Nursing Practice in Minnesota Essay Example | Topics and Well Written Essays - 750 words

Nursing Practice in Minnesota - Essay Example Center of discussion in this paper are Nursing Practice in Minnesota. Healthcare services are making rapid progress across all parts of the US and so are the nursing practices to keep pace with that development. It becomes necessary to have more clearly defined responsibility and accountability norms between RNs and LPNs so that a nursing practice, which is considered one of the most critical element to the healthcare services does not become an impediment for the improved outcomes. In fact, not only Minnesota but all major states in the US are in the process of refurbishing their nursing acts so that healthcare services could make great strides and fulfill the aspirations of the patient. RNs and LPNs both are in the healthcare system since long in the state. LPNs begin practicing after finishing their one year Practical Nursing Program. In contrast, a registered nurse is graduated with a more intense 4-year nursing program. Though qualifications differentiate them clearly but in act ual practice at many places their jobs has obscured demarcation line due to several reasons such as nursing shortages or economic challenges. The Minnesota Nurse Practice Act is in force to serve the nursing practices in the state. In 2010, The Institute of Medicine issued a report about the future of nursing and made several recommendations that nurses should practice during their education and training. Subsequent to this report and in view of the increasing complexities due to changes in techniques and technology in healthcare practices, Minnesota Board of Nursing decided to review the Nurse Practice Act so that the duties of registered and licensed practical nurses can clearly be defined. RN versus LPN – Role Differentiation As per proposed changes to the Minnesota Nurse Practice Act, registered nurse (RN) is defined as nursing practice that provides caring to all patients in any settings with or without compensation. The RN has extensive roles under Nursing Practice Act to perform. The definition differentiates from the licensed practical nurse (LPN) that carries out nursing practice under the supervision of an RN, physician, or advanced practice registered nurse (APRN) as authorized by the state. The scope of an RN encompasses full or extensive assessment that includes biopsychosocial aspects of the patient. The roles that an RN is supposed to undertake can be described in brief as per the following (Minnesota Board of Nursing 2011). a. RN will perform a comprehensive assessment of the health status of the patient. Comprehensive assessment by an RN means collecting extensive data for an individual to ascertain the actual health needs of the patient. This also takes into account any change in patient's health condition such as psychological, social, spiritual or biological so as to evaluate the impact of nursing care in reference to the various alternatives available. RN will also determine if other team members of health care team is to be consult ed. b. RN will develop an integrated plan of care in collaboration of health care team. c. RN may delegate the task to implement the plan of care so that it is effective and safe. d. RN will evaluate the outcomes of the interventions to decide about the effectiveness of the plan of care. e. RN is supposed to communicate and collaborate with other health care professionals to establish total health care plan in different settings. The RN is supposed to be aware about new techniques and practice them with full competency. f. RN will also have the responsibility to teach the theory and practice of nursing. g. RN will be accountable to Nurse Practice Act. They are expected of planning for managing situations that goes beyond the RN's expertise. Against this, an LPN will focus on the situation at hand. LPN's responsibility is to implement the plan of care as developed by the RN. It is not the responsibility of an LPN to develop a comprehensive plan and that purely rests with RNs. A focus ed assessment by an LPN is centered on appraising patient's current status; monitoring changes in patient condition; contributing to the nursing care plan; determining nursing interventions;

Inevitability of Change in Stephen Cranes The Bride Comes to Yellow Sk

Inevitability of Change in Stephen Crane's The Bride Comes to Yellow Sky Humans are creatures of habit. In his work "The Bride Comes to Yellow Sky," Stephen Crane considers this apparent truism as well as its sometimes unfortunate consequences. In the story, Scratchy Wilson and Jack Potter face a dramatically changing society. Although their actions and emotions concerning the changes in their town differ, Scratchy and Potter are both very fearful of the inescapable easternizing influences. Through Scratchy and Potter's embracing of the Old West, their responses to the East, and their optimism, Stephen Crane illustrates that whether attachment or resistance exists, change is inevitable. To emphasize the difficulty and inevitability of change, Crane displays the characters' attachments to the Old West. Scratchy, the sole survivor of an old gang, plays out his beloved past by rampaging Yellow Sky with his long revolvers and drunken curses. His "creeping movement of [a] midnight cat," chants of "Apache scalp-music," and "terrible invitations" all portray Scratchy's devotion to the Old West. Scratchy's loyalty to his past clearly emphasizes his resistance to change and foreshadows that change will defeat him no matter how long or how hard he plays the game. Potter also plays along by acting as the town marshal who must save Yellow Sky and heroically put an end to the town "terror." Nevertheless, though Potter is attached to the Old West, he embraces the new West with his marriage. Unlike Scratchy, Potter accepts that Yellow Sky is changing and decides to change with it. Crane uses this acceptance to show that change is sometimes easier for some than for others. Potter c ontinues to struggle and worries what his hometown will d... ... forever. The future is now unreachable for him. On the other hand, Potter, though apprehensive like Scratchy, slowly opens his heart to the changing world. Through Scratchy and Potter, Crane establishes two choices: one can either resist change as Scratchy does and remain unhappy until the end, or one can accept change as Potter eventually does and further his future and happiness. Humans are creatures of habit where stability and comfort come first. Ironically, though fully aware of it, humans are always surprised at and afraid of change and how to handle it. Through his work, Stephen Crane brilliantly sets forth that one has no control over what is to come but only how he or she chooses to face it. Works Cited: Crane, Stephen. â€Å"Bride Comes to Yellow Sky.† Literature: The Human Experience. 8th ed. Ed. Richard Abcarian and Marvin Klotz. Boston: Bedford, 2002.

