Adult Health Nurse Practioner Essay Example for Free

Adult Health Nurse Practioner Essay Due to the rapid changes and complexity in healthcare, nurses are pursuing higher education and specialized training. This specialized training has produced what we now call advance practice nurses. Advance practice nurses can function independently or in partnership with other physicians. These nurses play a vital role in healthcare. There are four types of advance practice nurses; clinical nurse specialist, nurse anesthetist, nurse midwives, and nurse practitioners. The role of the nurse practitioner has changed from being an assistant to meeting the healthcare needs of patients when no physician is available. Nurse practitioners may specialize in a variety of settings, but are not limited to; primary care, acute care, palliative care, infectious disease, and gerontology. Becoming a nurse practitioner requires a Master of Science in nursing, post masters, or Doctor of nursing practice (Britt, 2012). The services provided by nurse practitioners include; diagnosing and treating health problems, adult and well child checks, prescribing medications, teaching health promotion while promoting disease prevention (Britt, 2012). Healthcare reform which has led to increase accessibility of healthcare has created more opportunities for nurse practitioners in the primary care setting (AAON, 2014). Nurse practitioners are visible in the acute and critical care settings. In the acute setting, they are using evidence based practice to manage care of the critically ill (AAON, 2014). According to the American Association of Nurses, â€Å"nurse practitioners are more likely to adhere to clinical practice guidelines that improve patient outcomes (AAON, 2014). Nurse practitioners tent to engage patients in their care by helping them understand t and measures they can take for improvements (Britt, 2012). Despite the enormous contributions nurse practitioners are giving to healthcare, there are barriers to the potential of what a nurse practitioner can give back to their community. The state scope of practice laws are the most significant (Naylor, Kurtzman, 2010). These laws govern practice and prescriptive authority. There are some states more restrictive than  others. Reimbursement is another issue affecting nurse practitioners. There are legal concerns regarding reimbursement for services provided by nurse practitioners (Perry, 2009). Other barriers NPs face include; poor physician attitude, lack of respect, and poor communication. The poor physician attitude may be due to lack of physician knowledge regarding the role of the nurse practitioner (Clarin, 2009). When there is difficulty understanding the NPs role, then there is difficulty with collaboration, which in turn affects the patient. As the scope of practice for nurse practitioners varies from state to state, the nurse practitioners role is becoming more dominant due to the demands because more people are able to afford healthcare. It is imperative for barriers to be removed that would allow NPs to use their training and education to the fullest. Nurse practitioners are an essential component to the healthcare team and medical community. With such emphasis being placed on preventive care, nurse practitioners will be recognized as an asset. References Naylor, Kurtzman, E. (2010), The Role of Nurse Practitioner in Reinventing Primary Care. Health Affairs, 29 893-899 doi:10.1377/hlthaff 2010.0440 Clarin, O. (2009), Strategies to Overcome Barriers to Effective Nurse Practitioner Physician Collaboration, Journal for Nurse Practitioners. 3(8) 538-548 Britt, D. (2012), Family Nurse Practitioner in Primary Care. The Parenting Issue 23 Perry, J. (2009), The Rise and Impact of Nurse Practitioners and Physician Assistants. Economic Policy, 27 491-511 doi:10.1111/j.1465-7287.2009.00162.x

