Nurse Practitioner Essay Example | Topics and Well Written Essays - 250 words

Nurse Practitioner - Essay Example The examples of various settings where primary care nurse is involved are; homes, clinics, community hospitals and mobile settings (Sines & Forbes-Burford, 2009 p.134). The acute nurse practitioner is employed by a hospital or health care system. The roles of acute nurse practitioner are mostly used in surgery, research, and trauma (Wyckoff, Houghton & LePage, 2009 p.12). The acute nurse practitioner diagnoses and manages acute episodic and chronic illness (Nagelkerk, 2006 p.14). I agree with what Barbara Orange wrote, a registered nurse practitioner who has graduate level of education could acquire advanced clinical knowledge and skills to qualify as an advanced practice nurse(Nagelkerk, 2006 p.5). A registered nurse practitioner has the freedom to choose to work with health care organizations or setup their clinics (Nagelkerk, 2006 p.14). I agree with Barbara Orange that an office setting would be best for patients because the registered nurse would have close contact with the patients (Hamric, Hanson, Tracy & OGrady, 2014). According to Hamric et al. (2014), the Institute of Medicine recommends patient-centered care as the basis of safe, effective and efficient health care. The registered nurses built up therapeutic relationships with patients as a backbone of patient-centered care (p.153). A nurse practitioner who has gone through credentialing and privileging could be allowed to practice in their scope of practice. Credentialing and privileging applied to physicians but because nurse practitioners are hired in various institutions, it becomes vital to credential nurse practitioners (Reel & Abraham, 2007 p.5). I have discovered that a nurse practitioner can work in multiple settings but, can they hold multiple credentials and use them in practice? This question puts me in a dilemma with

Climate Change Impact on Agriculture Research Paper

Climate Change Impact on Agriculture - Research Paper Example This paper illustrates that scientists have recorded a global rise in temperatures that influenced a series of negative events on the earth’s weather patterns. Currently, there is a significant rise in sea level, melting glaciers and intensifying rainstorms. Today, climate change is more profound than what previous generations had to endure resulting in a series of challenges to the world, particularly in the agricultural field. Climate is a dynamic system resulting from physical and chemical interactions in the earth’s structures. The Earth is made up of the atmosphere, lithosphere, hydrosphere, cryosphere, and biosphere. The physical and chemical interactions of these structures result in the climate of a region. The atmosphere is part of the climate system that affects the earth directly. This is owing to the spherical nature of the earth. The sun heats up the earth, with more intensity on the equator and less intensity at the poles. This uneven heat distribution gen erates wind that carries the heat from the equator to the poles. The heat is also distributed from the upper-level surface of the atmosphere to the lower level of the atmosphere. The ocean correspondingly distributes heat but at a much slower pace than the atmosphere. The carbon cycle is a chemical exchange resulting from the interaction between the earth systems. The ocean and the biosphere are reservoirs of carbon. 99.9% of the CO2 on earth exists in the lithosphere. Carbon flows among the various reservoirs. Mathez states that photosynthesis by plants and decay affects the amount of CO2 in the atmosphere. This decaying and photosynthetic effect from the earth’s biosphere occurs after some time. Over a longer time frame, the ocean exerts a more dominant control on the atmospheric CO2. The ocean dominance is as a result of the amount of CO2 in the ocean that is 50 times more than the CO2 in the biosphere. The persistent balance that exists between the earth systems in the ca rbon cycle has maintained the conditions of the earth. It is as a result of this balance that the earth became conducive to evolution and survival of life. The interruption of this dynamic disrupts weather patterns and consequentially results in climate change.

