Friday, October 11, 2019

Vulnerable Population In The Workplace

One has chosen to focus on the substance abuse patients as the vulnerable population for the project. Frequently one has identified and seen stigmatization, prejudgments, and poor care given to this population in the workplace. Many patients are discharged each day with no plan of care, no education on resources and no instructions for follow up care. The outcomes and possibilities for the patient’s recovery have shown to be slim by the frequent return of the patient in the emergency room.The patients return within hours of discharge from the ER and seem to be in the same condition as when they left. One has created an action plan and a teaching brochure for health care providers to help facilitate a better system and care process for this population. The first step of overcoming this issue is to start from the base of it, which are the providers and their beliefs. The focus will be on educating the health care providers to stop stigmatization, develop self-awareness, and lear n to be culturally competent and to be the best advocate for the patient.In the emergency room there are frequent patients via ambulance, walk-in’s, which are intoxicated and requesting, detox. Typically when the patient arrives he or she are intoxicated, wheatear it is drugs or alcohol. The patient is registered and triaged. Depending on their condition or level of intoxication, they are either immediately brought in or are placed on a stretcher and wait to be evaluated by a physician. Because of the large population of substance abusers in New York City, these patients tend to have a stigma attached to them.The stigma is the patients will not follow up with his or her detox programs, they will return to the ER with-in hours of discharge, they are seeking food and shelter for the night, and they are not serious in their treatment to recover. Therefore, many of the providers and nurses in the ER tend not to take the patient or his or her care seriously. They often wait to see if the patient will walk out and leave after a few hours of warmth and food. If the patient is in the waiting area and waiting to come in, many charge nurses will continue to skip over the patient to bring in others.If the patient is in the department the providers tend not to pick-up their charts in assumption the patient will just leave to continue his or her addiction. One has created a teaching brochure to help identify three concepts, which may lead and assist in caring for the substance abuse patient. The concepts will help providers to be empathetic, trustworthy, and intelligent to the patient’s backgrounds and beliefs. The brochure speaks of the concepts and reasons it will aid in the patient success in recovery.If these patients are seen as a lost cause and providers do not listen or rectify the problem the population of the substance abuser will grow and increase the death rate and increase dangers to others as well. Substance abuse does not only endanger the patie nt but the people around him or her. For example, a person who is drinking and driving can hit a pedestrian walking and cause fatal danger to that person. One has learned through lessons in this class how to identify a vulnerable population, how self-awareness cultural competence, and advocacy can help treat these patients and provide the best care needed to have the best outcome.The first step as a provider is to have self –awareness. It is only possible for one to relate to others when they know whom one is and what one will or will not accept from others (Jack, Kristen, Smith, & Anne, 2007,para. 1). In the treatment of others it is important for the provider to be aware of their own personal beliefs and identity. To truly understand what one believes in is to have self –awareness. â€Å"Being self-aware enables us to identify our strengths and also those areas that can be developed.If we do not know our good and bad points then we are less likely to be able to help others (Burnard 1992). Nurses can use the self to therapeutic effect when working with patients, for example, when empathizing or advocating (Jack, et al 2007,para. 2). Cultural competence is also important for the health care team to incorporate in accurate care for substance abuse patients. Cultural competence is not only about ethnic background, religion, race, or spirituality. It is also about the environment in which one lives.â€Å" The layers of culturally competent practice do not solely address race and ethnicity. A comprehensive culturally competent practice encompasses issues related to language, migration and acculturation, family history, religious practices, as well as social trust and community attachment† (Mallow & Cameron-Kelly, 2006, para. 11). The staff needs to learn the importance of empathy and pre-judgmental thoughts toward the culture of the substance abuse patient. They live and survive in a different environment. To provide care for them is to under stand and keep biased opinions out of the treatment.Providers should analyze and try to learn of their culture and struggles they see and handle each day. The third concept implemented in this learning tool would be advocacy. Nurses and doctors are essentially the patient’s voice. Patients relay on the health care provider to help them and guide them through care and also to represent them in the hospital or within the community. The nurse and physician are the main identifiers of the recurring problem. The providers can help to implement new policies or create outpatient programs to keep the patient on a positive track.Identifying the flaws and implementing new systems can help the patient have a better health outcome. â€Å"The knowledge and expertise of a nurse regarding the care and concerns of a patient are vast. Overlay that knowledge and expertise with a sense of community, and the nurse advocate is born. Whether teaching proper car-seat installation to parents, advoc