Skilled Nursing Quotes

The hospital will never be healthy for patients if it's not a healthy environment for nurses, where their voices are heard and where they can care for their patients and use the full extent of their knowledge, abilities, and skills. After all, hospitals today have become one big intensive care unit: all patients need intensive caring.

Life is more than a job; jobs are more than a paycheck; and a country is more than its wealth. Education is more than the acquisition of marketable skills, and you are more than your ability to contribute to your employer’s bottom line or the nation’s GDP, no matter what the rhetoric of politicians or executives would have you think. To ask what college is for is to ask what life is for, what society is for—what people are for. Do students ever hear this? What they hear is a constant drumbeat, in the public discourse, that seeks to march them in the opposite direction. When policy makers talk about higher education, from the president all the way down, they talk exclusively in terms of math and science. Journalists and pundits—some of whom were humanities majors and none of whom are nurses or engineers—never tire of lecturing the young about the necessity of thinking prudently when choosing a course of study, the naïveté of wanting to learn things just because you’re curious about them.

For centuries poets, some poets, have tried to give a voice to the animals, and readers, some readers, have felt empathy and sorrow. If animals did have voices, and they could speak with the tongues of angels--at the very least with the tongues of angels--they would be unable to save themselves from us. What good would language do? Their mysterious otherness has not saved them, nor have their beautiful songs and coats and skins and shells and eyes. We discover the remarkable intelligence of the whale, the wolf, the elephant--it does not save them, nor does our awareness of the complexity of their lives. Their strength, their skills, their swiftness, the beauty of their flights. It matters not, it seems, whether they are large or small, proud or shy, docile or fierce, wild or domesticated, whether they nurse their young or brood patiently on eggs. If they eat meat, we decry their viciousness; if they eat grasses and seeds, we dismiss them as weak. There is not one of them, not even the songbird who cannot, who does not, conflict with man and his perceived needs and desires. St. Francis converted the wolf of Gubbio to reason, but he performed this miracle only once and as miracles go, it didn’t seem to capture the public’s fancy. Humans don’t want animals to reason with them. It would be a disturbing, unnerving, diminishing experience; it would bring about all manner of awkwardness and guilt.

Finding a good nurse is not just about checking off a list of skills the nurse can perform; it’s also about finding someone who is a good fit for your home.

The labor of love begins, then, in the home. We are still told that the work of cleaning and cooking, of nursing wounds, of teaching children to walk and talk and read and reason, of soothing hurt feelings and smoothing over little crises, comes naturally to women. These things are assumed not to be skills, not to be learned, as other skills are, through practice. And this assumption has crept from the home into the workplaces of millions of people—not all of them women—and has left them underpaid, overstretched, and devalued. Our willingness to accede that women’s work is love, and that love is its own reward, not to be sullied with money, creates profits for capital.

Four impressionable years spent in a number of very different hospitals convinced me once for all that nursing, if it is to be done efficiently, requires, more than any other occupation, abundant leisure in colorful surroundings, sufficient money to spend on amusements, agreeable food to re-establish the energy expended, and the removal of anxiety about illness and old age; yet of all skilled professions, it is still the least vitalised by these advantages, still the most oppressed by unnecessary worries, cruelties, hardships and regulations.

When she came to take care of his mother she had seemed to Ethan like the very genius of health, but he soon saw that her skill as a nurse had been acquired by the absorbed observation of her own symptoms.

If you have no arms To hold your crying child but your own arms And no legs but your own to run the stairs one more time To fetch what was forgotten I bow to you If you have no vehicle To tote your wee one but the wheels that you drive And no one else to worry, “Is my baby okay?” When you have to say goodbye on the doorsteps of daycare or on that cursed first day of school I bow to you If you have no skill but your own skill To replenish an ever-emptying bank account And no answers but your own to Satisfy the endless whys, hows, and whens your child asks and asks again I bow to you If you have no tongue to tell the truth To keep your beloved on the path without a precipice And no wisdom to impart Except the wisdom that you’ve acquired I bow to you If the second chair is empty Across the desk from a scornful, judging authority waiting For your child’s father to appear And you straighten your spine where you sit And manage to smile and say, “No one else is coming—I’m it.” Oh, I bow to you If your head aches when the spotlight finally shines on your child because your hands are the only hands there to applaud I bow to you If your heart aches because you’ve given until everything in you is gone And your kid declares, “It’s not enough.” And you feel the crack of your own soul as you whisper, “I know, baby. But it’s all mama’s got.” Oh, how I bow to you If they are your life while you are their nurse, tutor, maid Bread winner and bread baker, Coach, cheerleader and teammate… If you bleed when your child falls down I bow, I bow, I bow If you’re both punisher and hugger And your own tears are drowned out by the running of the bathroom faucet because children can’t know that mamas hurt too Oh, mother of mothers, I bow to you. —Toni Sorenson

Many doctors focus almost exclusively on processing information: they absorb medical data, analyze it, and produce a diagnosis. Nurses, in contrast, need good motor and emotional skills in order to give a painful injection, replace a bandage, or restrain a violent patient. Therefore we will probably have an AI family doctor on our smartphone decades before we have a reliable nurse robot.9 The human care industry—which takes care of the sick, the young, and the elderly—is likely to remain a human bastion for a long time. Indeed, as people live longer and have fewer children, care of the elderly will probably be one of the fastest-growing sectors in the human labor market.

So summer waited for open water, and the tardy Yukon took to stretching of days and cracking its stiff joints. Now an air-hole ate into the ice, and ate and ate; or a fissure formed, and grew, and failed to freeze again. Then the ice ripped from the shore and uprose bodily a yard. But still the river was loth to loose its grip. It was a slow travail, and man, used to nursing nature with pigmy skill, able to burst waterspouts and harness waterfalls, could avail nothing against the billions of frigid tons which refused to run down the hill to Bering Sea.