Crystals :: essays research papers

Melt Suspension Crystallization (MSC) is a technique, that can be used for large scale separation and ultrapurification of organic compounds. Because of the high selectivity of crystallization, the moderate operating conditions, and the relatively low latent heat of fusion, the energy consumption of these kind of processes is low. Furthermore, the use and regeneration of toxic or explosive solvents can be avoided. Thus, MSC can be regarded as an environmentally and economically promising technique for wide industrial application. In MSC crystals are grown from a melt, that contains impurities of up to 30 wt%. The purity of the product is often higher than 99.9 wt%. To obtain this purity an efficient solid-liquid separation is of major importance, because the crystals themselves are almost pure. To optimize the separation efficiency large crystals with a small size distribution have to be formed. The operation of crystallization is exacting. Large—capacity evaporators are not suited to the careful control and flexible manipulation required for a successful ‘strike’, or actual crystallization, of solid sugar crystals. For this purpose, the concentrated liquor is transferred from the evaporators to the ‘pan.’ The pan is essentially a simple vacuum evaporator in which the removal of water continues until the concentration is appropriate for crystallization. As this proceeds, juice continues to be drawn into the pan in order to maintain a supply of crystallizable sugar. The concentration of impurities increases in the syrup as sugar is withdrawn by crystallization, and the entire boiling mass stiffens as the viscosity increases and the quantity of crystals grows. These two factors determine the termination of the strike, since the deposition of sugar on the growing crystals is impeded more and more as the mother liquor becomes more impure and more viscous. The concentration of sucrose probably exceeds the saturation point by a considerable degree before crystallization begins. When this critical condition is reached, significantly large numbers of crystal nuclei of the supersaturated solute are formed suddenly and proceed to grow at their normal pace. Growth would cease as the syrup falls to saturation, were not fresh liquor continually introduced.

Phi Delta Kappa

Phi Delta Kappa is an international organization for professional educators. The organization's mission is to promote quality education, with particular emphasis on publicly supported education, as essential to the development and maintenance of a democratic way of life. Each year Phi Delta Kappa conducts a Gallop Poll to see the publics view toward Public Schools. The poll tackles many different issues that are important in their own way, but the ones that interest me the, favoring or opposing a voucher system, zero tolerance polices, and school standards. One of the most controversial issues in the gallup poll is the usage of vouchers as a means of improving the quality of the public schools. It is suggested that doing so will promote competition between public and private schools and that competition will bring about improvement in the public schools. Opponents of the voucher plan believe that being able to use vouchers for religious schools will violate the separation of church and state established by the First Amendment to the U. S. Constitution. In addition, parents might be forced to send their children to a school of a different religion because no other schools are available. The result of the poll show that 47% favor vouchers, 48% oppose them and 5% don†t know. I am surprised that so many people support vouchers when there is no proof that private schools improve students academic achievement. Competition between public and private schools could affect the salaries of presevice teachers and whether or not a teacher can be hired in private schools because of their religion. The best public policy is to provide parents with even more choices within the public schools, which serve over 90% of children. Legislators should concentrate on making all public schools stronger, safer, more challenging, and accountable. Public tax dollars should be spent only to improve public schools – not to assist the limited numbers of parents who choose to enroll their children in private secular or religious schools. Concern over school crime and violence has also become a huge issue. It has prompted many public schools to take various measures to reduce and prevent drugs and violence and to ensure safety in schools. Such measures include adopting zero tolerance policies. The zero tolerance policies enact mandatory expulsion for violent or drug-related student misconduct. This forces preservice teachers to change the disciplinary structure of the classroom. The poll shows that 90% of the people favor zero tolerance and 10% oppose it. I feel that zero tolerance, as explained in the reading, is a fantastic thing. But when hearing about students suspended for having aspirin or even cough drops, leaves me to wonder whether zero tolerance policies are achieving their designated purpose. The response to zero tolerance by school districts is getting out of hand. Schools need to make sure that their focus is not on blind enforcement of a rule but on actively working to detect warning signs, counsel students and punish those involved with real drugs or weapons. A third critical issue is school standards. Achievement standards in the classroom is a very important thing. 57% of people think that the standards are about right and 33% think they are too low. Another issue about standards is social promotion. Social promotion means moving children from grade to grade in order to keep them with others in their age group. 2 % favored stricter standards for social promotion and 26% opposed. I agree with the majority in both these cases. School standard are about right but it is important for preservice teachers to know and keep up with the standards. It is also important for teachers to have stricter standards for social promotion even if more students are held back. It isn†t fair to send a slacking students to the next grade to another teacher that has to re-teach the curriculum of the previous grade just for a student to two. My view on vouchers is pretty clear. People who support them believe that it will improve public school because of competition. Competition is based on an even playing field; there is no fair competition when â€Å"competitors† play by different rules. Public schools have to accept all applicants; private schools don†t. Private schools are not required to provide transportation, special education, bilingual education, free and reduced lunches, and many other programs that public schools provide. I agree with zero tolerance but they are taking it too far. I can also understand the schools' rationale for zero tolerance. They are concerned about student safety and want to project the image that they are being tough on drugs and violence, but use some common sense. When it comes to the standards of student achievement I agree with the majority of the people polled, but many of the issues of the Phi Delta Kappa Gallup Poll I disagreed with because I feel that the people being polled are uneducated in the subject and don†t know how their opinion can affect schools.

