Adult Health Nurse Practioner Essay Example for Free

Adult Health Nurse Practioner Essay Due to the rapid changes and complexity in healthcare, nurses are pursuing higher education and specialized training. This specialized training has produced what we now call advance practice nurses. Advance practice nurses can function independently or in partnership with other physicians. These nurses play a vital role in healthcare. There are four types of advance practice nurses; clinical nurse specialist, nurse anesthetist, nurse midwives, and nurse practitioners. The role of the nurse practitioner has changed from being an assistant to meeting the healthcare needs of patients when no physician is available. Nurse practitioners may specialize in a variety of settings, but are not limited to; primary care, acute care, palliative care, infectious disease, and gerontology. Becoming a nurse practitioner requires a Master of Science in nursing, post masters, or Doctor of nursing practice (Britt, 2012). The services provided by nurse practitioners include; diagnosing and treating health problems, adult and well child checks, prescribing medications, teaching health promotion while promoting disease prevention (Britt, 2012). Healthcare reform which has led to increase accessibility of healthcare has created more opportunities for nurse practitioners in the primary care setting (AAON, 2014). Nurse practitioners are visible in the acute and critical care settings. In the acute setting, they are using evidence based practice to manage care of the critically ill (AAON, 2014). According to the American Association of Nurses, â€Å"nurse practitioners are more likely to adhere to clinical practice guidelines that improve patient outcomes (AAON, 2014). Nurse practitioners tent to engage patients in their care by helping them understand t and measures they can take for improvements (Britt, 2012). Despite the enormous contributions nurse practitioners are giving to healthcare, there are barriers to the potential of what a nurse practitioner can give back to their community. The state scope of practice laws are the most significant (Naylor, Kurtzman, 2010). These laws govern practice and prescriptive authority. There are some states more restrictive than  others. Reimbursement is another issue affecting nurse practitioners. There are legal concerns regarding reimbursement for services provided by nurse practitioners (Perry, 2009). Other barriers NPs face include; poor physician attitude, lack of respect, and poor communication. The poor physician attitude may be due to lack of physician knowledge regarding the role of the nurse practitioner (Clarin, 2009). When there is difficulty understanding the NPs role, then there is difficulty with collaboration, which in turn affects the patient. As the scope of practice for nurse practitioners varies from state to state, the nurse practitioners role is becoming more dominant due to the demands because more people are able to afford healthcare. It is imperative for barriers to be removed that would allow NPs to use their training and education to the fullest. Nurse practitioners are an essential component to the healthcare team and medical community. With such emphasis being placed on preventive care, nurse practitioners will be recognized as an asset. References Naylor, Kurtzman, E. (2010), The Role of Nurse Practitioner in Reinventing Primary Care. Health Affairs, 29 893-899 doi:10.1377/hlthaff 2010.0440 Clarin, O. (2009), Strategies to Overcome Barriers to Effective Nurse Practitioner Physician Collaboration, Journal for Nurse Practitioners. 3(8) 538-548 Britt, D. (2012), Family Nurse Practitioner in Primary Care. The Parenting Issue 23 Perry, J. (2009), The Rise and Impact of Nurse Practitioners and Physician Assistants. Economic Policy, 27 491-511 doi:10.1111/j.1465-7287.2009.00162.x