ating for primary seatbelt laws at the state house, or testifying at a congressional committee hearing, each nurse should be aware of the importance of political advocacy.Health care is in an evolving state, and nursing is at the table; every nurse should be aware and supportive of this advocacy† (Philips, 2012, para. 10). In conclusion one believes substance abuse patients would benefit greatly and outcome goal would improve if he or she were cared for and handled by a provider who was empathetic and knowledgeable to his or her cultural needs, ethnic background, and beliefs, whether they were spiritual or not. Each person or patient is unique and should receive treatment in a way, which suits him or her uniquely.In order for a provider to do so, they should be knowledgeable to self-awareness, cultural competence, and advocacy. Knowing oneself, possessing knowledge of others and motivation to be a trustworthy advocate will help the substance abuse patient feel support and allo w him or her to recognize the provider as a trustworthy person. Building trust and creating a stable health climate with the patient will paint a road to recovery for the substance abuse patient. Vulnerable Population in the Workplace Nursing profession is a career with a vast field of different practices with different roles to choose from. This variety makes the nursing field a vulnerable profession for mistakes if not tackled with adequate educational and clinical training. Although there are different specialties for a nurse to choose from to continue their career, it is still necessary for every nurse to have even a little amount of knowledge, or background, of the different scopes of practice of the other specialties of nursing. If this can’t be achieved as an individual, teamwork is necessary by sharing the knowledge you have especially in the workplace.Having that knowledge about vulnerable population is an essential tool to be able to work with patients properly. Sharing that knowledge to your workplace is important in order for them to be able to work competently, especially in the field that I work with where we handle different kinds of patients. In this paper, we will see how the knowledge abou t the vulnerable population is essential in the workplace, which consists of topics essential to this subject such as the Vulnerable Population: Vulnerable People, Cultural Competence and Resilience, and Social Justice in Nursing.Vulnerable Population: Vulnerable PeopleUnderstanding the definition of being vulnerable is the first step to be able to work competently with this population. According to the American Journal of Managed Care, members of this â€Å"vulnerable population† are those who are at risk for certain health problems. (AJMC, 2006) As the term elaborates, vulnerability is the susceptibility of any group or individual for risks of problems. Home health nurses meet lots of vulnerable patients especially those who have chronic diseases, disabled, and the elderly.Understanding  what their at risk for are essential in order for nurses to plan for prevention interventions. Examples of vulnerable population that home health nurses meet frequently are those who are disabled, have chronic illness, and the elderly. They are also on the top of the list that are high risk for falls, pressure ulcers, pneumonia, DVT, depression, and the list goes on and on. It is important for home health nurses to understand these risks for this vulnerable population to be able to generate prevention interventions.Cultural Competence and ResilienceCultural Competence and Resilience is an important quality that should always be carried by a professional nurse. According to Poole, cultural competence is practiced by nurses not only because it is politically appropriate, but it is also an inner sense that being culturally competent is an essential attitude to be able to build that therapeutic relationship with the patient, which promotes better healing environment. (Poole, 1998)Resilience is the ability of an individual to bounce back from change or difficulty as defined by the Merriam-Webster Online Dictionary (2010). With these two combined, home health nurses can b e able to deal with patients with different cultures competently without any difficulty adapting from the great changes that they may experience from different types of patients.Social Justice in NursingSocial Justice is known as the ability to provide fair treatment regardless of age, ethnicity, race, economic status, disability, and gender as defined by the American Association of Colleges of Nursing (2008). When this attitude is applied to nursing, it makes a nurse aware that everyone is equal, and therefore should be treated equal. In home health nursing, this equality is sometimes not seen because of the inability of the patient to pay for the right services that is appropriate to his/her condition.But this is not an excuse for a nurse to neglect the other appropriate care that can be done independently. To show care more than to show how vulnerable they are because of socioeconomic status is more important than having that full coverage of treatment they can get but is not rec eiving that genuine care that they need for therapeutic relationship and healing. This attitude is important because ever since the nursing profession started, nurses became an advocate to their patients to protect their rights and to  encourage them to exercise that power of their rights.These three important topics are important to understand more deeply in order for the nurse to be able to provide care more effectively especially to those who are included in the vulnerable population. More importantly, knowledge with these topics should be shared to my workplace to expand the knowledge on caring with the vulnerable, especially for home health nurses who most of the time take care of the elderly, disabled, chronically ill, minorities, and the socioeconomically unfortunate.

