Nursing Quality Quotes

Qualities of a Good Nurse: Go," I said. "1. Doesn't pun on your disability," Isaac said. "2. Gets blood on the first try," I said. "Seriously, that is huge. I mean is this my freaking arm or a dartboard? 3. No condescending voice." "How are you doing, sweetie?" I asked, cloying. "I'm going to stick you with a needle now. There might be a little ouchie." "Is my wittle fuffywump sickywicky?" he answered. "Most of them are good, actually. I just want to get the hell out of this place.

Obtaining a certificate in nursing assistant trains students to provide quality care to residents in nursing homes.

Qualities of a Good Nurse: Go," I said. "1.Doesn't put on your disabilities," Isaac said. "2.Gets blood on the first try." I said. "Seriosly, that is huge. I mean is this my freaking arm or a dartboard? 3.No condenscending voice.

On one side of the seesaw is my education. My nursing certification. My twenty years of service at the hospital. My neat little home. My spotless RAV4. My National Honor Society-inductee son. All of these building blocks of my existence, and yet the only quality straddling the other side is so hulking and dense that it tips the balance every time: my brown skin.

They’re like little boys, men. Sometimes of course they’re rather naughty and you have to pretend to be angry with them. They attach so much importance to such entirely unimportant things that it’s really touching. And they’re so helpless. Have you never nursed a man when he’s ill? It wrings your heart. It’s just like a dog or a horse. They haven’t got the sense to come in out of the rain, poor darlings. They have all the charming qualities that accompany general incompetence. They’re sweet and good and silly, and tiresome and selfish. You can’t help liking them, they’re so ingenuous, and so simple. They have no complexity or finesse. I think they’re sweet, but it’s absurd to take them seriously.

There was a rare quality about Nurse Grace’s smile. It was the knowledge that sooner or later her smile would inspire some witty observer to say something around the lines of, “Every time you do this, an angel farts”.

I propitiated the knife-wielding deities with presents of books. The gifts to them and the head of nursing were also meant to acknowledge that although people get paid to do their jobs, you cannot pay someone to do their job passionately and wholeheartedly. Those qualities are not for sale; they are themselves gifts that can only be given freely, and are in many, many fields.

The whole commerce between master and slave is a perpetual exercise of the most boisterous passions, the most unremitting despotism on the one part, and degrading submissions on the other. Our children see this, and learn to imitate it; for man is an imitative animal. This quality is the germ of all education in him. From his cradle to his grave he is learning to do what he sees others do. (...) The parent storms, the child looks on, catches the lineaments of wrath, puts on the same airs in the circle of smaller slaves, gives a loose to his worst of passions, and thus nursed, educated, and daily exercised in tyranny, cannot but be stamped by it with odious peculiarities.

Designers of electronic charting systems don’t seem to understand that checklists themselves are not the innovation, because checklists are not substitutes for care. The real innovation is having staff use lists to consistently create the safest and highest-quality clinical environment possible.

We know that media vita in morte sumus or, “in the midst of life we are in death.” We begin dying the day we are born, after all. But because of advances in medical science, the majority of Americans will spend the later years of their life actively dying. The fastest-growing segment of the US population is over eighty-five, what I would call the aggressively elderly. If you reach eighty-five, not only is there a strong chance you are living with some form of dementia or terminal disease, but statistics show that you have a 50-50 chance of ending up in a nursing home, raising the question of whether a good life is measured in quality or quantity. This slow decline differs sharply from times past, when people tended to die quickly, often in a single day. Postmortem daguerreotypes from the 1800s picture fresh, young, almost lifelike corpses, many of them victims of scarlet fever or diphtheria. In 1899, a mere 4 percent of the US population was over sixty-five—forget making it to eighty-five. Now, many will know that death is coming during months or years of deterioration. Medicine has given us the “opportunity”—loosely defined—to sit at our own wakes.

To be a successful wife is a career in itself, requiring among other things, the qualities of a diplomat, a businesswoman, a good cook, a trained nurse, a schoolteacher, a politician and a glamour girl. —Emily Mudd, “Woman’s Finest Role,” Reader’s Digest, 1959

the Yale Cancer Center, Dana-Farber Cancer Institute, and Massachusetts General Hospital supports this notion. It found that dying patients who had open conversations about their death experienced a better quality of life in the weeks and months leading to their passing, as judged by their family members and nurse practitioners.

