How to Correct Bow Legs Essay Example for Free

How to Correct Bow Legs Essay Virasana Variation Virasana, or hero pose, is effective in treating flat feet and knock knees. This variation will help those with knock knees. Start by standing on your knees, then sitting down on your heels. Place a yoga block between the heels and sit on it. Make sure the knees are pointing straight forward and not touching each other. Hold for 20 to 60 seconds. Block Between the Thighs While standing, place a yoga block between the thighs as close to the pelvis as possible. Bring the feet as close together as possible and relax the inner thighs. Hold the pose for up to three minutes. This pose positions the legs in the opposite position of knock knees, bow-legged, which makes it therapeutic in correcting the original condition. Warrior 2 Pose Against a Wall Warrior 2 pose can help strengthen the knees if performed with proper alignment. Perform this pose against a wall or with the guidance of an experienced teacher to ensure proper alignment. In a standing position, bring the legs 4 feet apart and stretch the arms out to the side. Turn the right toes to the right and deeply bend the right knee. Activate the arches and keep the right knee touching the wall. Hold for 30 seconds and repeat on the other side. Downward-Facing Dog Pose with Block To perform this variation of downward facing dog pose, you will need a yoga block. While standing, place the block between the thighs and position the feet hip-width distance apart. Lower the hands to the ground and form the body into a V-shape. Hold for 30 to 60 seconds.

Graduation Speech -- Graduation Speech, Commencement Address

Good evening, ladies and gentlemen. On behalf of the 2012 graduating class of County High School, I would like to welcome you to our commencement ceremony. As valedictorian of this class I would like to speak to you, and my fellow graduates about responsibility, but first I would like to tell you a little story D.L. Moody told the story of a passenger on an Atlantic steamer who lay in his bunk during a raging storm with a severe case of sea sickness. Suddenly he heard the cry, "Man overboard." "May God help that poor fellow," he prayed, "but there's nothing I can do." Then he thought, "I can at least put my lantern in my small window," and with an effort he did so. The man was finally rescued. In recounting the story the next day, he said, "I was going down in the darkness for the last time when someone put a light in a porthole. It shone on my hand, and a sailor in the lifeboat grabbed it and pulled me in." Weakness is no excuse for not putting forth the little strength we have. Who can tell how God will work? Responsibility is one of the most important things that we have as human beings. We as Christians have much responsibility laid upon us. As citizens of two kingdoms, one earthly, and one heavenly, we all find ourselves with some responsibility to shoulder. No matter who we are, no matter what gender, what nationality, what color, what creed, God has given us as Christians the awesome responsibility to be his witnesses in this world. There are many different excuses people use to try to avoid responsibility. For example, some among us may say, "I am not ready." In 1 Peter chapter 3 verse 15b it says, "Always be prepared to give an answer to everyone who asks you to give the reason for the hope that you have." This ... ...to plan for the future, yet to keep your eyes on Jesus, the author and perfecter of our faith, because only he can adequately guide our paths, so that we can make the best use of the time, talents, and the responsibility he has given us to be a witness unto (for) him. Now I would like to thank all of those people who have made it possible for us as young adults to be able to take on the responsibility that we have been given. I would like to thank Mr. Mehrtens, Mrs. Barnett, Mrs. Fuentes, Mrs. Miller and all of the other teachers who have come and gone, for all of their hard work and dedication, and also their Christian example. I would also like to thank all of our parents for thinking so much of us that they paid double for our education, and I would also like to thank them for the godly standards they have encouraged us to strive for. Thank you all. Thank you. Graduation Speech -- Graduation Speech, Commencement Address Good evening, ladies and gentlemen. On behalf of the 2012 graduating class of County High School, I would like to welcome you to our commencement ceremony. As valedictorian of this class I would like to speak to you, and my fellow graduates about responsibility, but first I would like to tell you a little story D.L. Moody told the story of a passenger on an Atlantic steamer who lay in his bunk during a raging storm with a severe case of sea sickness. Suddenly he heard the cry, "Man overboard." "May God help that poor fellow," he prayed, "but there's nothing I can do." Then he thought, "I can at least put my lantern in my small window," and with an effort he did so. The man was finally rescued. In recounting the story the next day, he said, "I was going down in the darkness for the last time when someone put a light in a