Messiah College
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Peregrine Review Staff
EDITOR-IN-CHIEF Molly McKim
MANAGING CO-EDITORS Mackenzie Christie Cam Wimberly
CONTRIBUTING EDITORS Ravi Ahuja Nate Castellitto Hye Lim Jung Courtney Kehler
FACULTY ADVISOR Samuel Smit
January Medicine - A Sonnet
The early morning sun is gentle on
the trees, its light drifting through branches made
silhouettes in the delayed winter dawn,
keeping snow-dusted streets in frozen shade
Origin Story
I imagine a dark and stormy night,
fat drops of rain sliding down window panels
like spilled ink across a canvas.
She must have been crying—my mother.
In the movies, they’re always crying.
She must have been alone, left behind
by some mysterious lover with dark eyes
too poor to buy a loaf of bread,
much less feed her only daughter.
She was likely wrapped in a thread-barren cloak,
soaked to the bone from the rain and from her tears
Conversations
Conversations are going extinct.
Now I’m not saying we don’t talk anymore, because we certainly do.
But do we really listen
The Purpose of Putting on a Backpack
If you ever have the opportunity, invite all of your friends backpacking. In my experience, thirteen came. We hiked in the dark as the moonlight led. We had a place to sleep but slept somewhere else instead. We all packed food and ended up sharing it all. We had a bonfire on the top of a mountain, with the stars winking at us from above
“I\u27m not really sure, but I think”: Entrance stories from Chinese-Americans adopted between 1995-2005
Within families, shared narratives may be used to create and strengthen a family\u27s experiences, as well as develop their identity as a group. For families that are traditionally biological, any social and cultural assumptions about their families and about biological births as a child’s entrance into their family only affirm their validity. However, for families that do not share these master narratives, they may feel edged out of the cultural and social bounds of acceptable. In place of the common birth stories and to fulfill the gaping history of a birth story, families who have adopted will share entrance stories, narratives which adopted children are told to teach them what adoption is, what it means for them to be adopted, how they came to their family and how they fit into their families. In my research, I sought to collect entrance narratives from female Chinese American adoptees who were adopted between 1995-2005 in order to derive a grounded theory of the reoccurring themes of these narratives
Graduate Recital Program Notes
This program includes:
La Jeune Fille en Feu is a song from the 2019 movie Portrait of a Lady on Fire
No Time arranged by Susan Brumfield
The Birds’ Lullaby, written by Sarah Quartel
Tundra, by Norwegian composer Ola Gjeilo
Lily of the Valley is a spiritual arranged by Moses Hogan
Ain\u27t No Grave has been attributed to Brother Claude Ely, a Pentecostal Holiness preacher
My Companion by Elaine Hagenberg
This Little Light of Mine is said to have been written by Harry Dixon Loes in 1920
The Dying Soldier is a traditional Civil War ballad
Nyon Nyon was written by American composer Jake Runesta
Graduate Recital Program Notes
This program includes:
Monti, Selve, Fontani
Laudate
Sisi Ni Moja
Abendlied
Hope Waits
Wanting Memories
Dirait-On
Sing Out My Soul
Muie Rendera
Benedictus - from Requiem
Non Nobis, Domine
Ubi Caritas
Duo Seraphim
Three Elizabethan Partsongs
Oh Sweet Day
Willow Song
O Mistress Min
COPD Care Bundle Implementation and Readmission Rates
Background: Chronic obstructive pulmonary disease (COPD) exacerbations cause a significant economic and social burden by increasing hospital readmissions and contributing to untimely death.
Problem: COPD “care bundles” consist of hospital-specific education and interventions aimed at decreasing the incidence of COPD exacerbation and subsequent readmission. The effective use of care bundles empowers patients to take ownership of their disease and seek early intervention with signs of worsening symptoms. Unfortunately, implementation of COPD care bundles is inconsistent and contributes to preventable, costly sequela.
Methods: A thorough literature review found evidence supporting the use of a COPD care bundle to decrease 30-day readmission rates. This quality improvement project provided education and support for the standardized implementation of a preexisting COPD care bundle to COPD patients on three medical surgical units at St. Luke’s Hospital in Monroe, PA.
Intervention: The aim of this project was to standardize the implementation of a preexisting, evidence-based COPD care bundle with the goal of decreasing 30-day readmission rates and improving health outcomes. Registered nurses (RNs) were educated on the importance of consistent care bundle implementation. Standardized in-patient COPD education were initiated and documented prior to patient discharge. Post-discharge follow-up phone calls were completed within 72 hours of each patient\u27s discharge.
Results: More than half of the patients (n = 24) received at least one or more components of the COPD care bundle, resulting in a 3.2% readmission rate compared to 23.8% in the comparison group.
Conclusion: Providing consistent COPD care bundle education and follow-up is an effective way to promote wellness and decrease exacerbations leading to reduction in 30-day readmission rates