There is the type of man who has great contempt for "immediacy," who tries to cultivate his interiority, base his pride on something deeper and inner, create a distance between himself and the average man. Kierkegaard calls this type of man the "introvert." He is a little more concerned with what it means to be a person, with individuality and uniqueness. He enjoys solitude and withdraws periodically to reflect, perhaps to nurse ideas about his secret self, what it might be. This, after all is said and done, is the only real problem of life, the only worthwhile occupation preoccupation of man: What is one's true talent, his secret gift, his authentic vocation? In what way is one truly unique, and how can he express this uniqueness, give it form, dedicate it to something beyond himself? How can the person take his private inner being, the great mystery that he feels at the heart of himself, his emotions, his yearnings, and use them to live more distinctively, to enrich both himself and mankind with the peculiar quality of his talent? In adolescence, most of us throb with this dilemma, expressing it either with words and thoughts or with simple numb pain and longing. But usually life suck us up into standardized activities. The social hero-system into which we are born marks out paths for our heroism, paths to which we conform, to which we shape ourselves so that we can please others, become what they expect us to be. And instead of working our inner secret we gradually cover it over and forget it, while we become purely external men, playing successfully the standardized hero-game into which we happen to fall by accident, by family connection, by reflex patriotism, ro by the simple need to eat and the urge to procreate.

Many of us in healthcare entered the profession because we wanted to help, heal, and serve. At our core, we have compassion, empathy, and a drive to help people live their best lives. Recognizing and implementing actions to prevent patient and employee harm has the greatest potential effect on the quality of care delivered in our health care system, just as preventative care and wellness efforts slow or stop the progression of disease.

To Konstantin the peasant was simply the chief partner in their common labor, and in spite of all the respect and the love, almost like that of kinship, he had for the peasant—sucked in probably, as he said himself, with the milk of his peasant nurse—still as a fellow-worker with him, while sometimes enthusiastic over the vigor, gentleness, and justice of these men, he was very often, when their common labors called for other qualities, exasperated with the peasant for his carelessness, lack of method, drunkenness, and lying.

Immigrants who had never failed to repay a debt, because they had never been given a loan, often had surprisingly high thin-file FICO scores. Thus a Jamaican baby nurse or Mexican strawberry picker with an income of $14,000 looking to borrow three-quarters of a million dollars, when filtered through the models at Moody’s and S&P, became suddenly more useful, from a credit-rigging point of view. They might actually improve the perceived quality of the pool of loans and increase the percentage that could be declared triple-A. The Mexican harvested strawberries; Wall Street harvested his FICO score.

It was perhaps the oddest thing about his wife that she could be so open about her delights yet so secretive about her wounds, always retreating into some dark inner place to nurse herself back to health rather than admit to having been injured or reveal the scar. At her center was a code, something formulated when she was so young that the reason for it was long forgotten, a code that governed her most intimate thoughts and behavior and made her so fundamentally decent that she could never be otherwise. If Dan both admired and regretted any single quality in his wife, it was this profound spiritual stability.

Bless you, for many a hundred years we have not fought for our honour; we have lived merely to nurse our insides. The Persian wars were really trifles, but for a vigorous people Salamis, Thermopylæ, and the Acropolis mean the bloom of all the noblest and soundest instincts, and as long as these instincts are valued, and a people believes that it has certain qualities to uphold, and a past, a present, and a future to be proud of, these names will be surrounded by a certain glamour. And a poet can write a poem on Thermopylæ and imprint it with the feelings of his own time, as Leopardi has done in his ‘Ode to Italy.’ Do you remember I read it to you in Rome?

Consider this scenario: A man gets a stomachache after each meal. To “treat” this problem, he takes (either by prescription or by self-medication) some antacid or other nostrum. Then he gets a headache (which may or may not be a side effect of the stomach medication); to “treat” the headache he takes aspirin, which further irritates his stomach. Three years later he develops an ulcer, for which he takes another medication, plus large amounts of milk and cream (although an outmoded treatment, it is still being used today). Meanwhile, he is still taking antacids for his indigestion and eating the same way he always had. Eventually, he has an operation to remove his ulcer. He continues with his high-dairy diet. Soon thereafter he develops arteriosclerosis and high blood pressure and begins to take antihypertensive medication. The side effects of the latter include headaches, dizziness, drowsiness, diarrhea, slow heart rate, mental confusion, hallucinations, weight gain, and impotence. When his wife leaves him for a younger man, he takes antidepressants and sleeping pills. He has a heart attack and undergoes an operation to repair a heart valve. Painkillers keep him going as he slowly recuperates. A year or two later, he finds himself with an irreversible neurological disease such as ALS or Alzheimer’s, and he wonders what could have gone wrong. All that’s left for him to do is wait to die, which he can do in a nursing home, drugged into complaisance and painlessness.

