Saturday, May 7, 2011
Resume
Kimberly Rittenhouse
5 Lower Glen Drive Lewistown, Pa. 17044 Krittenhouse@hughes.net 717-994-5603
Professional Profile |
[Briefly describe your professional background an education relevant to this position]
· Skilled Nursing · Vent Patients · Track Patients · Wound Vacs · Wound Care | · IV Insertion · IV Medication · Medication Administration · Computer Charting · Written Charting · Foley Care,Insertion/ Gtube Care, Insertion, NGTube Care, Insertion, ECT. |
Professional Experience |
MSN Medical Staffing Inc. Lewistown, Pa.17044 2004-Present LPN Achievements: Traveling from Facility to Facility Geriatric Patients Hospice Patients Responsibilities: Medication administration IV Therapy/IV Insertion wound/TX care Computer Charting/ Free Hand Charting/Documentation |
PRN Medical Staffing Network, Lewistown, Pa. 17044 2006-present LPN Achievements: Long Term Care Facility Hospice Patients Rehabilitation Responsibilities: Medication Administration IV Therapy/IV Insertion Wound/TX Care Charting/Documentation |
Lewistown Hospital, Lewistown, Pa. 17044 1999-2006 LPN Achievements: Hospital Settings Pediatric Patients Med Surg. Patients Orthopedics Patients Cardiac Patients Responsibilities: Medication Administration IV Therapy/IV Insertion Wound/TX Care Computer Charting/ Documentation |
Education |
Mifflin/Juniata Vocational Tech, Lewistown, Pa. LPN Degree Graduated 2004 CPR Certification |
References |
Tracy Banks 814-644-8173 Tina Ryan 717-463-251
Tara Campbell 717-734-3080 Joyce Durst 717-513-0327
Classes & Projects
Classes Completed
- English 003
- English 05
- Brocure for "Tuesday with Morrie"
- Brosure for "The Secret Life of Bees"
- A poster for "The Secret Life of Bees"
- Tutoring in good test taking skills
- Good studing skills
- CPR
- CNA
- LPN
- Record Keeping
- Computer skills
- Critical thinking skills
Education & Career goals
Education
- CNA (Certified Nurses Aid) certification
- CPR (Certified Pulmonary Resusitation) certification
- LPN (License Practical Nursing) License
- To get my RN (Register Nursing) Liscense
- Go on for my BSN (batchlers degree)
- To work for the state as an RN
Thursday, May 5, 2011
Eportfolio self-assessment
Professor Woodring
English 051
May 3, 2011
Eportfolio Self-Assessment
English 051 was one of the requirements that I had to take for the beginning of my nursing carrier. It was a challenging course for me. We were expected to do several different essays by the end of the term. The expository essay was the first one we did. I did mine on Respiratory issues. I enjoyed doing this paper because it is what I do for a living. I am a nurse and work with respiratory issues every day. This subject was a little easy for me to research. The format of the essay was the hardest for me but once I got going it was not too bad. I received a 97% out of 100%. Professor Woodring was very helpful. Narrative or cause/effect was the second essay we did. Mine was on Anxiety and Teens. I had to keep doing my essay over until my final draft was due. I just had to learn how to do a narrative or cause/effect essay. Mine was more on the narrative side. I had received a 94% out of 100%. Argumentative/persuasive essay was my third and final one that was due. I did mine on Euthanasia. The topic was very interesting to me. I received an 89% out of 100%.
Different subjects we were working on we could go on an internet site called exercise central to practice and take pre-quizzes on those subjects. That was very useful. If the answer was wrong, it showed everyone what the right answer was, and how they got it. We also had to work on our very own Blog. It is interesting to me with putting my stuff out there for everyone to see. I am not sure if I will use this in the future. We can use this blog to build a resume. That part of it would be helpful in the future.
