Becoming An Effective Hospice Nurse Nursing Essay

Becoming An Effective Hospice Nurse Nursing Essay Hospice nursing is an occupation that few people know about. Although the process of getting into this occupation is quite simple, there is a lot of work to be done in this growing field. Almost anyone can get a degree in nursing, but it takes a special kind of person to be a hospice nurse. This is because hospice nurses deal with the emotions the come with caring for terminally ill patients every day. How to Become an Effective Hospice Nurse Hospice nursing is an occupation that many people dont know about, although it deserves as much credit and awareness as any other nursing position. Many hospice nurses go to great lengths and make huge sacrifices in order to get this position, and the process to do so is very intricate and can be confusing. Nursing is a profession that takes a special kind of person, especially hospice nursing, because their job is to assist a patient and the patients family through a death. In todays healthcare situation, there is a rapidly increasing shortage of nurses. This is due to the fact that most registered nurses are retiring all at once, and there is no one there to fill their shoes. It is not uncommon to go to the doctors office and not give a second thought to the nurse seen before and after the doctor. This is part of what makes hospice nurses different. They form a close relationship with not only the patient, but the family as well. As with any medical profession, it can be difficult to understand how a person went about obtaining their career. There are many routes available, along with characteristics that make up a good hospice nurse. Essential Question How does a person become an effective hospice nurse? Supporting Questions What schooling is required, and what kind of classes should be taken? What kind of certification is needed, and how is it obtained? What is the job outlook, and why is it like this? How will having certain characteristics and specific skills benefit? What schooling is required, and what kind of classes should be taken? To be accepted into nursing school, a person has to have a high school diploma. Taking classes in math, biology, and chemistry while in high school help build a strong application, as well as being able to speak a foreign language. Someone looking into being a registered nurse can choose one of three options when it comes to finding a program. The first option is to get a four-year bachelors of science degree in nursing. This is offered by more than 700 colleges. The second option is to get either a two-year or a three-year associate degree in nursing, and this is possible at 850 community colleges. The final alternative would be to go through one of the 70 diploma programs available at some hospitals, which takes about three years (Education and Training, 2009, p.3). Regardless of which path is chosen, all nursing education will involve supervised clinical and classroom instruction. Anatomy, physiology, microbiology, chemistry, nutrition, psychology, and behavioral sciences are some of the classes that are commonly taken by nursing students (Paying Your Dues, 2010, p.1). It is important to take math, biology, and chemistry in high school because even if they cant be taken as college credit, they are still crucial preparatory classes. They will serve as the basic foundation for starting out in nursing education. Being able to speak a foreign language is helpful as well, because people from all backgrounds and cultures need medical help and deserve the right to speak in their own language. This is especially true in the hospice area of nursing because most patients are being taken care of in their own homes, and need the comfort of not having to be stressed about what languages their nurse can or cannot speak. One of a nurses main duties is to serve as a central communicator between the doctor and patient. The best option to choose when picking a nursing program is getting a four-year bachelors of science degree (BSN). It used to be that a nurse with an associate degree could get a job at almost any hospital. However, times are changing and it is now p referred that nurses have a four-year BSN. It is important for all of the programs to have experiences in clinics in all different settings because it provides students with a chance to learn about multiple areas of healthcare. For instance, a person could be planning to have a career in geriatrics, but after spending hours at a nursing home for a clinical, they might completely change their mind. What kind of certification is needed, and how is it obtained? In the United States, all hospice nurses must be registered nurses in addition to being certified by their states health department as a hospice worker. In order to become a registered nurse, a person must take and pass a national examination after graduating from a school of nursing (Education and Training, 2009, p.3). This examination is called the National Council Licensure Examination, or NCLEX-RN (Licensing and Certification, 2010, p.7). It is mandatory for all registered nurses to renew their license periodically, and some states require continuing education. This test is administered electronically, and is multiple-choice. Students usually begin studying for it in their final year of nursing school. Results are sent by mail and arrive five to eight weeks after the testing date. Being certified by the state health department as a