A Reflection On The Nurse - 1656 Words

As a caregiver, the role of the nurse involves much more than the physiological care that most people think of as being the sole duties of a nurse. A good nurse provides patient care that is holistic, which encompasses the physiological, spiritual, mental and cultural aspects of each individual patient (Sharon, 2014). It is a process of healing that involves the mind, body and spirit. To meet all the needs of a patient, the nurse utilizes holistic care to assist in managing the patient’s illness, symptoms, health, healing and function which is necessary for overall health (Potter, Perry, Stockert Hall, 2013). My very first clinical experience was in a long-term healthcare facility. My patient was an elderly lady who wanted nothing to†¦show more content†¦Teaching is often unplanned and occurring during normal conversation or routine tasks such as reminding the patient to use the call button (Potter et al., 2013). Planned teaching is more formal and more thought out such as teaching the patient how to self-administer medication or providing discharge instructions (Potter et al., 2013). During my second semester, the nurse gave me the task of giving discharge instructions to a new post-partem mom. I was very nervous about this. I didn’t know what I would say. Luckily the discharge paperwork included all the instructions which made it easier because I was basically reading a script. However, during my most recent clinical rotation, I had many days in the emergency department. My assigned nurses handed off their discharge instructions to me and I feel like I handled them with ease, skimming the instructions quickly, answering questions with confidence, and not reading from a â€Å"script† as I did early on. Another one of my most memorable teachings was with an elderly gentleman who had mild dementia. He had to be reminded each hour how to use the incentive spirometer and it was impossible getting him to do it correctly all day. Dur ing the last hour of my shift, as I was saying goodbye to him and his son, I decided he should get the spirometer done one more time while I was there. As I’m re-teaching, I realize he’s beenShow MoreRelatedClinical Reflection Of A Nurse883 Words   |  4 Pages Clinical Reflection Introduction Sue Fitzsimons, Ph.D., RN, senior vice president of patient services and CNO at Yale-New Haven Hospital during the Yale School of Nursing 2013 commencement address, said: Rejoice in your work; never lose sight of the nursing leader you are now and the nursing leader you will become. I really had no idea what is was to be a nurse or let alone the responsibilities, the courage, and the determination it takes to not only complete nursing school and to continue toRead MoreA Reflection On The Trauma Nurse973 Words   |  4 PagesThe purpose of this paper is to examine a situation where I have been in a leadership role. I will focus on an assignment where I was the trauma nurse early in my nursing career. Using the top five strengths obtained from the Strengths Finder 2.0 assessment, I will analyze how they helped to support my role as a leader. Analysis of Leadership and Followership Reflecting on my nursing career and trying to pick out a situation that would appropriately describe a leadership or follower situation, IRead MoreVideo Reflection of the Nurses within Nurse Jackie 753 Words   |  3 Pages The nurses within Nurse Jackie are portrayed as nurses who are hard working and actually care for their patients. The nurses have a dress code which are a clean and preferably wrinkle free scrubs as well as a stethoscope. Because the nurses work in the emergency department (ER) they have had to develop strong relationships with the doctors to ensure that everyone can be trusted. For the most part the nurses know that the doctors hold the power but with increasing trust the nurses are granted moreRead MoreNursing Reflection as a Student Nurse642 Words   |  3 PagesThe following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the secondRead MoreReflection Paper On Being A Nurse749 Words   |  3 Pagesprofessors and clinical instructor put in to help me learn the practical skills I need to go and do my assessments with confidence and ability. I’m not going to lie, there have been many, many times where I’ve doubted my desire and ability to be a nurse. But for every time I’ve doubted or wanted to quit, something happened that made me realize how badly I wanted to stay. This prompt was about counting our blessings and the experiences we are thankful for at the long-term care facility, but many ofRead MoreReflections on the Family Nurse Practitioner Program771 Words   |  3 Pages Reflection Family Nurse Practitioner Program It is clear that Family Nursing Practitioner Program is increasingly becoming valuable for nurses competing for the best job positions. Pursuing a FNP program can open many doors to students in the field of nursing as well as nursing administrators. Additionally it can result into higher salaries throughout the entire career of an individual. Enrolling in a FNP program is a smart career move. However, many nursing students are faced with a challengeRead MoreReflection Journal On Critical Thinking For Nurses1181 Words   |  5 PagesReflection Journal on Critical Thinking for Nurses Critical thinking is defined as a disciplined, self directed thinking that meets appropriate intellectual standards within a particular mode or domain of thinking (Paul and Elder, 2014). In Nursing, the possession of this important skill helps a nurse to assess a given situation, identify the main problem, determine a perfect solution and implement an effective method of dealing with the problem. In this essay, I will share my experience whenRead MoreA Reflection On My Future As A Nurse Essay1879 Words   |  8 Pageslove that Trinity offers an education rooted in Scripture. I believe that God calls people to all different paths, and I believe nursing is my calling. I believe that these courses on how to live, serve, and be a nurse from a Biblical perspective will help prepare me for my future as a nurse. I hope to be challenged both academically and personally during my time here at Trinity. I hope to continue to become more diligent and persevering in my schooling. In my first few semesters at Moraine ValleyRead MoreReflection: Nursing and Professional Student Nurse2071 Words   |  9 Pagesincident took place at a local Hospital during my thirty weeks placement. In order to help me with my reflection I have chosen Gibbs (1988), as the model to help guide my reflective process. This is an iterative model with six stopping points, using these stopping points as headings; I will be able to reflect fully on the incident. So, what is reflection? According to Reid (1993), â€Å"reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so informRead MoreA Reflection On My Future Practice As A Registered Nurse2132 Words   |  9 Pagestransition from being a nursing student to becoming a graduate nurse and my process of developing more confidence on both personal and professional levels. The shift from student to graduate nurse has been the subject of research for years and is known to be a very challenging and stressful time (Phillips, 2014). Additionally, I will examine how this journey and development of confidence will impact my future practice as a registered nurse. Confidence is a key elemen t to the construction of a student’s