Thursday, October 10, 2019

Good Versus Evil Essay

Good versus Evil At first, it appears that the definitions of good and evil are straightforward. According to the New Oxford American Dictionary, good is defined as â€Å"that which is morally right; righteousness†; evil is defined as â€Å"profoundly immoral and malevolent. † For centuries there has been an argument among many philosophers on the belief of â€Å"good versus evil† and whether it really exists. Some argue that human beings are the perpetrators of evil. Others argue that the world is not a bad place and that evil and suffering is, in fact, necessary. Throughout the novel, Frankenstein by Mary Shelley, there is a clear struggle involving good and evil. The reader is introduced to the protagonist and narrator, Victor Frankenstein, at the beginning of the novel. Victor, a family oriented man, becomes very interested in the modern science world and later on believes that he has discovered the â€Å"secret of life. † With this discovery he goes on to create a monster, who remains without a name throughout the whole novel. At first glance it appears that the monster did everything in his power to prevent Victor from having the happy life that he longed for. Mary Shelley purposely chose Victor Frankenstein to be the narrator of this story. Readers only get the story from his point of view. Frankenstein plays on the emotions of the readers, therefore anything he is feeling, readers feel the same way. He is seen as this helpless man who has been through so much in such a short life, and all because he was being terrorized by this heinous creature. â€Å"I entered the room where the corpse lay, and was led up to the coffin†¦ The trial, the presence of the magistrate and witnesses, passed like a dream from my memory, when I saw the lifeless form of Henry Clerval stretched before me. I gasped for breath; and, throwing myself on the body I exclaimed, ‘Have my murderous machinations deprived you also, my dearest Henry, of life? Two I have already destroyed; other victims await their destiny: but you, Clerval, my friend, my benefactor’† (122). However, readers do get a glimpse in to how the monster feels and the struggles that he comes across. â€Å"†¦ She continued her course along the precipitous sides of the river, when suddenly her foot slipped; and she fell into the rapid stream. I rushed from my hiding place, and, with extreme labour from the force of the current, saved her, and dragged her to shore†¦ I was suddenly interrupted by the approach of a rustic†¦ On seeing me, he darted towards me, and, tearing the girl from my arms, hastened towards the deeper parts of the wood†¦ he aimed a gun, which he carried, at my body, and fired. I sunk to the ground, and my injurer, with increased swiftness, escaped into the wood† (95). Mary Shelley’s anecdote of a struggle between good versus evil makes the reader constantly redefine who is truly the good one, and who is evil. At the end of the novel, the reader discovers that it is really Victor Frankenstein that is the evil one. He manipulated the readers thoughts and feelings by leading them to believe that he was the good one, that he was being tormented by this evil beast. In reality, this is how the story really goes: Frankenstein was the creator of this â€Å"beast. † Frankenstein abandoned the beast and treated it as if it were too wretched to be loved. Frankenstein, knowing how the beast felt and what he was capable of, continued to ignore the monster’s requests for a companion. Frankenstein knew that the beast would take away all of his loved ones until he got what he wanted. Victor manipulated this monster in to doing his dirty work for him. Mary Shelley displays this battle between good and evil very well. Candide, written by Voltaire, is a satire which pokes fun at a number of Enlightenment philosophies. The protagonist, Candide, is a good-hearted but naive young man. His mentor, Pangloss, is described as a teacher of â€Å"metaphysico-theologo-cosmolonigology† who believes that this is â€Å"the best of all possible worlds. † This belief, which is argued by Leibniz, is the main reason why Voltaire is satirizing his play. Pangloss is an optimist, and believes that no matter what happens, this is the greatest life anyone can live because the good will always be the case. Voltaire mocks the idea that good prevails over evil because he believes that human beings perpetrate evil. He believes that evil does, in fact, exist and ignoring that existence is wrong and dangerous. Other philosophers such as Leibniz believe that the existence of any evil in the world would have to mean that God is either not good or not omnipotent, and that idea could not possibly be true. With this reasoning, philosophers such as Leibniz believe that since God is indeed perfect, then the world that he has created can be viewed as no less than perfect as well. All the â€Å"evil† or â€Å"bad† that people claim exists in the world is only because they do not understand what God’s ultimate plan is. Voltaire strongly disagrees with this idea, as it is evident in his novel. He does not accept the idea that a perfect God exists, maybe a God does not even exist. To prove his point, Voltaire uses a great deal of exaggeration; the biggest optimists in the world, Candide and Pangloss, go through a series of hardships and horrors. These woes do not serve any apparent purpose but to attack this belief that this is â€Å"the best of all possible worlds. † A perfect example is when Pangloss tells Candide that he is dying because of syphilis. In chapter four, Candide cries, â€Å"O sage Pangloss what a strange genealogy is this! Is not the devil the root of it? † Pangloss simply replies, â€Å"Not at all, it was a thing unavoidable, a necessary ingredient in the best of worlds; for if Columbus had not caught in an island in America this disease, which contaminates the source of generation, and frequently impedes propagation itself, and is evidently opposed to the great end of nature, we should have neither chocolate nor cochineal. † This part of the novel makes the reader laugh because chocolate is not the result of syphilis; they are in, no way, related. Voltaire then adds more intelligent and rational characters into the story, such as the old woman, who have more pessimistic views about how the world works. By the end of the novel, Pangloss finally admits that maybe this is not â€Å"the best of all possible worlds. † Shelley, Voltaire, and Leibniz all touched on the subject of good versus evil. Voltaire and Leibniz had opposing views on how the world really works. Maybe there is a bigger plan, but evil does exist and evil is created by all of us. Shelley definitely showed how humans can truly be evil. No matter what, there will always be a battle between good versus evil.