hospice worker is important because it ensures that only nurses trained for this field will be entering palliative situations. If this requirement wasnt in place, any registered nurse could go into a home and perform hospice work. It is because of this rule that patients and families can feel confident that they will receive the best care. The National council Licensure Examination helps weed out the students who arent quite ready to start their career in nursing, and need a little more time to study. The students who dont pass can continue to study and try again the next time the test is administered. What is the job outlook, and why is it like this? Registered nurses have more than 2.5 million jobs in the United States. This is expected to hold through and only increase until at least the year 2016. The growth of healthcare in general and the needs of a quickly growing and aging population will raise the demand for registered nurses. The Bureau of Labor Statistics says that more new jobs are to be created for registered nurses than for any other occupation (Employment Outlook, 2010, p.4). The number of elderly is increasing rapidly, which creates many new jobs for hospice nurses. Another reason is because patients are becoming more and more okay with the idea of in-home care, and are actually starting to prefer it. Technology is supporting this by allowing nurses to deliver complex treatments away from hospitals. As interest in the field of hospice nursing grows, so do the opportunities. Right now there are two programs in the United States that provide masters degrees that focus on hospice care. One is at New York University, and the other is at Ursuline College, which is in Pepper Pike, Ohio. However, once this career takes off, there will hopefully be more masters degree programs available that specialize in hospice nursing. How will having certain characteristics and specific skills benefit? Hospice nursing includes 24-hour availability, pain management, and family support combined with compassionate listening and counseling skills (Hospice/palliative care nurses, p. 1) . According to Theresa Valiga: Nursing is a profession that challenges a person intellectually, physically, and emotionally. But it is also a profession that is incredibly rewarding. Nurses are with people during every major life event from birth to death. They have the privilege of being quite intimate with strangers. They are well-respected and they make a real difference in the lives of people and communities. Who could ask for more from a career? (p. 1) Like she said, a hospice nurse needs to not only be able to handle the physical stress of the everyday work, but also the emotional stress. One of the main goals of hospice nursing is to find out the patients last wishes and make sure they are carried through and communicated to the family (A. Fredericks, personal interview, December 9, 2010). On average, hospice patients die within a month of enrolling in a hospice program. Because of this fact, hospice nurses need to have skills to deal with spiritual and culturally sensitive patients. They also need to be able to lift patients or help them bath, sit up, get out of bed, or walk. Sometimes the patients are moody, confused, and uncooperative. Communication is a huge key in hospice nursing, because it is the nurses job to observe the patients condition and report it to the doctors, as well as the patients emotional needs and wishes to the family. How does a person become an effective hospice nurse? The first step to becoming an effective hospice nurse is getting a bachelors of science degree from a four-year nursing program. After that, the National Counsel Licensure Examination needs to be passed, as well as registering with a state health department as a hospice worker. A masters degree may be obtained specializing in palliative care. Amy Fredericks, a hospice worker encourages nursing students to continue on past their registered nursing licenses while they are free and not tied down by family and career (Personal interview, December 9, 2010). An effective hospice nurse can walk out the door at the end of the day and know they made a difference, whether it be through making someone smile or teaching a family member how to care for their loved one. As a hospice nurse, it is important to be caring, compassionate, and knowledgeable in order to provide the best care for the patient. Annotated Bibliography Hospice/palliative care nurses. (n.d.). Retrieved from http://www.nursesource.org/hospice.html. This source have me specific information about hospice nursing and more details on the day to day experiences. Hospice nurse. (2010, April 14). Retrieved from http://www.princetonreview.com/Careers.aspx?cid=177. This source was helpful because it talked about the educational steps needed in order to become a hospice nurse. Kathy, Initials. (2009, January 7). Home health nursing. Retrieved from ultimatenurse.com/171. This source provided me with information about how hospice nurses serve as the prime communicators between doctors and patients. Occupational outlook handbook. (2009, December 17). Retrieved from http://bls.gov.oco.ocos083.htm. This source helped me see the statistics from the Bureau of Labor and analyze the outlook for hospice nurses. Registered professional nurses. (2009, February). This source provided me with information about the working conditions of registered nurses as well as education and training and personal qualifications.