I would like each of you to now think in terms of acquiring skill. Good skill helps you move more freely in the world. Skill is your confidence. Skill is your protector. Skill is your friend. And this above all else -- skill is a legitimate form of power." Nurse Pierce, The Blue Orchard

I hadn't come to Uganda with a degree in education; I wasn't a nurse; and I certainly didn't consider myself a missionary. I had absolutely no idea what was involved in running a ministry and frankly did not possess the business knowledge or organizational skills required to do so. I was in no way qualified, but I was available.

And within a year of their marriage she developed the “sickliness” which had since made her notable even in a community rich in pathological instances. When she came to take care of his mother she had seemed to Ethan like the very genius of health, but he soon saw that her skill as a nurse had been acquired by the absorbed observation of her own symptoms.

Take healthcare, for example. Many doctors focus almost exclusively on processing information: they absorb medical data, analyze it, and produce a diagnosis. Nurses, in contrast, need good motor and emotional skills in order to give a painful injection, replace a bandage, or restrain a violent patient. Therefore we will probably have an AI family doctor on our smartphone decades before we have a reliable nurse robot.

Doctors and nurses saved me from the big, dark plunge, and I didn’t thank Jesus when I came around. I thanked the medical staff, their years of schooling, their tremendous skills. I always figured if I was a doctor and I saved some person’s life, and the first thing they said when they came around was “Thank Jesus,” I would have wanted to stick a pair of forceps up their ass and tell them to see if Jesus could yank those out for them.

just begged the question: If it took so long for one of the best hospitals in the world to get to this step, how many other people were going untreated, diagnosed with a mental illness or condemned to a life in a nursing home or a psychiatric ward? CHAPTER 30 RHUBARB By my twenty-fifth day in the hospital, two days after the biopsy, with a preliminary diagnosis in sight, my doctors thought it was a good time to officially assess my cognitive skills to record a baseline.

Danny was unfazed at the size of the large-stomached man, with hairy arms waving about like a pizza chef, all violent gestures and shouting. His crude, pinch-faced wife spat salivated swear words at him. She was in her thirties and behaving like a grounded teenager, screaming at him to leave her property. "One hundred thousand pesetas please." Danny took a bony, female fist to his cheek, jarring him. He shook it off. "Two hundred thousand now." She jabbed at him again, as her fist poked towards his nose, he head-butted it. She recoiled in pain gasping and nursing her hand. The husband, a chubby, but solid Valencian, went ape-shit and lobbed a hairy, dimpled fist at him, causing Danny to shift on his feet. He pulled his head out of the way with the skill of a middleweight. The man drew his fist from three o'clock and blasted scarred knuckles towards his face again. Danny’s reaction was lightning; he caught the fist and held firm, flipped down the hood, his face showing something new. The man recoiled, recognising grim determination and knew this man would never give up.

Code Blue! We’re losing him!” The EMTs hustled the gurney containing Erik Dawson’s broken body into the operating room where the surgical team waited. The nursing staff literally ripped his clothes off as they worked to stabilize him. “What do we have here?” the lead surgeon asked. His assistant didn’t bother to look up as she answered, “Auto accident. An eighteen- wheeler smashed his car into a guardrail.” The lead surgeon whistled through his teeth. “It’s a miracle he’s still breathing. Let’s keep him that way.” As the surgical team moved into action with skill born of practice, Erik drifted on the fringes of consciousness. Erik’s thoughts raced. What? Where? Anesthesia put him under, but as the doctors began their work and his parents prayed fervently in the waiting room, Erik spasmed and stopped breathing. Family Matters, from Home Again

Fair trade care webs draw on sick and disabled knowledge about care. Sick and disabled folks have many superpowers: one of them is that many of us have sophisticated, highly developed skills around negotiating and organizing care. Many sick and disabled people have experienced receiving shitty, condescending, “poor you!” charity-based care that’s worse than no care at all—whether it’s from medical staff or our friends and families. Many disabled people also face receiving abusive or coercive care, in medical facilities and nursing homes and from our families and personal care assistants. We’re also offered unsolicited medical advice, from doctors and strangers on the street (who are totally sure carrot juice will cure our MS) every day of our lives. All of those offers are “well meaning,” but they’re also intrusive, unasked for, and mostly coming from a place of discomfort with disability and wanting to “fix” us.

on without anesthesia. In a letter he describes: “I suffered agonies, as they related all to me, and did violence to myself in keeping to my seat. I could scarcely bear it.” Surgery on the penis, the rectum or the anus would have been a terrifying torture, especially if the patient was a five-year-old foreigner who couldn’t have possessed the coping skills, the insight or perhaps sufficient fluency in English to understand what was happening to him. It’s awful to consider what he might have imagined when a nurse changed his dressings, administered his medicines or appeared at his bedside with a supply of leeches if he had an inflammation believed to be due to an excess of blood. The nurse may have had a sweet bedside manner. She may have been strict and humorless. A typical requirement in those days was that she was single or widowed, ensuring that all her time could be devoted to the hospital. Nurses were underpaid. They worked long, grueling hours and were exposed to extraordinarily unpleasant conditions

If subjective confidence is not to be trusted, how can we evaluate the probable validity of an intuitive judgment? When do judgments reflect true expertise? When do they display an illusion of validity? The answer comes from the two basic conditions for acquiring a skill: an environment that is sufficiently regular to be predictable an opportunity to learn these regularities through prolonged practice When both these conditions are satisfied, intuitions are likely to be skilled. Chess is an extreme example of a regular environment, but bridge and poker also provide robust statistical regularities that can support skill. Physicians, nurses, athletes, and firefighters also face complex but fundamentally orderly situations. The accurate intuitions that Gary Klein has described are due to highly valid cues that the expert’s System 1 has learned to use, even if System 2 has not learned to name them. In contrast, stock pickers and political scientists who make long-term forecasts operate in a zero-validity environment. Their failures reflect the basic unpredictability of the events that they try to forecast.