Ethical Issues in Addiction Counselling

Ethical Issues in Addiction Counselling Ethical Issues in Addiction Counseling Although counselors and psychologists remain focused in their professional ethics by following ethical standards which are similar; this is not the case in addiction counseling because counselors encounter different situations due to the nature of their counselees. O deal with this challenge is therefore imperative for the counselors to work towards realizing their ethical standards based on ethical standards of the counseling profession (Scott 2000). There are six unique ethical issues to be analyzed fully. The addiction treatment is not therapeutic as many processes psychology for it tends to be base more on faith than the scientific approach. The research being undertaken currently suggests that there is more research on the field of addiction and scientists have almost come into conclusion that addiction is a brain disease. Chemicals and their exposure to the brain is the main cause of addiction. Scott goes further to argue that drunkards recovering from alcoholism are not normal enough since the alcohol affects cognitive reasoning. However, the main problem is that many psychologists are known not to link alcoholism with clinical research to determine the interrelationship. This argument has elements of truth in tit because you can find that the practitioner rarely you will find them in touch with the research hence link is vital to addictive counselors and counselees. The greatest enemy to the promotion of integrated approach in harmonizing theory, research and clinical practice is tradition. Many practitioners think they know much from their experience and they hold on to the past ways of doing it. This is a clear indication of ignorance. For those who can not work within the disease model are advised to change to other forms of rehabilitation to safeguard many drug dependent from leaving the counseling censure. The addicts whom refuse to follow the classic disease model are said to be in denial or even adamant to change. Instead of forcing clients, to w ays that they do not like the counselors should be open minded and use the available methods. Hence, imperative to be open to look at the treatment model and whether it works or not and device new ways.Another very important point that affects Counseling addictions is the failure for professionals to agree on who is fit to handle these cases. Since this research is more complicated it requires advanced training which lacks with many addict counselors. The idea of uniformity rather than individualized training aimed at tackling the problems as per addict.Moreover there is questionable propensity of group work or team work. Since the professionals are not enough in this field then groups like Alcoholics Anonymous have come to aid their fellow alcoholics and they offer group approach counseling. With their dark past many of these addicts could have cognitive impairment because of using drugs and may develop antisocial behavior hence will not be in position to fit in the group discussio n. Furthermore, there is confidentiality and the federal laws are tougher on addictive law than the states this is made to encourage addicts to feel free to go for counseling without fear of being apprehended..In addition there should be clear cut demarcation between who gives the go ahead for counseling. Although, many of these decisions are made by people who are not sound it is advisable for the government to avoid forcing addicts to counseling like the law that incase you are caught driving and drunk you attend Alcoholics Anonymous. Incase the counselor finds the customer is not responsive it is the ethical responsibility of the counselor to stop the process otherwise there is no need to squander the customers money without results.In conclusion this article is scholarly because it has addressed paramount ethical issues affecting addiction counseling and the way forward. Ethics in Substance abuse Rehabilitation Most substance abuse practitioners are persons that are in recovery which means that this practitioners may have limited training in ethics thus they may encounter problems while trying to recognizing ethical dilemmas while in practice. This field lacks a framework within which it works consistently. In the past ethical problems in substance abuse were resolved using professional codes of practice of other fields e.g. medicine. However practitioners often feel that ethics is more of a personal issue thus organizations have been helping support practitioners sense of mortality and professional behavior through laws, regulations etc. Practitioners come from various training backgrounds which in turn affects their ethical background Howeverarticulate ethics and values can help improve and guide professional conduct.A clear set of standards and ethical framework may help practitioners clarify case management decisions and increase their competence in serving the clients because without a clear set of ethical standards for practice counselors may feel the pressure to comply with particular set of beliefs, causes etc. However a major setback undermining the achievement of good conduct is that many therapists are refusing to be part of any comprehensive program evaluation.The main aim of code of ethics according to Kerry in code of ethics is to; protect the health of the client by laying down standards of quality, provide guidance for professional behavior and also to protect and promote the professional identity and integrity of a profession. Ethical principles of rehabilitation counseling include; Autonomy which refers to independence, freedom and the capacity for self governance. States that the client should have autonomous voice in his/her treatment enabling him/her to make decisions. Beneficence which is an ethical principal that emphasizes an obligation to promote client welfare. Clients interests should be above the counselors. Non