Author: Timothy Cress
Publisher: iUniverse
ISBN: 0595300715
Category :
Languages : en
Pages : 92
Book Description
A Life Without Chapters; A Dysfunctional's Diary
Author: Timothy Cress
Publisher: iUniverse
ISBN: 0595300715
Category :
Languages : en
Pages : 92
Book Description
Publisher: iUniverse
ISBN: 0595300715
Category :
Languages : en
Pages : 92
Book Description
Diary of a Dysfunctional Flight Attendant
Author: Blog Based Books
Publisher:
ISBN: 9780977483808
Category : Air travel
Languages : en
Pages : 0
Book Description
Publisher:
ISBN: 9780977483808
Category : Air travel
Languages : en
Pages : 0
Book Description
The Incomparable Hildegarde
Author: Monica Storme Gallamore
Publisher: McFarland
ISBN: 1476630739
Category : Biography & Autobiography
Languages : en
Pages : 207
Book Description
The Incomparable Hildegarde (1906-2005) began her career as a pianist in Milwaukee's silent movie theaters, which led to the Vaudeville stage. By the 1930s, she was singing in the cabarets of Paris and London, rubbing elbows with royalty, White Russians and Josephine Baker. She then became a darling of the New York supper club scene and her name became synonymous with high-class entertainment at venues like the Plaza Hotel's Persian Room. She started fashion trends, had her own signature Revlon nail and lip color, and was the first to have song hits in the World War II era. This first biography of Hildegarde Sill covers her 70-year career, including her intimate relationship with her manager, Anna Sosenko, and emphasizes her importance in 20th-century American popular culture.
Publisher: McFarland
ISBN: 1476630739
Category : Biography & Autobiography
Languages : en
Pages : 207
Book Description
The Incomparable Hildegarde (1906-2005) began her career as a pianist in Milwaukee's silent movie theaters, which led to the Vaudeville stage. By the 1930s, she was singing in the cabarets of Paris and London, rubbing elbows with royalty, White Russians and Josephine Baker. She then became a darling of the New York supper club scene and her name became synonymous with high-class entertainment at venues like the Plaza Hotel's Persian Room. She started fashion trends, had her own signature Revlon nail and lip color, and was the first to have song hits in the World War II era. This first biography of Hildegarde Sill covers her 70-year career, including her intimate relationship with her manager, Anna Sosenko, and emphasizes her importance in 20th-century American popular culture.
Dysfunctional Bureaucracy
Author: Bogdan Mieczkowski
Publisher: University Press of America
ISBN: 9780819183941
Category : Business & Economics
Languages : en
Pages : 316
Book Description
This book examines 'dysborgs' (dysfunctional bureaucratic organizations) through the establishment of a theory of the dysborg and some of its theoretical antecedents, the study of conditions under which dysborgian elements recede in favor of functional bureaucracy, the reformulation of a theory of bureaucracy in academia, a study of the politics of bureaucracy in command economies, and an inquiry into the existence of convergence and divergence in the operation of the institution of bureaucracy in the East and West. Contents: The Theory of Dysfunctional Bureaucratic Organizations; Ibn Khaldun's Fourteenth-Century Views on Bureaucracy; The Bureaucratic East-West Synthesis; Bureaucracy, Politics, and Economics in Command Economies; The Bureaucratic Syndrome in Academia; An Analysis of the Uniqueness of the Japanese Public and Private Bureaucracy.
Publisher: University Press of America
ISBN: 9780819183941
Category : Business & Economics
Languages : en
Pages : 316
Book Description
This book examines 'dysborgs' (dysfunctional bureaucratic organizations) through the establishment of a theory of the dysborg and some of its theoretical antecedents, the study of conditions under which dysborgian elements recede in favor of functional bureaucracy, the reformulation of a theory of bureaucracy in academia, a study of the politics of bureaucracy in command economies, and an inquiry into the existence of convergence and divergence in the operation of the institution of bureaucracy in the East and West. Contents: The Theory of Dysfunctional Bureaucratic Organizations; Ibn Khaldun's Fourteenth-Century Views on Bureaucracy; The Bureaucratic East-West Synthesis; Bureaucracy, Politics, and Economics in Command Economies; The Bureaucratic Syndrome in Academia; An Analysis of the Uniqueness of the Japanese Public and Private Bureaucracy.
