Journal on Poems Essay Example for Free

Journal on Poems Essay The poem portrays the definitions of sanity and madness. However, these definitions vary from the perspective of people and the surroundings as pointed out in the second line. In other words, the poem points out that for certain people, something normal is considered insane and vice versa. 2. The Road Not Taken by Robert Frost Basically, for me, the poem depicted a common experience in life wherein one makes a choice between two things and then wonders what could’ve happened had he or she took the other option. The situation shown in the poem reflects a reality that everyone faces in life which is making a choice and standing by that decision. However, as illustrated in the poem, despite the choices people make regarding, for example, careers and business ventures, there will also be times that one doubts whether he or she made the right decision or not. 3. Design by Robert Frost The poem basically illustrates that most of the time the world’s beauty can be appreciated through observing the natural things such as the spider and the moth. In addition, as the title suggests, life is basically a design. It is natural for a spider to eat the moth as it was designed to do so. However, since the spider killed the moth, the author also wonders why the â€Å"designer† allows such a thing to happen. In short, while the author acknowledges the beauty natural order of things, he also questions why horrible events, such as death, happen. 4. Mending Wall by Robert Frost Initially, the poem suggests that there are no need for walls between neighbors as this suggests division. However, at the end, although the speaker in the poem still did not favor the construction of a wall between him and his neighbor, he acknowledged the fact that walls are important as these set boundaries and limitations. Basically, the poem also illustrates that in real life, â€Å"walls† or boundaries, which are best exemplified by laws and rules, are necessary to maintain order. 5. Cross by Langston Hughes The poem clearly depicts the speaker’s confusion about his identity. As the title of the poem says, the speaker is a â€Å"cross† between a white man and a black woman and is confused about his true identity. He also wonders if he would share the same fate of his mother and father and yearns to know where he really belongs to. The poem also depicts two realities in life which are discrimination and racism. Basically, the poem suggests that if these two did not exist, the speaker would not have to long for acceptance and would not have to search for his identity.