munificence refers to acting in a manner that does not harm the client. Rehabilitation counseling should function within the limits of the counselors role, training and technical competence and only on positions for which counselors are professionally qualified. Justice principle requires practitioners to treat clients fairly e.g. in the allocation of monies, resources and time. Also in the charging of professional service.Fidelity principle focuses on loyalty and honesty in professional relationships between councilors and clients, colleagues among others. It includes protection of clients personal information. Ethical dilemma exists when two or more ethical principle values come into conflict and suggest opposing courses of action..In conclusion findings of this article are scholarly in that they clearly show that substance abuse treatment field is rapidly changing. Treatment facilities are attempting to individualize therapy to meet the needs of a diverse clientele by increasing the menu of treatment option s, while more and more counselors are entering the field with less mentoring and limited training in ethics. Ethical practitioners are becoming more and more aware of the contextual forces in the profession that influences their ethical practices. Confidentiality in Substance Abuse Counseling Confidentiality has been defined in The Social Work Dictionary as: A principle of ethics according to which the social worker or other professional may not disclose information about a client without the clients consent. This information includes the identity of the client, content of overt verbalizations, professional opinions about the client, and material from the records. In specific circumstances, social workers and other professionals may be compelled by law to reveal to designated authorities some information (such as threats of violence, commission of crimes, and suspected child abuse) that would be relevant to legal judgments.In the 1996 revision, confidentiality is highlighted in three specific areas of practice: with clients, with colleagues, and in research. In Section 1.07 of the current Social Work Code of Ethics eighteen different categories of responsibility social workers have towards their clients confidentiality are outlined .The fact that there are eighteen provis ions, more than any other area in the code, demonstrates the importance of confidentiality to the profession of social work. These points specifically address what is considered confidential material, with whom and when that material can be released, and when and how this information should be explained to clients. Specific highlights include: Social workers have permission to disclose information only with the proper consent of the client. Social workers should inform clients about confidentiality, and when and to whom disclosure is appropriate. Social workers cannot disclose information to third party payers without consent of the client. Social workers should not discuss confidential information unless privacy can be assured. Confidentiality should be maintained in a technological office that includes computers, faxes, and cellular phones.Exceptions to confidentiality; there are times in the course of the client-worker relationship that the client may voluntarily rescind confiden tiality. There are other times where confidentiality is not legally binding on the social worker. These circumstances relate to safety of the client or others. Important issues related to confidentiality include client consent, duty to warn, and privileged communication. Consent. There are many times where it would be beneficial for a social worker to talk to others who are involved in the clients life. This might focus on obtaining third party reimbursement, additional history, collateral collaboration, court testimony or sharing information with other service providers. With managed care, clients generally want reassurance that their sessions will be covered, but that only the minimum amount of information is provided to the insurance company (Corcoran Winslade, 1994). Therefore, clients often allow social workers to release information to insurance providers, including diagnosis and treatment plans, but rely on workers to not divulge every aspect of their drug and/or alcohol use .A second occasion when a social worker may seek a clients consent is in pursuing additional history from collateral sources or corroboration of information. This will occur primarily during initial assessment; however, it might take place later during the treatment process. For instance,when a client is admitted to a psychiatric unit, there may be a need for additional information such as family history of psychiatric disorders or substance abuse, the precipitating event, or the clients current living arrangements. Such additional information, usually provided by a family member, may be beneficial in making an assessment and verifying a clients information. Findings of confidentiality in substance abuse counseling are scholarly in that it shows how applying the standard confidentiality rules for basic social work practice is not adequate or acceptable when working with substance abusing clients and may well cause legal and ethical difficulties. Comparison is most exhibited in the a bove articles mostly in the way of addressing practitioners know how which is clearly a hindrance in effective counseling. All articles observe reluctance on part of therapists in observing ethics code. Also all three articles address ethical issues in counseling. Furthermore all articles observe the importance of practitioners to observe code of ethics. All three articles support each other.Information in all the articles can be synthesized in terms of observing substance councelling which is discussed in all the articles. This can address all issues brought forward in addiction councelling. By broadly talking about ethical issues in substance addiction councelling, this will address all concerns.

