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Since the days of Florence Nightingale, patients in hospitals around the world depended on the care of nurses. These trained professionals assist doctors and specialists in virtually every area of medicine. In addition, nursing allows for a special type of one-on-one contact that doctors can't provide. Nurses provide various services for patients on an hourly basis. This special, intimate contact has prompted a significant change in the field of nursing. In most modern medicinal institutions, as well as practical training programs, nurses are taught provide skillful services, as well as compassion and caring. Patients and doctors, alike, realize the value of the services nurses provide. After Florence Nightingale revolutionized the profession in the 1850's, deaths in hospitals dropped dramatically, from 420 per 1000 to 22 per 1000 (Kurzen 59). Since that time, hospitals and rehabilitation centers have depended on the skills of nurses. Practical nursing programs began to develo!p in the late 1800's to increase the opportunities of women (62). These institutions soon became vital to the growth and effectiveness of hospitals and health facilities. The demand for nursing services grew so dramatically, national organizations began to


Patients and nurses develop intimate relationships, consisting of trust and honesty. "How to Handle the Five Stages of Dying" provides nurses with responses to combat patient behavior. Recognizing effective modes of patient communication can also help nurses identify blocks to communication. Patient care studies detail treatment and therapies p!rovided by nurses for treatment of various illnesses (Livesay, Care Study). A new tactic being employed in the practice of nursing is an active team approach. Mistakes in the administration of medicine can be fatal, so it is the responsibility of nurses to give precise dosages (Wolkomir 43). In addition, these communication techniques are vital when treating pediatric patients. An experienced nurse, armed with this knowledge, can help a patient accept their disease, and ultimately, their fate. Nurses are instructed to be perceptive of the feeling of patients. "The patient and family as the core of this team, will require the assistance of physicians, nurses, and other professionals" ("Principles of Therapy," par.

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