Letter Essay Example | Topics and Well Written Essays - 500 words

Letter - Essay Example I completely agree with your observation that the California public education in the 20th century was at its ‘peaks of excellence’ and that the public elementary, secondary and higher education institutes in the state showed immense commitment and dedication in offering quality education to many. However, I am also shocked to see the decline of the standard of education in the state towards the end of the 20th century. I also feel that the decline in the educational system is evident in terms of the ‘overcrowded classrooms, insufficient books and supplies, inadequate compensation and lay-offs’. It was quite shocking to me when you rightly pointed out that it is not due to any financial problems or recession (because California still owns one sixth of U.S GDP) that the public education sector has suffered so much setbacks. I strongly agree with your argument that even though the state has all the resources and talents to afford quality education, it is becaus e of the political system, anti-tax political culture, wrong configuration of higher education system, and undue budget priorities that it lags behind in the realms of higher education.

Nursing reflection Essay Example | Topics and Well Written Essays - 500 words

Nursing reflection - Essay Example And, if I will be going home later today?† â€Å"Are they aware of complications that may occur in these limited hours? And, they may have to admit me to the hospital if complications arise?† â€Å"I am in tears?† I bet they think it is my depression. I cannot talk because I am still on the ventilation machine. â€Å"Can’t they have me write my needs down on a piece of paper?† Okay, perhaps me writing will not work with the IVs in my arms.† But, have not they heard of asking ‘Yes’ or ‘No’ questions with one blink of the eye lids for ‘yes’ and two blinks of the eye lids for ‘no’. â€Å"What am I going to do?† They zing in and out of my room faster than a honeybird. While most agree that there is a nursing shortage and nurses are at their wits end for delivering patient care, it is imperative that nurses use the basic rules in providing quality nursing care especially in the critical post operative nursing care. According to Surgery Encyclopedia: Postoperative Care (11/16/2008), postoperative care is management of a patient after surgery. Our nursing patient has many issues and she should. Presuming there is a Post Anesthesia Care Unit (PACU), how long did she stay there and did she have any complications? She knows the goal of the postoperative nursing staff is to prevent complications within the first twenty-four hours. How can they do this? When she arrives to the area the nursing staff should do an assessment, diagnosis, planning, intervention and outcome evaluation, this sounds similar to SOAPIE with a couple of modifications. However, when you do your assessment, it would be advantageous to quote her on how she feels postoperatively including why she is crying. Did she feel pain during surgery? Remember that when you chart. On a scale from 1-10, one she is in awful pain and ten feeling no pain. How does she rate? Is she too sedated? Is she on a patient-controlled analgesia pump? Perhaps, you will have to put time in your schedule