Inner City School Systems Essay example -- essays research papers

The school system in America has long been an issue of discussion and debate amongst people everywhere. The discussions and debates often stem from evaluating the current educational system in order to determine if significant social issues, including increasing regional poverty and declining literacy rates in specific urban regions are related to economic differentiations in the educational system. Many policy analysts have considered the issue of educational funding allotments in order to determine a system that provides greater equity between socio-economically disadvantaged inner-city schools and wealthier suburban, middle class schools (Kozol 83). The foundation for the necessary funding changes have stemmed from the recognition that school funding differences relate directly to sociological issues, including the creation of a cycle of poverty and illiteracy in under funded urban settings. One of the most significant issues raised in public education in recent years is the radical difference that exists in funding levels between wealthy and poor school districts (Zuckman 49). Many states have allotted educational funding related to tax revenues, and this has determined a higher level of educational spending in wealthy neighborhoods and a much lower level of spending for inner-city poor and rural poor communities (Zuckman 49). The differences in these educational settings have had a direct impact on the outcomes for students. Because a positive educational setting is a d...

Television and Media Essay - TV Violence and Children :: Media Argumentative Persuasive Argument

TV Violence and Children      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Children from the ages 6-11 spend more time watching television than they do in the classroom.   The level of violence that they see on prime time television is about five violent acts per hour and the level of violence on Saturday that includes cartoons morning programming is about 20 to 25 violent acts per hour.   At this rate, the average American child will see 8,000 murders before they finish elementary school!      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   As a child sits in front of baby-sitting television, her eyes are glued to the viewing of shoot em' up rip em' up kind of entertainment.   We have to remember that the entertainment media plays an extremely powerful role in the formation of values and morals, to all youngsters' minds of all ages, all socioeconomic levels, and all levels of intelligence.   These programs "play" with kids' minds; these programs have a tremendous negative effect on our children.   We, as a society, must save our future and take an active role in protecting our children from the violence on our television.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Television cartoons often feature dehumanized characters, such as Transformers and the Ninja Turtles, who engage in the destructive acts of violence by fighting our real life social problems. With acts of violence, kids learn to think that's how they should solve their problems.   MTV's Beavis and Butt-head   encourages fire, smoking, foul language, drinking and stealing.   With these bad attitudes seen depicted as normal on TV   shows kids are lead to believe it is cool be have that type attitude   Is this what we really want our society, especially our younger generation, to believe?      Ã‚  Ã‚  Ã‚   If we truly thought that television had no impact on viewers, why would companies spend billion of dollars on television advertising?   If commercials have an effect, then so do the shows that the children watch.   For example, youngsters mimic many of the violent acts that they see such as Beasvis and But- head.   One day, a five year old boy watch his favorite cartoon, Beavis and Butt- head, and sees the characters pull one of their famous arson stunts.   And the result, he sets his own house ablaze and his younger sister is killed.      Ã‚  Ã‚  Ã‚   Children do learn from television especially when they lack direct exposure or first hand experience with violent grotesque acts. These do take a toll on children and the way they will view life as they grow up.   I know some who that are sweet, innocent, full of dreams, hopes, laughter, and life.   These kids have learned about there environment from their parents, not by watching television.

Creation of Identity in Chaim Potok’s The Chosen :: Potok Chosen Essays

Creation of Identity in The Chosen Many forces can powerfully change the identity of a person. In the novel, The Chosen, a few of these forces are religion, family, and friends. Religion is one of the main points in anyones identity and much of the book is based around the fact that the main characters, Reuven and Danny, are Jewish. In Danny's case religion changes the entire way he was raised, as his father puts it, "I did not want to drive my son away from God, but I did not want him to grow up a mind without a soul." (Potok pg. 266) During Reb Saunders explanation of why he raised his son in silence he reveals that both God and a soul were key factors, these being both religious. Another example of religion playing a part on ones identity is when the fathers of the boys catch themselves in a battle over Zionism, Reb says "I'll tell you who says it! True Jews do not say such a thing." (Potok pg. 188) Reb Saunders words in response to David Malter's opinion take a shot at Reuven's identity. By challenging Reuven's beliefs it is hitting his identity quite hard, the issue is so touchy the boys stop talking over it. Family is another big chunk of one's identity. Reb Saunders identity is changed through many experiences of his brother. This not only affects him but affects Danny as well, seeing as he was raised on his uncle's mistakes, "Reuven, I did not want my Daniel to become like my brother." His brothers mistakes challenged Reb to step up and follow in his fathers legacy, and when his son is caught in the same position it affects how he was treated. Family is also what you are taught by and things can be both beneficial and non. When first meeting Reb Saunders, Reb asks Reuven, "And you know Hebrew. A son of David Malter surely knows Hebrew." (Potok pg. 121) A normal child may not understand Hebrew, but in Reuven's case because his father is very religious he does. Your knowledge of the world is very much part of your identity and your family definitely affects that.