Sphere/Color /Quality/Service on Planet 1: Blue. To do the will of God, illumined faith, capacity to lead people and manifest large amounts of energy. Initiative. All God-ideas born here. Rulers, leaders and executives. 2. Sunshine yellow. Perception, illumination, inspiration. Ideas are perceived and molded into thought patterns and workable form. Teachers, Educators. 3. Pink. Love, compassion, tolerance. Ideas are clothed with life-essence through the feeling nature, enabling future externalization in the world of form. Love is shown as the cohesive force, holding together a manifested form. Peacemakers, Arbitrators. 4. White. Purity. Artistic development. Poets, artists, musicians, painters, architects. 5. Emerald Green. Scientific development. Healing, concentration, consecration, truth. Scientists, engineers, inventors, healers, doctors, nurses. 6. Ruby with golden radiance. Voluntary impersonal service outside the community. Missionaries. Religious leaders. 7. Violet. Ceremonial service. Culture, refinement, diplomacy. Diplomats, gentlemen, ministers, religious leaders.

Beneath the window, set between gravel walkways, a few woody lavenders, etiolated rosemary bushes, and ornamental thyme made up the aromatherapy garden that he had seen described in the brochure. Beyond this, however, running a long arc down the gentle slope of lawn, camellias in unrestrained bloom provided an alternative tonic. The lawn gave way to a flower garden, itself fringed by a wood, so that the incarcerated had at least the consolation of a pleasant enough outlook. Gabe stood in front of the fireplace and examined the painting that hung above the mantelpiece. It was a still life. It showed two apples and a brown and white feather laid on a velvet cloth on a table placed by a window. Although the picture was not, Gabriel assumed, of the highest artistic value, and was cheap enough to reside at Greenglades, and though it could not be said to have a photographic reality, and though he suspected it of not being "good," he was drawn to look at it and could see the ripeness of the velvet, reckon the bursting crispness of the apples, and the feather had a certain quality that he had never before observed, just as the painted window offered something that he had failed to notice at all when looking through the real one: the texture, the tone, the way the light fell, the very glassness of the glass.

The fifth was a blond man wearing a navy peacoat and standing with his hands in his pockets. He did not smile or point or make faces. He was staring at Laura. After a few minutes during which the stranger’s gaze did not shift from the child, Bob became concerned. The guy was good looking and clean-cut but there was a hardness in his face, too, and some quality that could not be put into words but that made Bob think this was a man who had seen and done terrible things. He began to remember sensational tabloid stories of kidnappers, babies being sold on the black market. He told himself that he was paranoid, imagining a danger where none existed because, having lost Janet, he was now worried about losing his daughter as well. But the longer the blond man studied Laura, the more uneasy Bob became. As if sensing that uneasiness, the man looked up. They stared at each other. The stranger’s blue eyes were unusually bright, intense. Bob’s fear deepened. He held his daughter closer, as if the stranger might smash through the nursery window to seize her. He considered calling one of the crèche nurses and suggesting that she speak to the man, make inquiries about him. Then the stranger smiled. His was a broad, warm, genuine smile that transformed his face. In an instant he no longer looked sinister but friendly. He winked at Bob and mouthed one word through the thick glass: ‘Beautiful.’ Bob