porthole. It shone on my hand, and a sailor in the lifeboat grabbed it and pulled me in." Weakness is no excuse for not putting forth the little strength we have. Who can tell how God will work? Responsibility is one of the most important things that we have as human beings. We as Christians have much responsibility laid upon us. As citizens of two kingdoms, one earthly, and one heavenly, we all find ourselves with some responsibility to shoulder. No matter who we are, no matter what gender, what nationality, what color, what creed, God has given us as Christians the awesome responsibility to be his witnesses in this world. There are many different excuses people use to try to avoid responsibility. For example, some among us may say, "I am not ready." In 1 Peter chapter 3 verse 15b it says, "Always be prepared to give an answer to everyone who asks you to give the reason for the hope that you have." This ... ...to plan for the future, yet to keep your eyes on Jesus, the author and perfecter of our faith, because only he can adequately guide our paths, so that we can make the best use of the time, talents, and the responsibility he has given us to be a witness unto (for) him. Now I would like to thank all of those people who have made it possible for us as young adults to be able to take on the responsibility that we have been given. I would like to thank Mr. Mehrtens, Mrs. Barnett, Mrs. Fuentes, Mrs. Miller and all of the other teachers who have come and gone, for all of their hard work and dedication, and also their Christian example. I would also like to thank all of our parents for thinking so much of us that they paid double for our education, and I would also like to thank them for the godly standards they have encouraged us to strive for. Thank you all. Thank you.

Author’s Surname

Modern society is dependent on oil. At present, the demand of oil is supplied by fossil fuels. Unfortunately, fossil fuels are non-renewable. Soon the supply will run out, as the demand for oil will surely exhaust all resources. In addition, the use of fossil fuels is accompanied by health and environmental risks. Therefore, there is a need for other fuel options, and this is where alternative fuels come in. This research paper aims to discuss biofuels, specifically biodiesel and E85, the pros and cons of using alternative fuels as well as the effects on the economy and the environment.The need for alternative sources has become more urgent. It is from this need that the creation of alternative fuels has become necessary. One of the alternative fuels is biofuel. Before biofuel can be discussed, it is important to discuss what biomass is. Biomass consists of organic matter derived from plants or animals (â€Å"Biomass FAQs†). Biomass usually comes from remnants of agriculture a nd forestry, industrial and municipal wastes, as well as crops grown either on land or water that were planted to be utilized as a source of energy.It is advantageous to use biomass, since it is renewable and its resources are uniformly appropriated throughout the surface of the Earth. In addition, biomass can be utilized using technologies that are not harmful to the environment (â€Å"Biomass FAQs†). Biofuels, in turn, are fuels that are extracted from biomass (â€Å"Biomass FAQs†). Some of the agricultural commodities that are planted to produce biofuels are soybeans and corn. At present, there have been efforts to use other crops, such as woody crops and switchgrass, in the creation of biofuels (â€Å"Biomass FAQs†).One advantage of biofuels is that it does not contribute to increase the amount of carbon dioxide in the atmosphere (â€Å"Biofuels†). This is because biofuels are created from plants which eliminate carbon dioxide in the atmosphere, and w hen it is burnt, it only releases the same amount. That is why biofuels are thought to be â€Å"CO2 neutral† (â€Å"Biofuels†). The use of biofuels is relatively easy, as it adapts to existing mechanisms that use traditional fuel. This characteristic makes biofuel usage appealing for both individuals and businesses (West).There is no need for special equipment, or another vehicle, or even a new heating device from home to use this fuel. One can simply fill the tanks with it (West). Biofuels can be used as sources of energy through the energy inherent in biomass, from which it was made. Biomass can be a source of energy through the process of converting feedstock material, like cellulose and starch, into a form that can be utilized (â€Å"Biomass FAQs†). Biofuels that are used to power transportation are created through processes that are either thermochemical, or biochemical.The term â€Å"biofuel† is actually wide in scope. There are several kinds of bio fuels, some of which are methane, biocrude, methanol, ethanol and biodiesel (â€Å"Biomass FAQs†). Among all the biofuels available, ethanol is the one which has widespread usage (â€Å"Biomass FAQs†). Ethanol can be called with two other names: ethyl alcohol and grain alcohol. Ethanol can be used as an alternative fuel. It can also be an add-on to traditional fuel. Generally, adding ethanol to gasoline has many benefits. First, it decreases the gasoline's capacity for