Medical Technology in Todays Society Essay Example for Free

Medical Technology in Todays Society Essay Medical technology in todays society is often seen as a treatment or cure for human health issues. The term medical technology refers to the diagnostic or therapeutic application of science to improve the management of health. Unfortunately, the negative impacts of this technology are often left unexposed to the public until too late. Medicine, such as drugs, is often perceived to be of benefit to humans as it is used to cure various diseases. On the other hand, medicine can also be highly damaging. Using medicine incorrectly; consuming it in small dosages, in excess, or using it abusively; can be injurious to peoples health. Modern medical technology can also be damaging for human well-being but this effect is not restricted to health. Throughout time people have become increasingly reliant on modern medicine. This is especially so in todays modern society. Medical intervention by use of technology has been able to help prolong many lives. An example of this is those who suffer from asthma. These sufferers may use air purifiers and/or nebulizers along with prescribed medication to help them live more comfortable and longer lives. It can be deemed a miracle that we are able to help so many people overcome their illnesses with medical technology. The current technologies available are able to do incredible things but people must be constantly aware of other modern technologies that can interfere and put the patient at risk. An example of this is the pacemaker which has the ability to save a persons life and ultimately extend it. However, external factors can interfere with medical technology and ultimately put the patient at risk. For example, radiation from everyday items such as microwaves to wireless devices such as mobile phones can affect the operation of the pace maker. Thus medical technology has a negative impact on the user of this device as it places environmental limitations on where he or she can go. Users of such a device therefore need to be continuously wary of their environment. In addition, the implementation of a pace maker prevents users from undertaking MRI scans as the process interferes with the function of the device. This is a prime example of medicine acting against itself, All medical technology needs to be treated and used with caution. Respirators need to be constant monitored and the same applies for the simplest drips. Hospitals nowadays are equipped with technology that requires the operating knowledge of hospital staff and medical professionals. The medical technology that is used in hospitals needs to be carefully monitored. Misuse could lead to an accident that has the possibility to cause a long term negative effect for the patient. It is due to the above reason that today, proficient clinical settings require the consistent expertise of all medical staff in relation to the operation of medical technology. Medical technology was invented for our health and well being. However there is always the risk of unforeseen consequences. An example of this is LASIK (Laser-Assisted In-Situ Keratomileusis) eye surgery, an operation where a patient has his or her vision corrected. Eyesight clinics advertised that the operation would improve a persons vision and give freedom to those who did not like wearing glasses or contacts all the time. Before user a laser to correct the vision the operation required the practitioner to cut open the patients corner. During the trial stages of the operation, this procedure led to several unsuccessful results where the patients suffered from extremely dry eyes, milky vision and poorer eyesight than prior to the operation. Other disastrous results included foggy visions, starbursts around lights and double vision. These after effects negatively impacted the lives of the patients greatly as they now had worse vision than prior to the operation. However, it is thanks to researchers that the medical technology in this field has advanced to a level where the risks are now minimal. These professionals are currently working on a new method of corrective eye surgery where it will not be necessary to cut open the cornea before lasik surgery is used. There will be even less of a chance that things will go wrong if the answer to this problem is found. The Gamma Ray, used to eliminate cancerous cells around the brain without the use of open surgery, is another example where medical technology could have negative effects. Its intention was to cure people with cancerous cells in places of high risk or in places that could not be safely accessed by open surgery. The risk lies in the calculation of the amount of radiation that is directed at the cancer. If there is a miscalculation the laser may destroy the cancer and other cells around it, leading to brain damage. From these two examples one can see that there is a limit to how medical technology can be used. Drugs created by medical technology are intended to help humans recover from their illness or improve their condition, however they are harmful if taken in small dosages, in excess or if used in the wrong way. For example if more that 400mg of vitamin E if is taken a day it will act as a blood thinner. Large doses of vitamin A causes heart problems. An overdose of cold and fly medications can lead to liver failure. Medicine, such as antibiotics are often perceived to be of benefit to humans as it is commonly used to treat bacterial infectious diseases. On the other hand, antibiotics can have unpleasant consequences if taken in dosages that do not completely eradicate the pathogen, thereby contributing to resistance. Antibiotics can also be used abusively when physicians prescribe the drug unnecessarily or if patients become complacent and do not adhere to the necessary antibiotic therapy. From these examples it is easy to see that medicines can cause adverse effects if taken in excess, small dosages or if used in the wrong way. Lack of funding for medical technology can cause negative effects on the genetic fitness of populations. It can bring about misleading information to the creation of a cure. As new diseases are constantly emerging, doctors, scientists and researchers need to know as much information about the sickness before they can find a cure. They need to know specific information such as the lifespan of the offending pathogen, if the disease is a virus, the exact signs and symptoms and the genetic make up before they can start research on the cure. However, lack of funds means that research projects may be delayed or even stopped before a cure is found. Researchers need the money so that they will have access to proper equipment and resources. Without it, they may not be able to conclude a research project that has the potential to find information that will lead to a cure. A major issue in medical technology is regulation. Ethical considerations need to be recognised and evaluated before research can continue. Also the lack of funding also means that cures cannot be tested thoroughly. All cures, whether they are over the counter drugs or prescription medications to medical technology (electronic thermometers), need to be thoroughly tested before they can be passed onto the market or used safely by professionals. In addition, the testing regimes may incur societal backlash due to experimentation on animals. As a result, lack of funds can prevent cures from being formed and this negatively impacts the public. Medical technology is very important for those with diseases and those who are ill or injured. For people with asthma a breathing machine may be essential for life, without it breathing may become difficult and even dangerous. Medical technology can add years to our lives and can make life better. It enables us to live past the normal expectancy of life. Technology has so many benefits. Without it we would not be able to travel, contact others around the world, entertain, or educate as well as we do. Medical technology is perhaps the most important technology of all.

