The Burdens of Lt. Jimmy Cross in Tim OBriens Story The Things They C

The Burdens of Lt. Jimmy Cross in Tim O'Brien's Story "The Things They Carried" One of the most overlooked aspects in the life of a soldier is the weight of the things they carry. In Tim O'Brien's story, "The Things They Carried," O'Brien details the plight of Vietnam soldiers along with how they shoulder the numerous burdens placed upon them. Literally, the heavy supplies weigh down each soldier -- but the physical load imposed on each soldier symbolizes the psychological baggage a soldier carries during war. Though O'Brien lists the things each soldier carries, the focal point centers around the leader, Lieutenant Jimmy Cross, and his roles in the war. Lt. Cross has multiple burdens, but his emotional baggage is the most pressing. Of all the weights burdened upon Lt. Cross, the heaviest baggage is located in his own mind. Specifically, the heaviest things Lt. Cross carries are an emotional obsession over Martha's love, the physical consequences caused by his daydreaming of Martha, and an unrelenting guilt about Ted Lavender's death. In the first paragraph of the story, Jimmy Cross' rank is noted (First Lieutenant) along with the fact that he "carried letters from a girl named Martha, a junior at Mount Sebastian College in New Jersey" (434). From the outset, the reader sees that Martha plays a pivotal role in his thoughts and actions. The fact that Jimmy Cross "would imagine romantic camping trips into the White Mountains in New Hampshire" after he marched the entire day and dug a foxhole indicates that he thinks often of Martha (434). While these thoughts of a lover back home provide some form of escape for Lt. Cross, they also burden him with the obsessive feelings of unrequited love. ... ...nal lives, but O'Brien's choice to focus one soldier, Lt. Cross, lets the reader scope the depths of the human mind during an extremely stressful situation. As a young lieutenant, this man shoulders his own longing for love, the death of a fellow soldier, the guilt he places on himself, as well as the added duties of responsibilities for a platoon of men. The narrator provides one specific quote, which perfectly summarizes the mental aspects of war: "They carried all the emotional baggage of men who might die. Grief, terror, love, longing -- these were intangibles, but the intangibles had their own mass and specific gravity, they had tangible weight" (443). Indeed, the intangibles in this story do have tangible weight -- weight that Lt. Cross must carry for the rest of his life. Works Cited: O?Brien, Tim. The Things They Carried. NY: Broadway Books, 1998.