Basic elements of human care underpin how we regard and respond to others—our ethics as people become sicker and more physically dependent: Shelter from the elements. A caring society metaphorically says to the frail or dying person, “We will keep you warm and dry.” Help with personal hygiene. The community reassures the person who is too frail to care for himself or herself, “We will keep you clean.” Assistance with elimination. Family or, on behalf of society, clinicians (typically nurses or nurse aides), say, “We will help you with your bowels and bladder function.” Provision of food and drink. We can say, “We will always offer you something to eat and drink—and help you to do it.” Keeping company. Society can say to people who are dying, especially those who are “unbefriended,” “We will be with you. You will not have to go through this time in your life entirely alone.” Alleviating suffering. Certainly today, society can say, “We will do whatever we can, with as much skill and expertise as available, to lessen your discomfort.” Yet it is only this final element that is dependent on clinical expertise.

And I've got good news for you! This gospel of clean and aggressive strength is spreading everywhere in this country among the finest type of youth. Why today, in 1936, there's less than 7 per cent of collegiate institutions that do not have military-training units under discipline as rigorous as the Nazis, and where once it was forced upon them by the authorities, now it is the strong young men and women who themselves demand the right to be trained in warlike virtues and skill—for, mark you, the girls, with their instruction in nursing and the manufacture of gas masks and the like, are becoming every whit as zealous as their brothers. And all the really thinking type of professors are right with 'em! "Why, here, as recently as three years ago, a sickeningly big percentage of students were blatant pacifists, wanting to knife their own native land in the dark. But now, when the shameless fools and the advocates of Communism try to hold pacifist meetings—why, my friends, in the past five months, since January first, no less than seventy-six such exhibitionistic orgies have been raided by their fellow students, and no less than fifty-nine disloyal Red students have received their just deserts by being beaten up so severely that never again will they raise in this free country the bloodstained banner of anarchism! That, my friends, is NEWS!

My Future Self My future self and I become closer and closer as time goes by. I must admit that I neglected and ignored her until she punched me in the gut, grabbed me by the hair and turned my butt around to introduce herself. Well, at least that’s what it felt like every time I left the convalescent hospital after doing skills training for a certification I needed to help me start my residential care business. I was going to be providing specialized, 24/7 residential care and supervising direct care staff for non-verbal, non-ambulatory adult men in diapers! I ran to the Red Cross and took the certified nurse assistant class so I would at least know something about the job I would soon be hiring people to do and to make sure my clients received the best care. The training facility was a Medicaid hospital. I would drive home in tears after seeing what happens when people are not able to afford long-term medical care and the government has to provide that care. But it was seeing all the “young” patients that brought me to tears. And I had thought that only the elderly lived like this in convalescent hospitals…. I am fortunate to have good health but this experience showed me that there is the unexpected. So I drove home each day in tears, promising God out loud, over and over again, that I would take care of my health and take care of my finances. That is how I met my future self. She was like, don’t let this be us girlfriend and stop crying! But, according to studies, we humans have a hard time empathizing with our future selves. Could you even imagine your 30 or 40 year old self when you were in elementary or even high school? It’s like picturing a stranger. This difficulty explains why some people tend to favor short-term or immediate gratification over long-term planning and savings. Take time to picture the life you want to live in 5 years, 10 years, and 40 years, and create an emotional connection to your future self. Visualize the things you enjoy doing now, and think of retirement saving and planning as a way to continue doing those things and even more. However, research shows that people who interacted with their future selves were more willing to improve savings. Just hit me over the head, why don’t you! I do understand that some people can’t even pay attention or aren’t even interested in putting money away for their financial future because they have so much going on and so little to work with that they feel like they can’t even listen to or have a conversation about money. But there are things you’re doing that are not helping your financial position and could be trouble. You could be moving in the wrong direction. The goal is to get out of debt, increase your collateral capacity, use your own money in the most efficient manner and make financial decisions that will move you forward instead of backwards. Also make sure you are getting answers specific to your financial situation instead of blindly guessing! Contact us. We will be happy to help!

The Mouse was not much heavier than a very large cat. Eustace had him off the rail in a trice and very silly he looked (thought Eustace) with his little limbs all splayed out and his mouth open. But unfortunately Reepicheep, who had fought for his life many a time, never lost his head even for a moment. Nor his skill. It is not very easy to draw one’s sword when one is swinging round in the air by one’s tail, but he did. And the next thing Eustace knew was two agonizing jabs in his hand which made him let go of the tail; and the next thing after that was that the Mouse had picked itself up again as if it were a ball bouncing off the deck, and there it was facing him, and a horrid long, bright, sharp thing like a skewer was waving to and fro within an inch of his stomach. (This doesn’t count as below the belt for mice in Narnia because they can hardly be expected to reach higher.) “Stop it,” spluttered Eustace, “go away. Put that thing away. It’s not safe. Stop it, I say. I’ll tell Caspian. I’ll have you muzzled and tied up.” “Why do you not draw your own sword, poltroon!” cheeped the Mouse. “Draw and fight or I’ll beat you black and blue with the flat.” “I haven’t got one,” said Eustace. “I’m a pacifist. I don’t believe in fighting.” “Do I understand,” said Reepicheep, withdrawing his sword for a moment and speaking very sternly, “that you do not intend to give me satisfaction?” “I don’t know what you mean,” said Eustace, nursing his hand. “If you don’t know how to take a joke I shan’t bother my head about you.” “Then take that,” said Reepicheep, “and that--to teach you manners--and the respect due to a knight--and a Mouse--and a Mouse’s tail--” and at each word he gave Eustace a blow with the side of his rapier, which was thin, fine, dwarf-tempered steel and as supple and effective as a birch rod. Eustace (of course) was at a school where they didn’t have corporal punishment, so the sensation was quite new to him. That was why, in spite of having no sea-legs, it took him less than a minute to get off that forecastle and cover the whole length of the deck and burst in at the cabin door--still hotly pursued by Reepicheep. Indeed it seemed to Eustace that the rapier as well as the pursuit was hot. It might have been red-hot by the feel.