River Valley Civilizations of the Middle East Vocab

1. Pastoralism- the practice of raising livestock 2. Bronze Metallurgy- the study of the chemicals of the metal Bronze 3. Iron Metallurgy- the study of the chemicals of the metal Iron 4. Nile- gives people fresh water and is a major source for Egypt. The yearly activity is that it floods the river valley and moist fertile land is left behind. The resource the Nile has is the floodplain full of fertile land 5. Cataract- an unnavigable stretch of rapids and waterfalls 6. Delta- at one of the ends of rivers where the river spreads into many different streams 7.Silt- fine sand or clay that is easily carried by water 8. Papyrus- another type of paper that early civilizations used to write impotant info. It is thicker than paper 9. Irrigation- a process of saturating the land to be able to grow crops on it 10. Amun-Re- god of state and to whom common people turn to for adversity 11. Osiris- god of the underworld; his brother killed him and spread his body parts everywhere. His wife recover ed them and gave him a proper burial. The gods were impressed and brought back to life Osiris, but as a spirit, or god of the underworld 12.Seth- god of chaos; brother of Osiris who killed Osiris 13. Horus- son of Osiris; associated with the pharaohs and the Sun 14. Ptah- the chief god of the ancient city of Memphis; he is a creator god and god of architecture and crafts 15. Isis- wife of Osiris; goddess that dealt with speaking to the dead, bring n]back the dead to life, curing the sick, and magic 16. Hathor- Cow- goddess of love and music 17. Ma’at- goddess of physical and moral law of Egypt, order and truth 18. Aten- god of the sun as in a solar disk that had rays coming towards earth which represented human hands reaching for ankh the pharaoh 19.Upper Egypt- up river or up the Nile river that reached the cataracts to Memphis 20. Lower Egypt- from Memphis to the delta part of the Nile River 21. Menes- king of Memphis in Lower Egypt 22. Theocracy- a type of government where the priest rules the name of God or a god 23. Pharaoh- an emperor that ruled Egypt 24. Vizier- a high official 25. Bureaucracy- a type of government where important decisions are decided by state officials rather than elected representatives 26. Hieroglyphics- Egypt’s writing that showed events that happened 27.Nubia- Country below Egypt that competed and fought with Egypt for land and who is more powerful 28. Old Kingdom- the first kingdom of Egypt were the Pharaohs forced workers to build huge pyramids 29. Middle Kingdom- Pharaohs became less powerful and they mostly were concerned about foreign affairs and they lived during a time of great prosperity or surplus 30. Intermediary Periods- the first intermediate period was between Egypt and Nubia. They both fought over land and about politics and they had five wars. The second one was the fight between Egypt and the Hyksos, or horse riding nomads.The Hyksos had bronze weapons that they obtained from Hittites and the Mesopota mians. Once again, they fought over land but in the end, Egypt obtained bronze weapons and pushed the hyksos out of Egypt. 31. New Kingdom- the Pharaohs in this era had lesser power than their ancestors, but they did build palaces, temples, and monumental statues to show off their power. They did work to extend the land occupancy of Egypt beyond the Nile delta. 32. Hyksos- horse-riding nomads who had bronze weapons obtained from the Hittites and the Mesopotamians.They dominated Egypt for a while, but Egypt finally obtained bronze weapons also and pushed the Hyksos out of Egypt. 33. Hatshepsut- First woman pharaoh who forced workers to build a statue of her 34. Fertile Crescent- the Middle East; the area where the land was very fertile to farm 35. Mesopotamia- the land between the rivers, or the land in-between the Tigris river and the Euphrates river 36. Tigris and Euphrates rivers- the significance of these rivers were that Mesopotamia had very little rainfall, but these rivers sup plied a great amount of fresh water.The resources the rivers supplied were the ability to grow wheat, barley, and peas. 37. City-State- the early people had to control internal and external problems so they created a city-state. Within the city they controlled order and authority and prevented problems with urban citizens causing civil disorder. Externally from the city, you need a government to control foreign affairs such as agriculture in surrounding regions and authority in neighboring territories 38. Ur- a Sumerian city-state that dominated (with others) public affairs 39.Ziggurat- distinctive stepped pyramids that housed temples and altars to the principal local deity 40. Cuneiform- a form of writing used in Mesopotamia, Persia and Ugarit that involved wedged shapes on clay tablets 41. Sargon of Akkad- a talented administrator and a brilliant warrior who conquered all the cities of Sumeria. His life span was from 2370-2315 b. c. e 42. Epic of Gilgamesh- the story of a hero, wh o killed an evil monster, rescued Uruk from a ravaging bull and matched his wits to the gods. Enkidu, a cherished friend of Gilgamesh, offended the gods and he was sentenced to death.He wanted to cheat death and have a eternal life so he found a magical plant that granted that, but a serpent stole it and this made Gilgamesh realized the death is the ultimate fate for all human-beings 43. Hammurabi’s Code- if a person is an offender, or someone who does something morally wrong, he/she shall face a fierce punishment such as death, or cutting your hands off. 44. Sumeria- first civilization of Mesopotamia which prospered with its many different cities 45. Babylonia- dominated Mesopotamia because of its great culture.The king was Nebuchadnezzar who built famous buildings. Babylonia was great until the Assyrian empire took over 46. Assyria- they were interested in enforcing laws and expansion. After they took Babylonia, they expanded much of southwest Asia. They conquered Syria, Pa lestine, most of Anatolia, and most of Egypt. They believed in Hammurabi’s laws. King Assurbanipal had a library that saved great literature that survived to present day. 47. Neo Babylonia/Chaldean- a Babylon soldier named Nabopolassar wanted to overthrow Assyrian rule, but Egypt supported the Assyrians.There were many battles and Babylonia was starting to win and they captured the capital of Assyria. Meanwhile, Babylonia captured Jerusalem and there were peace treaties between the Cilician and the Syennesis leaders. In the end Babylonia dominated over Assyria 48. Hittites- they migrated to Anatolia where they imposed their languages and ruled the people there. They built a power kingdom which had close relations with Mesopotamia. They traded with Babylonia and Assyria and they adopted cuneiform writing. Later the Hittites conquered eastern Anatolia, northern Mesopotamia, and Syria all the down to Phoenicia. 9. Patriarchal- a type of government in which the eldest male has al l the power and male descendants will get the power eventually. 50. Hebrew- a language and a religion that people from early times to present day practice 51. Phoenicians- an early Greek society. They did not have a monarchy, but rather different city-states with local kings. They interest in state building and their military. They deeply influenced other civilizations because of their industry and trade networks. They traded overland and they traded goods such as raw materials, or textiles, decorative items, pottery, etc.They also created their own alphabet which indicated their interest in literature, religion, and historical writings. 52. Indo-European- Common languages were Old Persian, Greek, and Latin in Europe because indo-Europeans migrated all over Eurasia. The origin of Indo-European was in present day Ukraine and southern Russia. They built their society in 4500 to 2500 b. e. c. They raised cattle, sheep, goats, and they domesticated horses. They used horses for wagons, c arts, and chariots for travel. The Indo-Europeans migrated south, east, and west distributing their language.