Positive effects of video games on children Essay

The video games are well known for their anti-social and violent influence in our children’s attitudes. But some research has proven that these negative effects are due to the children’s excessive playing time, and more and more studies are being made to prove that the video games can be an excellent tool for children’s hand-eye coordination, their problem solving and analytical skills, and they can also help children in the social domain. We can see some really good positive effects of video games on our children. The first one would be the improvement of the hand-eye coordination. A player has to watch on the screen while simultaneously, he is pushing the button of his joystick to make moves. It also increases the speed, the agility of a person to respond to a stimulus, and moreover, it helps to improve the motor capacity of a person. We can specially illustrate this idea with the console wii, which has been released and built a couple of years ago by the brand Nintendo. With its new gaming system, the wii has revolutionned the world of the video games. Before the wii came out, the gaming system consisted only of pushing on a couple of buttons in order to make the moves in the game. But the concept of the wii is different, it consists of producing our own movement with the remote of the wii in order to make the moves in the game. It has been so successful, that even some hospitals are using the wii to hill, to re-educate the persons who suffer from some kind of cardiac accidents, cerebral accidents, or just to re-educate the people who had an operation. Another impressive positive effect of the video games is that they allow somehow, the children to improve their problem-solving, management, analytical and additional skills without children even realizing it. The need for these skills are obvious for a player because sometimes, even the most simple game ( like a shooter game ).

Growing Up With a Single Mother - 703 Words

People all grow up in different places, around different people, under different circumstance and, all of these cause different effects on their lives. People are who they are today because of the experiences that they faced. Until I was a teenager, it was always just my mom and I. I never met my â€Å"dad†, not even from day one. I never was able to get to know him, or see him, but I did have a mom. I faced the odds of becoming the stereotypical kid with a single parent that went down the wrong path, but I never did. Life caused me to have a single mother that has made me the strong person that I am today. Watching my mother live from pay check to pay check when I was young was difficult. It was always hard for my mom to keep up with other parents but, she still somehow managed to get me everything I wanted, and more. Even though I was too young to understand, I could feel the stress, and the struggles my mom faced every day. She was only 20 years old when I was born and, bec ause of that she had no choice but to grow up fast. At such a young age, I saw the effects of being a single parent, and the ways it changed my mom. She not only had to be a young mother but, she had to find a way to replace the void of a father, or a father figure in my life. My mom was strong, independent and courageous. Growing up watching her live her dreams under all the circumstances she faced, made me want to strive for a better life for myself. Seeing how hard is was to live and to have enoughShow MoreRelatedSingle Parent Homes Essay1298 Words   |  6 Pages Single Parent Homes A single parent is one who is living without a spouse and/or partner. This individual takes on all of the daily responsibilities that comes with raising a child(ren). Furthermore, consider the single parent the one who provides solely for the child as they are the ones with them most of the time throughout the stint of their entire life. Even when discussing the separation of parents and/or divorce, children live with one parent who is also known as the custodial parent. WhileRead MoreThe Impact Of Single Parenting On Children1494 Words   |  6 Pages This paper explains the impact of single parenting on children in the Unites States .Over the years the â€Å"normal family† form has changed due to the increase in the numbers of children born outside of marriages and the increase in divorce rates. Now many children live in households other than the two-parent household. Single-parenting is the lifestyle chosen by many parents, though the majority of single-parent household s are regulated by the mother. Research shows there are many different effectsRead MoreChildren Growing Up Into Single Family Homes1541 Words   |  7 PagesThrough many years, children growing up in single family homes has been discovered as problems. â€Å"At first glance, defending single mothers and their children. Raised by a strong and resourceful single mother, I turned out