The Nature of Construction Problems: Past and Present

Abstraction: This paper aims at deducing a comprehensive apprehension refering to the different building troubles that have been faced in the yesteryear and are being faced now in the present besides. It provides a graphic analysis of why the jobs were faced, the nature of the jobs and how they were dealt with. It has been a long clip since the first origin of architectural thoughts that had crept into our ancestors’ heads. Right from the Stone Age, adult male has really been into this act of building material for doing his life easy. At the really occasion of the Metal Age, he got a farther encouragement with the coming of new stuffs and building techniques. Furthermore, came the times when architecture was at its extremum. Everywhere in the universe there was ardor to build constructions that non merely made life comfy for adult male, but besides soothed his eyes. The classical orders of the Greeks packed the clout of functioning as better structural members along with being a ocular dainty. The Romans had been articulate in building an efficient system of H2O supply in the signifier of a series of arches together being called as aquaducts. It still stands as an illustration people look up to plan urban infinites. Egyptians were no less. They were meticulously building pyramids and mortuary graves that were manner beyond the human graduated table. They had designed the first signifiers of conveyer systems in edifice building. Similarly, India saw the building of a batch of architectural admirations. Right from the building of the massive rock constructions of the Ajanta-Ellora caves and the temples of Mahabalipuram to the Islamic constructions of Taj Mahal and the Humayun’s grave it had been a fantastic spring in the signifier of architectural advancement. Finally came the times of contentions about architecture when Gustav Eiffel proposed the building of an all metal construction now called the Eiffel tower. There was a batch of noise about the fact that how it would eventually look when it was constructed in Paris. Many people said that it might turn out to be a cicatrix on the face of the metropolis. But, now fortuitously it is known as the first thing that helps us place the metropolis of Paris. There have besides been contentions about Zaha Hadidà ¢â‚¬â„¢s designs. She is one of the innovator designers every bit far as the usage of fluidic signifiers is concerned. Her designs have about ever been at the helm of unfavorable judgment by the senior designers of her times. But, she has been articulate in put to deathing her ain designs. Similarly, in the recent times Frank O’ Gehry had faced a batch of challenges in conveying up his work called Bilbao museum. He has been criticised like snake pit up to the degree of being called the mad designer. Now as we come up to the fact of such advancement in the field of building, can we deny that there have been no troubles in the building of these age old constructions? No will be the reply. As we go back to the times when the massive rock constructions of the Kailasa temple was constructed, we get to cognize that no good engineering was available at that clip. However, they have managed to really do it possible to organize a monolithic temple out of a individual stone. Imagine that how the individual who started the building, really merely used a chisel and a cock to construct such a immense temple. It is said that he started from the top and maintain on cheating till the underside. It is apparent that this fantastic building must hold taken a long clip to come up. But, it has non been constructed by a individual sculpturer. Imagine the trouble in go throughing on the same cognition about the construction to so many craftsmans over the ages. There might hold been several alterations made to this temple construction during the building. This must hold made it even more hard for the sculpturers. Now raises the inquiry of pull offing the waste that was generated in this pr ocedure. How were all the cut out rocks used? Yes, they were used to do roads and for pety buildings. But wasn’t it truly hard to pull off these heavy multitudes? Yes, it must hold been boring. A similar construction had come up antecedently. The Konark temple in Bhubaneshwar, Orissa had a immense part in raising the architectural gustatory sensation of the people of the state. In this building, they used the method of building sand inclines as it was being constructed towards the top terminal. This had really ensured that the construction didn’t acquire decayed during the building procedure. However, this construction had made usage of a immense pole at the Centre in the signifier of a magnet that gave the monolithic