Kimberly Rittenhouse 2
Throughout the course we were expected to do quizzes on subjects we were studying and the best part of them is that we could take them on our own computer and had about a week to take them. The only bad thing about that is that if you have a question then there was no one there to ask. There were good points and bad points as far as my opinion with on line quizzes. I feel I would have better benefited with the quiz in front of me on paper to visualize it better. I felt that with the online testing that I was being rushed to get finished. I went over the last quiz on editing with Professor Woodring and do feel I know more now than I did when I took the quiz.
Overall English 051 was an excellent class for me. I feel it is good start for my nursing career. The eportfolio we are working on right now is a good experience for me. It is teaching me to start a project and work on it until it is finished. We can continue to work on it forever and keep up a resume as part of it. This was a very good idea for future jobs. For my future classes in my college career, I will remember from this course how to use my skills from all the different essays, the different vocabulary we did with the right and wrong wording, capitalizing and punctuations and put all of what I learned into my future classes.
Monday, May 2, 2011
Professor Woodring
English 051
April 19, 2011
Euthanasia
Respecting and promoting patient control has been one of the driving forces behind the Hospice movement and right-to-die issues that range from honoring living wills to promote euthanasia (mercy killing). These issues can create and conflict between a patient’s desire for control and a physician’s duty to promote health. These are issues of law, ethics, medicine, and philosophy. Some physicians may favor strong pain control and approve the right of patients to refuse life-support, but do not favor euthanasia or assisted suicide. Often patients who ask for physician-assisted suicide can be treated by increasing the patient’s comfort and relieving symptoms, thereby reducing the patient’s need for drastic measures.
Physicians have as one of their special moral duties an unconditional obligation never to kill, and that is for this reason that they may not participate in euthanasia. Physicians by their professional commitments may never directly and intentionally cause the death of a patient, and therefore administering euthanasia, even where a patient has competently requested it, is forbidden to anyone who practices medicine.1 there are duties of physicians that are special moral duties that arise in the nature of the physician’s professional role. They are: duties to patients, duties to the profession, duties to patients’ families, duties to colleagues, duties to other health-care providers, duties to institutions (hospitals, medical schools), and duties to society. 2 (Seay Pg.517)
Nurses and physicians should provide pain relief as needed. They are afraid of a malpractice suit that can result in a fine, prison time or even both. As long as the medication for pain relief is therapeutic and does not result in the patient being unconscious and causing respiratory depression rather than pain relief this could be considered euthanasia .3 If that happened and result in imprisonment. “Angel of Death” involves a single health care provider who commits multiple murders within a health care facility.4 These kind of health care professionals usually act on patients that are critically ill and want to end their lives. This is also considered euthanasia. Those professionals could also do imprisonment. They cannot make that judgment of whether or not to end a life just because the patient asks them to help them. Those professional in health care also takes the oath of caring for the living, not in provoking the dead. (Fiesta Pg.10)