I Know This Much Is True
Author: Wally Lamb
Publisher: Cambridge University Press
ISBN: 9780060391621
Category : Fiction
Languages : en
Pages : 884
Book Description
With his stunning debut novel, She's Come Undone, Wally Lamb won the adulation of critics and readers with his mesmerizing tale of one woman's painful yet triumphant journey of self-discovery. Now, this brilliantly talented writer returns with I Know This Much Is True, a heartbreaking and poignant multigenerational saga of the reproductive bonds of destruction and the powerful force of forgiveness. A masterpiece that breathtakingly tells a story of alienation and connection, power and abuse, devastation and renewal--this novel is a contemporary retelling of an ancient Hindu myth. A proud king must confront his demons to achieve salvation. Change yourself, the myth instructs, and you will inhabit a renovated world. When you're the same brother of a schizophrenic identical twin, the tricky thing about saving yourself is the blood it leaves on your bands--the little inconvenience of the look-alike corpse at your feet. And if you're into both survival of the fittest and being your brother's keeper--if you've promised your dying mother--then say so long to sleep and hello to the middle of the night. Grab a book or a beer. Get used to Letterman's gap-toothed smile of the absurd, or the view of the bedroom ceiling, or the influence of random selection. Take it from a godless insomniac. Take it from the uncrazy twin--the guy who beat the biochemical rap. Dominick Birdsey's entire life has been compromised and constricted by anger and fear, by the paranoid schizophrenic twin brother he both deeply loves and resents, and by the past they shared with their adoptive father, Ray, a spit-and-polish ex-Navy man (the five-foot-six-inch sleeping giant who snoozed upstairs weekdays in the spare room and built submarines at night), and their long-suffering mother, Concettina, a timid woman with a harelip that made her shy and self-conscious: She holds a loose fist to her face to cover her defective mouth--her perpetual apology to the world for a birth defect over which she'd had no control. Born in the waning moments of 1949 and the opening minutes of 1950, the twins are physical mirror images who grow into separate yet connected entities: the seemingly strong and protective yet fearful Dominick, his mother's watchful "monkey"; and the seemingly weak and sweet yet noble Thomas, his mother's gentle "bunny." From childhood, Dominick fights for both separation and wholeness--and ultimately self-protection--in a house of fear dominated by Ray, a bully who abuses his power over these stepsons whose biological father is a mystery. I was still afraid of his anger but saw how he punished weakness--pounced on it. Out of self-preservation I hid my fear, Dominick confesses. As for Thomas, he just never knew how to play defense. He just didn't get it. But Dominick's talent for survival comes at an enormous cost, including the breakup of his marriage to the warm, beautiful Dessa, whom he still loves. And it will be put to the ultimate test when Thomas, a Bible-spouting zealot, commits an unthinkable act that threatens the tenuous balance of both his and Dominick's lives. To save himself, Dominick must confront not only the pain of his past but the dark secrets he has locked deep within himself, and the sins of his ancestors--a quest that will lead him beyond the confines of his blue-collar New England town to the volcanic foothills of Sicily 's Mount Etna, where his ambitious and vengefully proud grandfather and a namesake Domenico Tempesta, the sostegno del famiglia, was born. Each of the stories Ma told us about Papa reinforced the message that he was the boss, that he ruled the roost, that what he said went. Searching for answers, Dominick turns to the whispers of the dead, to the pages of his grandfather's handwritten memoir, The History of Domenico Onofrio Tempesta, a Great Man from Humble Beginnings. Rendered with touches of magic realism, Domenico's fablelike tale--in which monkeys enchant and religious statues weep--becomes the old man's confession--an unwitting legacy of contrition that reveals the truth's of Domenico's life, Dominick learns that power, wrongly used, defeats the oppressor as well as the oppressed, and now, picking through the humble shards of his deconstructed life, he will search for the courage and love to forgive, to expiate his and his ancestors' transgressions, and finally to rebuild himself beyond the haunted shadow of his twin. Set against the vivid panoply of twentieth-century America and filled with richly drawn, memorable characters, this deeply moving and thoroughly satisfying novel brings to light humanity's deepest needs and fears, our aloneness, our desire for love and acceptance, our struggle to survive at all costs. Joyous, mystical, and exquisitely written, I Know This Much Is True is an extraordinary reading experience that will leave no reader untouched.