One early terracotta statuette from Catal Huyuk in Anatolia depicts an enthroned female in the act of giving birth, supported by two cat-like animals that form her seat (Plate 1). This figure has been identified as a 'birth goddess' and it is this type of early image that has led a number of feminist scholars to posit a 'reign of the goddess' in ancient Near Eastern prehistory. Maria Gimbutas, for whom such images are proof of a perfect matriarchal society in 'Old Europe' , presents an ideal vision in which a socially egalitarian matriarchal culture was overthrown by a destructive patriarchy (Gimbutas 1991). Gerda Lerner has argued for a similar situation in the ancient Near East; however, she does not discuss nude figurines at any length (Lerner 1986a: 147). More recently, critiques of the matriarchal model of prehistory have pointed out the flaws in this methodology (e.g. Conkey and Tringham 1995; Meskell 1995; Goodison and Morris 1998). In all these critiques the identification of such figures as goddesses is rejected as a modern myth. There is no archaeological evidence that these ancient communities were in fact matriarchal, nor is there any evidence that female deities were worshipped exclusively. Male gods may have worshipped simultaneously with the 'mother goddesses' if such images are indeed representations of deities. Nor do such female figures glorify or show admiration for the female body; rather they essentialise it, reducing it to nothing more nor less than a reproductive vessel. The reduction of the head and the diminution of the extremities seem to stress the female form as potentially reproductive, but to what extent this condition was seen as sexual, erotic or matriarchal is unclear. ....Despite the correct rejection of the 'Mother Goddess' and utopian matriarchy myths by recent scholarship, we should not loose track of the overwhelming evidence that the image of female nudity was indeed one of power in ancient Mesopotamia. The goddess Ishtar/Inanna was but one of several goddesses whose erotic allure was represented as a powerful attribute in the literature of the ancient Near East. In contact to the naked male body which was the focus of a variety of meanings in the visual arts, female nudity was always associated with sexuality, and in particular with powerful sexual attraction, Akkadian *kuzbu*. This sexuality was not limited to Ishtar and her cult. As a literary topos, sensuousness is a defining quality for both mortal women and goddesses. In representational art, the nude woman is portrayed in a provocative pose, as the essence of the feminine. For femininity, sexual allure, *kuzbu*, the ideal of the feminine, was thus expressed as nudity in both visual and verbal imagery. While several iconographic types of unclothed females appear in Mesopotamian representations of the historical period - nursing mothers, women in acts of sexual intercourse, entertainers such as dancers and musicians, and isolated frontally represented nudes with or without other attributes - and while these nude female images may have different iconographic functions, the ideal of femininity and female sexuality portrayed in them is similar. -Zainab Bahrani, Women of Babylon: Gender and Representation in Mesopotamia

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If we consider the possibility that all women–from the infant suckling her mother’s breast, to the grown woman experiencing orgasmic sensations while suckling her own child, perhaps recalling her mother’s milk-smell in her own; to two women, like Virginia Woolf’s Chloe and Olivia, who share a laboratory; to the woman dying at ninety, touched and handled by women–exist on a lesbian continuum, we can see ourselves as moving in and out of this continuum, whether we identify ourselves as lesbian or not. It allows us to connect aspects of woman-identification as diverse as the impudent, intimate girl-friendships of eight- or nine-year-olds and the banding together of those women of the twelfth and fifteenth centuries known as Beguines who “shared houses, rented to one another, bequeathed houses to their room-mates … in cheap subdivided houses in the artisans’ area of town,” who “practiced Christian virtue on their own, dressing and living simply and not associating with men,” who earned their livings as spinners, bakers, nurses, or ran schools for young girls, and who managed–until the Church forced them to disperse–to live independent both of marriage and of conventual restrictions. It allows us to connect these women with the more celebrated “Lesbians” of the women’s school around Sappho of the seventh century B.C.; with the secret sororities and economic networks reported among African women; and with the Chinese marriage resistance sisterhoods–communities of women who refused marriage, or who if married often refused to consummate their marriages and soon left their husbands–the only women in China who were not footbound and who, Agnes Smedley tells us, welcomed the births of daughters and organized successful women’s strikes in the silk mills. It allows us to connect and compare disparate individual instances of marriage resistance: for example, the type of autonomy claimed by Emily Dickinson, a nineteenth-century white woman genius, with the strategies available to Zora Neale Hurston, a twentieth-century black woman genius. Dickinson never married, had tenuous intellectual friendships with men, lived self-convented in her genteel father’s house, and wrote a lifetime of passionate letters to her sister-in-law Sue Gilbert and a smaller group of such letters to her friend Kate Scott Anthon. Hurston married twice but soon left each husband, scrambled her way from Florida to Harlem to Columbia University to Haiti and finally back to Florida, moved in and out of white patronage and poverty, professional success and failure; her survival relationships were all with women, beginning with her mother. Both of these women in their vastly different circumstances were marriage resisters, committed to their own work and selfhood, and were later characterized as “apolitical ”. Both were drawn to men of intellectual quality; for both of them women provided the ongoing fascination and sustenance of life.

Where to find the borrowers with high FICO scores? Here the Wall Street bond trading desks exploited another blind spot in the rating agencies’ models. Apparently the agencies didn’t grasp the difference between a “thin-file” FICO score and a “thick-file” FICO score. A thin-file FICO score implied, as it sounds, a short credit history. The file was thin because the borrower hadn’t done much borrowing. Immigrants who had never failed to repay a debt, because they had never been given a loan, often had surprisingly high thin-file FICO scores. Thus a Jamaican baby nurse or Mexican strawberry picker with an income of $14,000 looking to borrow three-quarters of a million dollars, when filtered through the models at Moody’s and S&P, became suddenly more useful, from a credit-rigging point of view. They might actually improve the perceived quality of the pool of loans and increase the percentage that could be declared triple-A. The Mexican harvested strawberries; Wall Street harvested his FICO score.