Modern Structural Organization Theory: A Summary

Modern Structural Organization Theory: A Summary Introduction The â€Å"modern† structuralists are concerned with many of the same issues that the classical social structuralists were, but their theories have been influenced by and benefited greatly from advancements in organization theory since the second World War. â€Å"Modern† structuralists’ tenets are similar to Classical structuralists’ thinking: organizational efficiency is the essence of the organizational rationality, and the goal of the rationality is to Increase the production of wealth in terms of real goods and services. Structural organization theory is concerned with vertical differentiations (hierarchical levels of organizational authority and coordination, and horizontal differentiations between organizational units) such as those between product or service lines, geographical areas, or skills. The basic assumptions of the structural perspective: Organizations are rational institutions whose primary purpose is to accomplish established objectives; rational organizational behavior is achieved best through systems of defined rules and formal authority. Organizational control and coordination are key for maintaining organizational rationality. There is a â€Å"best† structure for any organization, or at least a most appropriate structure in light of its given objectives, the environmental conditions surrounding, the nature of its products or services, and the technology of the production process. Specialization and the division of labor increase the quality and quantity of production, particularly in highly skilled operations and professions. Most problems in an organization result from structural flaws and can be solved by changing the structure. The Most Important Theorists and Their Contributions Mechanistic and Organic Systems (Tom Burns and G. M. Stalker) The beginning of administrative wisdom is the awareness that there is no one optimum type of management system. They developed their widely cited theory of â€Å"mechanistic and organic systems of organization†, and Contribute to the creation of the â€Å"sociotechnical approach†. They found that stable conditions may suggest the use of a mechanistic form of organization where a traditional pattern of hierarchy, reliance on formal rules and regulations, vertical communications, and structured decision making is possible. Dynamic conditions(situations in which the environment changes rapidly) require the use of an organic form of organization where there is less rigidity, more participation, and more reliance on workers to define and redefine their positions and relationships. Either form of organization may be appropriate in particular situations. Characteristics of the â€Å"Mechanistic Management System† are: The specialized differentiation of functional tasks into which the problems and tasks facing the concern as a whole are broken down. The abstract nature of each individual task, which is pursued with techniques and purposes more or less distinct from those of the concern as a whole. The reconciliation, for each level in the hierarchy, of these distinct performances by the immediate superiors, who are also, in turn, responsible for seeing that each is relevant in his own special part of the task. The precise definition of rights and obligations and technical methods attached to each functional role. The translation of rights and obligations and methods into the responsibilities of a functional position. Hierarchic structure of control, authority, and communication. A reinforcement of the hierarchic structure by the location of knowledge of actualities exclusively at the top of the hierarchy, where the final reconciliation of distinct tasks and assessment of relevance is made. A tendency for interaction between members of the concern to be vertical (between superior and subordinate). A tendency for operations and working behavior to be governed by the instructions and decisions issued by superiors. Insistence on loyalty to the concern and obedience to superiors as a condition of membership. A greater importance and prestige attaching to internal (local) than to general (cosmopolitan) knowledge, experience, and skill. Characteristics of the â€Å"Organic Management System† are: The contributive nature of special knowledge and experience to the common task of the concern. The â€Å"realistic† nature of the individual task, which is seen as set by the total situation of the concern. The adjustment and continual redefinition of individual tasks through interaction with others. The shedding of â€Å"responsibility† as a limited field of rights, obligations, and methods. The spread of commitment to concern beyond any technical definition. A network structure of control, authority, and communication. The sanctions which apply to the individual’s conduct in his working role derive more from presumed community of interest with the rest of the working organization in the survival and growth of the firm, and less from a contractual relationship between himself and a nonpersonal corporation, represented for him by an immediate superior. Omniscience no longer imputed to the head of the concern; knowledge about the technical or commercial nature of the here and now task may be located anywhere in the network; this location becoming the ad hoc center of control authority and communication. A lateral rather than a vertical direction of communication through the organization, communication between people of different rank, also, resembling consultation