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Nursing School Essay | University of Texas School of Free Program | Nursing. I was rifling through some old love letters when I found my application essay to 2012 the University of Texas School of Nursing ( UTSON ). I think posting it here will give current nursing students an example of an essay that undergraduate admission panels are looking for. Personally, it is interesting for me to reflect on my relationship with nursing–my initial hopes and dreams, the Template | harsh reality, and my commitment and 25+ Wall Calendars Ideas | Home Organization, loyalty to a challenging profession. It truly makes sense that I would find my nursing school essay lost in a box full of torrid love letters. Nursing is a Way of Life. When contemplating a career choice, psychologists often suggest revisiting the Free Program Template activities that one took pleasure in as a child. Unwittingly, children engross themselves wholeheartedly in activities that bring them the greatest delight and contentment. As adults, those qualities equate to stimulation and satisfaction–two elements necessary to sustain a successful career. In my youth, I enjoyed playing “schoolteacher,” more importantly however, from the ages of six to 2012 Recruitment Strategies fifteen, I tended to the needs of my chronically ill grandmother.

During this period of time, the idea of playing nurse never crossed my mind; rather, care giving was a way of Free Funeral Program life. The magnitude of influence that caring for my grandmother had in shaping my career decisions is immense; although it was unknown to me for quite some time. A distinct correlation was made early in my employment as a Clinical Assistant at Seton Medical Center. While holding the Digital Marketing Resume hand of Funeral Program Template a patient, as he passed through the stages of a stroke, I recognized the - 6+ Download tone and delivery of my words as that which I used when comforting my grandmother during a similar event. Amidst the chaos of the medical team, I became overwhelmed with a sense of complete wholeness that I had not felt before. Free Funeral Program Template | I become acutely aware that my childhood care giving role had provided me with a unique ability to invest myself fully into the health and Examples, wellbeing of others, in the very same way that I had done with my grandmother. In addition to caring for patients, I also maintain an affinity for teaching. The delight I found while playing “schoolteacher” as a child derived from the act of sharing new information with imaginary students. My thirst for knowledge and the desire to share is Free Funeral Program Template |, no less prevalent now as it was then, however my knowledge is based in scientific method, holistic healthcare promotion and nursing theory.

Nursing synthesizes care giving and 2012 Recruitment Strategies, teaching in a way that utilizes my natural strengths while benefiting others. The intrinsic value of caring for my grandmother and my desire to share knowledge provide me with undaunted motivation. My core professional values embody the need for empathy and ethical conduct while holistic treatment is imperative in Funeral | effective healing. Unfortunately, the current state of healthcare does not allow maximum nurturing to individual patients in hospital settings. Attaining a Bachelor’s of Science in Nursing degree allows me to consult, collaborate and coordinate healthcare policy on an administrative level. It is there where decisions are made regarding patient-to-staff ratios, staff hours, conditions, benefits, and rate of pay. If one is to change the environment of nursing in Top 10 Application a clinical setting, it must be done by a leader in Funeral Template a policy making position. I understand that the best efforts resulting in change are those that alter the system from the inside; armed with a UT BSN, that is where I will position myself. I am confident, however, that my propensity for teaching may someday replace practical, hands-on patient care and administrative duties.

The lack of qualified professors in the area of Interview Questions And Answers nursing will perpetuate the Free absence of university degreed healthcare professionals in You Letter.sponsor - Letter the industry. Without degreed professionals, advancement in many areas of | nursing will suffer. Kare Digital Marketing. With love of nursing as my greatest tool, I hope to inspire students to engage in its field of study. Advancing the field of nursing is Program Template |, not only Kare Jacoba Marketing, a professional success, but a personal success as well. Nursing is not a conscious choice that was cultivated by Funeral, a college advisor or a team of psychologists; it is who I am–it is my past, present and Of Resumes, future. Free Program Template | My natural inclination lead me to the field of nursing where I wholly and unwittingly applied myself and found immeasurable stimulation and satisfaction. For me, nursing is Of Resumes, not merely an opportunity for Free Program | a sustaining career, it is who I am; care giving has always been and will continue to be a way of life. Gail Ingram’s graduate school nursing essay for admission to NYU is here. For the full archive of Examples Of Resumes behind-the-scenes nursing posts, click HERE.

I love you Gail. I wish we were neighbors or that you would marry my younger brother. But I don’t have a younger brother. Free Funeral Program. I have an older one that you would not enjoy. He’s kind of pompous and eccentric. He’s also married with 5 kids so that can’t work. Maybe I should adopt a new brother that can live next door to Tree Download me and Free |, then you could marry him. Your comment is the best love letter that I have ever received from a married man! THANK YOU! I stumbled upon your website and have to say I am really impressed by all you’ve written and accomplished thus far.

Not to mention you’re stunning. And you’re single? (me too!!) I was a caretaker for my mother from the age of 14 so I understand that natural way of life. I became a chef to help nurture people. Are you ever in London? #128578; Thank you so much for posting this! I am applying to UT school of 2012 Strategies nursing, and this is INCREDIBLY helpful! Thanks for reading it! When I applied I didn’t have a clue what to Free Program Template | write about and Ideas | Home Organization, there were no essays available on-line for me to reference. I vowed that someday I would share it with new applicants so they wouldn’t fret like I did. I just wrote my Personal Statement for the Nurse Practitioner program at NYU and I was accepted. Program Template. I’ve thought about posting that one, too, but it seems far too soon.

I’d like to make sure that essay stands the test of time as well. In both, I wrote about things that were personal and real. I wasn’t writing about someone else’s experiences–I wrote about actual events in my life. | Free. Then I talked about | what I know about the profession and the future of Top 10 Engineer And Answers nursing. Finally, I wrote about Program Template | how I would become a leader in my field. It worked and I hope it works for you, too! I got in.

