the Earth’s surface to heat it during the day, and how much of this heat that was absorbed gets released from the surface back out into space at night. For example, thick stratus clouds block sunrays, while wispy cirrus clouds allow heat to penetrate and warm the atmosphere.   4. Winds Wind measurements always include the speed and direction of where winds are blowing from. Sometimes your forecast wont mention wind speed outright, but will use descriptive words to suggest it. Whenever you see or hear these terms, heres how to interpret how fast that is: Forecast Terminology of Wind Intensity Wind Speed Calm 0 mph Light/Variable 5 mph or less -- 5-15 mph Breezy (if mild weather). Brisk (if cold weather) 15-25 mph Windy 25-35 mph Strong/High/Damaging 40+ mph 5. Pressure Guilty of never paying much attention to air pressure? Well, you should! Its an easy way to assess whether the weather is settling down or storms are brewing. If pressure is increasing or is over 1031 millibars (30.00 inches of mercury) it means weather is settling, whereas pressure thats falling or is near 1000 millibars means rain may be approaching. 6. Dewpoint Although it resembles your air temperature, dewpoint temperature isnt a regular temperature that tells how warm or cool air feels. Rather, it tells what temperature air needs to be cooled to in order for it to become saturated. (Saturation precipitation or condensation of some sort.) There are two things to keep in mind about dewpoint: It will always be lower than or equal to the current air temperature -- never higher than it.If it equals the current air temperature, it means that the air is saturated and humidity is 100% (that is, the air is saturated). 7. Humidity Relative humidity is an important weather variable because it tells how likely precipitation, dew, or fog is to happen. (The closer RH is to 100%, the more likely precipitation is.) Humidity is also responsible for everyones discomfort during hot weather, thanks to its ability to make air temperatures feel much hotter than they actually are.

How Educational Policies Affect Our Country Essay

Over the past 10 years, there have been significant changes to educational policies in our country. From No Child Left Behind to Race to the Top, the adoption of Common Core Standards and high stakes testing, students, teachers, and schools have been resilient and have adapted to these changes. In addition, Race to the Top also encourages reform relating to teacher evaluation. States across the country restructured their teacher evaluation models to align with policy changes to ensure that their schools would receive federal grant funding (Donaldson Papay, 2015). Based on the Measure of Effective Teaching Project (MET), funded by the Gates Foundation, states developed teacher evaluation models that assess teachers using multiple measures that include student achievement, classroom observations, and student feedback (Gates Foundation, 2009). Various instruments are being used to measure student achievement and in turn to evaluate teachers. 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Delhi Pain Management Centre The Best Place At Heal Knee...

Delhi Pain Management Centre: The Best Place to Heal Knee Pain With regards to treating knee torment, there are a wide range of choices that are accessible. Knee Pain Treatment is critical in helping a large number of individuals either wipe out or adapt to their knee issue. It is urgent to build up a project that objectifies the foundation of their knee. In the event that he or she is not certain of the reason for their extreme knee pain then he or she ought to counsel a doctor before discovering their own medicines. There are various reasons why individuals have issues with their knee. A few people have issues because of a past harm that they supported around their knee. Others may have issues with their knee because of joint pain or interminable conditions. The reason for their knee harm will frequently discover that kind of treatment that is done on their knee and in that point knee specialist in Delhi can be a great help of theirs. Delhi Pain Management Centre: A trustworthy name in healing pain Taking mitigating prescription works best for individuals who are managing torment because of joint pain. Knee torment treatment for joint pain takes perseverance since he or she needs to manage the constant condition. There are no simple answers with regards to knee medications; in any case, he or she can contact the hospitals dealing with knee pain treatment in Delhi that cure their pain. Delhi Pain Management Centre is one of the path breaking names that has beenShow MoreRelatedOld Age Home Is Good or Bad3827 Words   |  16 PagesTechnology-integration in Old Age Homes in India A Status Paper Sugan Bhatia, Ph.D. President Indian University Association for Continuing Education Delhi 1.1 The elderly (aged 60 years and above) in India account for more than 9 percent of the total population. The National Population Commission estimated that the population of the elderly is expected to grow from 71 million in 2001 to 173 million in 2026. This demographic scenario appears to indicate a very precarious condition for the older persons