“A business report of E-commerce for VG Jones”

Electronic commerce on the Internet will, before the end of the century, profoundly redefine many basics of business.A fundamental new rule for business is that the Internet changes everything. Internet-driven electronic commerce is essential for organizations entering a virtual distribution marketplace and wishing to survive in it.Just as â€Å"location, location, location† defines value in real estate, in business today it's connectivity that equals competitiveness.Many Information Superhighway enthusiasts believe that networks of small firms or individuals constitute a new organizational form that will prove its superiority to both large, hierarchical corporations, on the one hand, and anarchical market relationships, on the other.Millions of consumers and businesses are waiting in line to participate in the expansion of intergalactic and gigantic virtual marketplaces.Most organizations now must compete in two marketplaces: a physical (traditional) one and the emerging elec tronic one, mediated by the Internet. The electronic highway is not merely open for business; it is relocating, restructuring, and literally redefining business in America.2Analysis of Amazon.comAmazon.com Advantage is a proven and powerful means of distribution and order fulfillment. Work directly with the Internet's leading retailer to market your products to customers.11Access to tens of millions of Amazon.com customers around the world Leverage Amazon's remarkable selling power with your whole catalog — including Not Yet Released and backlist itemsYour titles are eligible for Amazon's world-class marketing programs like personalization and auto-merchandisingYour products are available to ship to customers within 24 hours Control most aspects of your product's Detail PagesReceive quick and easy payments when your products sellEnjoy limited returns Support from our member services team 7 days a week Log in to your online account to confirm POs, add titles, and review sales reportsLaunched in 1996, Associates is Amazon.com's affiliate marketing program. By linking to Amazon products and services you can add compelling content for your site visitors enjoyment and receive up to 8.5% in referral fees for doing so.As one of the first online affiliate marketing programs, Associates has a 10-year track record of developing solutions to help website owners, Web developers, and Amazon sellers make money. Our latest innovations include aStore, Omakaseâ„ ¢ Links, and Product Previews.Current participants in the Amazon Associates program include large, well-known sites, niche content sites and blogs, comparison shopping engines, search engine marketers, and everything in between. Visit our Current Associates page to see how some of these members are using our solutions.How the Program WorksAssociates drive internet traffic to Amazon.com through specially formatted links that allow us to track sales and other activity. Associates earn up to 8.5% in referral fee s on all qualifying revenue made through their links. We send quarterly payment to Associates. Once you join the program, we will give you access to Associates Central, our extranet exclusive to our Associates.This is the place where you will build your links, view your traffic and earnings reports, and read about the latest news and opportunities available to you through the program. 11Participation is Easy and FreeComplete the online application.Create & post your links to Amazon.com using our Build Links tool in Associates Central.Begin tracking your traffic and earnings reports online. Reports are updated daily.Put Amazon.com Corporate Accounts to work for you! Whether you're a purchasing manager, teacher or professor, small business owner, librarian, clergy member, or government worker, our Corporate Accounts program enables you to purchase everything you need quickly, easily, and conveniently.For a limited time, we're offering mylar jackets for no additional cost. To take adva ntage of this offer, simply use the coupon code, OKUTFCMX, when placing your order. Amazon can now integrate with major procurement systems like Ariba, SAP, Oracle and PeopleSoft. You can now have a customized Amazon website that fits your Intranet look and feel with a seamless integration to your procurement system.11