OK† (Wilcox). Being raised up with one parent seems to be stressful and impossible, but for decades its become possible to happen. In the society today, there are children growing up overcoming emotional stages and achieving their goals whether if they have both parents to showRead MoreHow Welfare Has Changed From The Colonial Period862 Words   |  4 Pagesof this social problem. I will discuss the essence of poverty as a social problem and how that has affected how welfare is distributed among single mothers. Some factors that contributed to this social problem are the economy and he increasing amount of people who lived in poverty. The government felt that it was necessary to be proactive about the growing issue of poverty. The government was also taking a look at how money was being spent and how that contributed to the nation’s debt. As a resultRead MoreTraditional Families Vs Single Parent Families1615 Words   |  7 Pagesfamilies versus single parent families. A traditional family household is a household with two parents, mother and father. A single parent family household is a one parent household a mother, or father. This household is usually occurs when a parent dies, parents divorce, or the parents was never married and separated after having a child together. The question at hand is would a child be more successful and mentally stable in life growing up in a traditional family household, or single parenting householdRead MoreThe Problem Of A Single Parent Environment1265 Words   |  6 Pagesliving in a single family dwelling. Here in America, black women lead all nationalities as being or living in the single parent environment. 72% of black kids today, are born to a single mother, which is unacceptable and out of control. Single mothers are not the only major problem in this epidemic of children growing up in fatherless homes. Another major problem is fathers who are abandoning their children and leaving all of the responsibilities on the mothers. They are not only giving up on theirRead MoreBeing A Single Parent Is An Issue That Has Greatly Increased Throughout The Years966 Words   |  4 PagesBeing a single parent is an issue that has greatly increased throughout the years. Although being a single parent used to be looked at as unusual, it has become a common situation for some kids. Financial instability and emotional strain are a few of the things that children with one parent live through every day. Do children need both parents? Does only having one parent cause behavioral issues? How important is a father’s role in the development of a young boy? Many people wonder if a child withRead MoreThe Single Parent Family Structural Environment And Economic Conditions Can Hinder The Developm ent And Growth Of A Child936 Words   |  4 Pagesthere is only one parent, commonly known as single-parent family. According to 2011 Canada Census Bureau information, the number of children living in single-parent households have gone up since 2001 and almost more than three quarters of these children aged 14 and under are living with single parent family headed by woman (Statistics Canada, 2011). Many times there is the absence of the father in these single-parent homes. Children living in such single parent homes have been negatively affectedRead MoreExceptional Hardships, Challenges, Or Opportunities Make1049 Words   |  5 Pagesto grow up in a home where one of the parents is absent. In most cases, it is usually the father that is not present, particularly in African American homes. â€Å"In the United States today, 16,334,000 children under age 18 live in single mother homes,† (Fluty 4). Single parent homes affect children psychology producing negative effects on the child’s esteem, behavior, as well as education. Fatherless homes also take a greater toile particularly on boys, rather than girls. Growing up in a single parentRead MoreChris Polito. Paola Brown. Eng102. 25 March 2008. Single1263 Words   |  6 PagesMarch 2008 Single Parent Struggle For many years, children growing up in a single parent family have been viewed as different. Being raised by only one parent seems impossible to many yet over the decades it has become more prevalent. In today’s society many children have grown up to become emotionally stable and successful whether they had one or two parents to show them the rocky path that life bestows upon all human beings. The problem lies in the difference of children raised by single parents

How To Say “By” in Spanish