I just wanted to say thanks again for posting your essay–it really helped me formulate mine. I’m so excited to Map Template - 6+ Pdf Documents | Free be a NURSE! #128512; Allison! That’s fantastic!! I hope you love UT as much as I did (and do). Keep in touch! Thanks for posting this! I’m currently writing my letters for UT and hope to Free Program be a successful nurse soon. Best 25+ Wall | Home Organization. I also have a Journalism degree and work as a writing tutor, and I must say, you write very well.

The essay is Free Funeral |, thoughtful, personal and detailed. Engineer. So, hopefully mine can be too. Thank you Taylor! If I had the time, I would fill my days with writing about nursing. Funeral. But I love living in Manhattan and have to do more than write so that I can afford to eat (well). Best of luck with your UT experience! It is so nice to read the essay, great help to me.

Although I am not going to pursue nursing as a career,,I am a academician and teach students on different topics which interest them. Kare Jacoba Marketing. One of my student asked me for this kind of essay, like everyone, I took the help of Program | internet and there it was, a beautiful essay from you. Just wish to 2012 Strategies thank you and tell you that you have helped students in Free Funeral Program this part of the world called Pakistan. Thanks for reading Irfan! I’m glad I could help out. Best to you and all of your students!

Thank you for posting you essay online! It is useful for people who have no clue about a professional goal essay. Nurse Gail, I am planning to take the LPN program, but the school asks me to write a professional goal essay. I have trouble of knowing where to start and how to begin it. I need your advise regarding a nursing essay. Thank you in advance and I look foward for your help.

I’m sorry it took me so long to Tree - 6+ reply. My coursework at NYU has taken me away from my blog during midterms but I’m available now. My first question is, why an LPN program? I recommend that every nurse obtain a bachelor’s degree. I’m wondering what your rationale is. Second, what are your goals? Why do you want to Template be a nurse?

Is your mom a nurse? Were you hospitalized as a child? What draws you to the profession? How do you see your career developing? Do you want to Sponsor You Letter.sponsor Thank You Letter.jpg work at the bedside in a hospital or do you want to work in Program a clinic? Do you want to work with children or elderly or a specialty population (at-risk teens, LBGT, assisted living for MR patients, etc.)? If you want to become a nursing instructor or policy maker or manager you will need a minimum of a BSN and you should write about that as one of your goals. Again, I strongly suggest going for the highest level of education possible as early in your career as possible. More education = more choices, more freedom, more respect, and more money. Thank you for posting this! You write so concisely.

I am applying to nursing school and Of Resumes, have been so stressed. This is such good inspiration! Thank you for Free Funeral Program Template | reading! Best of luck on your nursing school essays–the application process is Field Application, really stressful. I just applied to the Study Abroad program at NYU and had to write ANOTHER application essay. I feel your pain! Let me know how things go. What a WONDERFUL essay! My heart truly felt emotion while reading this and it has inspired me a great deal. Thank you so much for sharing!

Alannah, thank you!! I’m so glad to share if it is inspiring in any way. I wish you the best! At first glance, it seems like you are a really dedicated and Program Template |, passionate nurse. As more details come to light, it seems like you may be a dreamer, a writer, a creative type. Sometimes our fantasies look very different from reality. For example, living in “Manhattan” sound great on Sex and 2012 Recruitment Strategies, the City but the Free Template reality is congested and Examples Of Resumes, expensive with lots of obligations and Free Funeral Template, stress.

People outside of the city have a much higher quality of 2012 Strategies life and more leisure time. But that is not what the t.v shows sell to little girls. Ultimately, nursing is brutally hard work with high liability (getting fired or sued), this is why the pay is so good. Nursing is Free Funeral Program |, a vocation. It is not a House, or some ER show on tv. The good news for Of Resumes a young white attractive woman such as your self is that at any moment if finances get too hairy or you just get tired of fighting, you can always marry into a little money. Why do you think your mothers generation stayed home and kept house? Because ultimately it’s easier to clean up the Free Funeral Template house and Kare Jacoba Marketing, cook dinner then it is to work in a hospital. All the best with your study abroad dreams, I hope it’s just like your wildest fantasy. Thanks for your comment, Joe. You are astute in your observations.

Nursing can be “brutally hard.” For work I could do many other things but I chose to stick with nursing because, as you suspect, I am “a really dedicated and passionate nurse.” I was, as you probably know, in the fashion and Program, media production industry before getting my BSN at UT. I am a nurse by choice, not because I was forced into it. I feel a great deal of Of Resumes satisfaction in overcoming the obstacles of living in Manhattan as a single woman on Free Program, a nurse’s salary. Pdf Documents Download | Free. I’ve lived in NYC for 7 years and I feel like my monthly rent is the cover charge or entrance fee to Program Template the greatest gallery, museum, movie set, and visual art platform found on earth. But it isn’t for everyone–some people can only You Letter.sponsor - Letter, see the congestion, expense, obligations, and Free |, stress. Digital Marketing Resume. But like nursing, I chose to live in NYC. Seattle and Austin are great and no one twisted my arm to leave. I am in Free Funeral | Manhattan because I love it, not because I have no other option. Leading a full and happy life is about perspective. You might call me a dreamer, but I’m living my dream. I do my best to help others which makes it all the better.

Gail this is Sponsor Thank You Letter.jpg - Letter, phenomenal. I have similar aspirations and Free Program Template |, this was a tremendous help in writing my personal essay to nursing school. Thank you for posting this. Thank you so much! I’m so glad it helped. Best of luck in Examples nursing school.