The Reformation How It Affect The Future - 1938 Words

How can one determine what makes something that lies in the past important today? Is it by how it affected the past? How it will affect the future? How it affects the present? Its importance is found in all of the above and so much more. First off, an event s significance is not only determined by how it affects us today in a physical aspect but how one affects us in the eternal aspect. When we look at history only a few things really stick out in the as highlights in our brain. The Reformation is one of those things in history that protrudes out of time in significance. Its significance though like many other things is not only found in the lasting historical effect has had, but also the eternal effect it has had on people s live. So what is the Protestant Reformation? According to theopedia.com it is â€Å"Protestantism is the movement within Christianity, representing a split from the Roman Catholic Church, which occurred during the 16th century in Europe in what is called gggthe Protestant Reformation.† The Protestant Reformation was the accumulation and eventually explosion of the European citizens discontentment of how society was. Their actions were defiant to show how wrongly they were being treated and how blatantly they were being lied to. The Protestant Reformation was somewhat different in the way it attacked the sin and lying in the church. It attacked the problem by attempting to lay the most important thing of religion, a strong foundation of principles, firstShow MoreRelatedHong Kong Is A Modern Fast Paced International City Saturated With Skilled Workforce1325 Words   |  6 Pagessystem should provide efficiency and quality. With such regards, Hong Kong applied managerial tactics of ma rketization on the educational system. II. Argument Due to the length and depth of the reformation on educational system, there were many changes made to the educational system. Despite numerous reformations, the policy makers aimed for quality and efficiency in the educational system to prepare students for the global, competitive economy. For that reason, Hong Kong’s educational system neededRead MoreThe, Big Picture Economics, By Naroff And Scherer1362 Words   |  6 Pagesâ€Å"Big Picture Economics†, explains economics to the general public with personable events that unseeingly relate to the context of the new global economy. The authors discuss hot topic economical issues in a way that allows uniformed persons to learn how many events in the world, small or large, can essentially relate to the economy. An important economical issue that is discussed in multiple chapters throughout the novel is tax reform. Tax cutting is a complex topic that is often simplified by politiciansRead MoreReform, Means Improvement : P rison Reform Essay1558 Words   |  7 Pagesis part of the larger criminal justice system. Prison reformation, is not just about the justice system or the criminal justice system. They all have a different meaning, but, in all, they do involve with the same concepts, expectations, and ways of doing things because it deals with community, society, economy, money, etc. It all effects in some way to each other, along with reasoning as well. Changes happen in society, so prison reformation should be seen as a constant change of and to addressRead MoreThe Transformation Of Social Structure, Values And Personal Relationships1471 Words   |  6 Pagesto make a good a match in order to secure her future as â€Å"a single woman, of good fortune, is always respectable, and may be as sensible and pleasant as anybody else.† shows no interest in marriage, challenging the social norms of her time. Emma’s financial security allows for this decision, however for most women in the re gency period marriage wasn t a choice but a necessity for providing economic security and ensuring social stability. â€Å"she knows how much the marriage is to Miss Taylor’s advantageRead MoreThe Importance of Education for Children with Disability Essay1464 Words   |  6 Pagesexamine if the obstacles faced by special needs children have to do with how effective the policies are in addressing the needs of such children. This study is important to children with disabilities because it can help them discover the education opportunities available for them, the institutions they can rely on for economic support, and the treatment they should expect from the society. RESEARCH QUESTIONS Many studies focused on how the services for special needs children contribute to their educationRead MoreU.s. 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While some pieces of art from this time period are as simple as a piece of canvas and some color in the form of pigment, they have stood the test of time and held up not only as beautiful images for us to see, but also as devices to give us a window into the mindsRead MoreEssay about Social Reform1330 Words   |  6 Pagesreform e ra. But the most some of the most important ideas that encouraged social reform was the Second Great Awakening, Industrialization, and nostalgia. All three played a very important role and had key people who helped jump start a era of reformation. People knew that it was time for a change and they knew they had to do something about it. Thats when the Second Great Awakening came to a boil. Led by people such as Charles Grandison Finney, Peter Cartwright, and Lyman Beecher, the SecondRead MoreGpr And Email Marketing Case Study840 Words   |  4 PagesGDPR it affects anyone controlling or processing personal data relating to EU citizens. UK businesses still need to comply, even in light of Brexit, yet according to the 2016 Email Marketing Census, 53% of companies have not yet applied an adjustment to their current processes. Whilst the reformation in data collection, data storage and privacy laws bring about a challenge for businesses, not conforming to the new GDPR reformation is likely to cause cost and inconvenience in the future. AvoidanceRead MorePresident Obamas Speech : I Call It : Justice844 Words   |  4 Pageswith a major consequence as according to NBC News: â€Å"The decision could affect as many as 800,000 Dreamers†¦ who have signed up for the program since its 2012 inception† (Edelman, nbcnews.com). I, a legal US citizen, am no different from the Dreamers (DACA members). We are born with the same rights and privileges, and the only thing separating us is our birthplace. How is it justifiable for them to suddenly fear for their futures and to deport them with little care and protection? Justice comes into