I need to check your vitals, hon,” she explained. It had been several hours since I’d given birth. I guess this was the routine. She felt my pulse, palpated my legs, asked if I had pain anywhere, and lightly pressed on my abdomen, the whole while making sure I wasn’t showing signs of a blockage or a blood clot, a fever or a hemorrhage. I stared dreamily at Marlboro Man, who gave me a wink or two. I hoped he would, in time, be able to see past the vomit. The nurse then began a battery of questions. “So, no pain?” “Nope. I feel fine now.” “No chills?” “Not at all.” “Have you been able to pass gas in the past few hours?” *Insert awkward ten-second pause* I couldn’t have heard her right. “What?” I asked, staring at her. “Have you been able to pass gas lightly?” *Another awkward pause* What kind of question is this? “Wait…,” I asked. “What?” “Sweetie, have you been able to pass gas today?” I stared at her blankly. “I don’t…” “…Pass gas? You? Today?” She was unrelenting. I continued my blank, desperate stare, completely incapable of registering her question. Throughout the entire course of my pregnancy, I’d gone to great lengths to maintain a certain level of glamour and vanity. Even during labor, I’d attempted to remain the ever-fresh and vibrant new wife, going so far as to reapply tinted lip balm before the epidural so I wouldn’t look pale. I’d also restrained myself during the pushing stage, afraid I’d lose control of my bowels, which would have been the kiss of death upon my pride and my marriage; I would have had to just divorce my husband and start fresh with someone else. I had never once so much as passed gas in front of Marlboro Man. As far as he was concerned, my body lacked this function altogether. So why was I being forced to answer these questions now? I hadn’t done anything wrong. “I’m sorry…,” I stammered. “I don’t understand the question…” The nurse began again, seemingly unconcerned with my lack of comprehension skills. “Have you…” Marlboro Man, lovingly holding our baby and patiently listening all this time from across the room, couldn’t take it anymore. “Honey! She wants to know if you’ve been able to fart today!” The nurse giggled. “Okay, well maybe that’s a little more clear.” I pulled the covers over my head. I was not having this discussion.

If you are a great warrior, you are supposed to be prepared to humble yourself before the lowest opponent. If you are a great general, you are supposed to be prepared to humble yourself before the lowest soldier. If you are a great politician, you are supposed to be prepared to humble yourself before for the lowest constituent. If you are a great governor, you are supposed to be prepared to humble yourself before for the lowest peasant. If you are a great president, you are supposed to be prepared to humble yourself before the lowest citizen. If you are a great leader, you are supposed to be prepared to humble yourself before for the lowest servant. If you are a great pastor, you are supposed to be prepared to humble yourself before the lowest parishioner. If you are a great prophet, you are supposed to be prepared to humble yourself before the lowest seer. If you are a great pope, you are supposed to be prepared to humble yourself before the lowest priest. If you are a great teacher, you are supposed to be prepared to humble yourself before for the lowest student. If you are a great guru, you are supposed to be prepared to humble yourself before for the lowest disciple. If you are a great architect, you are supposed to be prepared to humble yourself before the lowest mason. If you are a great engineer, you are supposed to be prepared to humble yourself before the lowest mechanic. If you are a great inventor, you are supposed to be prepared to humble yourself before for the lowest scientist. If you are a great doctor, you are supposed to be prepared to humble yourself before for the lowest nurse. If you are a great judge, you are supposed to be prepared to humble yourself before the lowest lawyer. If you are a great artist, you are supposed to be prepared to humble yourself before the lowest apprentice. If you are a great coach, you are supposed to be prepared to humble yourself before for the lowest athlete. If you are a great genius, you are supposed to be prepared to humble yourself before for the lowest talent. If you are a great philanthropist, you are supposed to be prepared to humble yourself before for the lowest beggar. In the school of patience, it is the long suffering who graduate. In the school of generosity, it is the kind who graduate. In the school of activism, it is the devoted who graduate. In the school of honor, it is the noble who graduate. In the school of wisdom, it is the prudent who graduate. In the school of knowledge, it is the curious who graduate. In the school of insight, it is the observant who graduate. In the school of understanding, it is the intelligent who graduate. In the school of success, it is the excellent who graduate. In the school of eminence, it is the influential who graduate. In the school of conquest, it is the fearless who graduate. In the school of enlightenment, it is the humble who graduate. In the school of courage, it is the hopeful who graduate. In the school of fortitude, it is the determined who graduate. In the school of leadership, it is servants who graduate. In the school of talent, it is the skilled who graduate. In the school of genius, it is the brilliant who graduate. In the school of greatness, it is the persevering who graduate. In the school of transcendence, it is the fearless who graduate. In the school of innovation, it is the creative who graduate.

Examples of publicly traded healthcare REITs include: • National Health Investors (NHI), which specializes in a variety of senior-related properties such as skilled nursing facilities and memory care facilities and has a yield of 5.01 percent. • Medical Properties Trust (MPW), which holds properties including women’s and children’s hospitals and community hospitals and yields 5.90 percent. • Physicians Realty Trust (DOC), which holds strategically located healthcare properties associated with hospitals or physician organizations and yields 5.25 percent.