Publisher: Cambridge University Press
ISBN: 9780060391621
Category : Fiction
Languages : en
Pages : 884
Book Description
With his stunning debut novel, She's Come Undone, Wally Lamb won the adulation of critics and readers with his mesmerizing tale of one woman's painful yet triumphant journey of self-discovery. Now, this brilliantly talented writer returns with I Know This Much Is True, a heartbreaking and poignant multigenerational saga of the reproductive bonds of destruction and the powerful force of forgiveness. A masterpiece that breathtakingly tells a story of alienation and connection, power and abuse, devastation and renewal--this novel is a contemporary retelling of an ancient Hindu myth. A proud king must confront his demons to achieve salvation. Change yourself, the myth instructs, and you will inhabit a renovated world. When you're the same brother of a schizophrenic identical twin, the tricky thing about saving yourself is the blood it leaves on your bands--the little inconvenience of the look-alike corpse at your feet. And if you're into both survival of the fittest and being your brother's keeper--if you've promised your dying mother--then say so long to sleep and hello to the middle of the night. Grab a book or a beer. Get used to Letterman's gap-toothed smile of the absurd, or the view of the bedroom ceiling, or the influence of random selection. Take it from a godless insomniac. Take it from the uncrazy twin--the guy who beat the biochemical rap. Dominick Birdsey's entire life has been compromised and constricted by anger and fear, by the paranoid schizophrenic twin brother he both deeply loves and resents, and by the past they shared with their adoptive father, Ray, a spit-and-polish ex-Navy man (the five-foot-six-inch sleeping giant who snoozed upstairs weekdays in the spare room and built submarines at night), and their long-suffering mother, Concettina, a timid woman with a harelip that made her shy and self-conscious: She holds a loose fist to her face to cover her defective mouth--her perpetual apology to the world for a birth defect over which she'd had no control. Born in the waning moments of 1949 and the opening minutes of 1950, the twins are physical mirror images who grow into separate yet connected entities: the seemingly strong and protective yet fearful Dominick, his mother's watchful "monkey"; and the seemingly weak and sweet yet noble Thomas, his mother's gentle "bunny." From childhood, Dominick fights for both separation and wholeness--and ultimately self-protection--in a house of fear dominated by Ray, a bully who abuses his power over these stepsons whose biological father is a mystery. I was still afraid of his anger but saw how he punished weakness--pounced on it. Out of self-preservation I hid my fear, Dominick confesses. As for Thomas, he just never knew how to play defense. He just didn't get it. But Dominick's talent for survival comes at an enormous cost, including the breakup of his marriage to the warm, beautiful Dessa, whom he still loves. And it will be put to the ultimate test when Thomas, a Bible-spouting zealot, commits an unthinkable act that threatens the tenuous balance of both his and Dominick's lives. To save himself, Dominick must confront not only the pain of his past but the dark secrets he has locked deep within himself, and the sins of his ancestors--a quest that will lead him beyond the confines of his blue-collar New England town to the volcanic foothills of Sicily 's Mount Etna, where his ambitious and vengefully proud grandfather and a namesake Domenico Tempesta, the sostegno del famiglia, was born. Each of the stories Ma told us about Papa reinforced the message that he was the boss, that he ruled the roost, that what he said went. Searching for answers, Dominick turns to the whispers of the dead, to the pages of his grandfather's handwritten memoir, The History of Domenico Onofrio Tempesta, a Great Man from Humble Beginnings. Rendered with touches of magic realism, Domenico's fablelike tale--in which monkeys enchant and religious statues weep--becomes the old man's confession--an unwitting legacy of contrition that reveals the truth's of Domenico's life, Dominick learns that power, wrongly used, defeats the oppressor as well as the oppressed, and now, picking through the humble shards of his deconstructed life, he will search for the courage and love to forgive, to expiate his and his ancestors' transgressions, and finally to rebuild himself beyond the haunted shadow of his twin. Set against the vivid panoply of twentieth-century America and filled with richly drawn, memorable characters, this deeply moving and thoroughly satisfying novel brings to light humanity's deepest needs and fears, our aloneness, our desire for love and acceptance, our struggle to survive at all costs. Joyous, mystical, and exquisitely written, I Know This Much Is True is an extraordinary reading experience that will leave no reader untouched.