pollution, especially in the air.Now, ethanol is replacing methyl t-butyl ether or MTBE, as an â€Å"oxygenate additive† (â€Å"Biomass FAQs†). This is because MTBE contributes to the poisoning of the soil and groundwater. Second, adding ethanol to gasoline increases the octane. Third, by blending ethanol with gasoline, the depletion of petroleum fuels is decreased (â€Å"Biomass FAQs†). Ethanol is a fuel produced from plant starch and sugar (â€Å"Biomass FAQs†). In the Unite d States, it is created from plant starch of grains which include wheat, corn and grain sorghum.All the starch will undergo fermentation and distillation process to turn starch into sugar, which will eventually be turned into alcohol. There are two methods employed for the production of ethanol from biomass. The first one is biochemical conversion. In this process, biomass is divided into cellulose and starch. When in water, these two is disintegrated into various sugars; in turn, these sugars will be fermented to create ethanol. As of now, corn is the primary material in the production of ethanol.However, there are current efforts to widen the range of plant options that would create ethanol. These options include poplar, willow, switchgrass, grain straw and even municipal wastes (â€Å"Biomass FAQs†). There are several benefits in using ethanol. First, it is renewable (â€Å"Ethanol Benefits†). Second, it is domestic. In the United States, petroleum is imported from other countries. The nation's dependency on foreign sources of oil makes it susceptible to problems in price, supply and trade. Ethanol, on the other hand, can be produced domestically, eliminating all those problems (â€Å"Ethanol Benefits†).

Implementing a Nurse Practitioner Orientation Program - Free Essay Example

Sample details Pages: 6 Words: 1821 Downloads: 1 Date added: 2019/02/06 Category Nursing Essay Level High school Tags: Nurse Practitioner Essay Did you like this example? Nurse practitioner orientation is a relatively new but progressive topic and is usually found within the context of APRN models of care, APRN fellowship programs, or departmental orientations within hospital-based organizations. Orientating novice NPs into a hospital-based organization involves transition and are created to integrate the employee within the organization (Meleis, 2010; Meleis, Sawyer, Im, Messias, Schumacher, 2000). Additionally, orientation is a type of experienced transition that involves finding cohesion within the organization while building clinical proficiency (Bahouth, Blum, et al., 2013; Coble, 2014). Don’t waste time! Our writers will create an original "Implementing a Nurse Practitioner Orientation Program" essay for you Create order Transitioning into practice is experienced by all nurse practitioners whether novice or skilled, however it is agreed by several researchers that the transition period of novice NPs tend be more dramatic (Bahouth, Blum, et al., 2013; Brown Olshansky, 1997; Coble, 2014; Horner, 2017). PICOT In novice nurse practitioners, does a structured nurse practitioner orientation program improve competency outcomes in a 12-month period at the Veteran Affairs North Texas Healthcare System? Importance of Topic Healthcare reform and the Patient Protection and Affordable Care Act (ACA) has led to the evaluation and modifications in health care delivery (Obama, 2016). The objectives of healthcare reform are to provide affordable and quality health care while increasing access to care in the United States (Collins Saylor, 2018). These objectives have become vastly examined in hospital organizations and nurses will serve as the catalysts to lead in implementing effective solutions (Collins Saylor, 2018). Nurses are the largest profession within healthcare and because of their adaptability, the nursing profession has the potential to effect a vast amount of necessary changes in the health care system (Institute of Medicine, 2011). There have been numerous studies that have demonstrated the association of nursing and patient outcomes. In 2000, the Institute of Medicine (IOM) reexamined issues of nurse staffing and patient outcomes, thus concluding that health is directly correlated by how well patients are cared for by nurses (Kohn, Corrigan, Donaldson, Institute of Medicine, 2000). Nurses have the ability to assess strengths and weaknesses within healthcare systems and therefore can provide leadership to improve access, quality, and safety while reducing healthcare costs within organizations (Needleman Hassmiller, 2009). Furthermore, nurse practitioners (NPs) are the largest advanced practice registered nurses whom are poised to assist with the access to care gaps, coordinating complex care for widespread populations, and serving as primary providers while practicing to their full scope of training and education (Institute of Medicine, 2011). Despite being well matched to serve the needs of Americans, NPs are faced with many challenges (Institute of Medicine, 2011; Kohn et al., 2000). There are more than 248,000 NPs in the U.S., and 49.9% hold hospital privileges (AANP, n.d.). The rapid growth of the hospital-based NP has led to unforeseen challenges, role confusion, i nadequate