rock construction all its strength. This had been acquired by the British during their reign in our state. But, subsequently on what it was used for cipher knows. Just conceive of how that immense magnet was made to stand merely by the usage of really bas ic tools. This speaks of the trouble in building constructions belonging to the typology of rock temples. Now, when the importance of Constantinople came into being, there was a sudden demand for the building of several public edifices. At that clip there was a immense recession in the field of building in Europe. There was a deficit of resources, financess, designers and even laborers. This thing gave rise to a new signifier of architecture. This signifier of architecture came to be known as Polymath Architecture. In this signifier of architecture the bing edifices were used to construct several other edifices. The Roman basilicas were used to construct the Basilican churches that formed the footing of Christianity. The columns of the condemned edifices were really truncated to acquire a unvarying size. As a consequence, the edifices were holding a size really near to the human graduated table. Explicitly or intentionally, this signifier of architecture happened to be more close to people. Even the foundations of several edifices were used to run into the demands of the times. The rotun da edifices were used to used to construct baptismal fonts when the inquiry of kid baptism came into being. These infinites required a sort of radiating edifice program in order to suit the needed activity. So, the inaccessibility of resources at that clip was addressed in such a manner. Now, when we come to building of edifices that are built with the on public money, the inquiry of minimal art comes into being. The use of minimal sum of resource and financess comes into being. Taking the illustration of a instance, when an designer is given undertaking of planing a public edifice, he has to do certain that he does non raise the cost of the edifice to the tallness of doing it impracticable. Presents, in instance of building of public edifices, the factor of stamp dads up. The individual coming up with the most disposed design within the least of cost frame normally gets the undertaking. Such a instance can be taken up when it comes to the Bilbao museum. It was designed by Frank O’ Gehry. He had gone through the unfavorable judgment of the full universe because of his design. His design was so complex that it made usage of aircraft design package. He had really gone to the point of overdriving resources. The frames of the edifice were made utilizing thick stee l subdivisions. A big bed of cloth was used to cover the edifice. Above this a bed of Ti sheets were used. Around twenty four 1000 square metres of such were used. As a consequence of this, he was criticised over the fact that a similar functionality and aesthetics was accomplishable with lesser usage of resources. But, he had paid no attentiveness to what the people said. He has a construct of a fish merely because he had memories of traveling to a fish market with his grandmother. This obscure justification brought about a batch of negotiations throughout the universe. Fortunately, the Ti monetary values had gone down at that point of clip. So, he had the privilege of non acquiring the undertaking cancelled. When residential undertakings are taken into consideration, there are several pety issues that come up. Fundss remain limited in most instances. There have been instances when building of a individual house has gone through a ceasework period of more than a twelvemonth merely due to the deficiency of financess. Other spiritual issues play a critical function in our state when it comes to building of abodes specially. Several people really back out when the designer is loath to listen to his specifications about how the edifice should be. Industrial edifices have challenges that are wholly different as compared to other edifices. They should hold the ability to really warrant all the authorities norms sing the minute points like waste coevals and hazard safety factors. They should hold particular anthropometric specifications but they should non utilize excessively much of infinite. So, as we come to reason this, we can really see that several issues are acquiring solved in this context. Several designers are coming up with advanced thoughts to really provide to the thoughts of the authorities and the environmental impact assessment organic structures to do a statement sing this affair. So allow us trust for a hassle free and green hereafter in front! ! ! Mentions: History Of Architecture by Sir Bannister Fletcher Construction Delaies: Extension Of clip and protraction claims by Roger Gibson