rather than command. A content of communication which consists of information and advice rather than instructions and decisions. Commitment to the concern’s tasks and to the â€Å"technological ethos† of material progress and expansion is more highly valued than loyalty and obedience. Importance and prestige attach to affiliations and expertise valid in the industrial and technical and commercial milieux external to the firm. The Concept of Formal Organization (Peter M. Blau and W. Richard Scott) Social organization refers to the ways in which human conduct becomes socially organized, that is to the observed regularities in the behavior of people that are due to the social conditions in which they find themselves rather than to their physiological or psychological characteristics as individuals. Since the distinctive characteristics of these organizations is that they have been formally established for the explicit purpose of achieving certain goals, the term â€Å"formal organization† is used to designate them. They assert that all organizations include both a formal and informal element. The informal organization by its nature is rooted in the formal structure and supports its formal organization by establishing norms for the operation of the organization that cannot always be spelled out by rules and policies. It is impossible to know and understand the true structure of a formal organization without a similar understanding of its parallel informal organization. Organizational Choice: Product versus Function (Arthur Walker and Jay Lorsch) A manager facing the same basic question when he think about the form of his organization, whether to group activities primarily by product (various functional specialist working on a single product be grouped together under the same superior) or by function (all specialist in a given function be grouped under a common boss regardless of difference in products they are involved in). The manager should make choices based on these three criteria: Which approach permit maximum use of technical knowledge? Which provides the most efficient utilization of machinery and equipment? Which provides the best hope of obtaining the required control and coordination? The characteristics of manufacturing companies, the first are organized by product basis, and the other by function basis. For function based company: Less differentiation except in goal orientation. Integration is somewhat less effective. Confrontation of conflicts, but also â€Å"smoothing over† and avoidance; rather restricted communication pattern. Efficient, stable production, but less successful in improving plant capabilities. Prevalent feeling of satisfaction among the employees, but less feeling of stress and involvement. For product based company: Greater differentiation except in structure and time orientation. Integration is more effective. Confrontation of conflicts, open, face-to-face communication. Successful in improving plant capabilities, but less effective in stable production. Prevalent feeling of stress and involvement, but less feeling of satisfaction. They concluded that either structural arrangement can be appropriate, depending upon the organization’s environment and the nature of the organization itself. The Five Basic Parts of the Organization (Henry Mintzberg) Synthesized many schools of organizational management theory. Created a model of organizations with five interdependent parts: the strategic apex, the middle line, the operating core, the technostructure, and the support staff. Operating Core: the operators carry out the basic work of the organization. Strategic Apex: Those at the very top of the hierarchy, together with their own staff. The apex is charged with ensuring that the organization executes its mission. Middle Line: Managers that join the apex to the core. Middle line which transmits authority from the top to the bottom. Technostructure: The analysts carry out their work of standardizing the work of others, in addition to applying their analytical techniques to help the organization adapt to its environment. Support Staff: Supports the functioning of the operating core indirectly, that is, outside the basic flow of operating work. The interdependencies among the organizational members can be showed as: Pooled coupling: Members share common resources but are otherwise independent. Sequential coupling: Members work in series as in a relay race. Reciprocal coupling: Members feed their work back and forth among themselves in effect each receives inputs from and provides outputs to the others. In Praise of Hierarchy (Elliott Jaques) Managerial hierarchy is the most efficient, the hardiest, and in fact the most natural structure ever devised for large organizations. Properly structured hierarchy can release energy and creativity, rationalize productivity, and actually improve morale. Managerial hierarchy or layering is the only effective organizational form for deploying people and tasks at complementary levels, where people can do the tasks assigned to them, where the people in any given layer can add value to the work of those in the layer below them, and, finally, where this stratification of management strikes everyone as necessary and welcome. One of businesss great contemporary problems is how to release and sustain among the people who work in corporate hierarchies the thrust, initiative, and adaptability of the entrepreneur. Hierarchical structure has been the source of a great deal of trouble and inefficiency, the common complaint it face are: The excessive