Friday, January 24, 2020

The Effects of Reagan and Bush’s Policies in El Essay -- Foreign Polic

The Effects of Reagan and Bush’s Policies in El Salvador and Iraq United States foreign policy, since the Cold War, has been driven by ideology: good versus evil, capitalism versus communism, and democracy versus totalitarianism. America’s foreign policy objective from 1945 to 1991 was to contain communism, prompting Cold War calculus – the enemy of your enemy is your friend. The United States, following Cold War calculus, allied with unscrupulous leaders opposed to communism, like the Somoza dynasty in Nicaragua, the Reza Shahs in Iran, the dictator Franco in Spain, and the elite in El Salvador. Reagan’s belief that the Soviet Union was the Evil Empire committed him to support the brutal military regime in El Salvador, which he justified as protecting national security. Since September 11, the new American enemy is terrorism. To eliminate terrorist organizations, Bush has invaded Afghanistan and Iran. Bush has continued the precedent of ideology-induced foreign policy by justifying the invasions as introducing civilizati on to the primitive Middle East and simultaneously protecting American interests. Bush, like Reagan, has intertwined ideology with national security. Reagan’s intervention in El Salvador was driven by ideology, but was justified as protecting national security, whereas Bush’s invasion of Iraq was prompted by national defense, but was promoted as American ideology. Defending National Security The United States justified its involvement in El Salvador as protecting American national security, a notion fueled by anti-communist ideology. Reagan believed the FMLN (Farabundo Marti Front for National Liberation), the radical leftist guerilla insurgency in El Salvador, threatened the U... ...31-5.html November 17, 2003. [6] â€Å"September 7, 2003 President Addresses the Nation† http://www.whitehouse.gov/news/releases/2003/10/20031031-5.html. November 17, 2003 [7] â€Å"National Security Advisor Dr. Rice Remarks to National Legal Center† http://www.whitehouse.gov/news/releases/2003/10/20031031-5.html November 17, 2003. [8] â€Å"Missing Weapons Of Mass Destruction: Is Lying About The Reason For War An Impeachable Offense?† John W. Dean. http://writ.news.findlaw.com/dean/20030606.html November 5, 2003. [9] 160 [10] National Security Advisor Dr. Rice Remarks to National Legal Center† http://www.whitehouse.gov/news/releases/2003/10/20031031-5.html November 17, 2003. [11]â€Å"Iraq Democracy Watch: Report # 1 on the Situation in Iraq.† The Iraq Foundation. http://www.iraqfoundation.org/news/2003/isept/26_democracy_watch.html. November 5, 2003.

