Reflection Paper

When I first decided to expand my education, it had been so long since I had been to school, and I was very hesitant. I talked at length about my decision with my husband and with his encouragement, decided to enroll but still was not quite sure which degree program to enroll in. I knew that this was something that I had always wanted to do since I obtained my Associates Degree in Nursing, but I did not have the courage, nor did I want to give up the time with my family and children. I second guessed my abilities and my knowledge because it had been so long since I had been in college. Now that my children are about to graduate high school and

Throughout the course of this semester, I have continuously grown as a writer. Prior to taking this course, I had little experience or knowledge when it came to writing. I used to struggle with forming my thoughts into writing, let alone a paper. I was never confident with what I wrote. My writing had no greater purpose other than the assignment. My writing process included: writing my paper, proofreading it, and turning it in. Once the paper left my hands, it also left my mind. Throughout this course we worked with others, visited the writing lab, wrote critiques, and we were able to revise our papers. I believe that all of this is has caused me to grow greatly as a writer.

Carrie Fisher once proclaimed, “Stay afraid but do it anyway. What’s important is the action. You don’t have to wait to be confident. Just do it and eventually, the confidence will follow.” I had to learn the hard way that confidence does not show up ready for you to utilize, just as the quote says. You have to put yourself out there and the confidence will develop. In the seventh grade, I joined the beginner band and chose to play the flute. Beginning band was far more terrifying than my twelve-year-old self imagined it to be. I learned that each student would have to perform in front of the class for a weekly grade. Even worse, the one other flute player next to me had already been playing for a year and I constantly compared myself to her. Later in that semester, this girl and I were talking and she said to me, “When we first started, I thought you were going to be the worst player in the band!” I was completely baffled that this girl, who had only been playing for a few more months than I had, would have the audacity to say that to my face. I did not understand that, at the time, it was okay for me to not play as well as she could. I had only been playing for a few weeks at most after all. Twelve year old me took it to heart and I felt like I was two inches tall. Sadly, that was not the last negative interaction I had with that girl. She stayed with me all throughout middle school, where she made fun of me for making last chair in eighth grade, and overall, put my

As per progress report on 5/24/16, the patient is still having a lot of low back pain that radiates to his lower extremities. He continues to find his

Treatment plan: Outpatient pain rehabilitation program. It also noted Subjectively; pain was described as a six on a scale of 1 to 10. Objectively, there was a documented Beck Depression Inventory (BDI) score of 19 and a documented Beck Anxiety Inventory (BAI) score of 22. The review denied Outpatient pain rehabilitation program. The patient is currently working 40 hours per week at her job. Medication and rest make the pain better, however, all her physical activities are limited. The pain is described as burning, sharp, and stabbing. Recommendation: Outpatient Medical Rehabilitation program • 10 sessions

This gentleman was seen for a followup in regards to his low back. He reports no real improvement in his back pain and states he is frustrated with his persistent symptoms. He apparently was seen by Dr. Felt, the rheumatologist, a couple of weeks ago. He was started on a low dose of prednisone but states this has not helped with his pain. His chief complaint is of central low back pain but he also gets some pain radiating into the right thigh. He duplicated his exercise program for me today, but actually only showed me a couple of exercises that he had been prescribed and the other ones were just general calisthenics. He currently is working in the computer shop and states sitting on a hard chair is very uncomfortable for him so he changes positions often. He has a lumbar support but is not wearing that today. He does not feel as if it is really been beneficial. He did use some Biofreeze in the past which gave him some temporary relief of symptoms. There is muscle rub on the canteen list that he can purchase on his own if he would like to continue using that. The patient had a goal of losing 3 pounds but unfortunately, has gained several pounds since his last appointment here.

On 9/20/17 Rebecca Berner met Ms. Johnson at the office of Dr. Linehan. I had a schedule conflict. Ms. Johnson arrived ambulating with a cane. She reports that her shoulder pain has improved since the cortisone injection. Her range of motion to the shoulder was about 130 degree. Dr. Linehan felt she could get more range of motion with continued daily stretching. She has been given handouts several times. Ms. Johnso reports she has continued pain and the right knee will give out at the time. Dr. Linehan said it was more related to arthritis.