Keep in touch! Thank you! Your essay is Template, really an inspiration. I have obtained most of my basics at Austin Community College and I am currently applying as a transfer student to obtain a BSN degree from UT. I’ve been born and Thank Thank, raised in Austin, and Free Funeral, it is definitely my dream school! Theresa, THANKS for reading.

I’m glad that my post helped you in some way. Engineer Interview. Good luck with the transfer. Did you happen to read this post? It might be of interest to you. I hope you love UT as much as I did!

HI, I AM APPLYING FOR FAMILY NURSE PRACTITIONER COURSE AND DONOT HAVE CLUE WHAT TO WRITE IN GRADUATE WRITING EASSY, PLEASE ADVICE. Thank you Gail. Very well written essay. I am really, really struggling to Free Program write an essay for UT Family Nurse Practitioner program. I have one week left until the deadline and….. nothing! I am passionate about helping people, but I can’t find my writing hat! Hi Cristina, I wrote this in a previous comment and it is a good formula: “I wrote about things that were personal and Top 10 Field Application Engineer Questions, real. I wasn’t writing about someone else’s experiences–I wrote about Program | actual events in my life. Then I talked about Kare Digital Resume what I know about the profession and Template |, the future of - Letter nursing.

Finally, I wrote about how I would become a leader in my field.” For my graduate nursing essay (that actually won me a scholarship that I didn’t apply for) included my accomplishments as a nurse. What did you bring to Funeral | the profession between undergrad and grad school? I learned everything I could about nursing by becoming a travel nurse then I went into private duty. I saw a way to 2012 Strategies better help those patients so I formed my own LLC and now I practice as a concierge nurse and a consultant. Free Funeral Template. Nurse entrepreneurship is a way to elevate the profession to a new level.

I wrote that students should have the option to study business in nursing to 25+ Wall Calendars On Pinterest | Home prepare them for the role of CEO. Free Funeral Program | I also talked about nurses taking individual responsibility for health promotion. In addition (I crammed a lot into my paper!), I wrote about relationships and that I wanted to attend NYU to meet like-minded nurses and Examples Of Resumes, world-class faculty. I wrote that bedside nursing can be isolating (especially travel nursing) and I have reached a point in my career where advancement requires collaboration. I want to be in a supportive environment that promotes personal and professional growth. I also did a little research into what NYU wants to Free Program Template | be known for and noted that our goals are the same. I hope this helps! Let me know how things go. Grad school is wonderful.

Whoa! What an Map Template Pdf Documents Download | Free, Awesome write up Gail….. Am very passionate about helping people… Holding their hands when they have no love one around, listen to Free Template them, when they need someone to Top 10 Field Interview Questions confide in, smile at Free Funeral Program, them when they’re in pain to Examples Of Resumes divert their attention, secretly shed tears when they give up life….. Oh yes am proud to Program be a nurse… Nursing really has connected me to the human condition and I am so grateful for Sponsor You Letter.sponsor Thank You Letter.jpg the privilege to do it. Funeral Program Template | I’m so glad that you enjoy it as well. Thank you for your kind and honest comment.

Hi Gail, I am applying to NYU for the master program in nursing! I am trying to decide between education or leadership. i am not sure wich program to Thank Thank - Letter take. | Any advise? Hi Consuelo, thanks for reaching out. I wasn’t sure if I should go into education or primary NP. I asked a very respected physician that I worked with what I should do. He asked me what kind of LIFE I wanted (not career, necessarily). I said that I wanted the most interesting life filled with unusual opportunities and few limitations.

I want to go on tour with some rock stars and do missions in developing countries. I want to report health information and host a TV show and 2012 Strategies, write a few books. I want to Funeral Program Template | continue to grow my business Nightingale Wellness and develop a fleet of concierge RNs to make house calls. He said NP without a doubt and assured me that I will be able to teach nursing with my NP degree and a full resume. On another note, I recently met with Judith Shamian, the president of the International Council of Nurses. She is the queen of all nurses in the WORLD. Resume. She said that globally, in 100 years, there will be no nursing in developing countries. The World Health Organization [WHO] came out with a report that showed nursing was too expensive and Funeral Template |, that lay people can be taught certain aspects of care for 2012 Recruitment much less money. So nurses are being phased out. The reason for this is because there are no nurses working for the WHO to Free Funeral Template represent the profession when guidelines are being drafted.

There are also no nurses working at the World Bank (the #1 governing body concerning global health decisions) and there are very few nurses in government (in any country). Nursing is being squeezed out of every conversation even in the hospital level. Very rarely will you find a nurse on the board. The decision to go into Engineer Interview education or leadership is Free |, personal. And Answers. However, I just wrote your admission essay for nursing leadership in this comment. You can teach at any point in your life with a graduate degree and a full resume. Leadership is where nurses are needed and the opportunities are limitless. Please let me know how things turn out and Free Funeral Template, GOOD LUCK!!

Hi Gail, Thank you so much for your input. Really made my day. I will let you know how things turn out! Wow…. am so inspired…. am very passionate about 25+ Wall Calendars On Pinterest | Home child caring.. guess one day I will become a nurse. I’m really inspired so much about Nursing that I dnt even know what I cn say. Free Program Template | Thanks so much Gail, keep it up!

Thank you Siwila Prince! We are excited that you have an interest in nursing! Wow, I am currently applying for UT nursing as they now accept freshman in the bachelor program and I’m so scared, I still haven’t finished. your essay was so good! I feel like my essay sounds too comfy and not professional. Do you have any tips. Thank you for posting ! Thanks for the compliment, Christi.

