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Isabel Tenorio

UWRT 1104
Prof. Jizi
October 25, 2016
Double Entry Journal
Foster, Jennifer. "With Real Heart- Nursing and Midwifery in Latin America." Global Health Nursing:
Narratives from the Field. By Christina A. Harlan. New York: Springer, 2015. 222-26. Print.

Source: Quote (Page# or Paragraph #)


My friend knew a pediatrician at John

Hopkins who was half Peruvian and studied

I wish I was able to have those types of

connections at my dispense

8 weeks in Lima, Peru helping in a hospital

She went straight into it, seems so fearless

My eyes were open to the breadth of

poverty and inequality in health

I want to be able to experience this feeling

and see how little I know about struggle and

Didnt plan to peruse a heath career but

forever transformed

After having gone to help she knew that it

was something that she wanted to do forever

Not for Harvard, whole family from Harvard

I would feel so pressured to stay in college

especially at Harvard since I had worked so
hard to make it there and then my whole
family history has been there

Took a year off because she didnt thing she


I dont know how my parents would feel about

me taking a year off from college

Volunteered in Mexico building latrines

What are latrines?

Went back to school graduated spent a Year

in hospital then to peace corps

I find it interesting that she still went to the

hospital to get the experience that everyone
said you should get even though she knew
she wouldnt be working in the traditional
hospital setting

Global Nurse definition nurse whos vision

and perspective is oriented to the health and
well being of all peoples wherever they live
on earth

I have never heard of this type of nursing but

the definition and the mindset seems so much
more ethical since it is including the wellbeing
of the entire world. It seems selfish to only
want to focus on one countries wellbeing

Isabel Tenorio
UWRT 1104
Prof. Jizi
October 25, 2016
Global nurses focus on the economically
poor regions of the world, country, etc.

It would be so amazing to be able to travel

and know where you have been and see how
much they have improved. To the point where
you dont have to help them anymore!

I lived alone in a house of pressed plywood

It is crazy to really know the living conditions

someone is given, as much as I would love to
be a missionary nurse it would be extremely
hard to live in the same conditions as the
people you are helping although I do feel that
it is needed to connect and have empathy.

Improve care of poor women

Women in many countries are very

disrespected and maltreated. I love to see
people building up those communities that
keep them down.

Turned to care for nurses and midwives

caring for the poor. (p.226)

I never expected her to say that she would

turn to love caring for nurses and midwifes, I
dont think I could care more for the nurses
than the people that I was helping. Although
now that I say that, the people that spend
their lives helping people in need are true
angels in my eyes.

Jacobs, Michael J, Shun C. Young, and Vijay K. Mittal. "Benefits of Surgical Experience in a
Third-World Country During Residency." Current Surgery. 59.3 (2002): 330-332. Print.
United states based teaching facilities are
How would they be able to prepare
generally furnished with technically
themselves for the challenges faced in poorer
advanced supplies and equipment P#1
countries that dont have the advanced
Provide service to a rural community in D.R. Do all students in residency have to be seniors
, senior level resident accompanies the
to complete this type of work?
Only patients that seemed medically fit
What does this mean? People who were not
underwent surgery
very healthy wouldnt get surgery?
Surgeries for only adult population 16<
Why would kids not be able to have surgery,
they are typically given first priority
Supplies and equipment were donated and
Who payed for all of this to be done? Were
brought with them
they funded by an organization or what?
Did not count as operative log- counted
So if this didnt count towards work would it

Isabel Tenorio
UWRT 1104
Prof. Jizi
October 25, 2016

towards vacation

Single surgical lamp, no air conditioning, or

ventilation units
Supplies must be appropriately rationed per
patient, sterilization to reuse.
Handy and creative while maintaining safety
Exposure to different culture, language,

make it more meaningful? This would help

create more efficient care because obviously
the resident is very passionate
Is it sanitary to have no air conditioning or
ventilation because things could get inside the
cut while operating?
Is it worth the risk of reusing supplies? How
sanitary is that and are the sanitation products
This is very good for the doctor to learn how
to solve problems while a life is on the line
This will help when they have to deal with
patients that dont speak English

Project C.U.R.E. "Project C.U.R.E." Project C.U.R.E. Handsome Dog Studios, 2016. Web. 07 Nov. 2016.

Founded in 1987 by James Jackson who was
an international economic consultant in
developing countries when he was face to
face with needs of the sick
Visited clinic near rio de janeiro, found out
patients were turned away due to lack of
medical supplies
Made a promise to help provide relief to
people there
Collected 250,000$ worth of medical
supplies in 30 days and sent it off with his
Reached more than 130 countries, especially
women and young children

He has a lot of experience in international
countries and first hand knows the stuff

He knows what supplies are mostly needed

and the help he should be giving
Thats sweet that he was able to keep his
That is a lot of help that he received in such a
short amount of time
That is so great that he could help that many

Fuller, Richard. "The Leading Cause of Death in Developing Countries Might Surprise You." Ensia.
Institute on the Environment, 13 Jan. 2015. Web. 07 Nov. 2016.



Isabel Tenorio
UWRT 1104
Prof. Jizi
October 25, 2016

Leading cause of death in third world

countries is pollution
Pollution killed 1 in 7 people
Kills indirectly through heart disease, chest
infections, respiratory , diarrhea
Pollution puts this risks above normal
Our economy is global and so are the
pollutants it generates
Solutions can be implemented in developing
countries for half the price.

This is so suprising I thought it was starvation

That is crazy to think that we are killing
people with our pollution
I didnt know that diarrhea was a leading
cause of death
It makes sense because people that have a
low immune system catch things quicker
That would make sense because a fire in one
part of the country can effect a state over with
the smoke
That is very true people in other countries can
stop pollution to help those in the developing

Environmental Protection Agency. "Summary of the Clean Air Act." EPA. Environmental Protection
Agency, 17 Oct. 2016. Web. 08 Nov. 2016.

CAA is federal law that regulates air emissions
from stationary and mobile sources
Allows EPA to establish National ambient air
quality standards to protect public health
Major sources and stationary and have potential
to emit 10 tons per year of hazardous pollutants
Max degree of reduction standards issued for
source category
Checked eight years after to check risk
If necessary revise standards to address risks

They need to try and convince other
countries to do the same thing
They need to make standards for the whole
world china makes a lot of pollutants.
That is a lot of tons per unit which really
That is what is needed. What is degree?
This should be sooner like 4 years or 2
This really should be done to protect the
entire nation.