E Health Is Combined Use Of Electronic Information Technology Essay

E Health Is Combined Use Of Electronic Information Technology Essay Health is a major concern for everyone in this world. The implementation of Information and Communication Technologies in the medical field has modified the present definition of health care. It suggested the solution that can benefit both patient as well as health care professionals. eHealth provides solutions in a wide spectrum and it includes various health care products, systems and services. It includes tools for health professionals as well as for patients and citizens. Various services or systems that are covered under eHealth are; health information networks, electronic health records, telemedicine services, Consumer health informatics, Healthcare Information Systems, Health knowledge management. Patients share their health information with their physician in order to improve their health treatment. Patients Information is stored in Electronic Health Record. It has been observed from a survey conducted in Sweden that 95% of all documentation in primary care is made in electronic healthcare records (1). Almost 55% of the Pharmaceutical prescriptions are issued digitally in Sweden and transmitted directly to the pharmacy store (1). The challenging issue which is associated with the eHealth system is the protection of Medical Records. Since the data is transmitted over the network from one place to another so it is suffering from the major security concern. An electronic medical record (EMR) stores personal data which includes medical test results, prescription, hospitalizations, etc. Privacy in the ehealth system can be classified into two categories; Content oriented privacy and contextual privacy (2). So eHealth system can be termed as a secure system if it can deal with both these aspects of privacy. Content oriented privacy indicates the capability or authority of the health care stakeholders in disclosing the patients personal information to other parties (marketing, insurance) whereas contextual privacy indicates the ability of a malicious entity to guess the disease of a patient correctly by identifying the field/domain of his physician. Background In earlier days physicians used to use paper charts for recording the encounters with the patient. Details about medications, lab tests, X-rays etc the patient has taken, needs to be recorded in the chart for future reference. As the medical care became more and more complex, it became tedious for physicians to maintain a good patient record on these paper charts. They needed new technologies to help them to cope up with the increasing needs. With the advancement in the information and communication technologies, the idea of storing the patient records electronically came in around 1960s, when Dr. Lawrence Weed introduced the concept of Electronic Health Record. Weeds innovation allowed a third party to verify the diagnosis to avoid any errors. In 1972, Regenstreif Institute developed first medical record system which combined both inpatient and outpatient data recording (3). Electronic Health Records (EHR) Systems stores the entire health and medical history of a patient in a computerized, electronic format. The record includes the details about patient demographics, progress notes, medications, past medical history, vital signs, laboratory data, immunizations and radiology reports. Keeping these vast records in this organized manner, makes it more efficient to retrieve and maintain, when compared to the paper charts (4). As the medical care and the information technology became more and more complex, it became necessary to share the patient records among the various medical departments like clinical, nursing, laboratory, radiology, hospital administration etc in order to maintain a proper medical record about the patient. When the health records including sensitive data about the patient were shared electronically among the different departments, privacy and security problems became a major challenge to the EHR systems. The recent studies on security and privacy concerns in EHR systems shows that, there is increasing number of threats resulting from the distributed and decentralized implementations of EHR Systems, and also the use of communication over open and insecure internet. Unauthorized accesses, Denial of service are to name a few. Lack of standardization among these systems made it very difficult for the system administrators to implement a secure system (5). Research Problem The main problem associated with an eHealth system is the privacy, security and confidentiality of Electronic Health data (EHD). EHD stores private and sensitive data of the patient and data of EHD is used by physicians, nursing, laboratory, and pharmacy. The publication of personal sensitive data can seriously compromise the patient privacy. Due to this reason many individual does not go for eHealth treatment since they are afraid of the loss of their Health record including information about their illness or disability. In a survey conducted in Canada, it has been found out that 11-13% of Canadians have held back information from a health provider because they were afraid of the privacy of their data (6). In a survey conducted in America, 77% of the population is concerned about their medical information being used for marketing purposes (7). We are trying to figure out the peoples concern about the privacy of their health care record at Stockholm. We will examine the opinion of pu blic regarding the privacy of their health information and accessing eHealth service. Question The research questions drawn from the above problem set are: To what extent, privacy of health care records affects the individuals decision of accessing eHealth service? Are there certain groups of people for whom the privacy is a major issue while accessing the eHealth service? Goal The purpose of conducting this research is to examine the present scenario of the Health care system in Sweden. Research result will be helpful for patient, health care professionals and health care organizations. How the present scenario related to the privacy and the confidentiality of the Health care data is affecting the decision of accessing the eHealth Service. This survey will help to reveal the importance of Security in this field. Method In this section, we presented the description of the research methodology conducted in this paper, followed by the limitations of the research carried out and the reasons of such limitation. Method Description We are going to select inductive reasoning method for our research work. We will draw generalized conclusions from a finite collection of specific observations. Literature Review previous studies: we will study different literatures in the form of research reports and surveys which is conducted on EHR privacy in different parts of the world and then we will identify the present challenges related to patient privacy in Electronic health. Survey: we will formulate a questionnaire based on the identified privacy challenges and conduct a survey among the public to collect data. The questionnaire will be around 10-15 questions which will mainly focus on the awareness of e-health privacy among patients. The sample size for our survey will be around 100-150. Also we are planning to use the facts and figures available in the Internet as a secondary data source for our research. Suggested below are some of samples Do you think that your doctor should be able to access all your medical record in order to provide the best care? Are you willing to share your personal medical information to help government officials to research on disease outbreaks? Do you think that you should be able to access all of your medical records to verify the correctness of the medical record? How concerned are you about your medical records being used by marketing agencies? Formulating the Guidelines: Analyze the data collected, to derive a statistics on the research questions. We will be using IBMs SPSS tool to analyze the data collected and derive the statistics based on it. This statistics will help to find out how much the people are concerned about the privacy in EHR systems. Revising the guidelines: Based on the statistics, draw a conclusion and suggest ways to improve the privacy of patients sensitive data in e-Health. Report writing: The report will be constructed detailing the privacy challenges in EHR system and will point out the feasible suggestions. Limitations Because of the time constraint, the population that we are targeting for this survey includes only undergraduates, graduates, post graduates and post doctoral students (age group 18-35) in KTH (both Main Campus and Kista Campus). We are conducting this survey on limited range of age group, so the result will not include the opinion of elder citizens.