Free Essays on A SUMMARY OF BEOWULF, 74-94

Beowulf, English’s oldest poem, depicts a story of a struggle of good and evil. The second half of Beowulf begins with a certain thief who has broken into the lair of the great guard-dragon and has stolen a precious gem. This single act sent the dragon parading his anger throughout, spitting fire over the entire town. Many homes were destroyed including the home of the famed Beowulf. Angered over this intentional act of violence, Beowulf swims across the vast sea to confront the dragon. Dressed in his battle armor, Beowulf enticed the dragon by yelling into his deep earth-cave. The dragon ascended from his den, spitting balls of fire everywhere. Standing his ground, Beowulf prepared for battle. The fight started and the dragon seemed to be prevailing. With one great strike, the dragon was clinched onto Beowulf’s body with a death grip. To aid his lord, Wiglaf entered the fight, sinking his sword deep in the back of the dragon. Beowulf seized the opportunity a nd stabbed the dragon on the underside with his dagger. Beowulf’s stab proved to be the deathblow for the dragon. Unfortunately, the dragon did not die before leaving his mark on history. The bite inflicted by the dragon to Beowulf was also a death wound. Realizing his hours of life were short, Beowulf ordered Wiglaf to go and gaze upon the treasures hidden in the dragon’s cave. Obeying his order, Wiglaf entered the den to find many wonderful treasures. Wiglaf took a few items back for Beowulf to see. Upon his return, he found Beowulf very near death. Beowulf gave kingship to Wiglaf and ordered a great barrow to be built for his grave. The story concludes with many great warriors circling Beowulf’s pyre, praising what a great king, warrior, and leader he was.... Free Essays on A SUMMARY OF BEOWULF, 74-94 Free Essays on A SUMMARY OF BEOWULF, 74-94 Beowulf, English’s oldest poem, depicts a story of a struggle of good and evil. The second half of Beowulf begins with a certain thief who has broken into the lair of the great guard-dragon and has stolen a precious gem. This single act sent the dragon parading his anger throughout, spitting fire over the entire town. Many homes were destroyed including the home of the famed Beowulf. Angered over this intentional act of violence, Beowulf swims across the vast sea to confront the dragon. Dressed in his battle armor, Beowulf enticed the dragon by yelling into his deep earth-cave. The dragon ascended from his den, spitting balls of fire everywhere. Standing his ground, Beowulf prepared for battle. The fight started and the dragon seemed to be prevailing. With one great strike, the dragon was clinched onto Beowulf’s body with a death grip. To aid his lord, Wiglaf entered the fight, sinking his sword deep in the back of the dragon. Beowulf seized the opportunity a nd stabbed the dragon on the underside with his dagger. Beowulf’s stab proved to be the deathblow for the dragon. Unfortunately, the dragon did not die before leaving his mark on history. The bite inflicted by the dragon to Beowulf was also a death wound. Realizing his hours of life were short, Beowulf ordered Wiglaf to go and gaze upon the treasures hidden in the dragon’s cave. Obeying his order, Wiglaf entered the den to find many wonderful treasures. Wiglaf took a few items back for Beowulf to see. Upon his return, he found Beowulf very near death. Beowulf gave kingship to Wiglaf and ordered a great barrow to be built for his grave. The story concludes with many great warriors circling Beowulf’s pyre, praising what a great king, warrior, and leader he was....

