CBT Reflection

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

To be perfectly honest my recollection of Comp 121 is a little foggy, i took the course roughly a year and a half ago and during my first semester and it was one of my first college level courses. From what i can recall it was a interesting and enjoyable, The professor Jacob Sherlock is no longer with the school, but was a professional writer along with a life-long lover and student of the written word. We regularly discussed current events and the class wide give and take of various ideas and viewpoints was truly enlightening and are easily amongst my most enjoyable and memorable college experiences. In particular i vibrantly recall a passionate debate on gun-control which was to be frank, dominated by a extremely Conservative former Army

The beginning of each CBT session begins with an agenda being negotiated and set. This may include a review of the past week, mood check, review of homework, main topics for discussion in the current session, homework for the next week and feedback on the session. It would be adjusted to suit the needs of the patient (Reneeke, Dattillio and Freeman, 2006).

I updated client’s identification number given to the clients by the Texas Department of Criminal Justice (TDCJ) in the profile, write down my questions and discussed it with my supervisor the reason the numbers are being updated from time to time.

Upon entering into Barry University (B.U.), I was an insecure black African- American woman full of passion coupled with a myriad misconceptions of what I thought social work consist of. However, during my two years as a undergrad student I learned that those misconceptions had kept me stagnant in facing and understanding my past traumatic events of life that could have had an negative effected on further clients and how I interact with others. For that reason, I would say my best experience in Barry’s BSW program was an assignment that I had to partake in called the Cultural Journal. This assignment not only hope me to learned about my cohorts’ culture as a Philippine woman, I learned that our culture had a lot in common such as that the

The video was very informative in describing how CBT can be used. I have seen CBT used frequently in our programs, however the effectiveness I fear is not as good as the data would have us believe. I think CBT can be used however only with certain clients and cultures. CBT have been criticized for focusing too much on the power of positive thinking, being too techniques oriented, and working to eliminate symptoms but failing to explore the underlying causes of difficulties (Corey, 2013). I work in a community with majority of our clients are African Americans and Hispanic. Most of the clients in the communities are poverty stricken, and have difficult lives. Using CBT which only focus on the now and positive thoughts can be a difficult concept

I do not recall learning about reflective practice in my undergraduate studies. Reflective practice according to Barbour (2013), “is the cyclic process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, existing knowledge, and experience; resulting in a changed conceptual perceptive and practice” (p. 7). According to Barbour (2013), reflective process has many positive outcomes to help guide the nurse to become an expert nurse that can make on the spot decisions that do not interrupt patient care. I feel that reflective practice would have been beneficial to help guide me from a student nurse to a practicing nurse with critical thinking skills.

My plan and dissemination and implementation for my capstone project is to educate the nurses on the importance of teaching parents about the proper use of skin-to-skin contact. I plan on implementing this project by providing the nurses with the latest evidence based practice so that they can help implement this in their education in the NICU unit at Mount Sinai. Nurses are viewed as reliable source by the patient therefore it is important for us to implement good quality teaching. When I present this project to the unit I will make the following recommendations: to examine and reinforce the education among nurses in the unit and to encourage parents to attend a two hour hands on training course before discharge on skin-to-skin contact.

Today was a slow day, but very education. I am finding that out that my time at CTLC is better spent wathing then actually doing things. When I walked into the doubdle door facilty I seen the usual faces, and I greated them as I made my way back to my little small cubicl office. When I arrived at my office about two minutes after greeting several people, I noticed a small green sticky note that was on my desk from te day prior. The note was to remind me about the homeless alliance meeting in the chamber of commerce in temple TX. I completely forgot about it, so I had to replan my day out in order to mame the meeting. I was a little upset about replanning my day, because I plan to go to the gym at three oclok today. I guess thatnot

Over the past week or so I have learned more about the Boys and Girls Club of American in the Austin area and I felt the need to share with my families whom have school age children in their home. I am finding that most BGCA only accept children 6 years of age or older; however, there is an Austin BGCA that accepts children 5 years of age.

Thank you for your review of my experience for the capacity of Manager, Recognition Programs. I have spent a great deal of focus developing processes and strategic programs to transition into and mirror the Patient Centered Medical Home model. I have partnered with provider and provider group homes impacting the provider and patient experience empowering both parties coming together as joint stake holders and positive outcomes resulting from the care provided.

This semester I learned a lot about writing in English 151. It has been a roller coaster ride with these essays for me this semester. I learned step by step how to write a good essay and how to have your readers be engaged in what you’re trying to tell them. Each essay I did has taught me something valuable I can take to the next level of English. I feel as if as the semester went by I did not take my writing that seriously and that reflected in my grades I received in each essay. It made me a better student and writer and it will reflect next semester. In this essay, I will reflect on what I learned throughout this semester that you should apply in your writing when you begin English 151.

the cutoff is higher for any of those. So Marist has changed just like its campus says change, its reputation is changing, and it’s known you know throughout the United States and now becoming known in international community.

Through my prior experiences, I have learned a large variety of skills, some of which include attention to detail, communication skills, and leadership. At UCSD Movement Disorders Center I was exposed to patient paperwork with sensitive information. Editing patient videos, I learned to recognized and distinguish small nuances in similar neurodegenerative diseases. I quickly learned the basics of the tests for neurodegenerative tests and why they do those tests. While the work was repetitive, I could develop ways to efficiently move through the work with precision. At UCSD I was learned how to speak up if I was unsure about what I was looking at, and by communicating with my supervisor in this way I learned much more than if I had stayed

CBT is based on how we feel, think, act and how they all interact together. The thoughts of individuals determine their feelings and behaviours.