Thursday, December 13, 2012

What I Learned in English 111 - Final paper


What I Learned in English 111
An Evaluation of My Learning and Performance

Although I was always good at reading, grammar and punctuation, this is probably the hardest part for me as I have never been good as self-evaluation, much less writing about it.  It’s not that I mind writing; I just have a hard time putting things into words or explaining things.  I don’t know that this portfolio based on its content would earn me an “A” in English 111; however, I do feel that if all aspects of the class are considered, such as I was in attendance for all classes except when I was sick and my daughter had surgery, I stayed and helped Darrell and Sara with setting up their Blogs, answering questions and repeating what was discussed in class to “the girls in the back”, I did participate in class discussions, as well as offering my SDV portfolio to the class as reference material for their work.  Oh, and I also have proof of voting which was offered as extra credit and I will load a picture of that as well.  Ok, here goes nothing and my attempt to give you what you are asking for….

General Course Goals:
I learned to adapt my writing to different genres, such as my Rhetorical Analysis, Restaurant Review and Life Files.  I did demonstrate academic integrity and the appropriate use of others’ ideas and feed back in producing effective communication as evidenced by my draft and final copy of my Ethics paper that you reviewed for me.  Also, I demonstrated college-level written and oral communication skills as noted on my SDV Final Portfolio Assessment.

Rhetorical Knowledge:
One of the first things we started learning in English 111 was about Rhetoric; or how to be a better communicator, which includes what you can and cannot write about, who your audience is and how they will receive my message.  One of the things that were learned about Rhetoric was how to write a Rhetorical Analysis which is basically when you write about something and have to break down the means of understanding by giving the argument, followed by the major claims and evidence to support the claims.  I did this in my Rhetorical Analysis which is posted in my blog on my Op-Ed article, “Keep politics out of examining room” published in the Richmond Times Dispatch on September 15, 2012. Here is also an example of the Rhetorical Triangle we used.

Message:
What is said or written-book, papers, articles, etc.
Whether in print, online or spoken

  
                                         Author:                                               Audience:
                              Creates the message                          Receives the message


Process:
We learned about the six steps to the writing process which includes:
1. Pre-writing:
·         Figuring out what you want to say
·         Brainstorm and free write ideas
·         Find out who your audience is and your genre
·         Determine what you can and should say

2.  Drafting:
·         Writing ideas about what you want to say on paper
·         Manipulate your ideas
·         Draft ideas in stages


3.  Revision:
·         Reorganize and work with the draft in sections
·         Adding and cutting
·         Focusing on revision while producing a “Deep Level” draft or a draft that is somewhat complete with terms and ideas

4.  Proof Reading and Editing:
·         Setting up your format
·         Checking spelling, grammar and punctuation
·         Rereading at the sentence level making sure all is fine
·         Work on elements of presentation
·         Editing is done by someone else
·         Proofreading is done by the author

5.  Publishing or Delivery:
·         Getting your information in front of your audience
·         Making sure you can publish
·         Audience accepts the delivery
·         Let go of work and turn in what is written

6.  Review:
·         Did I accomplish my purpose?
·         Opportunity to make process better the next time
·         Rhetorical Memory – Tweak and learn about your process and how to improve it; learn what rhetorical moves worked and what didn’t

Critical Thinking, Reading and Writing:
Critical thinking begins with Rhetorical Charity which is that the author is worth spending time to understand.  With critical thinking, we also have to determine if an argument is good or a claim is true when presented to us as well as be able to format our own good arguments.  When writing, we should always take our audience into consideration and make sure that we are able to get our message across to them.

Oral Communication Skills:
This brings to mind when we were learning about proper posture, standing in groups having little discussions, learning how to draw people into the conversations so they don’t feel alienated.  We also learned about engaging our audience with an exercise when Jose stood in front of the room and had to make eye contact with the class.

Digital Technology:
I was not very familiar with Google Docs or Blogger, but after setting up a new account for English 111, and learning how to navigate around Google, I am finding it fairly easy to use even though I am still in the learning stages.  I have merged multiple Google accounts, used Google Docs for saving my work in the cloud, as well as merged my calendars.

I think I have definitely learned many new skills and techniques from English 111 and will be challenging myself to try and incorporate them into future classes when it comes time for writing papers and doing the research, as well as using better oral skills as I progress in my career.