Growing Into Reality free essay sample

And it all comes down to this, a kid looks back at the empty shelves of toys that once where his world of fantasies, and they are now just traces that enhance the beauty of growing up and knowing that new responsibilities are about to come. Eight years ago, there was a kid full of dreams, desires and adventures that now seemed vanished. The news of moving to the unknown, leaving everything behind, felt as if the world was about to end. He would have never imagined however, that the news that once seemed as turning the world upside down, were the most rewarding ones of his life. At that moment, the only worry imaginable was to embark on a new adventure of medieval times and castles, dragons and knights, and conquer the fears and insecurities of going on stage solo. The expectations of life did not surpass the dreams that his parents or society had for him, like studying a career that even though it would have been easier, it would not have fulfilled his desires. We will write a custom essay sample on Growing Into Reality or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page His life was a movie that had already been written, with no possibilities of excitement or adventure. That shelf of toys was his only way out of this life, the only time he was able to travel into his dreams and be part of something he would never be; something that until eight years ago he thought to be impossible. His adventures came crumbling down when the words â€Å"We are moving out of the country† shattered his world. Seven words that took away any hope or dream left, seven words that tossed away the toys from the shelves into a bottomless pit, seven words that took away his breath. Adventures turned into responsibilities, turning this kid into me: someone capable of conquering games but now faced with real challenges. Until today I can feel the cold of my tears coming down as I said goodbye to my grandma, a cold that was quickly warmed by the surprisingly new adventure I was going to live. Today, standing in front of the empty shelf of toys took me back eight years. Little by little, the shelf was not full of toys anymore, but full of dreams; full of new adventures I never thought possible, that had me as the hero. The shelf of toys that once was my escape became my vault full of challenges and missions I was now able to defeat. As I moved to a new country, a new school, to a new life, I felt as the Jay Gatsby of my own novel. As someone living his own dreams that once were thought as impossible. Today, after eight years, standing in front of what once was my world of fantasies, I understood one thing. Life is an adventure, an adventure that we build as we pursue our dreams no matter where we are or where we go. My new home taught me that there are no frontiers if you dream, that there are no limitations as a shelf of toys, you are your own hero.

The necklace luxury a want or need Essay Example For Students

The necklace: luxury a want or need Essay The necklace: Luxury a want or a need Luxury in life is treated more as a necessity that a want. When in life luxuries should be wants. People think that having exotic and expensive things makes them a better person. People also like to say that they need that thing when they really dont. This is like the mentality of a child. When a child tells his parent I need that toy, when in reality the child just wants. Adults do that same but in a more mature manner. Like in the story The Necklace our main character Matilda want a dress. You could say that she needed that dress because in the story it tells us that she doesnt have one, but the have she act told me that she really just wanted it. She act just like a child that need that toy. All people like to say, I wish I was rich. We will write a custom essay on The necklace: luxury a want or need specifically for you for only $16.38 $13.9/page Order now If I think about it never have I ever hear a person not wish that. There are a few people who want to be rich for good reasons. One of the reasons is being able to get all the real needs for life. What I mean by real needs would be like food, shelter, and health care. There people that believe buying the most expensive things are better. A person who believes that being rich makes them a better person is shallow and has no self esteem. Like in the story The Necklace the main character Matilda wants all the things that she could not afford. First she want a dress because in her she need one for this type of affair where she would just wear it once to impress people. Basically she was just thinking about her self at this point because her husband was saving the money for a gun that he wanted but instead he got her the dress because in was more of a need. Words / Pages : 327 / 24 . The necklace luxury a want or need Essay Example For Students The necklace: luxury a want or need Essay The necklace: Luxury a want or a need Luxury in life is treated more as a necessity that a want. When in life luxuries should be wants. People think that having exotic and expensive things makes them a better person. People also like to say that they need that thing when they really dont. This is like the mentality of a child. When a child tells his parent I need that toy, when in reality the child just wants. Adults do that same but in a more mature manner. Like in the story The Necklace our main character Matilda want a dress. You could say that she needed that dress because in the story it tells us that she doesnt have one, but the have she act told me that she really just wanted it. She act just like a child that need that toy. All people like to say, I wish I was rich. We will write a custom essay on The necklace: luxury a want or need specifically for you for only $16.38 $13.9/page Order now If I think about it never have I ever hear a person not wish that. There are a few people who want to be rich for good reasons. One of the reasons is being able to get all the real needs for life. What I mean by real needs would be like food, shelter, and health care. There people that believe buying the most expensive things are better. A person who believes that being rich makes them a better person is shallow and has no self esteem. Like in the story The Necklace the main character Matilda wants all the things that she could not afford. First she want a dress because in her she need one for this type of affair where she would just wear it once to impress people. Basically she was just thinking about her self at this point because her husband was saving the money for a gun that he wanted but instead he got her the dress because in was more of a need. .