Wednesday, October 9, 2019

Research paper Example | Topics and Well Written Essays - 2250 words - 3

Research Paper Example Over population results in serious environmental degradation as the limited natural resources like water, soil, air and forest get depleted at a faster rate. As humans begin to overpopulate the earth, the planet may not be able to support their needs. In this paper, the impact of population growth on water resources will be analyzed. One of the primary natural resource that has been impacted with the demands of the growing population is water – a resource that is required for agriculture, industry and domestic use. Human beings need water for agriculture, industry and for domestic purposes like cooking, washing, sanitation and cleaning. As population increases, the demands for the limited water resources from each of these areas compete with each other. Although 70% of the earth is covered by ocean water, human beings rely on the limited fresh water supply for their needs, which accounts for only 2.5 % of the total water supply (Pluijm). According to the World Water Council, the total population of the world tripled in the 20th century, while the use of renewable water resources multiplied six times. This is primarily because of the irrigation requirements and demands of agriculture. Scientists have also confirmed that nearly half of the world’s population does not have enough water to drink and the demand for it is doubling every 21 years (â€Å"Cost of water†). According to the International Water Management Institute, the world’s leading body on fresh water management, the issue of water scarcity is increasing faster than expected (â€Å"Cost of water†). In China, the wells and rivers in the eastern part of the country have dried up and the authorities are trucking in water to the millions of people living in this region (â€Å"Cost of water†). In the following pages, the various issues concerning population growth and the resulting effect on the limited

Tuesday, October 8, 2019

Cooperative Learning Activity and Paper Essay Example | Topics and Well Written Essays - 500 words

Cooperative Learning Activity and Paper - Essay Example Some students may be very dormant while others may be fully involved, hence lack of accountability and equal participation which, are the basics of cooperative learning. Unlike cooperative learning whereby individual student performance is monitored publicly, in group work, the overall outcomes from the group is what matters most even if one of the students did not get the concept of the learning activity, hence cooperative learning is more efficient than group work (McCafferty et al, 2006). Activities that can be done in cooperative learning groups includes; teacher identifying a specific topic with different subtopics. Under the subtopics, each student is given a task to research on and finally presents it in their cooperative learning groups as the other students listens to the posed ideas and clarifies on any issue that is not clear. Through this, all the individuals gain from the learning activity. Another cooperative learning activity is modelling of a structure like maybe an urban planning landscape, whereby each student is given a different component of the landscape to incorporate into the whole landscape model. After each student has carried out their task, all the students are responsible and accountable of the final model of the urban landscape. In addition, a student may be given an area of expertise to teach the whole class. Through this, the student teaching gains as much as the learners through what he or she has taught (McCafferty et al, 2006). A good example, in an elementary class, grade one, where shapes are the best method of introducing geometry in mathematics, cooperative learning can be incorporated to the students learning. In a class that is meant to go for an hour, students can be divided into four groups with five individuals each. Each group is to be assigned a shape like circle, triangle, square and rectangle. A