Writing in a comfy style is not a bad thing as long as you are using proper grammar. Professional can be boring and a relaxed style, if it is well written, can give you an edge. As for tips, there are plenty to Tree Map Template - 6+ Free Pdf Documents Download | Free read in the comments of this post and Funeral Program Template |, I hope they help. Best of luck to you! Thank you for posting this! I’m applying to Nursing School for Kare Digital Marketing Resume the first time have no idea what to write about! Last time I wrote a personal statement like thing was years ago and Free Template, I had no idea where to start. Yours gave me some inspiration #128578; Good luck, Janelle! i need to You Letter.sponsor Thank - Letter study free nursing school can you help me.

Thank you so much for Free Template this. Of Resumes. I am currently applying to UTMB and Free Funeral Program, this helped tremendously! It was very inspiring and so well written! Hi Gail! I am very blessed to come across your blog today.

You are wonderful and I admire your steps in helping nursing to move forward. 2012 Recruitment Strategies. I want to Free Funeral | join your team! I live in Examples New York too, I am from a third world country. I want to be a vessel for changes both here and abroad especially in the country where i came from. I am applying for NP and i dont know where to start with my essay.

Good luck with your essay. Reference previous comments for tips and follow the link to Gail’s NYU graduate school essay as an example. If you’d like to join the team, drop us a line using the Free Funeral | “Contribute” tab at the top of the 25+ Wall On Pinterest main page in the black bar. I am almost done with my first quarter of nursing school at Free Funeral |, the University of Washington. 2012. I was wondering if you have any advice for a student looking to start her nursing career on the east coast more specifically in NYC? I am looking at nursing residency programs and 10 week internships for the summer of Funeral Template | 2016. I’m applying for Top 10 Application Engineer Interview the BSN program at the school I want to Free Template transfer to. The application wants me to write about Sponsor Thank You Letter.sponsor Thank - Letter what my career goals for the nursing field and how will attending their program will help me achieve those goals but my question to you is, should I focus on what my goals are with a BSN degree or should I also write about my overall goal (which is to Free Funeral Program Template | be a nurse practitioner) even though that’s in the Master’s program? I don’t want to jump ahead of the BSN program but i’m also confused on what to write about. Any advice would be greatly appreciated! Definitely write about becoming an NP.

I believe this was mentioned in a previous comment. There is some good info in the comment section of Kare Jacoba Marketing this post as well as the comments for the grad school essay. Good luck with your application! Thank you so much! It’s hard to make an essay sound real/ personal and not too professional. Thanks for sharing, it’s really inspiring. … So we have to Program Template | be ourself and write sincerely about our passion… I love this very helpful thank you. HI GAIL CAN YOU PLEASE HELP ME TO MAKE MY POSTGRADUATE PERSONAL STATEMENT I AM A DIALYSIS NURSE.

THANK YOU. What a powerful personal essay – thank you for sharing. I recently re-applied to my Alma Mater (I studied chemistry in my undergraduate degree) for my BSN. Sponsor You Letter.jpg. My grades were dismal throughout my degree, so I figured I didn’t stand a chance at being offered at interview. Free Program Template | However, my university asks for an extensive written application, personal statement included. I applied and was offered an interview just before the deadline. The next step is a 15 minute interview over webcam – my school changed its method this year and is doing it this way for all applicants. My question to you, is Top 10 Field, how do you suggest making an impression in 15 minutes over Skype (essentially). I feel like I got over Funeral Program Template, one hurdle, but now my grades are dancing in the back of my mind and I feel like it’s not realistic for me to think I’ll get in. Not based on a 15 minute interview.

Obviously I can’t portray this when interviewing, but even still – help! I’ve met with individuals over Engineer Questions, Skype and Free Program |, I have trouble getting beyond their tech difficulties, clutter in Engineer Interview the background, angle of the camera (up their nose), and their nervous habits (drinking water, clanking things on the desk, shifting around in their chair). Make sure all of these things are in order or your message will not be heard. The interviewers want to see that you are on |, your way to becoming a leader in the profession and being prepared is 2012 Recruitment, key. Free | Second to that is being personable. Most people don’t understand that this involves being vulnerable, thoughtful, and well-rounded. Always have a couple of favorite stories in mind to Best 25+ Wall Calendars | Home share. Write then down on paper in Free Funeral | front of you along with important career highlights and dates.

Share your favorite book and how it’s meaning changed your approach to your work or be ready to share an embarrassing moment that you turned around into a learning experience. Good luck!

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Attention-Deficit/Hyperactivity Disorder: Presentation and Management in the Haitian American Child. A case study of a young Haitian American is presented that is illustrative of Funeral | cultural issues that influence care of those with attention-deficit/hyperactivity disorder (ADHD). Medications are the preferred treatment for ADHD and can be combined with psychological intervention. However, many Haitians and Haitian Americans see psychoactive medications as leading to Top 10 Field Application substance abuse or mental illness. Efficacious psychosocial treatments include contingency management, parent training, and behavior therapy; cognitive-behavioral treatment has not been helpful.

Complementary and alternative medicine might have appeal; primary care physicians can help families to assess such treatments and not to be enticed by Funeral | expensive ones of little benefit. Recruitment. A determinant of the treatment a family pursues is their perception of the cause of the ADHD behaviors. While there is no term for ADHD in the Haitian-Creole language, in the Haitian culture the behaviors consistent with the diagnosis might be interpreted as indicating a poorly raised child whose behavior could be modified by parental discipline, an intentionally bad child, or a psychically victimized child suffering from an #x0201c;unnatural#x0201d; condition. #x0201c;Natural#x0201d; ailments are attributed to natural forces (e.g., wind, temperature), while #x0201c;unnatural#x0201d; ones are attributed to bad spirits or punishment by God. Families may #x0201c;lift their feet#x0201d; ( Leve pye nou : to see a Hougan or voodoo priest) to determine the Funeral | unnatural cause. Haitian Americans often combine therapeutic foods that are considered cold in nature, natural sedatives and purgatives from herbal medicine, religious treatments, and Western medicine.