Madness and Insanity in Shakespeares Hamlet - Hamlet is Truly Sane :: The Tragedy of Hamlet Essays

Hamlet is Truly Sane In William Shakespeare's play, Hamlet, we meet an interesting character named Hamlet. His father is killed and he finds out it was his uncle who murdered him. This, among other events, is believed to drive Hamlet insane. But he is not insane, he merely puts on an act because he craves attention, and is really quite sane. There are little incidents that tell the truth of his state of mind. He plans ahead, before doing something important. He acts in a calm and rational manner (most of the time) when planning, and when carrying out this plan, acts irrational. Everything he does is done for a viable reason; there is a purpose to what he does and why he does it. Also, Hamlet is aware of what is going on around him, something someone insane would not see. Hamlet plans ahead before doing certain tasks. When the acting company comes along, Hamlet talks to himself discussing that the play will bring about the conscience of the killer. He thinks of a play where a man is killed by someone close, something that resembles Hamlet's father's murder. This was not done in a state of insanity, and it was not spurr-of-the-moment idea. Hamlet thought this through and planned it out ahead. People insane do not think to plan ahead and do not act in rational manner. When Hamlet does act irrationally, it is in front of people; it is as if Hamlet wants the world to think he is insane. But maybe his reason for acting insane is legitamite.   Ã‚  Ã‚   Many of Hamlet's actions are done for a viable reason. He does not go off and do random acts of violence or anything of the sort. When Hamlet was going to kill Claudius the first time, he stopped himself, because Claudius was in confession. If Hamlet had killed him there, all of Cladius' sins would have been wiped away, and Hamlet feared sending him to heaven, so he would wait for a better time to kill Claudius. When Hamlet was arguing with his mother and Polonius approaches, Hamlet assumes it was the King. They scuffle, and Hamlet stabs Polonius. Hamlet thought it was the King, a viable reason, just not true. The most important reason to prove Hamlet's sanity is that he is aware of what is going on around him.