Health Promotion Throughout the Life Span - E-Book
Author: Carole Lium Edelman
Publisher: Elsevier Health Sciences
ISBN: 0323277896
Category : Medical
Languages : en
Pages : 732
Book Description
With the advent of health care reform and an emphasis on reducing health care costs, health promotion and disease prevention is a priority in nursing care. Be prepared with Health Promotion Throughout the Life Span, 8th Edition, your comprehensive guide to major health promotion concepts. Featuring practical guidance – including boxes on diversity awareness, evidence-based practice, innovative practice, hot topics, and quality and safety as well as case studies and care plans – our experienced authors give you all the tools you need to stay current on the latest research and trends in health promotion. Extensive coverage of growth and development throughout the lifespan emphasizes the unique problems and health promotion needs of each age and stage of development. Separate chapters on each population – group, individual, family, and community – stress the unique issues faced when providing care to each group. Evidence-Based Practice boxes emphasize current research efforts and opportunities in health promotion. Hot Topics and Innovative Practice boxes engage students’ interest by introducing significant issues, trends, and creative programs and projects in health promotion practice. Diversity Awareness boxes address various cultural perspectives and provide important information that needs to be considered in planning care. Case studies and care plans present realistic situations that challenge students to reflect upon important health promotion concepts. Think About It boxes dig deeper into the chapter topic and encourage critical thinking. Numerous pedagogical features such as objectives, key terms, and textual summaries highlight the most important concepts and terms in each chapter. Updated nutrition coverage includes MyPyramid from the FDA, as well as the latest information on food safety and fad diets. Expanded health policy coverage focuses on global health, historical perspectives, financing healthcare, concierge medical practices, and the hospitalist movement. Health Promotion for the Twenty-First Century explores current and future health promotion challenges and research initiatives. Updated Healthy People 2010 data includes midcourse review objectives and an introduction to Healthy People 2020. Case Studies and Care Plans summarize key concepts and show how they apply to real-life practice.
Publisher: Elsevier Health Sciences
ISBN: 0323277896
Category : Medical
Languages : en
Pages : 732
Book Description
With the advent of health care reform and an emphasis on reducing health care costs, health promotion and disease prevention is a priority in nursing care. Be prepared with Health Promotion Throughout the Life Span, 8th Edition, your comprehensive guide to major health promotion concepts. Featuring practical guidance – including boxes on diversity awareness, evidence-based practice, innovative practice, hot topics, and quality and safety as well as case studies and care plans – our experienced authors give you all the tools you need to stay current on the latest research and trends in health promotion. Extensive coverage of growth and development throughout the lifespan emphasizes the unique problems and health promotion needs of each age and stage of development. Separate chapters on each population – group, individual, family, and community – stress the unique issues faced when providing care to each group. Evidence-Based Practice boxes emphasize current research efforts and opportunities in health promotion. Hot Topics and Innovative Practice boxes engage students’ interest by introducing significant issues, trends, and creative programs and projects in health promotion practice. Diversity Awareness boxes address various cultural perspectives and provide important information that needs to be considered in planning care. Case studies and care plans present realistic situations that challenge students to reflect upon important health promotion concepts. Think About It boxes dig deeper into the chapter topic and encourage critical thinking. Numerous pedagogical features such as objectives, key terms, and textual summaries highlight the most important concepts and terms in each chapter. Updated nutrition coverage includes MyPyramid from the FDA, as well as the latest information on food safety and fad diets. Expanded health policy coverage focuses on global health, historical perspectives, financing healthcare, concierge medical practices, and the hospitalist movement. Health Promotion for the Twenty-First Century explores current and future health promotion challenges and research initiatives. Updated Healthy People 2010 data includes midcourse review objectives and an introduction to Healthy People 2020. Case Studies and Care Plans summarize key concepts and show how they apply to real-life practice.