There are some cases that could be of good with euthanasia with the Terri Schiavo case that happened in 1990. Terri Schiavo was 26 years old and had collapsed in the hall way of her apartment and experienced hypoxia for several minutes.5 She had no living will or a power of attorney. Four months after her injury her husband had a court claimed her as incompetent. She was in a vegetable state after her accident and became unable to swallow so her husband had given the ok to place a percutaneous endoscopic gastrostomy (PEG) tube. 6 Michael Schiavo (Terri’s husband) worked on getting her regular and aggressive physical, occupational, and speech therapies. Despite their best efforts and explorations of all potentially viable treatments, her condition failed to improve. In the year 2000 there was a trial to resolve the dispute over the extent of Terri Schiavo’s neurologic devastation and to determine how she would exercise her right of privacy, or liberty interest to forgo life supporting medical treatment, if she were able to communicate.7 Mr. Schiavo and the Schindlers (Terri’s parents) were not on the same wave length with making the decision on ending life. After presenting all the evident and having the witnesses testify the court found that she met the statutory definition of the persistent vegetative state and that there was no hope of her regaining consciousness or the ability to communicate. After the judge herd all the testimonies he ordered for the PEG tube to be removed. The Shindlers were upset that them being the parents they had no choice in the decision so they appealed the Judge’s decision. At the appeal the decision was still to remove the PEG tube. 8 The tube feeding was turned off in 2001. Two days later the treatment was resumed when the Schindlers was presented with a different trial court Judge. After going through again several testimonies the court found that Terri Schiavo remained in a persistent vegetative state and again ordered the withdrawal of the feeding tube. Her life was ended in March 2005.9 There are two things to consider with euthanasia with Terri Schiavo’s case. 1. What were her medical condition and the outcome of it? 2. In such a condition, what would she choose to do? Several argue that the central question of the Teri Schiavo case is a struggle between sanctity of life versus quality of life. Others felt passionately that discontinuing Terri’s artificial nutrition and hydration would initiate a cascading disregard for disabled persons or others who are judged to have poor quality of life.10 The whole entire family including the immediate family should have a say in the care of their love on. One of the main reasons the Schindlers had argued that Michael Schiavo should not be allowed a voice in the decisions concerning his wife’s treatment is because for over the 15 year period of caring for her, he had a relationship with another women. (Perry, Churchill, and Kirshner Pg. 744-747)
Euthanasia is the act or practice of killing or permitting the death of hopelessly sick or injured individuals in a relatively painless way for reasons of mercy. In situations that someone has a life threatening illness that cannot be cured then euthanasia might be there choice. If a physician would tell me that I had cancer and only had six months to live and the cancer would get out of control with pain then I would consider euthanasia just not to be in any kind of pain anymore. Some people would be against this because of family and friends but personally I would not want to put my friends and family through seeing me in pain and discomfort that way. Euthanasia can be a peaceful and mindful event. It is all in what your beliefs are.
Work Cited
1. Fiesta, Janine. "Do No Harm: When Caregivers Violate Our Golden Rule, Part 1." Nursing Management 30.8 (1999): 10-11. Academic Search Premier. EBSCO. Web. 22 Apr. 2011
2. Seay, Gary. "Euthanasia and physicians' moral duties." The Journal of Medicine and Philosophy 30.5 (2005): 517-533. MEDLINE. EBSCO. Web. 22 Apr. 2011
3. Perry, Joshua E, Larry R Churchill, and Howard S Kirshner. "The Terri Schiavo case: legal, ethical, and medical perspectives." Annals of Internal Medicine 143.10 (2005): 744-748. MEDLINE. EBSCO. Web. 22 Apr. 2011
Euthanasia
Professor Woodring
English 051
April 19, 2011
Euthanasia
Respecting and promoting patient control has been one of the driving forces behind the Hospice movement and right-to-die issues that range from honoring living wills to promote euthanasia (mercy killing). These issues can create and conflict between a patient’s desire for control and a physician’s duty to promote health. These are issues of law, ethics, medicine, and philosophy. Some physicians may favor strong pain control and approve the right of patients to refuse life-support, but do not favor euthanasia or assisted suicide. Often patients who ask for physician-assisted suicide can be treated by increasing the patient’s comfort and relieving symptoms, thereby reducing the patient’s need for drastic measures.