Local, State, And Federal Disaster Management Agencies Free Essays

According to the U. S. Department of Homeland Security’s 2008 Strategic Plan, they â€Å"do not operate in a vacuum†. We will write a custom essay sample on Local, State, And Federal Disaster Management Agencies or any similar topic only for you Order Now They were formed to help unify and facilitate our nation’s efforts to respond to emergencies quickly and effectively in order to reduce loss of life and property during crisis. They are our country’s leading disaster management team and should be responsible for organizing a structured disaster relief plan that makes full use of all local and state agency resources. While they may be improving the existing system, I don’t believe they’ve quite mastered it yet. There still seems to be a slight disconnect between local, state and federal disaster management groups. Incidents like Hurricane Katrina in 2005 demonstrate the imperative need for improved response plans to natural disasters and other emergency situations. How to cite Local, State, And Federal Disaster Management Agencies, Essays

Enzymes and the Way that They Work

Question: Describe Enzymes and the way that they work. Answer: Structure and function of the enzyme Enzymes are the protein macromolecules. The enzyme possesses three structures namely Primary, Secondary and Tertiary. The amino acids remain interlinked with each other with the help of peptide bonds (primary structure). The NH2 (amino group) and the Oxygen from the COOH (carboxyl group) of the amino acids interact with each other with the help of hydrogen bonding. This interaction leads to -helical and -sheet conformations, which is known as the secondary structure. Furthermore, this secondary structure folds up to form the 3-dimensional tertiary structure which results in the formation of active sites (which binds substrate), allosteric sites in the enzyme. Sometimes inorganic ions like Mg2+, Fe2+, Zn2+ (cofactors) and organic substances (coenzymes remain attached with the enzymes (or apoenzymes) via covalent bonds to form holoenzymes (Cox 2013). Figure 1: A simple structure of an enzyme Source: (Cox 2013) The primary and most important function of an enzyme is to accelerate the rate of a reaction by acting as a biocatalyst. Moreover, the tertiary structure had provided the enzyme with an active/catalytic site. This active site of the enzyme binds specifically with a substrate to produce a final product. For example, enzyme Lipase binds to its specific lipid substrate to form glycerol and fatty acids as products (Berg, Stryer and Tymoczko 2015). Figure 2: Image showing the function of the enzyme that includes the substrate binding and product formation Source: (Berg, Stryer and Tymoczko 2015) Concept of activation energy In a biochemical process, the amount of energy required to start a reaction is known as the activation energy, and it is symbolized as à Ã‚ ªG. Moreover, it is a scientifically proven fact that both reactants (substrate) and products possess a particular energy (Armstrong and Hirst 2015). The transformation of a substrate to product requires a transition phase that has a higher energy value (activation energy). In other words, the substrate requires a higher energy to activate its transformation process to produce its final products. On the other hand, the enzyme lowers this activation energy resulting in a faster reaction rate (Cox 2013). Figure 3: The figure shows the activation energy required to transform a substrate to a product with and without an enzyme Source: (Cox 2013) Lock and key and Induced fit models of enzyme action Lock and key model In 1894, Fischer compared the activity of enzyme and substrate with lock and key. One enzyme can act only on