Raw humor is a quality issue that has to be dealt with; the quality of the humor, or a metabolite in our modern biology, is an important factor in health preservation, a fact that is rarely given attention when merely measuring the quantity of a biomolecule. In a Western-type clinical environment, the physician or nurse may not be aware of this issue since all blood indicators they deal with are quantitative and only measured in the blood, the assessment and treatment is based on whether the test results show above or below the normal range. According to Avicenna, in many instances the raw humor may be higher in concentration within the organ, and not within the vessels, and its effect is local rather than systemic.

The difference between standard medical care and hospice is not the difference between treating and doing nothing, she explained. The difference was in the priorities. In ordinary medicine, the goal is to extend life. We’ll sacrifice the quality of your existence now—by performing surgery, providing chemotherapy, putting you in intensive care—for the chance of gaining time later. Hospice deploys nurses, doctors, chaplains, and social workers to help people with a fatal illness have the fullest possible lives right now—much as

It was her concern and commitment to a friend which last year involved her in perhaps the most emotional period of her life. For five months she secretly helped to care for Adrian Ward-Jackson who had discovered that he was suffering from AIDS. It was a time of laughter, joy and much sorrow as Adrian, a prominent figure in the world of art, ballet and opera, gradually succumbed to his illness. A man of great charisma and energy, Adrian initially found it difficult to come to terms with his fate when in the mid-1980s he was diagnosed as HIV positive. His word as deputy chairman of the Aids Crisis Trust, where he first met the Princess, had made him fully aware of the reality of the disease. Finally he broke the news in 1987 to his great friend Angela Serota, a dancer with the Royal Ballet until a leg injury cut short her career and now prominent in promoting dance and ballet. For much of the time, Angela, a woman of serenity and calm practicality, nursed Adrian, always with the support of her two teenage daughters. He was well enough to receive a CBE at Buckingham Palace in March 1991 for his work in the arts--he was a governor of the Royal Ballet, chairman of the Contemporary Arts Society and a director of the Theatre Museum Association--and it was at a celebratory lunch held at the Tate Gallery that Angela first met the Princess. In April 1991 Adrian’s condition deteriorated and he was confined to his Mayfair apartment where Angela was in almost constant attendance. It was from that time that Diana made regular visits, once even brining her children Princes Willian and Harry. From that time Angela and the Princess began to forge a supportive bond as they cared for their friend. Angela recalls: “I thought she was utterly beautiful in a very profound way. She has an inner spirit which shines forth though there was also a sense of pervasive unhappiness about her. I remember loving the way she never wanted me to be formal.” When Diana brought the boys to see her friends, a reflection of her firmly held belief that her role as mother is to bring them up in a way that equips them for every aspect of life and death, Angela saw in William a boy much older and more sensitive than his years. She recalls: “He had a mature view of illness, a perspective which showed awareness of love and commitment.” At first Angela kept in the background, leaving Diana alone in Adrian’s room where they chatted about mutual friends and other aspects of life. Often she brought Angela, whom she calls “Dame A”, a gift of flowers or similar token. She recalls: “Adrian loved to hear about her day-to-day work and he loved too the social side of life. She made him laugh but there was always the perfect degree of understanding, care and solicitude. This is the point about her, she is not just a decorative figurehead who floats around on a cloud of perfume.” The mood in Mount Street was invariably joyous, that sense of happiness that understands about pain. As Angela says: “I don’t see death as sad or depressing. It was a great journey he was going on. The Princess was very much in tune with that spirit. She also loved coming for herself, it was an intense experience. At the same time Adrian was revitalized by the healing quality of her presence.” Angela read from a number of works by St. Francis of Assisi, Kahil Gibran and the Bible as well as giving Adrian frequent aromatherapy treatments. A high spot was a telephone call from Mother Teresa of Calcutta who also sent a medallion via Indian friends. At his funeral they passed Diana a letter from Mother Teresa saying how much she was looking forward to meeting her when she visited India. Unfortunately Mother Teresa was ill at that time so the Princess made a special journey to Rome where she was recuperating. Nonetheless that affectionate note meant a great deal to the Princess.

That BIDMC did not bother to apply to the American Nurses Credentialing Center for recognition as a magnet hospital—one of Beth Israel’s distinguishing features—demonstrates just how susceptible to disruption these arrangements are. Such fluctuations and changes could have ramifications not just for individual nurses’ satisfaction and burnout rate but also for the quality of care patients receive.