Kanye West s New Album - 923 Words

Kanye West’s new album is soon upon us and fans have high hopes. Apparently, it will not only be the album of the year but the album â€Å"of the life.† For a self-proclaimed God, this might not be the craziest statement to make. Of course, Ye’s claim of divinity is dubious at best. As a human being, Kanye has consistently released commercially successful and critically acclaimed albums. Will the new release be the best album â€Å"of the life† or just pretty good? Could it even be a rare misstep for Kanye? We will find out soon enough. In the meantime, let us take a look back at Kanye’s storied musical career. The following list will examine one song from each of Kanye’s major solo album releases. 1. Through the Wire Year: 2004 Album: The College Dropout Notable line: â€Å"And I still won’t grow up, I’m a grown-ass kid.† â€Å"Through the Wire† symbolizes Kanye’s transition from a producer with a dream to legitimate MC. The track opens with a pitched up Chaka Kahn sample, â€Å"Through the Fire,† alongside a lively beat. On the track Kanye is literally rapping through the wire. The rapper’s jaw was wired shut after a horrific traffic accident in 2003. Recorded while Kanye recovered, the song represented something new for hip hop. It is a clever and funny song chock-full of cultural references. The production is soulful and complex. Kanye set himself up us as a figure between worlds. He was a new kind of rapper that looked forward, but also respected the past. â€Å"Jesus Walks† may haveShow MoreRelatedThe Life Of Kanye West1714 Words   |  7 PagesThe Life of Kanye â€Å"Yo Taylor, I’m really happy for you†¦I’ll let you finish. But Beyoncà © had one of the best videos of all time!† (West). Most people if they don’t know anything about Kanye West, they know this quote. When anybody hears his name everybody always has an opinion. 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