Draft of what I learned in Eng 111

This is a link to my draft of what I learned in Eng 111 that we started in class last week.

https://docs.google.com/open?id=0B8f-s_Cu66u_b1ROUnFxVkxENWc

Ethics Term Paper Evidence - FINAL COPY


Debra Powell                                                                                                 Final Term Paper
Ethics - PHI 220                                                                                         12/06/2012
Professor Latartara
How Reliable Is Your New “Used Car?”
The purpose of this paper is to educate buyers on the importance of researching the history and mechanical condition of a used car. The reason I chose this topic is because I was working for a used car dealer at the time, and was faced with the ethical dilemma of choosing what was best for me or for my former employer and co-workers. I was in a position to report my employer to the Automobile Dealer Board as well as the Virginia State Police for state inspections, on what was basically an illegal matter, knowing that it could cost me as well as many others their jobs.  I could have used the Principle of Utility, however, after going through the seven values and knowing that a decision based on utility would not maximize pleasure or minimize pain since, I opted to go with the Golden Rule and the concept of reciprocity,
Have you ever gone car shopping because it is time for a new car, or you just
need another family vehicle? Did you end up buying a lemon? It is vital that car buyers take the time to research the history and current mechanical condition of any used car they are considering buying, beginning with asking the dealer for a Car Fax report, and a copy of the service ticket showing what work or repairs, if any, were made by the dealer.
Often, prospective buyers go into a dealership trusting that what they are told is the truth, however, there is the old adage, “Buyer Beware”. I feel this subject is appropriate because car buyers are often taken advantage of by used car dealers. My goal is to answer the question, “Did you end up buying a lemon?” and I will use ethical principle, empirical theory of truth and critical thinking to show why it is best to do your research. Having been in the automotive business for almost 19 years, though not in a sales position, I have seen numerous issues with customers not getting what they thought they purchased. The reason I chose this subject is because I was almost one of those buyers; however, I chose to do some research on the car I was considering buying and have evidence to support that the dealership was attempting to sell me an unfit car. Although the car was on what a dealer calls the “front line”, meaning it was put through the service departments shop, had repairs done, and passed inspection, so it was ready to sell, I can demonstrate that the vehicle I intended to buy should not have been on the front line and it should not have passed inspection, based on the empirical theory of truth.
Earlier this year I had found myself in a situation where I needed a second vehicle, nothing elaborate, beautiful, or expensive, it just had to be mechanically sound and last me at least a year and a half, maybe two years. Of course with working for a used car dealer I felt somewhat obligated to find a car through my employer. After test driving several cars, my sales manager told me he had the “perfect car” for me, and “although the mileage is high, it was front line ready and passed state inspection on January 13, 2012”. He then handed me the keys to a 2002 Ford Taurus. Upon closer look, the car seemed to be in fairly decent condition, with only a few dings and scratches, and the interior was immaculate. Trusting what he told me, I asked if I could take the car for the weekend and see if it’s what I wanted, he agreed without hesitation.
Over the course of the weekend I could smell oil burning, which is not uncommon when an oil change has just been done; but rather than take a chance, a personal friend of mine, who is an ASE certified mechanic for over 30 years, said he would look at the car for me. He told me that there was so much oil covering the engine that it was hard to say definitely or not, but he suspected with great certainty that there were several oil leaks, including the head gasket, which means it would need a new motor. Upon returning to work the following Monday, I expressed my concerns to my sales manager and he said it was probably residual oil, but he would have one of the mechanics in the service department check out the vehicle again due to my concerns.
The service manager told the sales manager that the vehicle checked out            fine, it passed a block test, as evidenced on repair order #928427 (Document #1) and there was no cause for concern. With this in mind, on February 17, 2012, we agreed on my purchasing the car with the stipulation that if there was in fact a head gasket leak, the dealership would buy the car back from me, as evidenced by document labeled “We Owe” (Document #2).  While I was waiting for the paperwork to be prepared for me to sign which I knew would be a few days, I took the car to a local Ford dealer on 02/21/12, because something told me that the car was not mechanically reliable, and I found out more than I expected. Not only were there several oil leaks, a trans-servo leak, which is part of the transmission; but the ball joints were loose also. The Taurus should have never passed inspection because there was moisture in the headlight, and the tie-rod ends, which are part of the suspension, were loose or had play in them, as a mechanic would say, as well (Documents #3, 4 & 5). These items in particular are listed on the Virginia State Inspection checklist (Document #6). Needless to say, I immediately refused to purchase the vehicle and I have to add that I think the Ford dealer exemplifies the kind of establishment that I would recommend dealing with.
In conclusion, I would recommend all used car buyers ask for a Car Fax, a copy of the service history from the dealer to see what they did to the car, as well as take the vehicle to a mechanic outside of the dealership that you plan to buy from, to have the vehicle looked over. Most auto repair shops or car dealers can do a complete check up on the vehicle for $100.00 or less (Document #7), but keep in mind that whether the vehicle checks out or not, logically, the money spent for a check up could end up saving you thousands down the road.