By is one of the English prepositions that is most difficult for Spanish students to translate into their new language, because it can have many meanings. Before you try translating a sentence using by, you need to ask yourself, What does this word mean? In many cases, if you can reword the sentence to express the same thought or relationship in different words, you are well on your way to figuring out what you want to say in Spanish. Here are some of the most common meanings of by with examples of how the same thing can be said in Spanish. To Indicate Agent or Cause Usually, you can say that something was created or put in its present condition by someone or something using the preposition por. If the word or phrase (known as an object) following by answers the question who or what did it? then por is your likely choice. Hamlet was written by Shakespeare. (Hamlet fue escrito por Shakespeare.)The area affected by the sound is very large. (La zona afectado por el sonido es muy grande.)Ozone is a gas formed by the action of sunlight. (El ozono es un gas que se forma por la accià ³n de la luz solar.)My car was struck by another car. (Mi coche fue atropellado por otro coche.) As in the first example above, por is often used to indicate authorship. Thus, a book cover will usually indicate that the contents were written por the author. However, in sentences in English that can be reworded to use the name of an author as a description, the preposition de is usually used in translation: Volver is a film by Almodovar. (Volver is an Almodovar film.) Volver es una pelà ­cula de Almodà ³var. The English could also be stated as Volver is an Almodovar film.)Where I can I buy books by Mark Twain in Spanish? ( ¿Dà ³nde puedo comprar libros de Mark Twain en espaà ±ol? The English could also be stated as Where can I buy Mark Twain books in Spanish?) Means of Transportation Usually en or por can be used more or less interchangeably when indicating how someone or something travels, although en is more common. We are traveling by plane from New York to London. (Viajamos en avià ³n desde Nueva York a Londres. Viajamos por avià ³n desde Nueva York a Londres.)Traveling by car through Norway is easy and pleasant. (Viajar en coche por Noruega es sencillo y agradable. Viajamos por coche por Noruega es sencillo y agradable.) However, the phrases by foot and by horseback are typically translated by the fixed phrases a pie and a caballo. Enjoy Madrid with this private tour by foot with an official guide. (Disfrute de Madrid con este tour privado a pie con guà ­a oficial.)The three left by horseback and are not coming back. (Los tres salieron a caballo y no regresan.) In Time Elements When by means not later than, para can be used: I will be ready by 4.  (Estarà © lista para las cuatro.)I hope that we can announce it by midnight. (Espero que podamos anunciar para la medianoche.) Indicating Proximity When by means near or next to, cerca de or junta a can be used: There is a large park by the library. (Hay un gran parque junto a la biblioteca.)All the hotels are located by the beach. (Todos los hoteles se encuentran ubicados cerca de la playa.) Untranslated ‘By’ With the Spanish Present Participle Spanish often uses present participles (the verb form ending in -ando or -endo) in a way that doesnt have an exact English equivalent but is used to indicate the means by which a goal or state of being is accomplished. In such cases, the sentences can convey the meaning of the English by. Examples: A fake doctor got rich by diagnosing nonexistent cancers. (Un falso doctor se hizo rico diagnosticando cà ¡nceres inexistentes.)By studying weekends, Susana will pass the test. (Estudiando los fines de semana, Susana aprobarà ¡ el examen.) Note that in these examples, the English by could be omitted with little or no change in meaning. In Arithmetic To divide by is dividir entre, while to multiply by is multiplicar por. When dimensions are given, por is used: tres metros por seis, three by six meters. Meaning ‘According To’ Where by is the rough equivalent of per or according to, use por: We buy eggs by the dozen. (Compramos los huevo por docenas.)She destroyed the password by my request. (Destruyà © el pasaporte por my solicitud.)It will be subject to limitations established by law. (Estarà ¡ sujeta a las limitaciones establecidas por la ley.) Idiomatic phrases Numerous idiomatic phrases using by often cant be translated word for word. The concept may be expressed in some other way in Spanish other than directly translating by. Some examples: I want to do it by myself. (Quiero hacerlo sin ayuda.) (The phrase is translated as the Spanish equivalent of without help.)You could follow our trip almost day by day thanks to Davids blog. (Pudisteis seguir nuestro viaje casi dà ­a a dà ­a gracias al blog de David.)We want to eat by candlelight. (Queremos comer a las luz de las velas.)Pablo introduced all the teachers to us one by one. (Pablo nos presentà ³ uno a uno todos los profesores.)What do you mean by difficult? ( ¿Quà © quieres decir con dificil?) Key Takeaways The English by can be translated to Spanish in several common ways, depending on how it is used.The most common translation for by is por, which can by use when by is used to point to who or what performed an action.Other possible translations of by include en, entre, cerca de, junto a, and de.