The Dysfunctional Library
Author: Jo Henry
Publisher: American Library Association
ISBN: 0838916236
Category : Language Arts & Disciplines
Languages : en
Pages : 217
Book Description
Frankly, it’s not something we like to talk about. There is an unfortunate stigma to acknowledging workplace dysfunction, let alone trying to grapple with the problem. But negative behaviors such as incivility, toxicity, deviant behavior, workplace politics, and team and leadership dysfunction not only make the library a stressful workplace, they also run counter to the core values of librarianship. An important tool for library leaders and managers as well as library staff, this book examines these negative relationship-based issues and suggests practical, research-based solutions by discussing the importance of understanding oneself as related to the library workplace;identifying attributes specific to libraries that foster personal success;showing how organizational dysfunction is rooted in problems such as poor communication, inadequate leadership, and lack of employee engagement;breaking down relatable scenarios to analyze what’s behind them and how to defuse them, ranging from a gossipy coworker who fails to contribute to the organization to workplace bullying and mobbing;exploring causes, results, and potential solutions in the areas of cyberloafing, fraud, theft, and sabotage;delving into the importance of conflict management, surveying a variety of approaches and applications;examining the use of teams in libraries and the impact of favoritism, nepotism, and sexism; andproviding techniques for successful collaboration, leadership, organizational communication, and other key management topics. By tackling the dysfunctional library head on, managers as well as library workers who find themselves in a toxic situation will be poised to better meet library goals and move the library forward.
Publisher: American Library Association
ISBN: 0838916236
Category : Language Arts & Disciplines
Languages : en
Pages : 217
Book Description
Frankly, it’s not something we like to talk about. There is an unfortunate stigma to acknowledging workplace dysfunction, let alone trying to grapple with the problem. But negative behaviors such as incivility, toxicity, deviant behavior, workplace politics, and team and leadership dysfunction not only make the library a stressful workplace, they also run counter to the core values of librarianship. An important tool for library leaders and managers as well as library staff, this book examines these negative relationship-based issues and suggests practical, research-based solutions by discussing the importance of understanding oneself as related to the library workplace;identifying attributes specific to libraries that foster personal success;showing how organizational dysfunction is rooted in problems such as poor communication, inadequate leadership, and lack of employee engagement;breaking down relatable scenarios to analyze what’s behind them and how to defuse them, ranging from a gossipy coworker who fails to contribute to the organization to workplace bullying and mobbing;exploring causes, results, and potential solutions in the areas of cyberloafing, fraud, theft, and sabotage;delving into the importance of conflict management, surveying a variety of approaches and applications;examining the use of teams in libraries and the impact of favoritism, nepotism, and sexism; andproviding techniques for successful collaboration, leadership, organizational communication, and other key management topics. By tackling the dysfunctional library head on, managers as well as library workers who find themselves in a toxic situation will be poised to better meet library goals and move the library forward.
The Sense of an Ending
Author: Julian Barnes
Publisher: Vintage
ISBN: 0307957330
Category : Fiction
Languages : en
Pages : 158
Book Description
BOOKER PRIZE WINNER • NATIONAL BESTSELLER • A novel that follows a middle-aged man as he contends with a past he never much thought about—until his closest childhood friends return with a vengeance: one of them from the grave, another maddeningly present. A novel so compelling that it begs to be read in a single setting, The Sense of an Ending has the psychological and emotional depth and sophistication of Henry James at his best, and is a stunning achievement in Julian Barnes's oeuvre. Tony Webster thought he left his past behind as he built a life for himself, and his career has provided him with a secure retirement and an amicable relationship with his ex-wife and daughter, who now has a family of her own. But when he is presented with a mysterious legacy, he is forced to revise his estimation of his own nature and place in the world.
Publisher: Vintage
ISBN: 0307957330
Category : Fiction
Languages : en
Pages : 158
Book Description
BOOKER PRIZE WINNER • NATIONAL BESTSELLER • A novel that follows a middle-aged man as he contends with a past he never much thought about—until his closest childhood friends return with a vengeance: one of them from the grave, another maddeningly present. A novel so compelling that it begs to be read in a single setting, The Sense of an Ending has the psychological and emotional depth and sophistication of Henry James at his best, and is a stunning achievement in Julian Barnes's oeuvre. Tony Webster thought he left his past behind as he built a life for himself, and his career has provided him with a secure retirement and an amicable relationship with his ex-wife and daughter, who now has a family of her own. But when he is presented with a mysterious legacy, he is forced to revise his estimation of his own nature and place in the world.