a particular type of substrate just as a key fits a particular lock. Each enzyme possesses a specific part (active site), to which the specific part of the substrate is joined. Biochemical reactions occur in the active site where the enzyme-substrate complex is formed by forming bonds within it (Berg, Stryer and Tymoczko 2015). The bond loosens when the chemical reaction is over, and the product is formed, and the enzyme gets free (Gspri, Vrna, Szappanos and Perczel 2010). Figure 4: The lock and key model of enzyme-substrate interaction Source: (Gspri, Vrna, Szappanos and Perczel 2010) Induced fit theory The induced fit theory is the modernized version of Lock and Key Model. According to this model, as the substrate gets closer, the active site of the enzyme tends to change its shape and conformation. Moreover, scientists have found that the change in the structure of the active site of the enzyme is induced' by the approaching substrate molecule. This change in shape of the active site of the enzyme helps the substrate to easily fit' into the active site of the enzyme. This model of enzyme-substrate interaction is known as the induced fit theory. Moreover, it should be noted that only a specific substrate for a specific enzyme can only bring this conformational change in the active site of the enzyme (Csermely, Palotai and Nussinov 2010). Figure 5: Schematic diagram showing the concept of Induced fit theory Source: (Csermely, Palotai and Nussinov 2010) Effects of three external factors on enzyme The effects of three external factors (Temperature, pH and Enzyme and Substrate concentration) influences the property and functioning of an Enzyme. A detailed discussion is as follows - Temperature: The increase in temperature increases the vibrational energy that significantly affects the bonds present inside enzyme making it weaker. Moreover, it also results in the breakdown of the weaker bonds like hydrogen and ionic bonds inside the enzyme resulting in denaturation of the enzyme (Cox 2013). pH: The H+ and OH- ions interact with the hydrogen and ionic bonds of the enzyme by repelling or attracting them towards itself. This interference results in the change of conformation of the active site of the enzyme that ultimately leads to the impairment of the enzymatic activity (Leu and Zhu 2013). Enzyme and Substrate Concentration: Increase in Enzyme will give rise to an increased rate of reactions. This is because the fact that more enzymes will collide with the substrate resulting in a faster reaction. On the other hand, an increase in the substrate concentration will lead to a similar result as well. As a consequence of an increase in the substrate concentration, more substrate will collide and interact with the enzyme molecule which will produce a higher number of products (Berg, Stryer and Tymoczko 2015). Reference Armstrong, F.A. and Hirst, J., 2011. Reversibility and efficiency in electrocatalytic energy conversion and lessons from enzymes.Proceedings of the National Academy of Sciences,108(34), pp.14049-14054. Berg, J.M., Stryer, L. and Tymoczko, J.L., 2015.Stryer Biochemie. Springer-Verlag. Cox, M.M., 2013.Lehninger principles of biochemistry. Freeman. Csermely, P., Palotai, R. and Nussinov, R., 2010. Induced fit, conformational selection and independent dynamic segments: an extended view of binding events.Trends in biochemical sciences,35(10), pp.539-546. Gspri, Z., Vrnai, P., Szappanos, B. and Perczel, A., 2010. Reconciling the lock-and-key and dynamic views of canonical serine protease inhibitor action.FEBS letters,584(1), pp.203-206. Leu, S.Y. and Zhu, J.Y., 2013. Substrate-related factors affecting enzymatic saccharification of lignocelluloses: our recent understanding.Bioenergy Research,6(2), pp.405-415.