Ethics Term Paper Evidence - DRAFT

This is the link to my DRAFT copy of the Ethics term paper you helped me with.

https://docs.google.com/open?id=0B8f-s_Cu66u_c2tPUkphbDBtZVk

SDV Final Portfolio Assessment


This is the link to my SDV Final Portfolio Assessment by Professor Morrison

https://docs.google.com/open?id=0B8f-s_Cu66u_WXR4dWhYQjlUZzQ

Wednesday, December 12, 2012

Extra Credit - I VOTED


Extra credit....I VOTED!!!

Research Paper - Registered Nursing


Research Paper Registered Nursing

Based on my Wizard research we did in the SDV class, it shows that nursing is one of the first career paths recommended for me based on the answers I gave for the assessments.  Also, there were numerous career options within the medical field that were listed as well; leaving me to feel that nursing is the right choice.  After meeting with an advisor and going over my goals and expectations, she asked me some personal questions about my life and I shared some of my experiences with her.  She said that she felt that I was definitely headed in the right direction and I had a natural gift of compassion that many people do not have when it comes to dealing with people, illness and death.  I understand that the Associate of Applied Science degree is not a transferable degree, however many of the courses I am taking have transferable credits so that if I choose to transfer to VCU, which is my current plan, then many of the classes I take will be applied there.
The next steps I need to pursue in order to obtain my degree and move on to final college and career goals, since I am only finishing my first semester, are going to be to keep my grades up by completing all given assignments, studying, getting tutoring as needed and getting the grades necessary for placement into the JSRCC nursing program.  Toward the end of the first semester, around mid-October, I will be meeting with an advisor about what classes to take in the second semester and registering for them in early November, which will leave me with my final list of classes that I will need for the last semester.  During the second semester I will be talking to someone about my transfer options and what is required for a transfer to VCU to obtain my Bachelors of Science in nursing, as well as start preparing a resume in order to get a job after I have gotten my AAS from JSRCC.  I am planning to work part-time while I continue my education.
Nursing is something I have wanted to pursue for about 25 years but never did until recently.  Upon doing the research for this paper, it has been reaffirmed to me that my choice it the right one not only based on the job availability and the salary range, which is very inviting to say the least, but the fact that there is a wide variety of areas I can work or specialize in, such as:
A.         Pediatric Oncology nurse works with children and teens that have cancer.
B.        Addiction nurses care for patients who need help to overcome addictions to alcohol, drugs, tobacco, and other substances.
C.        Cardiovascular nurses treat patients with heart disease and people who have had heart surgery.
D.        Critical care nurses work in intensive care units in hospitals, providing care to patients with serious, complex, and acute illnesses and injuries that need very close monitoring and treatment.
E.        Genetics nurses provide screening, counseling, and treatment of patients with genetic disorders, such as cystic fibrosis and Huntington's disease.
F.         Neonatology nurses take care of newborn babies.
G.        Nephrology nurses treat patients who have kidney-related health issues that are attributable to diabetes, high blood pressure, substance abuse, or other causes.
H.        Rehabilitation nurses care for patients with temporary or permanent disabilities.

