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Please check this document for sentence structure, word choice, punctuation, and grammar. I'm struggling with a closing sentence. While analyzing my...

Please check this document for sentence structure, word choice, punctuation, and grammar. I'm struggling with a closing sentence.

While analyzing my nursing philosophy that was written a year ago. I realized most of my philosophy remain unchanged, however, I'm able to expand my nursing philosophy to include new beliefs which are important to the care of the patient. This will help me to become a holistic nurse and display my commitment to patients that I'm willing to expand my knowledge through learning to provide current and safe care. 

 In my sustainability and technology class, I've learned the important role the environment has in people lives and how it can affect their health. According to Norman et al. (406), caring for the environment is essential for a healthy and happy life. Florence Nightingale emphasizes the impact of the environment in people's life. Caring for the environment enhances the availability of clean water, healthy food, and quality air. Furthermore, caring for environment ensures a place that is conducive to living, learning, and working. When people don't have quality air, clean water, or access to healthy foods they become vulnerable. As a nurse, I need to champion causes that prevent people from becoming vulnerable.  

Since writing my nursing philosophy a year ago, I've made a new revelation about myself. I have always advocated for life when caring for my patients, but, I understand that death could be the inevitable outcome. In the beginning, I would make judgments about a family's selfish need to keep their loved one alive. After reading the course literature in LA 340, my perspective began to evolve. Beginning with Jefferson in the novel, A Lesson Before Dying by Ernest J. Gaines, I initially wanted Jefferson's sentence to be changed to life in prison without parole and not death. However, I began to realize I was being selfish in thinking this way. For Jefferson, he may not have wanted to spend his entire life in prison for a crime he did not commit. Perhaps for him, death was an opportunity to escape two prisons: the racist South and state prison. In the screenplay, In America by Jim Sheridan, Frankie is a young boy who died from a brain tumor. I so wanted Frankie to come back to life because the aftermath of his death had such a crippling effect on his family. Here I find myself being selfish again, but realizing that if Frankie had survived, his quality of life would have been greatly diminished. Then there is Mateo who is dying from AIDS after receiving a blood transfusion from infected blood products. I wanted Mateo to live because he finally had friends who cared for him and he was no longer alone. However, I understand that in the 1980s, treatment for AIDS was not very developed and Mateo would have had a debilitating life. 

  All the coursework prompted me to analyze myself as a nurse. As a nurse, I was not as compassionate toward the families as I should have been. When I'm caring for the patient I need to also remember that I'm caring for the family as well. I was so emotionally vested in the characters that I wanted them to all survived at any cost, even to their detriment. My patients' family members are emotionally vested into the patients as well. I was wrong in making assumptions about patient's families. It's my role not to judge but help the families make the best decision they are able to live with for the rest of their lives.

 It was interesting rereading my nursing philosophy so long after writing it. I knew I had grown as a nurse after reading it because I noticed instantly what I would have like to be added. 

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