Thursday, January 16, 2020

Acute Care Nurse Practitioner Interview Nursing Essay

The Advanced Practice Nurse (APN) I interviewed is FS; she is an Acute Care Nurse Practitioner (ACNP) with the department of Urology at Saint Louis University Hospital (SLUH) and has been licensed and board certified since 2010. FS graduated in 2005 from Goldfarb School of nursing in Saint Louis earning her bachelor of science (BSN) and then took an intensive care staff position with Missouri Baptist hospital for two years. With two years of experience she felt she needed to continue her education in nursing and enrolled in a Saint Louis University (SLU) ACNP program. She realized after the first year that trying to work full time and take classes was too much for her, so she decided to quit her job to focus full time on her studies. Her first position as an ACNP was with the trauma department step down floor at SLUH in 2011. This position was advertised in newsprint and after sending in her resume she was contacted to for an interview in person. My first interaction with FS was last fall when I was teaching Advance Trauma Care for Nurses as she was one of the students that I recognized from the trauma department. We struck up a conversation and I basically did a mini interview then and she since has given me contacts for preceptors this summer. Last week I notified her regarding this interview and she informed me to meet her at noon in her office where we discussed questions listed according to the description of assignment for a total of 30 minutes. Personal history including education FS received a Bachelor of Science degree from Georgetown University in Economics and International Business. When working out a problem or learning a new skill she likes to get the general picture and start gradually focusing in on specifics similar to deductive theory. She knew she wanted to work in a hospital setting, from there to a surgical floor, and now she has focused in on Urology. She learned the Urology department at SLUH wanted to bring in two or three APN’s on service to round and be first assistants in the operating room through networking with other APN’s in the hospital. When she interviewed for the position she had a great working relationship with that service already. They knew she was punctual along with having familiarity with documentation system. She basically had been marketing herself before she even knew it by having a proactive relationship with consults. Description of current practice FS does not currently have a formal job description since her position is new and she is the first APN to fill this newly developed role with this service. Other than being told she would round on patients in the hospital, write orders, discharge patients, and first assist in the operating room she has no formal written description. When she applied for her position she was informed it would be a lateral move with no increase in pay or benefits. FS arrives to the hospital at 0600 similar to an intern or second year resident. Every morning she receives report from night float of any new patients or issues to existing patients who have been admitted. Information is gathered on labs and radiology films that have been completed and she uses this information when her first patient assessment is completed early that morning. The fellow or senior resident will round on each patient to discuss labs, radiology, and patient assessments. From this a plan is developed what needs to be done that day to move forward before the attending rounds with the team to discuss the same items. From this point she may go to the operating room to first assist if it is her patient or write new orders on the other patients assigned to their service. If she happens to be first assistant she will follow the patient back to their room and write post operation orders. Her role is very similar to a second year surgery resident duties. Description of APN functions using the APN core competencies. Working in an inner metropolitan city hospital that has many ethnicities has been challenging. She has had to learn certain customs, body posture, and position can have either a positive or negative impact in perception from the patient with regard to attitude of care they are receiving. She has learned from staff of the same ethnicity or watched family and friends interact with one another on proper cultural customs. The first of two main core competencies FS uses is clinical and professional leadership with fellow APN’s and physicians discussing assessments and plan of care. The second of two core competencies is consultation with other services and the nursing staff in consideration to patient care and goals (Cooke, Gemmill, & Grant, 2008). APN’s have additional competencies but these are the two main descriptions FS uses daily. FS has worked through many challenges as an APN the last few years. Some of the minor issues have been the acceptance from other services that do not have APN’s. Over time other services have become accustomed to consults from APN’s by her demonstrating knowledge, professionalism, and kindness. The biggest challenge she has faced is an overabundance additional patient work load since the department will no longer have residents this year. She has the attending’s blessing to hire more APN’s and they will take on more direct patient care. Issues confronting the APN in current practice FS reports there are no real issues she faces at present other than just continue to work on suturing skills in the operating room. She stays current in Urology by attending grand rounds along with reading and presenting journal articles. She also has the luxury of having a fellow who has been a great source of knowledge. Perceived impact on APN role pursuant to current healthcare developments, changes, and national recommendations. It is my personal belief APN’s will be one of the fastest growing professions in the coming years when the Affordable Health Care Act takes place. It appears that many physicians will probably be in specialized services along with the APN. In addition, APN’s will be the majority of primary care in the future as more individuals will seek wellness physicals and the baby boom generation is nearing 70 years of age.

Wednesday, January 8, 2020

William Shakespeare s Hamlet - Father And Son...

Father and Son Relationship in Hamlet Children born into a fatherless family in America are more likely to have behavioral problems, more likely to go to prison, and more likely to commit a violent crime. While Hamlet did not exactly live in contemporary America-or lose his father until his late 20s- he exemplifies these statistics quite well in Shakespeare’s Hamlet. Hamlet is mercurial, would certainly be locked up if he wasn’t royal, and eventually commits multiple (justified) killings. All of Hamlet’s actions are driven by his connection with his father, overtly showcased throughout the play, but other parts of his relationship and that with other fathers and sons is much more hidden. â€Å"In Hamlet, Shakespeare presents the audience with the â€Å"common theme† of nature, â€Å"death of fathers,† and three sons-Hamlet, Laertes and Fortinbras- who feel the filial duty to revenge these premature deaths† (Dathan and Drewey 2004). Father and son relationships in Hamlet have an enormous influence on how the sons will act, and when revenging their fathers, the sons all follow the old chivalric code of blood revenge and honor-at-all costs. Hamlet and Old Hamlet share a notably special connection. Not only is Hamlet the absolute son of the true king and has a direct blood relation, but both look similar and have similar features such as blond hair, blue eyes, and a sharp face (discerned from the film). These physical commonalities between the pair justify their physical relationship, butShow MoreRelatedWilliam Shakespeare s Hamlet 1077 Words   |  5 Pagessuch as William Shakespeare have 4dictated their works in a way that allows for them to integrate common occurrences of new psychological findings into a text, giving them an opportunity to sculpt characters that differentiate themselves from one another. 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William Shakespeare in evaluating Hamlet’s relationship with his mother Gertrude and lover Ophelia creates an interesting love-hate relationship. Gertrude and Ophelia both deeply care for Hamlet but he does not seem to recognize that love and is instead blinded by his father’s revenge. Thr oughout the play,Read MoreDepending On Who They Talk To, People Often Treat Others1484 Words   |  6 Pagesdeveloping their relationships in either a positive, or negative way. Who you talk to, and live with can also affect how you develop as a person; when children are young, they are often taught many things from the adults, and role models around them. However, as that child gets older, they may begin to act differently, suddenly deciding things for themselves, which can affect the previous relationships between that child, and their caretakers. The same can be said for the main character of Hamlet, in William