Advanced practice registered nurses may provide primary and specialty care, and, in most states, they may prescribe medicines. All states specifically define requirements for registered nurses in these four advanced practice roles:
1.         Clinical nurse specialists provide direct patient care and expert consultations in one of many nursing specialties, such as psychiatric-mental health.
2.         Nurse anesthetists provide anesthesia and related care before and after surgical, therapeutic, diagnostic, and obstetrical procedures. They also provide pain management and emergency services.
3.         Nurse-midwives provide care to women, including gynecological exams, family planning advice, prenatal care, assistance in labor and delivery, and care of newborns.
4.         Nurse practitioners serve as primary and specialty care providers, providing a blend of nursing and primary care services to patients and families.
            The final decision for me to return to school after 26 years was my mother. In June of 2010 she was diagnosed with Stage 4 lung cancer that metastasized to her bones.  I was the one who stepped up to the plate and took care of her, made sure she ate, got her meds, took her to radiation and chemotherapy weekly, and, as her cancer progressed I got a friend who is an RN to stay with her during the day while I worked and I stayed with her at night.  My children sacrificed for me so that I could take care of their granny.  There were many nights of no sleep, and toward the end when she was home on hospice, I had to give her meds every 2 hours around the clock.  It was at that moment when I knew what my calling was and where I needed to be in my career.  This was a promise I made to myself and to my mother just before she passed in June 2011.



Questions for Research Paper


Questions for Research Paper:

1.  What is the average salary for Registered Nurses?
             
The median annual wage of registered nurses was $64,690 in May 2010. The median wage is the wage at which half of the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $44,190 and the top 10 percent earned more than $95,130.

As shown below, the median annual wages for registered nurses in private general medical and surgical hospitals were $66,650 in May 2010, highest among those industries employing much of the occupation.

General medical and surgical hospitals; private $66,650
Offices of physicians $62,880
General medical and surgical hospitals; local $62,690
Home health care services $60,690
Nursing care facilities $58,180

Many employers offer flexible work schedules, child care, educational benefits, and bonuses. About 19 percent of registered nurses are union members or covered by a union contract.

2.  What is the job availability and growth rate annually for RN’s?

As of 2010, there were 2,737,400 jobs available in my selected field with 21.8% being part time and there is an expected change of 711,900 positions available between 2010-2020.  Employment of registered nurses is expected to grow 26 percent from 2010 to 2020, faster than the average for all occupations.

Growth will occur primarily because of technological advancements, permitting a greater number of health problems to be treated; an increased emphasis on preventive care; and the large, aging baby boomer population who will demand more healthcare services as they live longer and more active lives than previous generations. Faster than average growth is expected in traditional hospital settings, as well as in non-hospital settings, such as physician’s offices and home healthcare services.  Growth is expected to be much faster than average in outpatient care centers, where patients do not stay overnight, such as those that provide same-day chemotherapy, rehabilitation, and surgery. Also, an increased number of procedures, as well as more sophisticated procedures once done only in hospitals, are being done in physicians' offices.  The financial pressure on hospitals to discharge patients as soon as possible should mean more people admitted to extended and long-term care facilities and more need for home healthcare. As the baby boomers grow older, there will be greater demand for home healthcare.  In addition, because many older people want to be treated at home or in residential care facilities, registered nurses will be in demand in those settings. Job growth is also expected in facilities that provide long-term rehabilitation for stroke and head injury patients, as well as facilities that treat people with Alzheimer's disease (memory loss, dementia).

Overall, job opportunities for registered nurses are expected to be excellent. Employers in some parts of the country and in some employment settings report difficulty in attracting and keeping enough registered nurses.  Job opportunities should be excellent, even in hospitals, because of the relatively high turnover of hospital nurses. To attract and keep qualified nurses, hospitals may offer signing bonuses, family-friendly work schedules, or subsidized training.  In physicians' offices and outpatient care centers, registered nurses may face greater competition for positions because these jobs generally offer regular working hours and provide more comfortable working conditions than hospitals.

Generally, registered nurses with at least a bachelor’s degree in nursing (BSN) will have better job prospects than those without one.  In addition, all four advanced practice registered nurses—clinical nurse specialists, nurse anesthetists, nurse-midwives, and nurse practitioners—will be in high demand, particularly in medically underserved areas such as inner cities and rural areas.

3.  What are the requirements for a Registered Nurse position?

In all nursing education programs, students take courses in nursing, anatomy, physiology, microbiology, chemistry, nutrition, psychology and other social and behavioral sciences, as well as in liberal arts. BSN programs typically take four years to complete; ADN and diploma programs usually take two to three years to complete.  All programs also include supervised clinical experience in hospital departments such as pediatrics, psychiatry, maternity, and surgery. A number of programs include clinical experience in extended and long-term care facilities, public health departments, home health agencies, or ambulatory (walk-in) clinics.