In times of soul-searching people become sentimental. It infuriates Lorraine. As a nurse, she has to be tough, stoic and absorbent of other people’s emotions. The last quality is called sympathy, and she used to have it in abundance. But now it’s more of an irritant, like snoring or body odour. You learn to live with these things." From the short story, Sanctuary.

Modernly the very qualities that attract a woman to a given man become, in the course of time, what she most despises in him. The woman attracted to a man because of his strengths will ultimately find such attributes to be domineering, controlling, and manipulative. The woman who admires a man's sense of independence will eventually resent it as a tendency toward being distant and aloof. The nurturing caregiver looks for men who are like sparrows with broken wings that she, with her love, can nurse back to health. Ultimately, of course, junkies, weaklings, and losers don't make for a good long-term investment of anyones time. Even the most maternalistic of women will sooner or later discount them as parasites, pussies, or both.

I just . . . I just wanted to make sure you were . . . okay.” He shoved away from the door as he took a long stride toward her, letting the door slam behind him. “I should be asking you the same thing,” he said, cringing, his voice filled with concern. Violet knew how she looked. The bruise on her cheek had turned a strange combination of green, yellow, and purple. The swelling had gone down, but not enough for anyone else to notice. “I’m fine.” She hedged and then tried to shrug it off. “If you like bar-fight chic.” His face darkened. “I wasn’t really talking about what’s on the outside.” “You mean, like, it’s what’s on the inside that counts?” Rafe grimaced, the ghost of a smile finding his lips. “Well, when you put it that way, it sounds sort of . . .” “Sweet?” “I was gonna say lame. But, yeah, that works too.” “Yeah? Well, you look . . .” She was going to say better, but she practically stumbled over the word. He looked anything but better. If she looked beat-up, he looked downright thrashed. Even behind the bandages, Violet could see scrapes and mottled skin. “Terrible. You look terrible.” She moved closer to him on the landing as he unlocked the closed door. “But better than the last time I saw you, I guess.” Rafe tried to laugh, but winced and grabbed his ribs. “Damn, V, I wouldn’t plan on a career in nursing if I were you; your bedside manner stinks.” His eyes clouded over when he saw her stroking the black onyx hanging from around her neck. “Krystal?” he asked. “For protection,” Violet clarified. “Um, yeah, I got one too. Mine’s for healing.” He tugged at the silver chain around his neck. He held up an irregular-looking stone that had been tucked beneath his shirt. It was cloudy—opaque—and Violet wondered at the mystical qualities Krystal believed it possessed. “I meant it’s from Krystal. Right?” “Oh, yeah . . . right.” She nodded, realizing she’d misunderstood his question.

Just wait a month, and this meadow will be carpeted in bluebonnets,” Sarah promised him. “And the next month, gold and red flowers, Indian blanket, Mexican hat, primroses—Nolan, you can’t believe how beautiful it is!” “I can’t believe how beautiful you are, Sarah,” he said, cupping her cheek. “And as I said in church, how kind, how brave…” “Brave? Me? I’m not brave at all,” she protested. “Milly would tell you I’ve been a quiet little mouse all my life. She’s been the brave one, the leader.” “I don’t think she’d say that anymore, Nurse Sarah. In fact, I think you have all the qualities to make an excellent doctor’s wife.” When his words hit her, she gaped at him. “Dr. Nolan Walker! Did you just propose to me, on our very first outing together?” He grinned. “Ayuh,” he said, in a deliberately exaggerated “Downeast” accent. “We men of Maine don’t waste time. Am I going too fast, sweetheart? I promise you’ll get your courtship, never fear, but you and I both know I’ve been courting you every time we met—as much as you’d let me, anyway—ever since Founder’s Day last fall.” She considered his words. “I guess that’s true. All right, as long as you don’t stint on the courtship—we Texas ladies set great store by courting, I’ll have you know—I agree.” “Did you just say yes, Miss Sarah, on our very first outing as a courting couple?” She nodded, blushing a rosy pink that made her even lovelier still. He couldn’t wait any longer, and lowered his lips to hers.

In a report that brought together findings from studies over the past forty years of more than 100,000 employed women, those working irregular nighttime hours resulting in poor-quality sleep, such as nurses who performed shift work (a profession occupied almost exclusively by woman at the time of these earlier studies), had a 33 percent higher rate of abnormal menstrual cycles than those working regular daytime hours. Moreover, the woman working erratic hours were 80 percent more likely to suffer from issues of sub-fertility that reduced the ability to get pregnant. Woman who do become pregnant and routinely sleep less than eight hours a night are also significantly more likely to suffer a miscarriage in the first trimester, relative to those consistently sleeping eight hours or more a night.