Maintaining Professionalism in Schools Is Essential

Maintaining Professionalism in Schools Is Essential Professionalism is an underrated quality that every educator and school employee should possess. Administrators and teachers represent their school district and should do so at all times in a professional manner. This includes being mindfully aware that you are still a school employee even outside of school hours. Building and maintaining relationships are key components of professionalism. This includes relationships with your students, parents, other educators, administrators, and support personnel. Relationships often define success or failure for all educators. Failing to make deep, personal connections can create a disconnect which impacts effectiveness. For educators, professionalism includes personal appearance and dressing appropriately. It also includes how you talk and act both inside and outside of school.  In many communities, it includes what you do outside of school and whom you have relationships with. As a school employee, you must keep in mind that you represent your school district in everything that you do.   All school employees must always be aware that they are almost always being watched by students and other community members. When you are a role model and authority figure for children, how you carry yourself matters. Your actions can always be scrutinized.  The following policy is designed to establish and promote a professional atmosphere among the faculty and staff. Professionalism Policy All employees are expected to adhere to this policy and to at all times maintain professionalism such that an employee’s behavior and action(s) are not harmful to the district or workplace and such that an employee’s behavior and action(s) are not harmful to working relationships with teachers, staff members, supervisors, administrators, students, patrons, vendors, or others. Staff members who take a sincere professional interest in students are to be commended. The teacher and administrator who inspires, guides, and helps students can have a lasting influence on students throughout their lives. Students and staff members should interact with each other in a warm, open, and positive fashion. However, a certain distance must be maintained between students and staff in order to preserve the businesslike atmosphere necessary to achieve the educational mission of the school. The Board of Education considers it obvious and universally accepted that teachers and administrators are role models. The district has a duty to take steps to prevent activities which adversely intrude into the educational process and which could lead to undesirable consequences. In order to maintain and preserve the appropriate environment necessary to achieve the educational mission of the school, any unprofessional, unethical, or immoral behavior or action(s) harmful to the district or workplace, or any such behavior or action(s) harmful to working relationships with co-workers, supervisors, administrators, students, patrons, vendors or others may lead to disciplinary action under applicable disciplinary policies, up to, and including termination of employment.

Other than the obvious (Washington, Franklin, Jefferson, and Adams) Essay

Other than the obvious (Washington, Franklin, Jefferson, and Adams) which American political or military leader do you think had - Essay Example The founding fathers of America worked hard to make a revolution that was both resolute and changeable, and tried to supply basic principles that could be re-interpreted, changed, or even thrown out completely should they not prove considerable to the general population. This spirit of flexibility fits well with the Enlightenment conception of the renaissance man- a man who could be objective, while still participating actively in the revolution. These characteristics perhaps had their culmination, though, in the political figure of Samuel Adams. A well-educated, powerful advocate of freedom and liberty, Adams was an articulate architect of the American revolution as we know it, or would like to; that is, a revolution which is the servant of the people it represents, not their master, and a revolution that led to a government which is an ongoing continuation of the American revolution’s free spirit. One of the main ways that Adams contributed to the Revolution was the way in w hich he led crowds. When the Stamp Act of 1765 ordered the colonists to purchase stamps from England, Samuel Adams began to protest in earnest. He told the crowd what to do. In 1766, the Stamp Act was ordered, and Adams warned the crowd that if their trade goods were going to be taxed, their land would be next, along with everything else they had. Adams also planned, and participated in, the Boston Tea Party. To help coordinate the resistance to what he saw as attempts by the British government to violate the Constitution to the detriment of the colonies, in 1772, Adams and his colleagues set up the basic framework of the revolution, connecting the rhetoric and complaints of patriots throughout the colonies, and organizing resistance against the British. Increased resistance to British policy led to the Boston Tea Party 1773, and, thanks to Adams, the advent of the American Revolution. After Parliament approved compulsions in 1774, Adams attended the Continental Congress in Philadel phia, which was convened to coordinate a response to the harsh colonial rule of George III. Adams helped guide the Congress to the issuance of the Declaration of Independenc