Immigrants often lack support of extended families in an environment not supportive of their interpretation of child behaviors and traditionally accepted parental disciplinary style. Stigma, language, cultural conceptions, concerns about governmental agencies, and physician bias can all be barriers to care for immigrant families. Jacoba Resume. Primary care and Free Funeral |, behavioral integration are useful in managing families from other cultures. More than ever in Of Resumes the United States, it is Funeral Program Template |, nearly impossible to Map Template - 6+ Free | Free find a medical practice with a patient population that does not include cultural and Program Template, ethnic diversity. While this reality is broadly recognized, clinicians and patients often face challenges in Engineer Interview communicating with one another regarding health concerns. These challenges may be due in part to cultural differences in understanding and interpreting illness. The importance of cultural issues on mental health care was highlighted in 2000 in the first-ever Surgeon General's report on mental health.

1 National efforts at education in cultural competency have taken root in Free Program Template | various ways in medical centers, practice groups, teaching institutions, and Application Interview, community health centers. Attention-deficit/hyperactivity disorder (ADHD) is one of the most commonly diagnosed chronic mental conditions of childhood. Free Template. ADHD has a large genetic component to its etiology, 2, 3 and alterations in the noradrenergic and dopamine systems lead to dysfunction in higher cortical processing related to attention, alertness, and executive functions (e.g., planning, working memory, abstract reasoning, mental flexibility). Top 10 Field Interview And Answers. 4. ADHD has been reported in all continents of the world. Prevalence studies for many countries do not exist; however, studies have been conducted in China, Thailand, Israel, Turkey, Brazil, India, Puerto Rico, and Mexico. 5 Although the signs and Program Template, symptoms of ADHD are basically the same in these diverse countries, they each represent a different ethno-socio-cultural context in which the Sponsor Thank You Letter.sponsor Thank - Letter condition is interpreted and responded to by patients, their families, caring professionals, and others. Free Program Template | 6 Several recent studies demonstrate that in 40#x00025; to Examples 70#x00025; of Free Funeral Program Template children, ADHD persists into adulthood. 7, 8. Although ADHD has been well established as a condition in children worldwide, the subtler question of how the interpretation of Examples symptoms and behaviors varies between locales remains elusive.

Studies describing the interpretation of ADHD symptoms in different cultures are extremely limited. Free Program Template | African American parents have been shown to be more unsure of the potential causes and treatments of ADHD and less likely to connect the school system to ADHD issues than white parents. 9 In another school-based study, white children with ADHD were twice as likely as African American children to receive evaluation, diagnosis, and treatment, and the threshold of parental recognition and seeking of services contributed to | Home Organization this discrepancy. 10 In a third study, African American children were identified with ADHD symptoms at higher rates than white children. Funeral Program Template. 11 Compared to white teachers, African American teachers rated children as presenting more ADHD symptoms.

12 A similar study compared Hispanic teachers' and non-Hispanic white teachers' assessments of hyperactive-inattentive behaviors portrayed in standardized tapes of white and Top 10 Engineer Interview Questions, Hispanic children. Hispanic teachers were more likely than white teachers to score Hispanic students above the clinical cutoffs for ADHD. 13 Whether such discrepancies are due to ethnic differences in behavior, limitations in the cross-cultural validity of diagnostic measures, or bias in raters' assessments of behavior is Free Program Template, uncertain. More than 2 million Haitian Americans reside in the United States, and Tree Free Pdf Documents Download | Free, this cultural group has a presence in Free Program | every state. Kare Jacoba Digital Resume. The following case study of a young Haitian American illustrates the cultural issues that can influence the care of a person with ADHD and Free Funeral Program Template |, the difficulties that can result from Strategies culturally based disagreement or inadequate communication between medical professionals, educators, social service personnel, and families. Mr. A is a 25-year-old man with a history of ADHD. He was an overactive child from Free Program Template | early infancy, and his parents initially attributed his exuberant behavior to the natural tendencies of Map Template - 6+ Download | Free his sex. Mr. Funeral Program | A's parents tried their best to keep his behavior under control by corralling him in his crib, verbally disciplining him, and Map Template Pdf Documents | Free, occasionally spanking him. From when Mr.

A was 3 years of Free Program Template | age, his parents became increasingly aware of his hyperactivity, impulsivity, and inability to follow directions. Throughout his pre-school years, he was repeatedly suspended from school and was forced to move from Calendars Ideas | Home one school to the next. In his community, he developed a reputation for being mal #x000e9;lev#x000e9; #x02014;a French term for #x0201c;badly reared,#x0201d; which in turn reflected negatively on his parents within their extended family and Template |, community. At age 5, Mr. A was diagnosed by Calendars Ideas On Pinterest Organization a specialist as having ADHD.

His parents accepted counseling to help manage their son's condition, but declined the Free Program | use of medication. Later, during his elementary school years, another clinical assessment confirmed the diagnosis of ADHD. This time, Mr. Field Application Engineer Interview. A's mother accepted the use of Free medication, but stopped it and refused to consider any other medication when side effects placed Mr. A into a #x0201c;zombie-like#x0201d; state that included sluggishness, difficulty sleeping, and loss of appetite. When Mr. A's parents halted his medication, school staff registered their concern with the Department of Social Services by filing a child neglect report. Of Resumes. Mr. Free Program | A's parents were evaluated for social services; however, these services included no interpreter, nor economic or social support. His parents were placed on the defensive all the Sponsor Thank - Letter time and began to feel threatened, stating that #x0201c;the focus was no longer on #x0005b;Mr. Free Program. A's#x0005d; condition, but on our parental abilities.#x0201d; As a result, to attend to Mr.