Little Women Critique

She must merely describe life as it actually was. Louisa May Alcott (1832-1888) wrote Little Women at the request of her publishers, even though she was not very enthused about writing a book for girls. This book is a primary The second book, Century of Struggle: The Woman's Rights Movement in source. The united States, by Eleanor Fleeter and Ellen Fitzpatrick (1969, 1975, 1996) is both a primary and a secondary source.The author used primary sources, such as archival material, to depict the struggles that women endured in their path to gain voting rights in the nineteenth century but Ms. Fleeter also drew from her experiences and observations of her mother. Century of Struggle Is a monograph. [l] I don't think Little Women had a thesis; It was a book written for young girls to enjoy. However, through the use of the author's own life experiences, the book has left an Imprint of what life was Like for many women during the Call War.Century of Struggle, on the other hand, did have a th esis: â€Å"to survey the position of women during the colonial and revolutionary periods, before any movement may properly be said to have gun; to trace its development from scattered beginnings early in the nineteenth century of a number of different fronts–education, employment, trade union organization, the professions, the law, the franchise–down to then enactment of the suffrage amendment in 1920; to keep that struggle in perspective against the growth of this nation and of such related reform movements as the abolition of slavery, temperance, and the organization of trade unions–bearing in mind that never at any time were these women without the support of far-seeing and loyal men. † Eleanor Fleeter (1908-1995) had a vast Interest In history. She majored In history and English from Swarthmore College and attended Oxford university for one year due to a fellowship she received for her senior thesis on Mary Tudor. In the sass, Ms. Fleeter wrote plays â€Å"that focused on social and economic unrest and the rise of fascism. † The beginning and the content of Century of Struggle began with her experience with labor organizing and her many political activities; she Joined the Communist Party in the ass and participated in with many radical activists andCentury of Struggle is a very comprehensive book about the history organizations. Of women in the United States. The author delved as far back as the sass in an effort to depict how women have fought and struggled to obtain roles in society where they were no longer Just housewives or nurses; roles that would give them their own voice In society. Ms. Fleeter stated In her book that â€Å"Whatever their social station, under English common law, which became Increasingly predominant In the colonies and among all religious denominations†¦ Women had many duties, but few rights. 2] In compiling her facts, Ms. Fleeter used an extensive number of sources, view of women's histo ry, especially their struggle to gain the right to vote.As stated in Century of Struggles preface, Noting rights had long been denied to women as much by prevailing notions of who they were and what capacities they possessed as by any explicit and carefully planned scheme to deny women access to the instruments of democracy. † Louisa May Alcott Little Women was a fictional novel. However, it has long been regarded as â€Å"a significant exploration of the processes of coming a woman. † It acknowledged the various conflicts inherent in the girls' artistic ambitions and social expectations†¦ â€Å"[3] The author acknowledges that she used her own experiences with her sisters to infuse life into her books characters. This edition of the book contained many criticisms of Little Women as well as a chronology of Ms. Alcott life. Ms.