While in the hospital or a skilled nursing facility your care recipient is not at her strongest, physically or cognitively; therefore, looking out for her best interests is more critical during these times.

Then a powerful demon, a prowler through the dark, nursed a hard grievance. It harrowed him to hear the din of the loud banquet every day in the hall, the harp being struck and the clear song of a skilled poet telling with mastery of man’s beginnings,

Teaching academic writing to Bachelor of Science in Nursing (BSN) students is crucial early in their academic journey and should continue throughout their program. Here's a breakdown: Foundation Level (First Year): Introducing basic academic writing skills at the onset helps students develop a strong foundation. This includes understanding essay structure, proper citation methods (APA, MLA), and critical reading and writing skills NURS FPX 4010 Assessment 2. Core Nursing Courses: As students progress into core nursing courses, integrating academic writing into these subjects is beneficial. Assignments related to evidence-based practice, research papers, case studies, and reflective writing can aid in linking theoretical knowledge to practical application through writing.NURS FPX 4010 Assessment 3 Clinical Practice Integration: Incorporating writing assignments that reflect on clinical experiences or patient interactions helps students articulate their observations, reflections, and professional development, enhancing their communication skills.online class help services Advanced Nursing Courses: In advanced years, focus on more complex academic writing, such as scholarly articles, thesis or capstone projects, and literature reviews. This phase aligns with deeper research and specialization within nursing fields. Continuous Improvement: Encourage ongoing improvement by providing resources, workshops, and feedback on writing. Additionally, revisiting and reinforcing academic writing skills periodically ensures students maintain and enhance these crucial abilities.nursfpx.com By introducing and reinforcing academic writing skills across various stages of the BSN program, students develop proficiency in communicating their ideas effectively, a skill essential for their future practice, research endeavors, and professional growth.

There is only one way for women to reach full human potential—by participating in the mainstream of society, by exercising their own voice in all the decisions shaping that society. For women to have full identity and freedom, they must have economic independence. Breaking through the barriers that had kept them from the jobs and professions rewarded by society was the first step, but it wasn’t sufficient. It would be necessary to change the rules of the game to restructure professions, marriage, the family, the home. The manner in which offices and hospitals are structured, along the rigid, separate, unequal, unbridgeable lines of secretary/executive, nurse/doctor, embodies and perpetuates the feminine mystique. But the economic part would never be complete unless a dollar value was somehow put on the work done by women in the home, at least in terms of social security, pensions, retirement pay. And housework and child rearing would have to be more equally shared by husband, wife, and society. Equality and human dignity are not possible for women if they are not able to earn. When the young radical kids came into the movement, they said it was “boring” or “reformist” or “capitalist co-option” to place so much emphasis on jobs and education. But very few women can afford to ignore the elementary economic facts of life. Only economic independence can free a woman to marry for love, not for status or financial support, or to leave a loveless, intolerable, humiliating marriage, or to eat, dress, rest, and move if she plans not to marry. But the importance of work for women goes beyond economics. How else can women participate in the action and decisions of an advanced industrial society unless they have the training and opportunity and skills that come from participating in it?

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.

I was amazed at how expensive economists thought doctors were. They instituted many economic maneuvers—de-skilling medicine onto nurses and physician assistants; computerizing medical decision-making; substituting algorithms for thinking—because they assumed that doctors were such expensive commodities. And yet doctors were not expensive, at least, not the doctors I knew. We cost no more than the nurses, the middle managers, and the information technicians, alas. Adding up all the time I spent with Mrs. Muller, the cost of her accurate diagnosis was about the same as one MRI scan, wholesale. Economists did the same thing with the other remedies of premodern medicine—good food, quiet surroundings, and the little things—treating them as expensive luxuries and cutting them out of their calculations. At Laguna Honda, for instance, while most patients were on fifteen or even twenty daily medications, many of which they didn’t need, the budget for a patient’s daily meals had been pared down to seven dollars, which could supply only the basics. I began to wonder: Had economists ever applied their standard of evidence-based medicine to their own economic assumptions? Under what conditions, with which patients and which diseases was it cost-effective to trade good food, clean surroundings, and doctor time for medications, tests, and procedures? Especially ones that patients didn’t need? Although Mrs. Muller was an impressive example of Laguna Honda’s Slow Medicine, she wasn’t the only one. Almost every patient I admitted had incorrect or outmoded diagnoses and was taking medications for them, too. Medications that required regular blood tests; caused side effects that necessitated still more medications; and put the patient at risk for adverse reactions. Typically my patients came in taking fifteen to twenty-five medications, of which they ended up needing, usually, only six or seven. And medications, even the cheapest, were expensive. Adding in the cost of side effects, lab tests, adverse reactions, and the time pharmacists, doctors, and nurses needed to prepare, order, and administer them, each medication cost something like six or seven dollars a day. So Laguna Honda’s Slow Medicine, to the extent that it led to discontinuing ten or twelve unnecessary medications, was more efficient than efficient health care by at least seventy dollars per day. I

Celebrities Ain't Health Experts (The Sonnet) Celebrities and influencers are not health experts, Stop taking medical advice from halfwits of wellness. Stop being a two-bit doctor from ten minutes of googling, For Google is not a substitute for doctors and nurses. Compared to that of a trained and experienced doctor, Even as a neurobiologist my diagnosis skills are insignifant. Then why can't you accept that when it comes to medicine, Your opinion is worth no more than a counterfeit coin. One goes through years of training and many sleepless nights, Then they earn the right to wear the white coat of service. And yet upon spending an hour surfing on the internet, You put on the personality of a grey-haired neurologist! Lack of expertise is by no means the same as lack of dignity. But denial of expertise indicates a definite lack of senility.