Health and Wellbeing in Late Life
Author: Prasun Chatterjee
Publisher: Springer Nature
ISBN: 9811389381
Category : Medical
Languages : en
Pages : 213
Book Description
This open access book takes a multidisciplinary approach to provide a holistic understanding of late old age, and situates the aged person within the context of family, caregivers, clinical and other institutions. All through the book, the author discusses preparedness for an aging individual as well as the society in the Indian context. The book highlights inevitable but mostly neglected health issues like depression, dementia, fall, and frailty and provides detailed analyses of solutions that are practicable in low resource settings. It also brings up intergenerational differences and harmony in the context of holistic care of older Indians. Alongside clinical perspectives, the book uses narratives of elderly patients to dwell on the myriad of problems and issues that constitute old age healthcare. Demonstrating cases that range from the most influential to the most underprivileged elderly in India, the book enlightens multiple caregivers—doctors, nurses, and professional caregivers as well as family members—about the dynamic approach required in dealing with complex issues related to late old age. The narratives make the book relatable and interesting to non-academic readers, with important lessons for gerontological and geriatric caregiving. It is also of use to older adults in preparing for active aging.
Publisher: Springer Nature
ISBN: 9811389381
Category : Medical
Languages : en
Pages : 213
Book Description
This open access book takes a multidisciplinary approach to provide a holistic understanding of late old age, and situates the aged person within the context of family, caregivers, clinical and other institutions. All through the book, the author discusses preparedness for an aging individual as well as the society in the Indian context. The book highlights inevitable but mostly neglected health issues like depression, dementia, fall, and frailty and provides detailed analyses of solutions that are practicable in low resource settings. It also brings up intergenerational differences and harmony in the context of holistic care of older Indians. Alongside clinical perspectives, the book uses narratives of elderly patients to dwell on the myriad of problems and issues that constitute old age healthcare. Demonstrating cases that range from the most influential to the most underprivileged elderly in India, the book enlightens multiple caregivers—doctors, nurses, and professional caregivers as well as family members—about the dynamic approach required in dealing with complex issues related to late old age. The narratives make the book relatable and interesting to non-academic readers, with important lessons for gerontological and geriatric caregiving. It is also of use to older adults in preparing for active aging.
IRRELATIONSHIP: How we use Dysfunctional Relationships to Hide from Intimacy
Author: Mark B. Borg
Publisher: Central Recovery Press, LLC
ISBN: 1942094019
Category : Family & Relationships
Languages : en
Pages : 258
Book Description
No matter how committed two people are to being together, why can't they get away from feeling something is missing? In this important and transformative guide, three experienced practitioners identify the widespread dysfunctional dynamic they call "irrelationship," a psychological defense system two people create together to protect themselves from the fear and anxiety of real intimacy in a relationship. Drawing on their wide clinical and life experience, the authors examine behavioral "song-and-dance routines" repeatedly performed by couples affected by irrelationship. Readers will find a valuable framework for understanding their challenges with action-oriented tools to help them navigate their way to fulfilling relationships. Mark B. Borg, Jr., PhD, is a community psychologist and psychoanalyst, and a supervisor of psychotherapy at the William Alanson White Institute. Grant H. Brenner, MD, is a board-certified psychiatrist in private practice, specializing in treating mood and anxiety disorders and the complex problems that may arise in adulthood from childhood trauma and loss. Daniel Berry, RN, MHA, has practiced as a Registered Nurse in New York City since 1987 and has worked for almost two decades in community-based programs.
Publisher: Central Recovery Press, LLC
ISBN: 1942094019
Category : Family & Relationships
Languages : en
Pages : 258
Book Description
No matter how committed two people are to being together, why can't they get away from feeling something is missing? In this important and transformative guide, three experienced practitioners identify the widespread dysfunctional dynamic they call "irrelationship," a psychological defense system two people create together to protect themselves from the fear and anxiety of real intimacy in a relationship. Drawing on their wide clinical and life experience, the authors examine behavioral "song-and-dance routines" repeatedly performed by couples affected by irrelationship. Readers will find a valuable framework for understanding their challenges with action-oriented tools to help them navigate their way to fulfilling relationships. Mark B. Borg, Jr., PhD, is a community psychologist and psychoanalyst, and a supervisor of psychotherapy at the William Alanson White Institute. Grant H. Brenner, MD, is a board-certified psychiatrist in private practice, specializing in treating mood and anxiety disorders and the complex problems that may arise in adulthood from childhood trauma and loss. Daniel Berry, RN, MHA, has practiced as a Registered Nurse in New York City since 1987 and has worked for almost two decades in community-based programs.