Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription authority. Nurses comprise the largest component of most healthcare environments; but there is evidence of international shortages of qualified nurses. Many nurses provide care within the ordering scope of physicians, 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 the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing.
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.
Buxton is a spa town in Derbyshire, in the East Midlands region of England. It has the highest elevation – about 1,000 feet (300 m) above sea level – of any market town in England.[nb 1] Close to the county boundary with Cheshire to the west and Staffordshire to the south, Buxton is described as "the gateway to the Peak District National Park". A municipal borough until 1974, Buxton was then merged with other localities lying primarily to the north, including Glossop, to form the local government district and borough of High Peak within the county of Derbyshire. It is also near to Greater Manchester. The population of the town was 22,115 at the 2011 Census.
Buxton landmarks include Poole's Cavern, an extensive limestone cavern open to the public, and St Ann's Well, fed by the geothermal spring bottled and sold internationally by Buxton Mineral Water Company. Also in the town is the Buxton Opera House, which hosts several music and theatre festivals each year. The Devonshire Campus of the University of Derby is housed in one of the town's historic buildings.
Buxton is twinned with two towns: Oignies in France and Bad Nauheim in Germany.