Bachelor's degree programs usually include more training in the physical and social sciences, communication, leadership, and critical thinking, which is becoming more important as nursing practice becomes more complex. They also offer more clinical experience in nonhospital settings. A bachelor's degree or higher is often necessary for administrative positions, research, consulting, and teaching.

Generally, licensed graduates of any of the three types of education programs (bachelor's, associate’s, or diploma) qualify for entry-level positions as a staff nurse.  Many registered nurses with an ADN or diploma find an entry-level position and then take advantage of tuition reimbursement benefits to work toward a BSN by completing an RN-to-BSN program. There are also master’s degree programs in nursing, combined bachelor’s and master’s programs, and programs for those who wish to enter the nursing profession but hold a bachelor’s degree in another field.

4.  Where would I be able to work in my field?

As the largest healthcare occupation, registered nurses held about 2.7 million jobs in 2010. The industries that employed the most registered nurses in 2010 were as follows:

General medical and surgical hospitals; private 48%
Offices of physicians 8%
General medical and surgical hospitals; local 6%
Home health care services 5%
Nursing care facilities 5%

The remainder worked mainly in government agencies, administrative and support services, and educational services.  Most registered nurses work in well-lit, comfortable healthcare facilities. Home health and public health nurses travel to patients' homes, schools, community centers, and other sites.  Some registered nurses work in correctional facilities, schools, summer camps, and nurses often work with the military. Some move frequently, traveling in the United States and throughout the world to help care for patients in places where there are not enough healthcare workers.

5.  What would the work schedule be like?

Because patients in hospitals and nursing care facilities need round-the-clock care, nurses in these settings usually work in rotating shifts, covering all 24 hours. They may work nights, weekends, and holidays. They may also be on call.  Nurses who work in offices, schools, and other places that do not provide 24-hour care are more likely to work regular business hours.  In 2010, about 20 percent of registered nurses worked part time.
            
Source:  U.S. Department of Labor Statistics and Occupational Outlook Handbook

Tuesday, December 11, 2012

Technical Difficulties Photo - Using 2 computers


Having technical issues trying to work on Eng 111 Blog - Have to work off of 2 computers.  See photo in link below.


https://docs.google.com/open?id=0B8f-s_Cu66u_Y3ROYmVmdXRGODg

Resturant Review Draft & Final Copy

Resturant Review Draft & Final Copy


Draft Copy:  https://docs.google.com/open?id=0B8f-s_Cu66u_VkUyN1NPb0o5UDg

Final Copy:  https://docs.google.com/open?id=0B8f-s_Cu66u_UXhwWDQ2aDhBZ0k

Rhetorical Analysis Worksheet




https://docs.google.com/open?id=0B8f-s_Cu66u_NlN4VW9BdnA4WVE

Rhetorical Analysis








Debra Powell
Eng 111
Professor Brandon
10/04/2012
Rhetorical Analysis
        In my article, “Keep politics out of examining room” published in the Richmond Times Dispatch on September 15, 2012, Koziol argues, “Rules and regulations governing medical practice should be based on sound evidence based medicine, not politics.”  Virginia Attorney General Ken Cuccinelli is trying to bully the Virginia Board of Health into basing their decision on political ideology.  I found Dr. Koziols’ argument persuasive because his argument on is based on his credentials and knowledge in his field.
        The attorney general is trying to force regulations that would require these clinics to comply with building standards that are designed for the construction of new hospitals, and are not required by any other healthcare facility in Virginia.  Koziol says, “Renovations to meet these rules could run into the millions of dollars and are cost-prohibitive.”
He states that the government focus on women's health clinics has little to do with patient health and safety; how could it, when abortion is one of the safest out patient procedures performed in the United States.  According to the Guttmacher Institute, less than 0.3 percent of patients experience complications that require hospitalization; the Board of Medicine already regulates Virginia, and doctors who provide abortions must meet the same medical standards that are applied to other physicians by the Board of Medicine.
Koziol says that “what does affect women’s health is their ability to access comprehensive reproductive care,” and advocates interested in promoting women’s health should focus on increasing access to woman health clinics, not shutting them down. These clinics provide a range of reproductive health care, including life saving cancer screenings, STD testing and family planning services; it is an important resource for low-income woman to be able to access vital preventative care.
Koziol knows that abortion is a controversial issue, but says that the proposed regulations subject to women’s health clinics to onerous rules that is unrelated to patient safety and is required of no other similar practice. He says the purpose is clear: to circumvent the law in order to limit women’s constitutional rights to access safe and legal abortions.  As a doctor, Koziol takes a lot of factors into consideration when helping patients make decisions about their health care.  The opinions and agendas of politicians and bureaucrats aren’t on his list; they have no place in the doctor’s office and no place formulating these regulations.