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Death will come for us all and yet medicine still sees it as a defeat. No wonder that legal physician-assisted suicide has caused such an uproar within medical circles. Research has shown that even in jurisdictions where it is legal, confusion about its ethics, processes and procedures abound. Why? Because physician-assisted suicide allies the doctor with their enemy, namely death. Health professionals generally don’t seem to have the training and skills to assist in the dying process and most don’t appear to want them. Research has shown a strong connection between the death attitudes of health professionals and the quality of end-of-life care that they provide. For example, nurses low in death acceptance tend to have negative attitudes towards end-of-life care and cultivate poorer relationships with terminal patients. Death anxiety among healthcare providers negatively affects their attitudes towards family members of the dying. Further, death anxiety has been shown to stop relevant health professionals from initiating discussions about advance care directives. This, of course, makes it extremely difficult to ensure that the wishes of the dying are adhered to when the moment comes.

Traditionally, sensitive people have been the scientists, counselors, theologians, historians, lawyers, doctors, nurses, teachers, and artists (for example, at one time sensitive people naturally became their town’s schoolmaster or -mistress, preacher, or family doctor). But, increasingly, sensitive persons are being nudged out of all these fields due to what seems to be a cycle that starts with the nonsensitive moving aggressively into decision-making roles, where they, quite naturally due to their temperaments, devalue cautious decision making, emphasize short-term profits or flashy results assertively presented over a quieter concern for consistent quality and long-term consequences, and do not need and so eliminate calm work environments and reasonable work schedules. Sensitive people are discounted, have less influence, suffer, or quit. Then the nonsensitive control the profession even more.

Page 7: (H)e (Darwin) supposed that man, before he even emerged from apedom, was already a social being, living in small scattered communities. Evolution in his eyes was carried out mainly as a struggle between communities - team against team, tribe against tribe. Inside each team or tribe, the 'ethical cosmos' [the dual code of Amity and Enmity] was at work, forging and strengthening the social bonds which made the members of such a team a co-operative whole. … Thus, in the early stages of human evolution we find competition and co-operation as constituent elements of the evolutionary process … Co-operation and unity give strength to a team or tribe; but why did neighboring tribes refuse so stubbornly to amalgamate? If united, they would have got rid of competition and struggle. Why do human tribes instinctively repel every thought of amalgamation, and prize above all things independence, the control of their destiny, their sovereignty? Here we have to look beneath the surface of things and formulate a theory to explain tribal behavior. How does a tribe fulfill an evolutionary purpose? A tribe is a 'corporate body,' which Nature has entrusted with an assortment of human seed or genes, the assortment differing in some degree from that entrusted to every other tribe. If the genes are to work out their evolutionary effects, then it is necessary that the tribe or corporation should maintain its integrity through an infinity of generations. If a tribe loses its integrity by a slackening of social bonds, or by disintegration of the parental instincts, or by lack of courage or of skill to defend itself from the aggression of neighboring tribes, or by free interbreeding with neighbors and thus scattering its genes, then that tribe as an evolutionary venture has come to an untimely end. For evolutionary purposes it has proved a failure. Page 25: Tribalism was Nature's method in bringing about the evolution of man. I have already explained what a tribe really is - a corporation of human beings entrusted with a certain capital of genes. The business of such a corporation is to nurse and develop its stock of genes - to bring them to an evolutionary fruition. To reach such an end a tribal corporation had to comply with two conditions: (1) it had to endure for a long age; (2) it had to remain intact and separate from all neighboring and competing tribes. Human nature was fashioned or evolved just to secure these two conditions - continuity through time and separation in space. Hence the duality of man's nature - the good, social, or virtuous traits serving intratribal economy; the evil, vicious, or antisocial qualities serving the intertribal economy and the policy of keeping its genes apart. Human nature is the basal part of the machinery used for the evolution of man. When you know the history of our basal mentality - one fitted for tribal life - do you wonder at the disorder and turmoil which now afflict the detribalized part of the world?

Work matters. Quality work matters. It matters to God. Luther famously said that the angels smile when a father changes a dirty diaper. God wants clean rear ends! Of course he does. Why does God care about such small details? Because he loves, that's why. He wants children taught, and he uses principals, teachers, and parents to do it. Not to mention all the staff it takes to run a school. God wants people protected, and he uses firefighters, police officers, and a host of government officials to get the job done. God wants diseases controlled, and he uses doctors, nurses, and researchers to take on this monumental task. He cares deeply about the janitor's work, too, for the very same reason. God wants it all, and he wants it done well. He uses people to do it. He frees Christians from working for him so that they can work for their neighbors.

