The Final School Year
Pamela's Nursing Reflections
by Pamela, APRN
1M ago
September 1997 I completed my one on one research course this summer with the Director of the Nurse Practitioner program, Dr. K. I learned about the different types of research broken into two broad categories of quantitative and qualitative research. Our small school does not have the staff to support doing quantitative research with labs and statistics, so I have chosen to do qualitative grounded theory research. The topic I chose is “Coping Strategies of Caregivers of Non-Ambulatory Patients”. What a mouthful. I chose this topic largely because of my observation of how wonderfully my Dad to ..read more
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My Nursing Thesis is Published
Pamela's Nursing Reflections
by Pamela, APRN
1M ago
September 1998 – New England, USA After I completed my thesis in graduate school, my advisers encouraged me to submit an article summarizing my research findings for publication. The unwieldy title of my thesis was, “Coping Strategies of Successful Caregivers of Nonambulatory Family Members”. Nonambulatory means that the person is unable to walk. My parents and one of my patients that I had followed as a visiting nurse inspired me to do the research. After my mother had a major stroke which left her paralyzed on one side and with the mind of a ten-year-old, my dad stepped up to the plate and c ..read more
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Babe of Bethlehem
Pamela's Nursing Reflections
by Pamela, APRN
1M ago
“Now when Jesus was born in Bethlehem of Judea in the days of Herod, the king, behold, there came wise men from the east to Jerusalem, Saying, Where is He that is born King of the Jews? For we have seen His star in the east, and are come to worship Him.” Matthew:2:1-2 (KJV) Bethlehem, Israel – March 2013 Our tour group boarded our bus outside our hotel in Jerusalem and traveled 20 minutes to the city of Bethlehem, home of 25,000 people. We drove past the huge cement wall built between Palestinian controlled Bethlehem and Jerusalem to prevent the Arab snipers from shooting them. At the checkpoi ..read more
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Continue Graduate School or Drop Out?
Pamela's Nursing Reflections
by Pamela, APRN
1M ago
April 19, 1997 Show me Thy ways, O Lord, teach me Thy paths. Psalm 25:4 (KJV) I am seriously debating whether or not I should continue with graduate school. They are raising the tuition to $380 per semester credit hour, and I have 29 hours to go to complete my Master’s of Science in Nursing so it will cost me $10,000 to finish. It will take me about three more years to complete my degree while working full time as a visiting nurse. I am so weary of it all. I asked God if I should continue graduate school or drop out.   I read in a nursing journal that colleges are producing too many Nurse ..read more
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Becoming a Patient
Pamela's Nursing Reflections
by Pamela, APRN
2M ago
July 1996 My most difficult semester of graduate school is history. The pathophysiology class, taught by a physician from Russia with a heavy accent, was challenging to understand. She gave us a great review of physiology and took us much deeper into what goes wrong in the body when disease occurs. The second course was in pathopsychology taught by a psychiatric nurse. After we learned about the different mental illnesses and the criteria for diagnosis, we each had to choose a fictional person to analyze. Scarlett O’Hara, the main character in Gone With the Wind, a popular novel made into a mo ..read more
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My Year of Rejection and Sorrow
Pamela's Nursing Reflections
by Pamela, APRN
2M ago
April 1995 I am relieved to have my interview for graduate school behind me. I will learn next week whether or not I am accepted, so the waiting which began last September is almost over. I hope my good grades in my first two courses at the State University help with my admission, but the competition is fierce with hundreds of nurses applying for only 15 positions. May 1995 Sadly, I received my rejection letter today. The Director of the graduate nursing program invited me to apply again next year because they currently have no room for more students. I feel like a total failure. It’s like pre ..read more
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Happy Thanksgiving!
Pamela's Nursing Reflections
by Pamela, APRN
2M ago
November 24, 2016 – Texas Today in the United States, we celebrate my favorite holiday of the entire year – Thanksgiving! This is a unique holiday in the USA which remembers God’s goodness to the Pilgrims who came to Massachusetts in 1620 to escape religious persecution. Half of them died during the harsh winter, so when they had their first bountiful harvest, they thanked God with a huge feast they shared with the native American Indians. The First Thanksgiving For a wonderful review of the history of this holiday, please go to this link: pilgrims1 In 2016, after church in Texas, I experience ..read more
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Transcultural Nursing Course – Dominican Republic – Part 4
Pamela's Nursing Reflections
by Pamela, APRN
2M ago
January 1995 Over the next few days, Dr. Elaine assigned me to work in the Mennonite clinic which was hosting us in comfortable simple motel-like rooms on their campus. I watched Dr. Nancy examine patients all day long in much the same fashion as US physicians. She speaks some English and many of the medical terms are the same in Spanish, so I was able to understand some. One mother brought her newborn to Cora, NP. We looked at the baby with sadness who was born with a micro tongue, stubs for feet, and a lobster claw for a hand. Cora instructed the mother to pump her breasts and feed the baby ..read more
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Transcultural Nursing Course – Dominican Republic – Part 3
Pamela's Nursing Reflections
by Pamela, APRN
3M ago
January 3, 1995 – Labor and Delivery With our trip half over, we returned today to the city hospital to work as a group so Tammy could translate for us. We made rounds in the pediatric ward and watched a skilled nurse easily start several IVs in babies, unlike yesterday. She wore a cap with a blue velvet band, indicating she has a Bachelor’s degree in nursing. Our next stop was the Labor and Delivery unit. When the nurses learned I had experience in labor and delivery, they assigned us to a newly admitted 28-year-old woman having her fourth baby. The doctor examined her, said she was halfway d ..read more
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Transcultural Nursing Course in Dominican Republic – Part 2
Pamela's Nursing Reflections
by Pamela, APRN
3M ago
January 1995 – San Juan, Dominican Republic After awakening, I began reading my English-Spanish Bible in my Pan Dia village home, when Maria, a ten-year-old girl came in and shyly started reading over my shoulder. I gave her a Spanish gospel tract to read, and she was thrilled.  Before we said goodbye, the cute children gathered around us for a final photo. The village children loved chatting with us. After we returned to the clinic, we compared our clinic stays. It sounds like Debbie and Julie stayed in a much wealthier community and even had an indoor bathroom, but I think Paula and I h ..read more
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