A and coordinate his care, his mother stopped working outside the home. Unable to navigate the different agencies that had become involved with their family, and believing a more disciplinary and controlled environment might help, Mr. A's parents first sent him to Haiti to live with grandparents and 1 year later sent him to a Haitian boarding school. Neither environment had an Application Interview Questions And Answers effect on his behavior. Two years later, when he returned to live with his parents in the United States, his father built his own life around a tight schedule to tutor, mentor, and supervise Mr. A's school activities. Mr.

A eventually graduated from high school, but was unfocused and performed poorly in the classroom. After graduation, Mr. A participated in several training programs but has yet to complete one. He continues to be hyperactive and Free Program Template, unfocused. At work, he is known as a #x0201c;good guy#x0201d; who regularly jumps to defend coworkers, a behavior that often costs him his own employment. Kare Jacoba Marketing. His parents are finally convinced that medication would be beneficial, but Mr. A refuses to take medications and denies his disorder.

WHAT DIAGNOSTIC STRATEGIES ARE USEFUL IN PRIMARY CARE PRACTICE TO CONFIRM THE DIAGNOSIS OF ADHD? Table 1 lists the DSM-IV criteria for the 3 subtypes of ADHD. These are (1) predominantly inattentive (has at least 6 of Free Funeral 9 inattention behaviors), (2) predominantly hyperactive-impulsive (has at least 6 of 2012 9 hyperactive-impulsive behaviors), and (3) combined (has at least 6 of 9 for both inattention and hyperactive-impulsive behaviors). Due to their ability to function with ADHD during adolescence, children with the inattentive subtype of ADHD tend to be the easiest group to Program manage and Kare Jacoba, are the least likely to have recurring problems; however, they often are the hardest to diagnose. Hyperactivity behaviors often start by a child's fourth birthday, peak around age 7 to 8 years, and decrease greatly by adolescence. Impulsive behaviors follow the same early course, but rather than declining in Free Funeral Template adolescence, remain a problem for life. Top 10 Field Application Engineer Interview And Answers. 7, 14, 15 Impulsive behaviors in adolescence may result in problem drinking and drug use, and impulsive spending in adulthood.

In contrast to hyperactivity and impulsivity, inattention often does not become evident until age 8 or 9 years, but, like impulsivity, then remains a problem for Free Program, life. By DSM-IV criteria, the onset of symptoms must occur before the And Answers age of Free Funeral Program Template 7 years, persist for at least 6 months, be present in more than 1 setting (e.g., school, home, after-school program), and be excessive for the development level of the child. In addition, an individual's behaviors should affect at least 1 aspect of life, such as the school, family, or work environment. As with Mr. A, ADHD commonly disrupts daily functioning and development in multiple areas. The diagnostic differential for many of the behaviors found in Examples ADHD includes emotional and behavioral problems (e.g., depression, anxiety disorders including obsessive-compulsive disorder and posttraumatic stress disorder, conduct disorder) developmental problems (e.g., learning disabilities, mental retardation, conditions such as fragile X syndrome), and Free Funeral Template |, medical conditions (e.g., sensory deficits, seizures, fetal alcohol syndrome, thyroid disorders). Best 25+ Wall On Pinterest | Home Organization. For recent immigrants, these conditions may present at an age beyond that commonly encountered by American clinicians. Free Funeral Program Template. Environmental concerns and experiences can also lead to behaviors mimicking ADHD and can be particularly difficult to define in recent immigrants. 16, 17 These include culturally different parenting approaches, parental psychopathology, stressful home environment, lack of 2012 Recruitment experience with the Free Template | American school environment, inadequate language skills, and child abuse or neglect.

18 A substantial number of individuals with ADHD will also have comorbid psychiatric conditions (e.g., depression, oppositional defiant disorder, learning disabilities). A variety of rating scales are available and helpful in 2012 Recruitment evaluating children (see; however, most of these have been validated in referral populations rather than primary care settings and may not be generalizable to immigrant populations. These scales include ones for use by clinicians, parents, and teachers. Also, collecting information from other settings (e.g., summer programs, after-school programs) may provide additional helpful insight, particularly if the Free Program Template rater is from a background similar to the patient, but not a family member. For older patients who do not recall enough about their childhood, clinicians should have them speak to Tree Map Template Free Pdf Documents Download relatives to gather their childhood histories. For example, clues to onset before age 7 years might include being held back or suspended in early school years, old report cards indicating behavior problems, or stories of being difficult to control. Scales for adults (e.g., the Free Program Template Wender Utah Rating Scale, 19 also available in French 20 ; the Copeland Symptom Checklist for Attention Deficit Disorders 21 ; the Engineer Questions Conners Adult ADHD Rating Scale 22 ) can be useful, but yield large numbers of false positives and cannot be relied on for diagnosis without supportive evidence from clinical assessment.

23. Treatment approaches to ADHD include an array of psychotropic medications, behavioral and psychological treatments, and complementary and alternative medicine approaches. Funeral Program. Medications are generally the preferred treatment modality and can be combined with behavioral or psychological interventions, especially in Examples Of Resumes children with behavioral problems or comorbid psychiatric conditions. Stimulant medications and psychosocial treatment have been the major foci of clinical research; however, the duration of Free Funeral most randomized trials has been 3 months or less, and thus the Best 25+ Wall Calendars On Pinterest | Home Organization literature on long-term treatment is Free Funeral, sparse. In general, studies suggest that stimulants and psychosocial treatments are efficacious. 24, 25 They also indicate that treatment with stimulants is superior to psychosocial treatment. 26. Short-term trials of stimulants support their efficacy, with response rates in the 70#x00025;-to-90#x00025; range. 27 Methyl-phenidate and dextroamphetamine are the most studied stimulants.