support, and fragmented onboarding processes (Bahouth Esposito-Herr, 2009). Novice NPs tend to experience more difficulties transitioning within hospital organizations which can subsequently lead to unfavorable competency outcomes (Bahouth, Blum, Simone, 2013; Bahouth Esposito-Herr, 2009). Review of Literature A literature review was conducted on NP orientation and common concepts were encountered throughout the literature review and grouped accordingly. It was discovered that most employing hospitals offer no or limited NP orientation programs with such programs varying from nonexistent to a few weeks in duration (Bahouth, Blum, et al., 2013). In several organizations, NP orientation is often grouped with registered nurse programs, provided with limited guidance, or does not occur (Bahouth, Blum, et al., 2013; Metzger Rivers, 2014). Additionally, there have been instances when key resources were not made available, contributing to inefficiency start up processes and patient safety (Bahouth, Blum, et al., 2013). As a result, novice NPs experience job dissatisfaction, stagnant professional growth, improper use of skills within their scope of practice, lack of appropriate reporting structures, and dysfunctional colleague collaboration (Bahouth, Blum, et al., 2013; Karen A. Mona P., 2009). This in turn can lead to high NP turnover rates in a time where the shortage of primary care providers is prevalent. Organizational Culture and Socialization Acclimating into the organization, establishing rapports with colleagues, absorbing the organizational culture, and the formal or informal rules of the organizational environment are integral to the success of the NP (Bahouth et al., 2013; Brown Olshansky, 1997; Horner, 2017). Because the NP must adapt to the culture of the organization, the orientee must thoroughly understand how the organization functions. Culture represents the morals, values, and behavior of an organization and can be influential of personnel and healthcare teams which in turn, influences quality (Johnson, Nguyen, Groth, White, 2018; Rovithis et al., 2017). Furthermore, the attitude towards NPs within an organization can facilitate or disrupt the success of the transition and has been linked to medical errors, accidents, and poor outcomes of the patient and the provider (Marshall, 2011; Poghosyan, Nannini, Finkelstein, Mason, Shaffer, 2013; Rovithis et al., 2017). Organizational socialization has been acknowledged as essential for the integration of employees into a hospital-based organization (Ahmadian, Soori, Ghaderi, Hejrat, Mow, 2016; Bahouth, Blum, et al., 2013). Socialization facilitates the psychological health of the novice NP and enhances developmental skills (Bahouth, Blum, et al., 2013). Additionally, socialization assists with isolation reduction, encourages hospital activity participation, and facilitates networking while providing the NP a sense of belonging (Bahouth, Blum, et al., 2013). Organizational socialization has been found to positively influence role transition, clinical development, knowledge, and engagement, thus improving competency outcomes (Bahouth, Blum, et al., 2013; Korte, 2007; Meleis, 2010; Meleis et al., 2000; Poghosyan et al., 2013). Preceptor and Didactic Education Preceptors should serve as clinical educators, role models, facilitators, and evaluators (Bahouth, Blum, et al., 2013). As clinical educators, preceptors assist with the developmental transition of the NP. Preceptors support the expansion of critical thinking and technical skills, time management, and communications with clients and staff (Bahouth, Blum, et al., 2013). The preceptor is an important evaluator by measuring the NPs strengths, weakness, progression, and competency measurements (Bahouth, Blum, et al., 2013; Bahouth Esposito-Herr, 2009). Didactic education consists of courses, conferences, presentations, journal clubs, and ground rounds (Bahouth, Blum, et al., 2013). Some hospital-based organizations already offer lunch and learn with a wide range of topics depending on the medical specialty. Didactic education is continuing education for NP and will enhance the developmental transition and facilitate expert providers (Horner, 2017). Mentorship and Collaboration Mentorship links the gap between education and reality and is important to the success of the NPs transition and job satisfaction (Bahouth, Blum, et al., 2013; Horner, 2017). Mentors are not clinical preceptors. Mentors enhance the professional and personal growth of the NP through navigating their career path and facilitating advancement of the practice. A mentor is nurturing, supportive, and influences development of the role (Bahouth, Blum, et al., 2013; Horner, 2017). Collaboration is an essential relationship among hospital-based NPs. Collaboration not only encompasses physician communication, it includes nursing, hospital administration, and other departmental relationships. Collaboration involves teaching and learning from others on the healthcare team and results in positive team relations (Bahouth, Blum, et al., 2013). Epidemiological Evidence The overall fiscal health of an organization is primarily measured by employee retention and