layering, too many rungs on the ladder. Information passes through too many people, decisions through too many levels. Few managers seem to add real value to the work of their subordinates. Hierarchies bring out the nastier aspects of human behavior, like greed, insensitivity, careerism, and self importance. Group authority without group accountability is dysfunctional, and group authority with group accountability is unacceptable. Group authority without group accountability is dysfunctional, and group authority with group accountability is unacceptable. Why Hierarchy? Managerial hierarchy is and will remain the only way to structure unified working systems with hundreds, or thousands of employees, for the very good reason that managerial hierarchy is the expression of two fundamental characteristics of real work: The tasks we carry out are not only more or less complex but they also become more complex as they separate out into discrete categories or types of complexity. The same is true of the mental work that people do on the job, for as this work grows more complex, it too separates out into distinct categories or types of mental activity. These two characteristics permit hierarchy to meet four of any organizations fundamental needs: to add real value to work as it moves through the organization, to identify and nail down accountability at each stage of the value adding process, to place people with the necessary competence at each organizational layer, and to build a general consensus and acceptance of the managerial structure that achieves these ends. Hierarchical layers depend on jumps in responsibility that depends in turn on how far ahead a manager must think and plan. He suggested as to make hierarchy work is to distinguish carefully between hierarchical layers and pay grades, and set up a different managerial hierarchy based on responsibility rather than salary. Companies need more than seven pay grades as a rule, many more. Technology as a contingency Factor (Richard M. Burton and Borge Obel) They covers technology’s effect on formalization, centralization, complexity, configuration, coordination and control, and incentives. They studied the effects that various dimensions of technology have on organizational design. The effects of technology assessed on six dimensions of organization: formalizations, centralizations, complexity, configuration, coordination and control, and incentives. Technology effects on formalization, propositions: If technology routineness is low, then formalization should be low. If technology routineness is high, then formalization should be high. If the organization employs many professionals, then Proposition 2 is not strong. If the organization is in the service industry, then the strength of proposition 1 and 2 is greater than if it is in the manufacturing industry. Retail and wholesale organizations can be expressed to fall in between. If the technology type is process(high automation), then formalization should be higher than it would be otherwise. If the organization uses modern information technology, then formalization should be high. Technology effects on centralization, propositions: If technology routineness is high and the size of the organization is small, then centralization should be high. If the organization is large and technology routineness is high, then centralization should be medium. Technology effects on organizational complexity, propositions: If the size of the organization is large and the organization has a technology that is routine, then complexity should be high(particularly horizontal differentiation). If the size of the organization is small and the organization has a technology that is routine, then complexity should be medium. If the size of the organization is large and has a nonroutine technology, then complexity should be high(particularly vertical differentiation). If the organization has a nonroutine technology, then the span of control should be narrow. If the organization has a routine technology, then the span of control should be wide. If the technology type is process(high automation), then complexity is high. Technology effects on configuration, propositions: If the technology type is unit, then it is more likely that the organization has a matrix configuration. If the organization has a nonroutine technology, then the functional configuration is not likely to be an efficient configuration. If the technology is not divisible, then the configuration cannot be divisional. If the technology is divisible, then it isn’t very likely that the configuration should be a matrix configuration. If the organization has a nonroutine technology, then it isn’t likely that machine or professional bureaucracy is an efficient configuration. If the technology isn’t nonroutine, then the configuration can’t be an ad hoc configuration. Technology effects on coordination and control mechanisms, propositions: If the size of the organization isn’t small and if the technology is routine, then coordination and control should be obtained via rules and planning, and a media with low richness and a small amount of information can be used. Incentives should based on procedures. If the technology is nonroutine, then coordination should be obtained via group meetings, and a media with high richness and a large amount of information can be used. Incentives should based on results. If the organization doesn’t have a dominant technology, then the technology structure recommendation should be discounted relative to other contingency factor.