Urging Educators to Accept the Internet as a Valuable Research Tool for Students :: Teaching Education

Urging Educators to Accept the Internet as a Valuable Research Tool for Students On the evolutionary scale of importance, minnows occupy a seemingly menial state: they are small, they are unimposing, they are relatively slow, and they are inept. In the face of danger from larger and more physically dominant fish, minnows flee. When a fisherman’s net scoops them from their environment, they are defenseless. Even as the fisherman grasps a minnow’s meek body, and plunges a hook into its back, the best a minnow can do is stare vacantly. Despite these ostensibly inauspicious characteristics, however, minnows do possess some value. If they are physically adept, and fortunate enough to not succumb to the aforementioned hazards, they develop into larger fish, which are capable of avoiding the more mundane dangers of their environment. Still, a minnow would not be the ideal choice for a fresh body if one exalted the forces of reincarnation. Plus, in our secularized state, most creatures do not admonish the minnow as a divine creature worthy of respect. Humans especially do not lavish the minnow with attention: not in art, not in literature, nor in religious lore. After all, images of Moby Minnow eluding an enraged Ahab would probably not wet the tastes of dilettantes or casual readers of literature. Yet, all kidding aside, the minnow evokes a fabulous metaphor for educators imploring their students to learn. Although teachers by no means â€Å"hook† students and use them for â€Å"bait,† they do have the ability to educate their students about the dangers of the real world. Physical dangers, albeit different from the perils faced by minnows, do pose threats to students in obtrusive and visible forms: alcohol abuse, drug abuse, peer pressure, and violence amongst other things. To exacerbate matters more, some of these dangers overlap each other, which makes the job of adult intervention even more irksome and problematic. Moreover, another danger exists for students: the Internet. Suddenly red flags and whaling klaxons emerge in the minds of some readers! This paper does not purport to advocate a fundamental rationale for adolescent Internet use; nor does this paper unleash philippics about the immoral decadence attributed to the Internet. Urging Educators to Accept the Internet as a Valuable Research Tool for Students :: Teaching Education Urging Educators to Accept the Internet as a Valuable Research Tool for Students On the evolutionary scale of importance, minnows occupy a seemingly menial state: they are small, they are unimposing, they are relatively slow, and they are inept. In the face of danger from larger and more physically dominant fish, minnows flee. When a fisherman’s net scoops them from their environment, they are defenseless. Even as the fisherman grasps a minnow’s meek body, and plunges a hook into its back, the best a minnow can do is stare vacantly. Despite these ostensibly inauspicious characteristics, however, minnows do possess some value. If they are physically adept, and fortunate enough to not succumb to the aforementioned hazards, they develop into larger fish, which are capable of avoiding the more mundane dangers of their environment. Still, a minnow would not be the ideal choice for a fresh body if one exalted the forces of reincarnation. Plus, in our secularized state, most creatures do not admonish the minnow as a divine creature worthy of respect. Humans especially do not lavish the minnow with attention: not in art, not in literature, nor in religious lore. After all, images of Moby Minnow eluding an enraged Ahab would probably not wet the tastes of dilettantes or casual readers of literature. Yet, all kidding aside, the minnow evokes a fabulous metaphor for educators imploring their students to learn. Although teachers by no means â€Å"hook† students and use them for â€Å"bait,† they do have the ability to educate their students about the dangers of the real world. Physical dangers, albeit different from the perils faced by minnows, do pose threats to students in obtrusive and visible forms: alcohol abuse, drug abuse, peer pressure, and violence amongst other things. To exacerbate matters more, some of these dangers overlap each other, which makes the job of adult intervention even more irksome and problematic. Moreover, another danger exists for students: the Internet. Suddenly red flags and whaling klaxons emerge in the minds of some readers! This paper does not purport to advocate a fundamental rationale for adolescent Internet use; nor does this paper unleash philippics about the immoral decadence attributed to the Internet.