Choose 5 Topics



Choose 5 Topics



Directions:  Choose 5 topics and write one sentence about each topic.  Each sentence must be three or four independent clauses long.



1.         It has been raining out, although there are no clouds in the sky; however, it is possible to have sun showers.

2.         I would love to be able to save lots of homeless animals; but, I know financially it would be a burden.

3.         Although, I only work a part time job, being a full time student and single mother; actually, makes it feel like full time.

4.         After hurricane Sandy move out of the area, there was much devastation left behind; however, many people have pulled together to help cleanup efforts.

5.         I think my daughters are beautiful; however, I have seen other beautiful girls, therefore, I must be partial since I think mine are most beautiful.

Life Files

Professor Brandon,

I am having a difficult time with everything I have in Google Docs trying to copy it into my blog.  For some reason I cannot copy & paste a lot of the items I want to put into my blog and I am running out of time. I will insert links to as much as I can and copy and paste what I can as well, however, I don't know that I will have everything you are asking for done by the time this blog is due.

Debbie Powell


Life Files:




Week 4:   No Life File Required






Activity Assignment


Activity Assignment




Debra Powell

Eng. 111

Professor Brandon

10/04/2012


Personal Wellness Review

I would highly recommend my peers sit in on the Personal Wellness class given by

Professor Shutt.


I think personal wellness teaches you many different things, but tended to focus strongly on stress, like how do you know if you are stressed and what to do to help reduce it.


 
In personal wellness you will initially learn about something called the wellness wheel. The well ness wheel consists of sections, those being emotional, intellectual, and physical, and social/cultural, environmental, financial, spiritual and occupational, which are all linked together in one way or another.





You learn that healthy living is important but is a challenge, because it's a choice you have to make, be it good or bad, and you sometimes have to make sacrifices to achieve goals. A prime example of this would be if you wanted to exercise more, not many people really want to do it, but you have to decide that it's time and just do it, even if that means less time on the computer or watching television.  Wellness is a habit, and you have to decide to do it.



There are many signs of stress, and listed below is a chart showing some of the many things to look out for that can indicate too much stress for an individual. Everyone has normal daily stress, but I did learn that if you have more than four or five of these at the same time, it is time to step back and take a good look at your life and lifestyle.  Stress, untreated, can be linked to physical problems such as strokes and heart attacks, as emotional problems such as severe depression.   It has also been shown that severe changes in sleeping patterns are associated with psychological problems.

Stress Warning Signs and Symptoms

            Cognitive Symptoms                                     Emotional Symptoms


Memory problems                                            Moodiness

Inability to concentrate                                     Irritability or short temper                                                                                                       Poor judgment                                                 Agitation, inability to relax                                                                                                                                             Seeing only the negative                                  Feeling overwhelmed
Anxious or racing thoughts                              Sense of loneliness and isolation

Constant worrying


Physical Symptoms                                           Behavioral Symptoms

 Aches and pains                                                 Eating more or less
Diarrhea or constipation                                     Sleeping too much or too little
Nausea                                                              Isolating yourself from others
Dizziness                                                           Procrastinating or neglecting responsibilities                      Chest pain, rapid heartbeat                                 Using alcohol, cigarettes, or drugs to relax

Loss of sex drive                                               Nervous habits (e.g. nail biting, pacing)     

Frequent colds                                     



I found that some of the ways to help reduce stress are: exercise because it releases endorphin, spend time with people that are physically, mentally & emotionally healthy, they are a great support system.  Deep breathing exercises, walking, visualization of a "happy place", and spirituality, are more, but the list goes on.  The most important is to seek professional help if it becomes too much to handle, and know that there are resources available such as doctors, hospitals, counselors, family and friends, all that can help you get the necessary care.
In conclusion, I would definitely recommend attending one of theses personal well ness sessions as you learn what to look for and how to deal with many of life's obstacles.  I have personally recognized some of the stresses in my life, over and above what is considered the normal average of 4 or less, so I have decided to step back and see where I can makes changes to reduce my stress level.