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.
Rutland (/ˈrʌtlənd/) is a landlocked county in the East Midlands of England, bounded to the west and north by Leicestershire, to the northeast by Lincolnshire and the southeast by Northamptonshire.
Its greatest length north to south is only 18 miles (29 km) and its greatest breadth east to west is 17 miles (27 km). It is the smallest historic county in England and the fourth smallest in the UK as a whole. Because of this, the Latin motto Multum in Parvo or "much in little" was adopted by the county council in 1950. It has the smallest population of any normal unitary authority in England. Among the current ceremonial counties, the Isle of Wight, City of London and City of Bristol are smaller in area. The former County of London, in existence 1889 to 1965, also had a smaller area. It is 323rd of the 326 districts in population.
The only towns in Rutland are Oakham, the county town, and Uppingham. At the centre of the county is Rutland Water, a large artificial reservoir that is an important nature reserve serving as an overwintering site for wildfowl and a breeding site for ospreys.
Rutland's older cottages are built from limestone or ironstone and many have roofs of Collyweston stone slate or thatch.