The Lion and the Jewel by Wole Soyinka Essay -- Lion Jewel Soyinka Ess

The Lion and the Jewel by Wole Soyinka The three main characters in ‘The Lion and the Jewel’ are called Sidi, Lakunle and Baroka the Bale. Each character has different thoughts about one another and each views the society in a different way. This essay introduces and describes each character and analyses their role in the play. Sidi ==== Sidi is the first character that the audience meets. She is a very attractive woman, known as the village ‘belle’. Her attractiveness influences her personality, by making her quite vain. An example of her vanity is when she receives photos through of her that featured in a global magazine, taken by a western man. The photographs, also affect Sidi’s perception of Baroka, by making her believe that she is a better person, judging by the picture size difference in the magazine. Sidi is heavily influenced by tradition, which is outlined more than once throughout the play. The opening scene shows how Lakunle offers to carry Sidi’s load. Sidi refuses, because it is traditionally the woman that carries the load and if other people saw, then Sidi is afraid that people may start to shun or mock her. The relationship between Lakunle and Sidi is clarified when Sidi asks for a Bride Price. Lakunle is reluctant to give her money and insists that she take his token of love and loyalty instead. Due to Sidi’s heavy belief in tradition, she has to decline his offer and demand the bride money. If she accepts his offer, then her value and status in the village can potentially be diminished. Sidi tries to be quite intelligent by making remarks that counter act another persons. However, Baroka and Sadiku trick Sidi into marrying Baroka and becoming his youngest wife. Even Sidi’s... ...n any way (this is true in Sidi’s case). Baroka is an intelligent man and can use his words to fool people. Much like the railway track story and Sidi’s case. Baroka uses more words/ psychological flirting moves, rather than active moves. In the play Sidi comes to Baroka because of the news given to her by Sadiku, note that Baroka does not physically seduce her. He is able to analyse Sidi and her thoughts and then produce an effective seducing tactic. These 3 characters all have similarities and differences. Once we find out these differences, it is easier to see why the characters react in the way that they do. We are able to see why Lakunle is an outsider, why Sidi does not like one aspect of Lakunle, and how the Bale finally seduces Sidi. The Lion gets the Jewel and the outsider is left standing there watching for other women ready to go for the bait.

Differences in Competencies Between Associate Degree and Baccalaureate Degree Nurses Essay