This is what it had come to. The people who had nursed him from the beginning of his life, whose energies he had harnessed for his own use up until this moment, were now called upon to care for him as he faced his last days on earth—sitting up with him at night, sleeping on pallets around his bed to be ready to hear when he called out in need, in fear, or out of simple loneliness. These African Americans, whom he had sentimentalized as having the best hearts of any people in the world, had given their lives to him—followed him about, cleaned up after him, no doubt worried about him, for his sake and their own—slept with him, and borne him children. He had held them as chattel, trying, in the case of the Hemingses, to soften a reality that could never be made soft. While he claimed to know and respect the quality of their hearts, he could never truly see them as human beings separate from him and his own needs, desires, and fears. In the end, all he really knew of their hearts was what they were willing to show him, and they carried enough knowledge in their heads to know his limitations and the perils of giving too much of themselves in the context of their society.

Hekate has been given numerous epithets describing her roles and qualities over the thousands of years of her worship. Some of her well known titles include: Chthonia (‘earthly one’), Dadouchos (‘torch-bearer’), Enodia (‘of the ways’), Kleidouchos (‘key-bearer’), Kourotrophos (‘child’s nurse’), Phosphorus (‘light-bearer’), Propolos (‘companion’), Propylaia (‘before the gates’), Soteira (‘saviour’), Triformis (‘three bodied’), Trioditis (‘of the three ways’).

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No one has suggested that the sixty-eight … were unique among members of the Army Nurse Corps. It was the tragic experience, bringing out high qualities of heroism and unselfishness, that was exceptional. The recognition they have received is more than a recognition of them as individuals. It is a tribute to the spirit of their Corps, to feminine tenderness joined with skill and courage.

What I have found in similar settings is that good leadership (for instance, on the part of head nurses who demonstrate a commitment to safety and to openness), together with a clear, shared understanding that the work is complex and interdependent, can help groups build psychological safety, which in turn enables the candor that is so essential to ensuring the quality of patient care in modern hospitals.

Until she reached the nursing home, no doctor or other medical professional ever asked her for her goals of care. Did she want to live as long as possible? Or was day-to-day quality of life, independence, and level of functioning more important than longevity? In the same vein, no medical professional ever suggested or assembled a family meeting on this subject, even though Michael and I would surely have a role in how she met those goals.

      The whole commerce between master and slave is a perpetual exercise of the most boisterous passions, the most unremitting despotism on the one part, and degrading submissions on the other. Our children see this, and learn to imitate it; for man is an imitative animal. This quality is the germ of all education in him. From his cradle to his grave he is learning to do what he sees others do. If a parent could find no motive either in his philanthropy or his self-love, for restraining the intemperance of passion toward his slave, it should always be a sufficient one that his child is present. But generally it is not sufficient. The parent storms, the child looks on, catches the lineaments of wrath, puts on the same airs in the circle of smaller slaves, gives a loose to his worst of passions, and thus nursed, educated, and daily exercised in tyranny, cannot but be stamped by it with odious peculiarities. The man must be a prodigy who can retain his manners and morals undepraved by such circumstances.

not the difference between treating and doing nothing, she explained. The difference was in the priorities. In ordinary medicine, the goal is to extend life. We’ll sacrifice the quality of your existence now—by performing surgery, providing chemotherapy, putting you in intensive care—for the chance of gaining time later. Hospice deploys nurses, doctors, chaplains, and social workers to help people with a fatal illness have the fullest possible lives right now—

Oddly, a handful of studies argue that vasopressin afflicts the sexes equally when it comes to … song and dance. A little background: Theorists have long nursed a hunch that music and dance both evolved as aids to human reproduction—but probably not in the way you think. Both these rhythmic behaviors helped mothers to calm offspring so that the wailing wouldn’t attract predators, and the mother could get some work done. That part of reproduction. From there song and dance broadened into mating displays that advertised a person’s physical and intellectual quality.

The term quadruple aim was coined in 2014 to highlight the four main aims of healthcare reform efforts (and evaluation thereof) that were the focus of the ACA: improved quality of patient care, reduced healthcare costs, improved population health status, and job satisfaction among healthcare workers (Bodenheimer & Sinsky, 2014).

Chiltern Medical Clinic is run by Dr Niall Munnelly and his supportive team consisting of highly experienced medical aesthetic doctors, surgeons, nurses and laser therapists. We have two clinics, located in Goring-on-Thames and Reading that are both modern and friendly aesthetics clinics and regulated by the Care Quality Commission. They deliver a number of cutting-edge treatments that can only be offered by a registered doctor. All of our treatments are suitable for both men and women alike.