Psychological Assessment 1 Midterm Multiple Choice :: essays research papers

Identify the letter of the choice that best completes the statement or answers the question. __D__ 1. Psychological tests a. pertain only to overt behavior. b. always have right or wrong answers. c. do not attempt to measure traits. d. measure characteristics of human behavior. __C__ 2. One's general potential, independent of prior learning, can best be described as a. achievement. b. aptitude. c. intelligence. d. ability. __D__ 3. Achievement, aptitude and intelligence can be encompassed by the term a. human potential. b. human traits. c. human personality. d. human ability. __B__ 4. The work of Weber and Fechner represent which foundation of psychological testing? a. individual differences b. psychophysical measurement c. survival of the fittest d. Darwinian evolution __B__ 5. A child's mental age a. cannot be determined independently of the child's chronological age. b. provides a measurement of a child's performance relative to other children of a particular age group. c. cannot be determined from a child's test score. d. can only be determined from large representative samples. __A__ 6. A major problem with the Woodworth Personal Data Sheet was that a. it assumed the answers were acceptable at face value. b. the normative sample was too small. c. it was difficult to administer. d. there were too few questions. __D__ 7. Factor analytic techniques were employed in the development of the a. MMPI. b. CPI. c. TAT. d. 16PF. __C__ 8. Which of the following scales would be used when the information is qualitative rather than quantitative? a. ordinal b. interval c. nominal d. ratio __C__ 9. In the Civil Rights Act of 1991, Section 106, a. within group norming was made legal. b. employers were prohibited from using test scores in hiring decisions. c. within group norming was made illegal. d. employers were prohibited from transforming test scores. __D__ 10. Each point on a scatter diagram represents a. the variance of a set of scores. b. the standard deviation of a set of scores. c. where an individual scored compared to the mean. d. where an individual scored on both x and y. __D__ 11. In a negative correlation, a. individuals tend to maintain the same or a similar relative performance. b. scores on one variable tell us nothing about scores on a second. c. individuals who score low on one variable tend to score low on a second. d. high scores on the x variable are associated with low scores on the y variable. __A?__ 12. Which of the following correlations represents the strongest relationship between two variables? a. .01 b. .85 c. .80 d. .50 __C__ 13. If the scores on X give us no information about the scores on Y, this indicates a. a positive correlation. b. a negative correlation. c. no correlation. d. a perfect correlation.

Creon and Oedipus Essay

Oedipus the King, the tragic hero is most certainly Oedipus. Oedipus, first of all, is a good man. When he declares, â€Å"My spirit grieves for the city† (l 75-76), he shows a deep passion. His sympathy for his people and his desire to be their savior, he earns the respect and love of the people.The respect of the people is crucial in creating the tragic effect that comes with a tragic hero’s downfall, and Sophocles utilizes this by means of giving Oedipus human qualities and a tragic flaw. Passionate, yet stubborn. In this case of his tragic flaw, his lack of knowledge of his true identity is coupled with the peoples awareness of his fate. Then, when Oedipus finds himself in the dilemma after talking to Tiresias, the people feel his pain and are afraid for his life, knowing that nothing he does can prevent the tragedy from occurring. When Oedipus finally falls from the throne, he doesn’t kill himself, rather he gouges out his eyes. The symbolic blinding of Oedipus suggests that he has experienced renewal and sees the truth. Antigone, the first part of the Oedipus Trilogy, also depicts the theme of a tragic hero. Through the character of Creon, Sophocles greatly conveys the essential elements of a tragic hero. Creon is, first, king of Thebes, this illustrating his high state, but he more importantly shows characteristics of nobility and virtue. In mentioning the Chorus, he announces that, â€Å"These are my principles. Never at my hands will the traitor be honored above the patriot. But whoever proves his loyalty to the state I’ll prize that man in death as well as life† (l -5). Creon puts his country above all else, and for this, he shows characteristics of a tragic hero and nobility. His imperfection is later shown in his pride. After Tiresias warns him of his transgressions, Creon declares, â€Å"It’s a dreadful thing to yield†¦but resist now? Lay my pride bare to the blows of ruin? That’s dreadful too† (l 11-11). His unwillingness to let go of his pride for the gods shows his main tragic flaw, and with it brings his lonely downfall. Creon’s fall is not a total loss, and he finds a sense of awareness and self-knowledgment. He says, â€Å"Ohhh, so senseless, so insane†¦my crimes, my stubborn†¦Oh I’ve  learned through blood and tears!† (l 1-1404). Creon reaches a point, from which the people also learns. By expressing nobility, downfall through flaw, Creon undoubtedly serves as a perfect example of the tragic hero’s essence.