Monday, October 7, 2019

Professional plan Essay Example | Topics and Well Written Essays - 500 words

Professional plan - Essay Example augmenting my ability to provide better healthcare to elderly patients through specializing in Geriatric medicine as it shows my respect for the dignity of human life and protection of the rights and ability of the elderly to live a healthy satisfied life. Further, I would like to achieve a point where I will be in a position to influence the decisions on patient care as a member of the nursing care committee to ensure these decisions positively influence the satisfaction and recovery process of the patients. I would like to be involved with nursing profession organizations including American Nursing Association (ANA), American Academy of Nursing, American Association of Critical Care Nurses (AACCN), American Nursing Informatics Association (ANIA), and American Association for the History of Nursing (AAHN) (Finkelman & Kenner, 2010). The main reasons for the choice to be a member of these organizations is due to the provision of an avenue to be notified of conventions, it will aid me keep up with changes in nursing practices, provision of networking opportunities, and certification offered by these organizations showing commitment for improving nursing practice. Access to publications and new insights offered through these nursing organizations are the other reason for joining them as a measure of keeping up with changes and roles of a care provider in a dynamic and changing health care environment. There are different avenues through which I will use to augment my education and skills for the better performance of duties and responsibilities in the course of my job and enhance my ability to rise in the profession and achieve my career goals (Masters, 2005). This include attending seminars and conferences that have a high ability to expand my knowledge and abilities, especially that deal with administration and patient care. Webinars is the other avenue available for me to ensure my skills and education is augmented in the coming years as it offers few courses

Sunday, October 6, 2019

How does New Mexico's (Albuquerque and Santa Fe) media (newspapers) Essay

How does New Mexico's (Albuquerque and Santa Fe) media (newspapers) portray issues of drought and water allocation in the state o Geography of Albuquerque and Santa Fe - Essay Example The Albuquerque MSA population includes the city of Rio Rancho, one of the fastest growing cities in the United States, a hub for many master-planned communities which are expected to draw future businesses and residents to the area. According to the United States Census Bureau, Albuquerque has a total area of 181.3 square miles (469.6km). 180.6 square miles (467.8km) of it is land and 0.6 square miles (1.6km) of it (0.35%) is water. The metro area has over 1,000 square miles developed. Albuquerque lies within the northern, upper edges of the Chihuahuan Desert ecoregion, based on long-term patterns of climate, associations of plants and wildlife, and landforms, including drainage patterns. Located in central New Mexico, the city also has noticeable influences from the adjacent Colorado Plateau Semi-Desert, Arizona-New Mexico Mountains, and Southwest Plateaus and Plains Steppe ecoregions, depending on where one is located. Its main geographic connection lies with southern New Mexico, while culturally, Albuquerque is a crossroads of most of New Mexico."(Albuquerque, 2007) Wikipedia goes on to further detail the geography of the region as follows: "Albuquerque has one of the highest elevations of any major city in the United States, though the effects of this are greatly tempered by its southwesterly continental position. The elevation of the city ranges from 4,900 feet (1,490m) above sea level near the Rio Grande (in the Valley) to over 6,400 feet (1,950m) in the foothill areas of the Northeast Heights. At the airport, the elevation is 5,352 feet (1,631m) above sea level. The Rio Grande is classified, like the Nile, as an 'exotic' river because it flows through a desert. The New Mexico portion of the Rio Grande lies within the Rio Grande Rift Valley, bordered by a system of faults, including those that lifted up the adjacent Sandia and Manzano Mountains, while lowering the area where the life-sustaining Rio Grande now flows".( Albuquerque,2007) Santa Fe is located within the same region .Santa Fe is situated in the northern part of the Rio Grande Valley which essentially falls at the southern edge of the Rocky Mountains. It enjoys an area of 37.33 square miles and is situated at an elevation of 7,000 feet above sea level. The city is located in the foothills of the Sangre de Cristo mountain range, and has a dense pine forest on the outskirts which can be reckoned as near to the city. Mountain terrains enforce a kind of semi arid continental climate in Santa Fe and due to this climate the city has moderate summers and winters. In general the humidity is experienced at low levels and the bright sun shine is present almost 300 days per year. However Santa Fe receives very good snowfall and the annual average is clocked at 32 inches with deeper snows remaining fast at higher altitudes during the winter. General Climate of Albuquerque and Santa Fe Albuquerque and Santa Fe represent arid to semi arid kind of climate .Wikipedia describes the climate of Albuquerque as follows: "Albuquerque's climate is usually sunny and dry, with low relative humidity. Brilliant sunshine defines the region, averaging more than 300 days a year; periods of variably mid and