Before Schopenhauer, the artist was generally seen as someone who manufactured things – things that were admittedly difficult to manufacture, and of a special order, such as concertos, sculptures and plays – but it was still a matter of manufacture. This is, of course, a legitimate point of view – and Schopenhauer would be the last person to overlook the difficulties in conceiving and executing a work of art. (People these days sometimes try to get back to this idea in order to minimize art, to make it a little more harmless, as when novelists are considered as mere story tellers, and contemporary artists chatter about their craft.) But the original point, the generating point of all creation, is fundamentally quite different; it consists in an innate (and thus not teachable) disposition for a passive and, as it were, dumbstruck contemplation of the world. The artist is always someone who might just as well do nothing but immerse himself contentedly in the world and in the vague daydream associated with it. Today, when art has become accessible to the masses and generates considerable financial flows, this has very comical consequences. Thus, the ambitious and enterprising individual with a range of social skills who nurses the ambition to have a career in art will rarely succeed; the palm will always go to pathetic blob-like folk who everyone initially thought were just losers.

Are you out here grieving the boys we lost or your own piss-poor set of nursing skills?

In essence, from the point of view of a city, a high-tech job is more than a job. Indeed, my research shows that for each new high-tech job in a city, five additional jobs are ultimately created outside of the high-tech sector in that city, both in skilled occupations (lawyers, teachers, nurses) and in unskilled ones (waiters, hairdressers, carpenters).

The hope of many traditional investors is that markets will eventually reach a tipping point where they are so inefficient that it opens up a bonanza of lucrative opportunities for them to take advantage of. But so far there are no signs of that point approaching. Some analysts are skeptical that there will ever be a promised land of abundant alpha. Michael Mauboussin, one of Wall Street’s most pedigreed analysts and an adjunct professor at Columbia Business School, has an apt metaphor to show how the hope among many active managers that index funds will eventually become so big that markets become easier to beat is likely in vain: Imagine that investing is akin to a poker game between a bunch of friends of varying skill. In all likelihood, the dimmer players will be the first to be forced out of the game and head home to nurse their losses. But that doesn’t mean that the game then becomes easier for the remaining cardsharps. In fact, it becomes harder, as the players still in the game are the best ones.24

Umnandi would willingly have given up her beauty and stately mien and forgotten her skill in cookery, in return for the birth of a baby boy as a present for her husband and his people. She would gladly have gone through fire and water if the end of it was to nurse a royal child of her own. She took counsel with famous herbalists from Basutholand, Swaziland, Bechuanaland and Bapediland; she went through painful and disgusting ordeals on their advice, just for the hope of becoming a mother; but these wizards accomplished nothing beyond filling her heart with a succession of hopes, each of which in turn proved worthless. [80]

I like to remind my students that upon completing nursing school you know a little about everything, but not a lot about anything. You will learn details once you are done with school. It is our purpose to teach you the basics and get you to think like a nurse. You can teach anyone how to do a skill, but it is hard to teach people to think.” Helen

One day, however, they had an experience that revealed just how fragile their life had become. Bella developed a cold, causing fluid to accumulate in her ears. An eardrum ruptured. And with that she became totally deaf. That was all it took to sever the thread between them. With her blindness and memory problems, the hearing loss made it impossible for Felix to achieve any kind of communication with her. He tried drawing out letters on the palm of her hand but she couldn’t make them out. Even the simplest matters—getting her dressed, for instance—became a nightmare of confusion for her. Without sensory grounding, she lost track of time of day. She grew severely confused, at times delusional and agitated. He couldn’t take care of her. He became exhausted from stress and lack of sleep. He didn’t know what to do, but there was a system for such situations. The people at the residence proposed transferring her to a skilled nursing unit—a nursing home floor. He couldn’t bear the thought of it. No, he said. She needed to stay at home with him. Before the issue was forced, they got a reprieve. Two and a half weeks into the ordeal, Bella’s right eardrum mended and, although the hearing in her left ear was lost permanently, the hearing in her right ear came back. “Our communication is more difficult,” Felix said. “But at least it is possible.

This time, she came back to Longwood House in a wheelchair and needed help with virtually all of her everyday activities—using the toilet, bathing, dressing. Alice was left with no choice but to move into the skilled nursing unit. The hope, they told her, was that, with physical therapy, she’d learn to walk again and return to her apartment. But she never did. From then on, she was confined to a wheelchair and the rigidity of nursing home life. All privacy and control were gone. She was put in hospital clothes most of the time. She woke when they told her, bathed and dressed when they told her, ate when they told her. She lived with whomever they said she had to. There was a succession of roommates, never chosen with her input and all with cognitive impairments. Some were quiet. One kept her up at night. She felt incarcerated, like she was in prison for being old.

In the early 1970s psychologist David Olds was working in a Baltimore day-care center where many of the preschoolers came from homes wracked by poverty, domestic violence, and drug abuse. Aware that only addressing the children’s problems at school was not sufficient to improve their home conditions, he started a home-visitation program in which skilled nurses helped mothers to provide a safe and stimulating environment for their children and, in the process, to imagine a better future for themselves. Twenty years later, the children of the home-visitation mothers

Knowing how to manage conflict is a vital skill for nurses.

Although the handover report is crucial to ensuring patient safety and continuity of care, it is surprising that most training programs neglect to focus on or develop this skill.

Self-compassoin is a skill that anyone can (and should!) learn. Practicing it increases emotional strength and resilience, allowing a person to bounce back from difficult experiences and to overcome self-criticism.

But he chose the tribe of Judah, Mount Zion, which he loves. He built his sanctuary like the high heavens, like the earth, which he has founded forever. He chose David his servant and took him from the sheepfolds; from following the nursing ewes he brought him to shepherd Jacob his people, Israel his inheritance. With upright heart he shepherded them and guided them with his skillful hand.