Physicians have as one of their special moral duties an unconditional obligation never to kill, and that is for this reason that they may not participate in euthanasia. Physicians by their professional commitments may never directly and intentionally cause the death of a patient, and therefore administering euthanasia, even where a patient has competently requested it, is forbidden to anyone who practices medicine.1 there are duties of physicians that are special moral duties that arise in the nature of the physician’s professional role. They are: duties to patients, duties to the profession, duties to patients’ families, duties to colleagues, duties to other health-care providers, duties to institutions (hospitals, medical schools), and duties to society. 2 (Seay Pg.517)
Nurses and physicians should provide pain relief as needed. They are afraid of a malpractice suit that can result in a fine, prison time or even both. As long as the medication for pain relief is therapeutic and does not result in the patient being unconscious and causing respiratory depression rather than pain relief this could be considered euthanasia .3 If that happened and result in imprisonment. “Angel of Death” involves a single health care provider who commits multiple murders within a health care facility.4 These kind of health care professionals usually act on patients that are critically ill and want to end their lives. This is also considered euthanasia. Those professionals could also do imprisonment. They cannot make that judgment of whether or not to end a life just because the patient asks them to help them. Those professional in health care also takes the oath of caring for the living, not in provoking the dead. (Fiesta Pg.10)
There are some cases that could be of good with euthanasia with the Terri Schiavo case that happened in 1990. Terri Schiavo was 26 years old and had collapsed in the hall way of her apartment and experienced hypoxia for several minutes.5 She had no living will or a power of attorney. Four months after her injury her husband had a court claimed her as incompetent. She was in a vegetable state after her accident and became unable to swallow so her husband had given the ok to place a percutaneous endoscopic gastrostomy (PEG) tube. 6 Michael Schiavo (Terri’s husband) worked on getting her regular and aggressive physical, occupational, and speech therapies. Despite their best efforts and explorations of all potentially viable treatments, her condition failed to improve. In the year 2000 there was a trial to resolve the dispute over the extent of Terri Schiavo’s neurologic devastation and to determine how she would exercise her right of privacy, or liberty interest to forgo life supporting medical treatment, if she were able to communicate.7 Mr. Schiavo and the Schindlers (Terri’s parents) were not on the same wave length with making the decision on ending life. After presenting all the evident and having the witnesses testify the court found that she met the statutory definition of the persistent vegetative state and that there was no hope of her regaining consciousness or the ability to communicate. After the judge herd all the testimonies he ordered for the PEG tube to be removed. The Shindlers were upset that them being the parents they had no choice in the decision so they appealed the Judge’s decision. At the appeal the decision was still to remove the PEG tube. 8 The tube feeding was turned off in 2001. Two days later the treatment was resumed when the Schindlers was presented with a different trial court Judge. After going through again several testimonies the court found that Terri Schiavo remained in a persistent vegetative state and again ordered the withdrawal of the feeding tube. Her life was ended in March 2005.9 There are two things to consider with euthanasia with Terri Schiavo’s case. 1. What were her medical condition and the outcome of it? 2. In such a condition, what would she choose to do? Several argue that the central question of the Teri Schiavo case is a struggle between sanctity of life versus quality of life. Others felt passionately that discontinuing Terri’s artificial nutrition and hydration would initiate a cascading disregard for disabled persons or others who are judged to have poor quality of life.10 The whole entire family including the immediate family should have a say in the care of their love on. One of the main reasons the Schindlers had argued that Michael Schiavo should not be allowed a voice in the decisions concerning his wife’s treatment is because for over the 15 year period of caring for her, he had a relationship with another women. (Perry, Churchill, and Kirshner Pg. 744-747)
Euthanasia is the act or practice of killing or permitting the death of hopelessly sick or injured individuals in a relatively painless way for reasons of mercy. In situations that someone has a life threatening illness that cannot be cured then euthanasia might be there choice. If a physician would tell me that I had cancer and only had six months to live and the cancer would get out of control with pain then I would consider euthanasia just not to be in any kind of pain anymore. Some people would be against this because of family and friends but personally I would not want to put my friends and family through seeing me in pain and discomfort that way. Euthanasia can be a peaceful and mindful event. It is all in what your beliefs are.
Work Cited
1. Fiesta, Janine. "Do No Harm: When Caregivers Violate Our Golden Rule, Part 1." Nursing Management 30.8 (1999): 10-11. Academic Search Premier. EBSCO. Web. 22 Apr. 2011
2. Seay, Gary. "Euthanasia and physicians' moral duties." The Journal of Medicine and Philosophy 30.5 (2005): 517-533. MEDLINE. EBSCO. Web. 22 Apr. 2011
3. Perry, Joshua E, Larry R Churchill, and Howard S Kirshner. "The Terri Schiavo case: legal, ethical, and medical perspectives." Annals of Internal Medicine 143.10 (2005): 744-748. MEDLINE. EBSCO. Web. 22 Apr. 2011
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