Short Story Sonny Blues

In James Baldwin’s, Sonny’s Blues, he uses many different symbols throughout his short story to present the overall theme of suffering to the reader. He uses symbols such as music, characters facial expressions and the presence of ice, light and darkness. In the very beginning of the story when the narrator is reading the paper and he comes across the news of his brother, Sonny, he says, â€Å"A great block of ice got settled in my belly and kept melting there slowly all day long†. (Baldwin 600) He also says â€Å"†¦it was a special kind of ice.It kept melting, sending trickles of ice water all up and down my veins, but it never got less. † (Baldwin 600) This is not the only time that the ice presents itself. It reappears when the narrator meets one of Sonny’s friends who is also a drug addict, and again later when Sonny is over for dinner with the narrator’s family. The ice that appears whenever the narrator feels an uncomfortable or pa inful situation represents how the narrator is incapable of dealing with his own emotions well. The ice also allows the reader to empathize with how the narrator feels about how his brother is leading his life.Another symbol Baldwin uses throughout Sonny’s Blues is light and darkness. Throughout the story there is a contrast of light and darkness. For example, in the first paragraph of the story, Sonny’s Blues Baldwin writes, â€Å"I stared at it in the swinging lights of the subway car, and in the faces and bodies of the people, and in my own face, trapped in the darkness which roared outside. † (Baldwin 599) This contrasts the lightness and the darkness. It demonstrates the contrast between his own suffering and the world around him and the suffering of the world.Another example of lightness and darkness Baldwin uses in the short story is when the narrator’s mother is recalling the story of the narrator’s father and his brother she says â€Å"th ere was a moon that night, it was bright like day. † (Baldwin 607) This is when the narrator’s father and his brother are having a good time and walking home. This brightness of the moon is used to represent the light, which represents all the hope and good things in life. The narrator’s mother later recalls, â€Å"he says he never in his life seen anything as dark as that road after the lights of that car had gone away. (Baldwin 608) Referring to after the narrator’s father’s brother had been hit and killed. The color of the men’s skin also represents the contrast between light and darkness. The men that killed the narrator’s father’s brother were all white and the other two men were dark skinned. This is also an example of the contrasting of light and dark. This shows how the difference of something in the same situation can both have two different results. Meaning that both the light men and the dark men were drunk. They wer e each also having fun. The situations were both similar, but the end results of each situation were very different.One of the dark men lost their life to the light men. The darkness is used to represent the tormenting and dark moments in the characters lives. The darkness however is always stabilized with lightness. Just like the dark road was stabilized with the lightness of the car lights. This light is used to signify safety and comfort, while the darkness represents the turmoil also looking to destroy that safety and comfort. Another way Baldwin symbolizes the overall theme of suffering is through the character’s facial expressions and interactions.Baldwin writes â€Å"And I watched her face as she laughingly responded to something someone said to her, still keeping time to the music. When she smiled one saw the little girl, one sensed the doomed, still struggling women beneath the battered face of the semi-whore. † (Baldwin 602) This shows that even under her â⠂¬Å"battered face† there was still a glimpse of when she was young. The narrator can see her as a young innocent little girl. This shows the reader that there is hope even in suffering. Baldwin is also trying to get his point across that even though one may suffer, the suffering will not change the past and whom you are or have become.Another example of how Baldwin incorporates the facial expressions of his characters to help promote the overall theme of suffering is when the narrator is on the subway in the first few sentences of the short story. He writes, â€Å"I stared at it in the swinging lights of the subway car, and in the faces of the bodies of the people, and in my own face, trapped in the darkness. † (Baldwin 600) This illustrates that not only does the narrator feel and see suffering inside himself and his own face, but he also sees it inside the faces of others and the surroundings around him.This also proves that the overall effect of suffering is visible to one who is suffering themselves, like that of the narrators. Baldwin also promotes the theme of Sonny’s Blues by using the presence of music. The entire short story is loaded with occasions of music. The overall title of the story even contains music. â€Å"Sonny’s Blues†, promotes the tone and theme of suffering throughout the entire story. It provides the reader with information that there will be suffering in the story. Giving them an idea of what is to come before even being read. Another example of music is Sonny’s growing love for playing the piano.The narrator states â€Å"†¦Sonny was so serious about his music and how, as soon as he came in from school, †¦he went straight to that piano and stayed there until suppertime. †, â€Å"He was at the piano all day Saturday and all day Sunday. † (Baldwin 612) This tells the reader of Sonny’s love for music. It illustrates how the music is Sonny’s safety and allows h im to not suffer. When Baldwin makes it clear to the reader that Isabel and her mother grow tired of the music, â€Å"it wasn’t like living with a person at all, it was like living with sound. And the sound didn’t make any sense to her, didn’t make any sense to any of them – naturally. (Baldwin 612) This proves that music can both heal suffering but also create it. The music for Sonny was a safety. To Sonny the music made him feel at ease and helped to subside his suffering. It wasn’t until after Sonny stopped playing the piano and his records that he began to truly feel the power of his suffering. Although the music was a medicine to Sonny’s suffering, it was the cause of suffering for Isabel and her mother. This suffering caused Isabel’s mother to snap and yell at Sonny. This caused Sonny to stop playing the piano and thus the true suffering began.Another example of suffering and music is when the narrator witnesses the meeting on the corner. He watches the battered people play their music and notices their suffering. He says, â€Å"As the singing filled the air the watching, listening faces underwent a change, the eyes focusing on something within; the music seemed to soothe a poison out of them; and time seemed, nearly, to fall away from the sullen, belligerent, battered faces, as though they were fleeing back to their first condition, while dreaming of their last. † (Baldwin 615) Showing again how music can be a safety and a rescuer to not only Sonny but others as well.By the narrator stating this it shows that it is noticeable of the change in expression music brings as it lessens the sufferings of those who play. â€Å"Sonny’s fingers filled the air with life, his life. † (Baldwin 620) Near the end of Baldwin’s story Sonny plays his music once again. To most, the music Sonny plays is merely for entertainment. But to some it is a story, Sonny’s story. As Sonny plays, the narrator notices the things his brother has been through and felt. While Sonny plays the narrator notices both his brother’s suffering as well as his own.