The next morning, the thrush had cleared up almost completely. No pain. No swearing. No gnashing my teeth. I was fit for my own page in the nursing book. I was so proud of my new skill, I wanted to share it with everyone. I told my letter carrier about how my nipples were in top form again. He was thrilled for me, really. That day, I was such a show-off I had to resist the urge to lie down on the supermarket floor and squirt my milk into the air like fountains. I thought I had such a choice piece of entertainment, I imagined spending my spring afternoons in the park collecting tips in a cup for my milk-producing excellence.

Last Comforts” was born when one nagging question kept arising early in my journey as a hospice volunteer. Why were people coming into hospice care so late in the course of their illness? That question led to many others that rippled out beyond hospice care. Are there better alternatives to conventional skilled nursing home operations? How are physicians and nurses educated about advanced illness and end-of-life care? What are more effective ways of providing dementia care? What are the unique challenges of minority and LGBT people? What is the role of popular media in our death-denying culture? What has been the impact of public policy decisions about palliative and hospice care? The book is part memoir of lessons learned throughout my experiences with patients and families as a hospice volunteer; part spotlight on the remarkable pathfinders and innovative programs in palliative and late-life care; and part call to action. I encourage readers – particularly my fellow baby boomers -- not only to make their wishes and goals clear to friends and family, but also to become advocates for better care in the broader community.

Life is too short to nurse grudges against people who have said ugly things to you.

While we were absent from Rochester on this eastern tour the foreman of the Office was attacked with cholera. He was an unconverted young man. The lady of the house where he boarded died with the same disease, also her daughter. He was then brought down and no one ventured to take care of him, fearing the disease. The Office hands watched over him until the disease seemed checked, then took him to our house. He had a relapse and a physician attended him and exerted himself to the utmost to save him, but at length told him that his {296} case was hopeless, that he could not survive through the night. Those interested for him could not bear to see the young man die without hope. They prayed around his bedside while he was suffering great agony. He also prayed that the Lord would have mercy upon him, and forgive his sins. Yet he obtained no relief. He continued to cramp and toss in restless agony. The brethren continued in prayer all night that he might be spared to repent of his sins and keep the commandments of God. He at length seemed to consecrate himself to God, and promised the Lord he would keep the Sabbath and serve him. He soon felt relief. The next morning the physician came, and as he entered, said, ‘I told my wife about one o’clock this morning that in all probability the young man was out of his trouble.’ He was told that he was alive. The physician was surprised and immediately ascended the stairs to his room, and as he examined his pulse, said, ‘Young man, you are better, the crisis is past, but it is not my skill that saved you, but a higher power. With good nursing you may get about again.’ He gained rapidly, and soon took his place in the Office, a converted man. 

Think about spirit even when you are not beset by adversity. Engage in activities that inspire you and aim to maintain high motivation for life. In addition to enhancing your life presently, these skills can be a well-developed resource to draw upon when challenges arise.

You would have been impressed, Luke. She never flinched. She knew all the right things to do and remained perfectly calm. Efficient, skilled, confident.” Mel smiled. “She’s going to be an incredible nurse. You should be so proud of her.” “I am,” Luke replied. “And not at all surprised.” He draped an arm around her shoulders. And Shelby thought, Oh God. I have to get this over with. She didn’t need advice from Mel or anyone else. She’d given him every chance, but he never said a word about how he felt about her, not a syllable about wanting a life with her. She had to make herself move on before she couldn’t. Tears gathered in her eyes. “Let me finish up here, Luke. I’m going to follow Mel and Cameron back to the clinic, help clean up the Humvee, restock it. I’ll catch up with you later.” “Are you crying?” he asked softly. “I might be overwhelmed.” He frowned slightly at the glistening in her eyes. “Sure,” he said. He kissed her forehead. “Take your time.

They sent me to see a community psychiatric nurse for counselling about coming to terms with what I'd done, but I have a feeling the bones will be mended long before my conscience. Like I said, the worst part is knowing that, if I was ever in the same situation, I'd do exactly the same thing again. No doubt about it. It doesn't sit well with me, that – the realisation that I have not only the knowledge, but the instinct to kill. It sets you apart from the other people you pass in the street, makes you feel alone, less human than they are. I proved Dave wrong, though. Given a straight fight between a man and a woman, neither with any particular advantage in skill over the other, it isn't a foregone conclusion that the man will always win. I suppose then, right at the end, I could have said to him, “I told you so.” Just as long as I'd said it fast enough.

Three inward innovations illustrate Amazon’s workplace culture: Career Choice, Pay to Quit, and Virtual Contact Center. Amazon is also at the forefront of continuing education for its team, implementing a program called Career Choice, where it prepays 95 percent of tuition for employees to take courses for in-demand fields, such as airplane mechanic or nursing, regardless of whether the skills are relevant to a career at Amazon. For some, Amazon will be their long-term career of choice. For others, Amazon recognizes it might be a stepping-stone on the way to a job somewhere else and they might need new skills to get that job. Amazon is more than willing to help them attain those skills, even if another company will benefit from Amazon’s investment in education.

Everywhere I landed, I didn't really feel like I belonged. Doing postgrad stuff, I felt like I didn't have any skills. Just felt unaccomplished. I was just there to ride out the downturn, and I felt like everybody knew it. Then there's the shame of unemployment. because I wasn't really unemployed. There were plenty of people who were actually looking for jobs. Auntie had lost her job as a tax analyst, turned around and became a nurse. Felt like I was ducking and dodging responsibility. I was just overeducated and useless, taking a job from someone who needed it and deserved it more than me. Got put in a psych ward after a suicide attempt, and when I was in that place, I didn't even feel like I was really depressed or really going through it. Felt like I was faking it to get out of something. Like I was avoiding work. Felt like there was no place for me, because I wasn't capable of working. All my friends who studied econ got jobs overseas, and I was just walking around taking up space.