Dr. Bhatti reported he did evaluate Mr. Nissan in July and received the medical records and clearance. I clarified which physician will be prescribing pain medications and he replied that the primary care will. Dr. Bhatti explained that they are interventionist pain management and not pill pushers. The physician felt the therapy is the most beneficial treatment to help Mr. Nissan and is pleased that it continues to help. He explained that therapy is renewed on a monthly bases and based on his age and medical history is the best option for Mr. Nissan. Dr. Bhatti did inform therapy of precautions regarding fall precautions and bleeding as he is on blood thinner and not to be aggressive and to use gentle exercises for him. If they were aggressive it could increase the bleeding potential. When he was seen in July the physician renewed the therapy script, household replacement services and attendant care 6 hours a day for seven days a week as well as driving and transportation services which

Based on the progress report dated 04/20/16, the patient presents for follow-up. He reports no changes in the last visit. He is doing home exercise program (HEP) for the shoulder.

Based on the progress report dated 08/03/16, the patient continues to suffer from left shoulder pain as well as in the neck, with pain radiating down to the upper back, mid and lower back. Patient is also suffering from pain radiating to both shoulders and hands, as well as numbness and tingling. She has a lot of swelling and inflammation in both hands. Pain is severe and goes up to 8-9/10. Patient reports minimal improvement with medication. She has a lot of difficulty with range of motion of the left shoulder, and with lifting up the shoulder and up in the ear. She has a lot of difficulty doing her activities of daily living.

Over the course of the semester, there has been numerous amount of areas where I believe I have improved in comparison to high school. What has helped me in my writing is the writing class and the in-class writing workshop. The writing class that is located in the Kremen education building has helped me with my writing greatly because in the writing center the person in charge teach us lenses and we apply those lenses to the writing, draft, or reading that someone brings in. The in-class writing workshop has helped me because other students get to read my writing. This is helpful because I get feedback from many students and they let me know what needs to be fixed. A new tool I have been using is They Say I Say. The book is very helpful because of the information and examples it provides such as the templates. I have been applying the templates into my essays and I have seen a significant difference.

Over the course of the past few months I have learned that writing for college differs from writing an assignment for high school. During this semester I have had the chance to be challenged as well as grow as a writer. I have written various types of papers; These papers have ranged from memoirs to research papers. Different papers serve different purposes. For example, a research paper serves to inform, while an analysis paper serves to take a deeper look at a work or character. Nonetheless, each paper requires a different approach, and has compelled me to take the different skills that I have learned in class and incorporate them into the paper. Throughout this course I have acquired skills that improve my writing and communication skills. Through these assignments I have learned how to properly cite sources, incorporate outside sources into my writing, as well as analyze information to strengthen my argument.

“Therefore, as you received Christ Jesus the Lord, so walk in him, rooted and built up in him and established in the faith, just as you were taught, abounding in thanksgiving. See to it that no one takes you captive by philosophy and empty deceit, according to human tradition, according to the elemental spirits of the world, and not according to Christ. For in him the whole fullness of deity dwells bodily, and you have been filled in him, who is the head of all rule and authority,” Colossians 2:6-9 (ESV). The words of the Apostle Paul echo in warning to the people of Colossae, ones stressing the importance of being firmly rooted in the Christian faith. The observations that took place in the classroom and on the playground lead me to believe in the importance of a strong Christian foundation starting at a young age.

I visualized the entire process in my head: the light coming from the sun, getting trapped as heat because of greenhouse gases instead of leaving the earth and thus heating it. I started to raise my hand to answer the question and got about halfway before it happened. My hands started trembling. My throat dried up and my voice decided to take a vacation off to who-knows-where. I wanted to keep going, but the anxiety wouldn’t let me. Defeated, I put my hand down and let someone else answer the question. I had major speech anxiety.

The United States of America is the country where there is a true dynamic of cultures. Culture is capable of affecting the value and reasoning of thoughts. Culture is a sensitive area each human must explore. In class, I learned about cultural awareness and how everyone should be compassionate and accepting of others and themselves. I grew up in a Christian world, however, now I am seeking something more. One lesson that will always be keen to my heart is: to love others as you love yourself; this verse is crucial for one’s growth. If one does not love him or herself than one cannot truly love another for who they are. Consequently, if one loves others, then one should be working on insecurities and gain more confidence so that it does not become an obstacle to truly care for others. Life is about embracing who you are, and in order to succeed in this, one must love others truly. The love for oneself and the love for others, should balance each other out. There are times where one should sacrifice time or other things in order to show love. Love should be unlimited and available for everyone, but unfortunately, some individuals never experience something so pure like love, hence, the reason why we have justice. Justice is embraced in our society, it requires one to become an advocate and learn how to empower individuals to use their voice. One of the reasons why I choose this field is because I want people to know they are loved and provide justice for them. In every