job satisfaction (Kurnat-Thoma, Ganger, Peterson, Channell, 2017). Epidemiologic evidence was not located specifically to NPs for the Veterans Affairs North Texas Healthcare System and the oversight of recruitment and retention initiatives for nurses within all Veteran’s Hospital Administration (VHA) is limited. Training resources and the efficacy of nurse recruitment and retention goals have not been evaluated or monitored regularly (GAO, 2015). The government accountability office (GAO) found that VHA lacked adequate training support within medical centers and were unable to determine whether nurses were effectively meeting the health care needs of the veteran (GAO. 2015). In 2015, the GAO selected four medical centers to evaluate their nurse recruitment and training programs. One medical center had experienced high levels of nurse dissatisfaction with leadership and subsequently ex perienced a twelve percent turnover rate for NPs in 2014 (GAO, 2015). This left the medical center inadequately staffed and consequently affected access and quality of care for veterans (GAO, 2015). In 2011, the VHA began requiring medical centers to provide a Transition to Practice initiative, however the Office of Nursing Services (ONS) informed that funding was not provided to the medical centers thus the medical centers were left with their own funding determinations (GAO, 2015). Consequently, most medical centers recruited and hired only experienced nurses (GAO, 2015). Job Satisfaction There is a high probability that a novice NP will leave an organization within the first year if dissatisfied with the organizational orientation (Ziegler, 2018). Essentially, any professional workforce was found to be dependent on the satisfaction of employees (Faraz, 2017; Scruth, Garcia, Buchner, 2018). However, there are few research studies on the concept of job satisfaction related to novice NPs experience within the first year of employment. No data existed specific to novice NPs and job satisfaction within the Veteran Affairs North Texas Health Care System. According to Faraz (2017), NPs specifically demonstrated critical factors in the workplace linked to retention: professional autonomy, professional and interpersonal relationships, job benefits, and time allotted to complete work. Other studies indicated support of the NP role from colleagues and hospital administration, mentorship, and a thorough orientation were the most significant influences of job satisfaction (Duke, 2010). Outcomes Recommendations for Best Practice NPs are a diverse group of providers with unique concerns that do not fit exclusively into the categorizations of nursing or medicine (Metzger Rivers, 2014). For hospitals to meet the healthcare needs of their communities, novice NPs will require a properly structured orientation program to successfully transition within the hospital setting (Bahouth et al., 2013; Bahouth Esposito-Herr, 2009; Metzger Rivers, 2014). The general orientation plan should encompass several components directed towards clinical knowledge, development and growth, thus improving competency outcomes (Bahouth, Ackerman, et al., 2013; Bahouth, Blum, Simone, 2012; Metzger Rivers, 2014; Yeager S, 2010). Orientation programs should include preceptorship, mentorship, didactic education content, and effective collaboration (Bahouth et al., 2013). These key components will ensure accountability for tracking and affirming clinical decisions while assisting NPs to master intricate concepts. (Bahouth et al., 2013). Another example of building clinical proficiency involve credentialing NPs for invasive procedures and clarifying the methods of how an NP will be credentialed to independently perform the procedure (Bahouth et al., 2013; Yeager S, 2010). Any NP orientation program should enhance the psychological development of NPs by building relationships through mentoring, collaboration, socialization, and networking, hence producing behavioral competence (Bahouth et al., 2013). According to Brown and Olshansky (1997), the organization should provide time beyond the graduate program in order to allow for optimal professional development. Conclusion The goals of healthcare reform are to provide affordable and quality health care while increasing access to care in the United States. Nurse practitioners are the largest advanced practice nurses whom are poised to assist with access to care gaps, improving quality and patient safety, coordinating complex care for widespread populations, and serving as primary providers. The accelerated utilization of hospital-based NPs combined with inadequate transition and orientation programs can hinder the mastery and competency of NPs. Improper transition into the organizational culture can result in role confusion, job dissatisfaction, stagnant professional growth, improper use of skills, and dysfunctional colleague collaboration. The implementation of a hospital-based NP orientation program will support the transition and professional development needs of NPs. NPs need to feel supported and empowered in their hospital roles to continue providing quality patient care while meeting the future n eeds of healthcare delivery.