Every digital app developer, no matter how humble its offices or how small its staff, almost automatically becomes a micro-multinational, reaching global audiences with a speed that would have been inconceivable in the first machine age. In contrast, the economics of personal services (nursing) or physical work (gardening) are very different, since each provider, no matter how skilled or hard-working, can only fulfill a tiny fraction of the overall market demand. When an activity transitions from the second category to the first the way tax preparation did, the economics shift toward winner-take-all outcomes.

Teachers sometimes view students with disabilities who act out because of their disorder as oppositional and defiant. Teachers who understand the cycle of fear, avoidance, stress, and escape (FASE) understand what “saving FASE” means. Teachers learn not to react to the behavior but to the underlying cause of the behavior. Teachers who understand FASE recognize that all human behavior sends a message. By looking for the message and reframing the behavior as a way of communicating, teachers can see the oppositional behaviors, frequent trips to the nurse, being unprepared for class, and frequent absences as attempts to avoid the shame of underperforming in the classroom (Schultz, 2011, pp. 137-142). For teachers to have success with managing their classrooms, it is imperative for them to understand that the students are not unmotivated or oppositional, but are sending a message about their need for help.

Skills are taught experientially—meaning that students studying AI don’t have their heads buried in books. In order to learn, they need lexical databases, image libraries, and neural nets. For a time, one of the more popular neural nets at universities was called Word2vec, and it was built by the Google Brain team. It was a two-layer system that processed text, turning words into numbers that AI could understand.17 For example, it learned that “man is to king as woman is to queen.” But the database also decided that “father is to doctor as mother is to nurse” and “man is to computer programmer as woman is to homemaker.”18 The very system students were exposed to was itself biased. If someone wanted to analyze the farther-reaching implications of sexist code, there weren’t any classes where that learning could take place.

Effective communication is the backbone for productivity in all settings...especially in healthcare. Lives depend on this simple act

Career Choice is a program where we prepay 95 percent of tuition for our employees to take courses for in-demand fields, such as airplane mechanic or nursing, regardless of whether the skills are relevant to a career at Amazon. The goal is to enable choice. We know that for some of our fulfillment center employees, Amazon will be a career. For others, Amazon might be a stepping-stone on the way to a job somewhere else—a job that may require new skills. If the right training can make the difference, we want to help.

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.

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?

Here in the village, and among the outlying crofts and farmers, the orcs treated their women as equals. Females were revered, and more than once I saw the respectful nods and pleased smiles sent to pregnant orcs, or those nursing bairns. In my world, a woman’s ability to bear sons was her only worth. Here, ‘twas seen as an additional blessing, because her skills and knowledge were valued first and foremost. Here in the village, the Bladesedge orcs helped one another, ensuring that every member of the clan was well fed and safe. It mattered not if ‘twas the alewife’s orphaned twins or the blacksmith’s widowed mother…even if they could contribute naught to the clan, they were honored and cared for. In my world, gold ruled, and if a man could not work or a woman grew too old, they relied on charity and prayed the church would grant them a crust of bread. The Bladesedge clan might be orcs, but they were better, more compassionate beings than the ones who raised me.

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Home health care is all about skilled care nursing which is facilitated on a part-time or full-time basis. Generally here caregivers provide all assisted care services.Along with it there are other support services too that can be offered such as physical therapy or occupational therapy,home cooked meals,care management,nursing care,transportation,etc.. You can also ask for other medical social services at royalcare.net .

Despite all this bad news, there is real-world evidence that groups do confront bullies as a group—and it works! A shining example is the “Code Pink” technique used by surgical nurses. These highly skilled professionals are often berated and belittled by pompous surgeons, both men and women. In some hospitals, whenever a bullying surgeon steps over the line into mistreatment, “Code Pink” is called by the targeted nurse. Immediately, supportive nurses form a circle around the physician. Together, they declare their unwillingness to assist that person with current and future patients, if an apology is not given with a promise to behave in a civil manner. The interdependent nature of surgery makes the surgeon powerless without the help of the team in the operating room. All work stops and the physician is accountable for her or his bullying. It is the physician who is responsible for the patient’s life. “Code Pink” is the group displaying its power to the bully, demanding cooperation instead of controlling games.

She simply lacked the mental armour to be a nurse, the ability to be both compassionate and hardened, the skill to be indifferent to immediate suffering in the pursuit of healing while at the same time being able to extend a woman’s kindness to those who were in pain. Nor did Alice understand how to face the dangers

Rather than addressing the nurses being spread too thin to provide care that is good enough, they assume the nurses aren’t coddling the patients adequately enough.” What annoys nurses is that the concept of “patient experience” has morphed patients into customers and nurses into “rank and file” automatons. Some hospital job postings advertise that they are looking for nurses with “good customer service skills” as their

The baby who goes to sleep with help from one of his or her parents by nursing, rocking, or holding learns only adult transition skills and needs an adult present in order to fall asleep. The baby or toddler who goes to sleep alone cuddling a stuffed animal, holding his or her favorite blanket, or sucking his or her thumb learns valuable self-quieting skills that can be used for many years to come.

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Solly, Solly. No, man, there's no need to explain. It's not like Koreans had a lot of choices in regular professions. I'm sure he chose pachinko because there wasn't much else. He's probably an excellent businessman. You think your poker skills came out of a vacuum? Maybe your dad could have worked for Fuji or Sony, but it wasn't like they were going to hire a Korean, right? I doubt they'd hire you now, Mr. Columbia University. Japan still doesn't hire Koreans to be teachers, cops, and nurses in lots of places. You couldn't even rent your own apartment in Tokyo, and you make good money. It's fucking 1989!

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