While there are longer-acting stimulants, these do not appear to provide any improvement in efficacy. Studies have found that stimulants improve the defining symptoms of ADHD and Free Pdf Documents | Free, associated aggression. Free Funeral Program Template | However, there are not consistent findings that improvement in symptoms leads to improvement in academic achievement or social skills. 28, 29. Aside from studies suggesting the efficacy of using stimulants, there are also studies of antidepressants showing that tricyclic antidepressants (e.g., imipramine, desipramine, nortriptyline) produce improvements over placebo. 30 The primary concern regarding their use is the risk of cardiac side effects, especially in overdose. Atomoxetine also has proven efficacy for ADHD 31, 32 ; it is the only medication approved by the U.S. Food and Top 10 Field Application Engineer Questions, Drug Administration for use in Funeral Template | adult ADHD, is not a controlled medication, and Sponsor You Letter.sponsor Thank, might be particularly useful when possible comorbid substance abuse is a concern. 33 However, it does have a new black-box warning regarding the potential for severe liver injury, based on 2 reports (1 of a teenager and 1 of an adult). Psychosocial treatments of Template ADHD with demonstrated efficacy include behavioral strategies such as contingency management (e.g., point/token reward systems, timeout, response cost) that is conducted in the classroom, parent training (parent is taught child management skills), and clinical behavior therapy (parent, teacher, or both are taught to 2012 Strategies use contingency management procedures). 34 In contrast, cognitive-behavioral treatment (e.g., self-monitoring, self-instruction, problem-solving strategies, self-reinforcement) has not been found to Free Template | be helpful in children with ADHD.

35, 36. Complementary and Digital, alternative medicine strategies are very commonly used and might have particular appeal to families from Free Funeral Program other cultures. 37 Such therapies include special diets and supplements, megavitamins, applied kinesiology, and biofeedback; however, their benefits have not been demonstrated in clinical trials. 38 Diet, including reducing sugar, affects behavior in less than 1#x00025; of children. 39 One role in which the primary care physician can be helpful is to help families assess alternative treatments and not be enticed by expensive treatments of little benefit.

The treatment of ADHD should be viewed as involving 3 stages of therapy: initiation and titration, maintenance, and termination. 40 During the initial phase of treatment, patients and families should be educated regarding ADHD ( Table 2 for examples of parental activities that may be helpful), therapeutic goals should be established with the patient and family, and Ideas On Pinterest Organization, treatment should be initiated. Free Funeral Program Template | If medications available in short- and long-acting forms are selected, initial titration can best be accomplished using short-acting forms, observing for response and side effects. This can be followed by switching to longer-acting forms if desired. Best 25+ Wall Organization. Starting and adjusting medications on a weekend provides opportunity for parents to observe effects and side effects directly. During the maintenance phase, ongoing family education, dosage adjustment, and Funeral |, monitoring of growth, efficacy, and side effects are appropriate. The duration and 2012 Recruitment, approach to Template | termination should be individualized, with regular discussions with patients and families to support adherence to Of Resumes treatment rather than unsupervised treatment termination. Stimulant medications and Free Program, atomoxetine may be stopped at once, while other medications (e.g., tricyclic antidepressants) may need to be tapered. Trials off therapy, for instance during school holidays, may help determine if medications are still beneficial.

In summary, although there are a range of treatment modalities that have been tried in the treatment of ADHD in 2012 children, the management approach that has proved most effective includes stimulants and psychosocial treatments focused on behavioral strategies. Of note, in Free Program Template | one large study funded by the National Institute of Top 10 Field Questions Mental Health, there was no difference in response to Free Funeral Template treatment between ethnic groups (Latino, African American, and white). 41. ADHD AND ITS CARE FROM A HAITIAN PERSPECTIVE. While there is Jacoba, no corresponding term for ADHD in the Haitian-Creole language, in the Haitian culture the behaviors consistent with the diagnosis of | ADHD might be interpreted as indicating the following: Among Haitians, the interpretation of ADHD-related behaviors varies widely from family to 2012 Recruitment family depending on religious affiliations, level of education, and experience with school and primary care systems. Template | Stigma, language, cultural conceptions, concerns about governmental agencies, and physician and Best Organization, teacher bias can all serve as barriers to care for immigrant families ( Table 3 ). An important determinant of the treatment or other intervention strategy a family pursues is their perception of the Program | cause of the ADHD behaviors.

Whether the cause is natural or unnatural is extremely important in the Haitian belief system. #x0201c;Natural#x0201d; ailments are often attributed to natural forces (heat/cold, gas, wind, temperature), while #x0201c;unnatural#x0201d; ailments are attributed to Tree Map Template - 6+ Download bad spirits or punishment inflicted by God. These are treated using either natural remedies or religious intervention. 42 Such belief systems can influence a family's acceptance of a physician's diagnosis of ADHD and their adherence to Free Program Template | Western medical treatments. In the United States, as in many other countries, the diagnosis of ADHD is Field Application Questions, mainly a medical one and involves pediatric and family medicine providers, social workers, and psychologists. However, for Free Funeral, most of the population in Haiti, a child would not be brought to a primary care physician for care of Kare Jacoba Resume a behavioral problem.

Doctors are generally seen only for physical illness and |, emergency care; access to primary care is limited and generally available only to the most affluent. ADHD manifesting as a negative behavior usually is handled by You Letter.jpg parents, extended family, and school teachers through verbal or corporal discipline. Verbal discipline includes preaching to the child, comparing the child to Program others, begging the child to behave, and humiliating the child. Corporal discipline and punishment can be inflicted by Top 10 Engineer Interview Questions And Answers any member of the family, neighbors, and schoolteachers, all of whom are given full authority to educate and #x0201c;correct#x0201d; the child. Immigration adds a complex dimension to Free Program Template raising children. New families find themselves devoid of the support of the extended family, in an environment that is not supportive of their interpretation of child behaviors and traditionally accepted parental disciplinary style. 2012 Recruitment Strategies. Like many Haitian American parents living in the United States faced with similar circumstances, Mr.

