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Nursingis a profession within thehealth caresector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health andquality of life. Nurses may be differentiated from otherhealth care providersby theirapproach to patient care,training, andscope of practice. Nurses practice in manyspecialtieswith differing levels ofprescription authority. Nurses comprise the largest component of most healthcare environments;[1][2]but there is evidence of international shortages of qualified nurses.[3]Many nurses provide care within the ordering scope ofphysicians, and this traditional role has shaped the public image of nurses as care providers. Nurse practitioners are however permitted by most jurisdictions to practice independently in a variety of settings. Since thepostwarperiod, nurse education has undergone a process of diversification towardsadvanced and specialized credentials, and many of the traditional regulations and provider roles are changing.[4][5]
Nurses develop a plan of care, working collaboratively with physicians, therapists, the patient, the patient's family, and other team members that focuses on treating illness to improve quality of life. In the United Kingdom and the United States, advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe medications and other therapies, depending on individual state regulations. Nurses may help coordinate the patient care performed by other members of a multidisciplinary health care team such as therapists, medical practitioners, and dietitians. Nurses provide care both interdependently, for example, with physicians, and independently as nursing professionals.
Downham Market, sometimes simply referred to as Downham, is a market town and civil parish in Norfolk, England. It lies on the edge of the Fens, on the River Great Ouse, approximately 11 miles south of King's Lynn, 39 miles west of Norwich and 30 miles north of Cambridge.[2]
The civil parish has an area of 5.2 km² and in the 2011 census had a population of 9,994 in 4,637 households.[3]
Fire Station in 2006, now a heritage centre
It was an agricultural centre, developing as a market for the produce of the Fens with a bridge across the Ouse. During the Middle Ages, it was famed for its butter market and also hosted a notable horse fair. The market is now held Fridays and Saturdays.
Notable buildings in the town include its mediaeval parish church, dedicated to St Edmund, and the Victorian clock tower, constructed in 1878. The town is also known as the place where Charles I hid after the Battle of Naseby. In 2004 the town completed a regeneration project on the Market Place, moving the market to the town hall car park. The decorative town sign depicts the crown and arrows of St Edmund with horses to show the importance of the horse fairs in the town's history.
A heritage centre, Discover Downham, opened in a former fire station in 2016.[4] The town is twinned with Civray, Vienne, France.[5]