Health Information Technology Paper Essay

The facility that of Health Care that I have chosen is Bradford Oaks Nursing Rehabilitation Center, Genesis Healthcare, Clinton Md, 20735. This Nursing home is a Long-term and Short-term nursing home with one level floor holding 180 beds and the facility tries to keep the census up to 170 beds. They are owned by Genesis Healthcare, the population that is served there are 80 percent elderly and the other 10 percent is between the age of 21 and up the younger generation. They offer all types of services at the facility as far as Rehab, Long-term care, Short-term Care, Respite Care, and Hospice Care. There are a very good facility that have accreditation of GENESIS HEALTHCARE RECOGNIZED AS ONE OF THE ACHIEVERS 50 MOST ENGAGED WORKPLACESâ„ ¢ IN THE UNITED STATES, Genesis HealthCare receives Viverae’s 2012 Vanguard Award for developing a healthier workplace culture. The Users of the Health Information at Bradford Oaks Nursing Rehabilitation Center are Physicians who provide the services our patients and residents need in a compassionate and caring environment. Whether it is helping ideas be heard or working to build cooperation amongst business teams. We have Nurses (LPN)-Licensed Practical Nurses One that can provide the services our patients and residents need in a compassionate and caring environment. Whether it is enhancing clinical skills, developing leadership capabilities, or providing strong foundations for career development. We Have (RN) – Registered Nurse Use strong physical assessment skills and mastery of fine nursing principles to manage a range of acute care and rehabilitation patients. They develop and implement individualized care plans for patients while assisting with orientation and supervision of nursing staff. Of Course the administrator who plans, organized, direct, and control the operations of a nursing home or it s equivalent (other long-term personal care facilities with or without nursing services) based on policies established by the owner or governing board. We also have the Support Services which are adult day care, meal programs (like Meals-on-wheels), senior centers, friendly visitor programs, help with shopping and transportation, help with legal question, bill paying, or other financial matters. The way we access Health Information is by Paper Medical Records and Electronic Records. The paper records are accessed through medical records clerk in medical records by giving the name and DOB. The Electronic Records are accessed with a system named PointClickCare, threw Genesis Healthcare. There are plenty of systems they used in the facility but PointClickCare is the system that is used threw out the whole building. In different department and everybody PointClickCare is different. They use a system call E-discharged for referrals that are sent from the hospital to the facility regarding a patients clinical information of a patient who either needs long-term care or short-term care needs. They also use a system called (IRM) – Intake Referral Management where referrals are sent straight to the facility for patients that either need help with long-term healthcare or short-term healthcare. Some of the system that are used under the PointClickCare System are registration, bil ling, coding, computerized physician order entry (CPOE), and nursing system and finance system. I would classify this system based on the description of my Him interviewer is Clinical Support. The functions of this system as explained by my interviewer (R,Shalita,2013) was that the purpose is to have good time management on all of their work and system, getting information at a fast pace and a safe and secure system to protect patient information. The system doesn’t connect/interface with other systems, the system is not user friendly you need a username and password to login and everyone PointClickCare is different depending on their department. This system is very secure, they have vendors to support the maintenance and updated of the systems, especially Genesis Healthcare does have to call their 1-800 number. The strengths of their system is time efficient, communication is clear, its visual to everyone that uses it, give automatic updates, on a patient or if the department updates anything. The PointClickCare HER platform provides an integrated approach to the management of long-term care. By connection clinical, billing, and administration processes across a single, web based platform, information is only entered once, duplicate documentations avoided, staff have more time to spend with residents, errors are reduced, and RUGs are optimized. The templates are completely customizable, they provide consistent, complete, and accurate data. The notes for similar types of exams will appear to be standard and similar, each click adds data elements to the database. Point and click systems create data that can be used to generate clinically useful reports, such as health maintenance reminders and disease management. One of the major advantages of template-based charting is the speed with which i t can make the document available as a medical record. Since notes are created within the EMR, they are available immediately upon completion. There are weakness of the system it takes more time and definitely more concentration for a physician to navigate through a large data set and create progress notes using poingclickcare templates. Templates must by customized per the physician’s requirement, customization can be inflexible and costly. Templates are well-accepted by only tech-savvy doctors, any approach requiring direct data entry by the physician has generally failed because busy providers reject it altogether. The output form these templates is too canned and identical, it loses individuality for each patient. It is difficult for a provider to capture a complete patient encounter on a computer in front of a patient. I learned a lot details about planning, design, implementation, and maintence of the system. The technology section for the long-term care organization reaches beyond software evaluation. Considerations of implementation, training, and support are usually important for holistic care provider solution. PointClickCare’s resources in these critical areas ensure immediate and strategic client success. Implementation services are certified industry experts deliver the best-practices of nearly 5,000 implementations. Dedicated account teams form a strong relationship between PointClickCare and our clients proven methodologies remove risk On-demand and on-site implementation and training offers flexibility in delivery and investment, Support provides the right answers at the right time. Training services are End-user adoption will ultimately drive the success of any technology. PointClickCare’s thorough training programs, delivered onsite, online, or through the application, ar m users with the skills to use PointClickCare on day one: A combination of onsite, web, and on-demand training programs for end-users. Credentialed industry and product expert trainers dedicated to client success during and post-implementation. Ongoing subscriptions for retraining existing or new staff. Support Services are when it comes to technology, your business can’t afford to wait for assistance. PointClickCare’s highly responsive, regionally-dedicated support teams and technical account managers (TAMs) get clients the answers they need, when they need them. PointClickCare’s support organization prevents interruption to operations, freeing clients to focus on their core business: get answers quickly with regular and emergency support types. The right support at the right time with 3 tiers of problem escalation regionally dedicated teams understand and can provide solutions to localized issues. On-Demand resources (Customer Resource Center) provides end-use r support directly within the application. I found that the system PointclickCare is very secure and organized HER, and the PointClickCare is adding more customers per month than any other vendor on the market. That’s because their web-based solutions are uniquely designed to help long-term care providers of all sizes manage the complete lifecycle of resident care. From pre-admission to discharge, our integrated approach to EHR streamlines clinical, MDS, billing, and administrative processes with maintenance-free software that is as robust as it is easy to use. Some of the key strengths where that they provide consistent, complete, and accurate data. The weakness of the system were that It takes more time—and definitely more concentration—for a physician to navigate through a large data set and create progress notes using point-and-click templates. There could be improve as far as the weakness but I believe that as time goes on and the system continues to get updated they will fix the little issue the sys tem has as of right now. Reference (Healthcare Center, Genesis, (2012). Our Services. Retrieved form, http://www.genesishcc.com/our-services/our-services-overview) (R. Shalita, Personal Communication, August 15, 2013) (Wessinger, Mike, (2000-2013). PointClickCare. Retrieved from, http://www.pointclickcare.com/corp_site/company/management.jsp)

Use Of Mindfulness Training On A Learning Task - 1537 Words

In the journal article, The Influence of a Brief Mindfulness Exercise on Encoding of Novel Words in Female College Students, published in Mindfulness, Bonamo, Legerski, Thomas (2015) designed a study to see if the cognitive benefits associated with mindfulness training found by previous research would lead to increased performance on a learning task. To support the purpose of the study, the researchers used the existing literature on mindfulness that shows converging evidence for mindfulness training’s capacity to improve attention, working memory, and self-regulation (Beauchemin, Hutchins, Patterson, 2008; Chan Woollacott, 2007; Hà ¶lzel et al. 2011). However, most previous research has evaluated the effects of extensive mindfulness†¦show more content†¦Because of the large enough sample included in the study, the unequal sample sizes in the conditions is not a source of major concern. In this design, the condition of the participants would be considered a three level independent variable because it is what is being manipulated by the researchers in the experiment. The participants completed the experiment individually or in a small group with other participants (up to five participants) in the same condition. Since there were a different number of participants in each condition that completed the experiment individually or in a group, this aspect of the design could be concerning by potentially introducing error into the measurement if completing the experiment individually or in a group has a differential effect across conditions. The experiment began with the participants completing a series of questionnaires, including a demographic survey, and measures for state and trait anxiety, depression, ADHD, and trait mindfulness. Specifically, state and trait anxiety were measured using the State-Trait Anxiety Inventory (STAI), depression was measured with The Center for Epidemiologic Studies Depression Scale, NIMH (CES-D), the six most predic tive items of the Adult ADHD Self-Report Scale (ASRS-v1.1) were used to assess attentional problems, and trait mindfulness was measured assessed with the Five Facet Mindfulness Questionnaire (FFMQ).