Differences in Competencies Between Associate Degree and Baccalaureate Degree Nurses Nursing education can be confusing because there are so many ways to become a nurse. However, throughout history, nurse leaders have advocated the importance of higher education for nurses. But as nursing shortages developed, the need for more and more nurses became apparent. To help solve the nursing shortage problem, Mildred Montag developed the associate degree of nursing program (ADN) in 1952. It was designed to be completed in two years and provide a balance of general nursing education along with clinical courses. The original program designed by Mildred Montag was for associate degree nurses to work under the supervision of professional baccalaureate prepared nurses. Due to confusion, the graduates of the associate degree nursing program were allowed to sit for the National Council Licensure Examination (NCLEX-RN). This NCLEX exam was the same exam given to baccalaureate degree nurses (Creasia & Friberg, 2011). Now, associate degree nurses can be found in almost every setting from hospitals to long term care facilities. However, even though associate nurses have the skills to provide adequate patient care, the advanced education of the baccalaureate degree nurse provides leadership skills, advanced critical thinking skill and improved patient outcomes (Lane & Kohlenberg, 2010). Therefore, in recent years the difference in competencies between the associate degree nurse and the baccalaureate degree nurse has been examined, resulting in a push for more nurses to obtain a bachelors degree (BSN). Associate degree nursing programs teach the technical aspect of nursing care. An associate prepared nurse can function well at the bedside. She can monitor the patient’s needs and record the outcomes of treatments. An associate prepared nurse can use critical thinking skills to determine her best course of action in most situations. But the constantly changing field of healthcare is demanding higher educated nurses. It is demanding nurses that are more professional and have an understanding of theory based practice. Nursing and medical organizations across the nation are recommending that all RNs advance their education. An advanced level of education can improve patient safety and quality of care (â€Å"Fact Sheet: Creating,† 2013). This has been evidenced by numerous studies on the correlation between higher educated nurses and patient outcomes. Researchers at the University of Pennsylvania conducted a study that found surgical patients had 14% lower odds of dying as an inpatient within 30 days when being cared for by higher educated nurses. Another study conducted at the University of Toronto found hospitals that increased their pool of baccalaureate prepared nurses by just 10% had a decrease in death of discharged patients (â€Å"Fact Sheet: Creating,† 2013). To fully understand the differences in competencies between an ADN and a BSN, it may be necessary to evaluate how each would perform in a specific patient care situation. For example, a 66 year male is hospitalized with an open wound on his leg. The wound is positive for MRSA and the patient is diabetic. The associate degree nurse dresses the wound properly, and teaches the patient how to take care of the wound. She helps manage the patient’s diabetes and teaches him how to manage it at home. The patient is discharged home with instructions and prescriptions. He is re-admitted a week later with high blood sugars and a worsening leg wound. The same patient is cared for by a nurse with a BSN. During his stay the nurse dresses his wound properly, and manages his blood sugar levels. During her time with him, the nurse questions the patient about his family and his home. Through casual conversation she discovers the patient lives alone, but his daughter lives close by. She also learns he is unable to clean his home properly, but he is adamant about staying there. With the patient’s permission, the nurse contacts the patient’s daughter to learn more about the challenges the patient faces in caring for himself. After talking with the daughter, the nurse discovers the patient has not had an eye exam in 5 years and his vision is poor. He does not follow a diabetic diet and prefers to eat out rather than cook at home. Armed with this new information, the nurse talks with the patient. She tactfully points out his vision problems and poor diet choices. The patient admits he needs new glasses, but cannot afford them. He admits to having trouble seeing the numbers on his insulin syringe. He also states following a diabetic diet is too difficult so he doesn’t bother. The nurse takes this information to the hospital’s case management team and together they get home health care that will help him with his dressings. They also manage to find help to clean his home and funding to get him new glasses. The nurse then makes an appointment for the patient for diabetic teaching provided by the hospital. Prior to discharge the nurse teaches the daughter how to change the wound dressing and how to give insulin injections. She encourages the daughter to go with  the patient to diabetic education classes. The BSN nurse did more than just discharge the patient. She used the metaparadigm of nursing model to treat the patient as a whole. The metaparadigm consists of person, environment, health, nursing and how they all interact with each other. (Gunther, 2011). She recognized the patient was an individual person with individual health needs. She discovered his physical and environmental challenges and learned how they were affecting his health. Utilizing the information she obtained she found the patient the appropriate help for his situation. The associate degree nurse is certainly capable of taking care of patients in almost any healthcare setting. However, healthcare is changing rapidly with increased acuity and short lengths of stay and nursing must change with it by producing more professional, well-educated nurses. References Creasia, J. L. , & Friberg, E. E. (2011). Pathways of Nursing Education. In M. Iannuzzi, & R. Richman (Eds. ), Conceptual foundations: The bridge to professional nursing practice (5th ed. (pp. 23-26). [PageBurst]. Retrieved from www. elsevier. com Fact sheet: Creating a more highly qualified nursing workforce. (2013). Retrieved from http://www. aacn. nche. edu/media-relations/fact-sheets/nursing-workforce Gunther, M. (2011). Theories and frameworks for professional nursing practice. In M. Iannuzzi, & R. Richman (Eds. ), Conceptual foundations: The bridge to professional nursing practice (5th ed. (pp. 97-99). [PageBurst]. Retrieved from www. elsevier. com Lane, S. H. , & Kohlenberg, E. (2010). The future of baccalaureate degrees for nurses. Nursing Forum, 45(4), 218-227. doi:10. 1111/j. 1744-6198. 2010. 00194.