Life events

What are the 3 moments in my life that made me into the person I am today. Well when I was first asked that question by my teacher I kinda laughed to myself. This is going to be easy Just take three things that have happened to me that kinda of go with each other throw in some deep heart moving things that teachers eat up and call it done. When I started I chose my adoption ,my brothers adoption and my puppy adoption all events that follow a close thread easy to write about and all happy tear Jerker events. As I started writing them up I immediately felt that these werent the events I should be writing about.The adoption of my brother wasnt really all that important to me. What some government papers say and a Judge decides means little to me. My brother is my brother thats it , the kid fought for my love thats the story I want to tell how a little boy taught me to love and care for somebody else. A love I sealed off by naming him. Then my adoption it sounds contradictory to my previ ous statement but this event is not really so much about me being accepted into my family by some old dood with hammer but about the happiness one feels when a fight has been won the happiness and Joy a young child an see on his parents face. astly the adoption of my puppy Just really wasn't all that life changing. Sure she is cute and amazing and I could probably type it up to make it a cute boy-meets-dog story that makes the reader feel all warm and fuzzy. Once again, that's not an event that changed me. Instead I want to tell you about a small talk that changed my view on life. let me tell you about the first event. My brothers name is Joshua kevin Shupe- Shellooe but when he first came to us he was simply Mario a name I personally hated. When my brother and I met I didn't like him.With his constant whining and rying but what really got me was he would never talk. He would do everything but talk to get what he needed. He would follow me around non stop and copy all my actions. I hated him. I was mean to him and tried everything I could do to to get him to leave me alone and leave the family. There was one point when my parents considered not going through with the adoption. Josh was a never-ending ball of love to me and I didn't get it. I was doing everything I could think of to make him hate me. It seemed as if the more I tried to hate him, the more I fell into his neverending spell f love.After awhile I couldn't help but to start to love him. The little kid with the toothless smile and the eyes that held the vast wisdom that only can be found in the eyes of a young child. He was teaching me love and compassion and he had no clue. He name was still Mario but he was Mario my friend. As time went by he started to open up. He started to talk a little and always asked for me, his big brother, to tuck him in. Always full of questions that a six year old, know it all either answered correctly or made up something that sounded right. He always cared for everybody .He was the kid who was always willing to give you the last Juice box or let you watch your favorite tv show Just to make you happy. He was still Mario though my friend not my brother but that soon changed. It changed one early morning while my Dad and Pop were throwing around names that we could call Mario. Out of nowhere I said his name is â€Å"Joshua†. my parents were a little shocked but they liked the name and brother. Now that I think about it, what better name for a boy that tore down the barriers and showed me blind love and taught me care and faith in the unknown. The name Joshua comes from the Bible.He was the leader of the Israelites after Moses. One of the most important and most well known stories of Joshua is when he marched around the gates of Jericho and his army and him blew rams horns and marched seven days around the city of because God had told Joshua that on the seventh day the walls would fall. This reminds me of my brother Josh. He followed blind love and faith and he tore down the walls I had around my heart, much like Joshua in the Bible and his blind faith. For me this was an event that changed me. I learned love and I learned care from a boy of only two years old.The second event was my adoption though it went before Joshuas im choosing to explain the events by the most impactfull for me. lt started as all adoption days start . I got up and my Pop and Dad gave me a bath. They obsessed over my hair and my brand new suit. As a kid I loved getting all dressed up it gave me a reason to forget who I was and pretend I was someone else. I remember walking out the door and feeling like I was the boss and the baddest thing to hit this earth since sliced bread. I got in the car and my parents prept me on what I was going to be asked and how I should answer.Behind all the prep talk I could see the pure