A's parents chose to send him back to Haiti with the Free Program Template hope that a more authoritative parenting style, the enforcement of 25+ Wall Ideas On Pinterest discipline in school (schoolteachers are very respected), and removal of the interference of the Program Template American social worker would offer a better environment for rearing their child. Mr. A went to live with his grandmother first and then off to a boarding school, a setting seen by many Haitian parents as the ultimate answer to a child with behavioral problems. There are many beliefs among Haitian Americans surrounding the Tree Free Pdf Documents Download use of medication. Many in Free Funeral Template the Haitian American community see the use of psychoactive medications as a gateway to substance abuse or mental illness. Therefore, even parents who agree to allow their children to On Pinterest | Home Organization try them will most likely have low thresholds for terminating medication and be unsupported by family members, friends, neighbors, and even religious leaders. Mr. A's parents received much unsolicited advice, and some friends wanted them to #x0201c;lift their feet#x0201d; ( Leve pye nou : to see a Hougan or voodoo priest) who might be able to determine the unnatural but real cause of their son's problem. Being transnational and having access to both native Haitian medicine and Western medicine, Haitian Americans routinely combine therapeutic foods that are considered cold in nature, natural sedatives and purgatives from traditional herbal medicine, religious treatments, and Western medicine to treat illness. Examples of Program | folk treatments for ADHD include mint tea, sweetsop (apple custard), or leaf teas (usually hot drinks); tizanne (usually cold drinks) of lettuce or other refreshing vegetables; and baths with boiled leaves ( bain de feuille ), which are often used as natural sedatives. While it may be difficult to establish trust with Haitian families initially, such trust in the doctor-patient relationship is essential in obtaining their participation in Marketing Resume the development of a treatment plan to which they will adhere.

Clinicians should work to disarm or to gain acceptance with parents and family members. Funeral Program | It may be helpful to learn a few words of Creole or tidbits of Pdf Documents Download | Free Haitian history, to be respectful of combining benign natural remedies with conventional Western medicine, and to find ways to show respect for the family's heritage. Free Funeral | Engaging families in supportive behavioral management approaches (see Table 2 ) can give them a sense of control and involvement that will help build adherence to other treatments recommended. Cultural sensitivity is essential in dealing with not only Haitian patients but also patients from various cultural and ethnic backgrounds. One definition of cultural competency is #x0201c;a set of Kare congruent attitudes, behaviors, and policies that come together in a system, agency, or amongst professionals and enables them to work effectively in cross-cultural situations.#x0201d; 43 Haitians, like most immigrant patients, need sympathetic advice and help from their physicians, as they often feel governmental agencies such as the local department of Free Funeral | social services place a great deal of pressure on them to Best 25+ Wall On Pinterest Organization either medicate their children or move their children to other school systems. In direct contrast, it is Free Funeral Program |, also important not to #x0201c;overemphasize#x0201d; a patient's culture when considering a diagnosis and treatment. While many of the barriers listed above may be relevant for some patients, culture is only one factor in their understanding of their illness. Educational, social, economic, and individual factors may also hold relevance. Because the interface of psychiatric disorders#x02014;in this case ADHD#x02014;and culture is complex, it is a useful context for examining the integration of psychiatric and primary care. While there are a number of models of Best Calendars Ideas such primary care and behavioral integration, one, called #x0201c;primary mental health care,#x0201d; 44#x02013;47 is particularly useful in managing families from Template | other cultures. Examples. The goal of this approach is to resolve problems within the Free Template | primary care service context: #x0201c;primary mental health#x0201d; is designed to support the ongoing behavioral health interventions of the primary care provider.

This model of behavioral health care is consistent with the philosophy, service goals, and health care strategies of primary care. This approach involves making psychiatric consultative services available to Recruitment primary care providers and allows for behavioral health and primary care comanagement of patients who require more concentrated services, but nevertheless can be managed in primary care. Both consultative and condensed specialty treatment services are delivered as first-line interventions for primary care patients who have behavioral health needs. In summary, there are several options for assisting Mr. A and his family and other Haitian children and adults with ADHD: Drug names: atomoxetine (Strattera), desipramine (Norpramin and others), dextroamphetamine (Dexedrine, Dextrostat, and others), imipramine (Tofranil and others), methylphenidate (Metadate, Ritalin, and others), nortriptyline (Pamelor, Aventyl, and others). The authors acknowledge Jean-Robert Boisrond, Coordinator of the Haitian Health Institute at Boston Medical Center, Boston, Mass., for assistance in preparation of the case and for commitment to the special needs of the Funeral Program | Haitian people.

Cultural Currents presents clinical experience derived from the practices of clinicians caring for Digital Resume, patients and families whose cultural backgrounds are outside of the mainstream of society. At times, those very clinicians will be in | the position to provide rich insights afforded by their own unique cultural backgrounds. Examples. These case reports and Funeral Template |, commentaries provide knowledge and strategies helpful in Jacoba Marketing the clinical encounter with patients from other cultures. This article is based on a Grand Rounds presented at the Department of Family Medicine, Boston Medical Center, Boston, Mass., on Sept. 16, 2003. The authors received no direct support related to Template | this article.

Dr. Culpepper has been a consultant for Eli Lilly. Drs. Prudent, Johnson, and Carroll report no financial or other relationship relevant to the subject of this article.