excitement and Joy in their eyes and tears. Even though I was young I knew this was a big deal I knew that this was the day that my fath ers and I were going to be together forever if all went well. I knew we were a family whether or not it went well but somehow even at a young age I felt that the adoption was more for them than me it was a sign to them that all there hard work had paid off and they could feel the pure Joy and excitement ofa child . I couldn't help but feel excited too. When we got to the courthouse in san jose my godmothers were there my uncle dale and cousins and my godfathers.Everybody was asking me if I was excited and there was a never ending stream of kisses and hugs. they told me to weight in a side room well they finished up the rest of the paper work after what seemed like a lifetime of waiting they finally brought me in and lead me two the courtroom. When I walked in we sat down in chairs in front of the Judge. At the time I was a little more excited with the fact that there was a microphone on the desk. I kept singing songs and yelling into it. Finally the Judge told me to stop and asked m e a serious of long questions that I can't begin to remember. Which I answered yes too to them all.There was one question I do remember it was the last question he asked me † Do you Alexander Ignacio Shupe-Shellooe take these two loving parents to be your parents for the rest of your life i said mies†. At that point my Pop started to cry I didn't get why he was crying I felt bad I thought I said something wrong. â€Å"Pop why are you Crying† â€Å"Because I'm so happy son† I didn't get it then but I do now. After the long search for their child the struggle to get me in there home the fght against hatred and stereotypes to finally have the government let me n my parents home it was finally over they had won.As I grew older I became more aware of the underlying significance of this event. I promised myself that one day i would find a dream and pursue it to the end so I can feel the Joy my Dads felt and the overwhelming happiness . The last event is a small c onversation i had that made me think and wonder about the other kids think , you're a warrior Alex I know you can make it so dont bring yourself down you have made it through two years of treatment you have tought me alot. lll miss you I have seen you grow and have witnessed your pain and your hurt.You have gone from a kid who punched walls till his knuckles bled and would fght any kid who looked at him wrong cause he was scared of everything . Tto who you are now a kid who looks after the younger boys whos a leader in this school and has helped the school through some of the roughest times. You still have anger and pain don't forget it. Use it to fuel you to pursue your dreams smile big love your life but don't forget the hurt † That was the last time I ever talked to Sean, Sean was my mentor the wise man who lead me and guided me through my work through treatment. The words he Just spoke to me would change me. as leaving treatment for the first time in two years getting read y to embark on a new Journey. I couldn't help but wonder if it was all worth it if the experience was really a life changing event. I thought about Sean and the kids I have met the tears I've shed and the Joy I had felt. I started to realized that no matter how bad it was I would never take it back . The days I woke up early and had to work in the yard tending plants and gardening and picking fruits to the kids I had swear to me they kill me to the adults that pounded in manners and respect into my mind. Those were things that made e into who I am now.I knew that when I left treatment I was leaving as a new kid. I no longer hated the world for the hurt I felt when I was younger or for putting me in treatment. I love the world I have learned to cherish everything I have and be thankful for all the gifts I have been givin . 1 realized that behind all the pain and hurt and anger is sadness. I was going to use the sadness to fuel my determination to do better in my life. Even though I w as leaving and didnt know what was going to happen I had new insight on how to handle hard things in my life. How do all these experiences connect with eachother.They all contain a overall blanket lesson percervierence. Weather or not it was my brother pushing for my love and exceptince or my parents struggle and fght to have me legally called there son or even a simple chat to one friend to another about never giving up these all talked about the struggle to move forward. These are the stories that made me into who I am now. Who I am I im Alexander Ignacio Shupe Shellooe a loving caring percerverent boy who is striving and looking for a goal that gives him happiness and joy and does not fear hardship because thats what will fuels him for success in his life.