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Sedation Vacation

Sedation Vacation

 

Sedation vacation is a term used in the critical care field and refers to patients that are sedated and on a ventilator . The sedative is titrated down in order to perform Neuro checks and assess for the possibility of extubating. The sedation vacation is necessary to reduce ventilator acquired pneumonia, delirium from the sedatives and a shorten ICU stays. This however does not mean that all the patients in the critical care units receive a sedation vacations. The patient has to meet certain criteria. Criteria like being Hemodynamically stable, shows no agitation on current sedative regiment, Fio2 is less than 50% and Peep is less than 10%, the sedation is not used to control status epilepticus or symptoms of alcohol withdrawal. Patient must also not be on a Blakemore tube for the control of bleeding varices. If a patient does not meet these criteria then the patient is not eligible yet for a sedation vacation. But as with all and any medical procedure there is a Policy for that which is basically describing how and when to perform this sedation vacation. The following is a Policy and Procedure form The Jefferson University Hospital

 

 
Index No: I-10
Effective Date:  

NURSING CRITICAL CARE PROCEDURES

Category: General Critical Care
Title: DAILY LIGHTENING OF SEDATION

 

Purpose

Daily lightening of sedation, “Sedation Vacations”, and assessing the patient’s readiness to extubate is an integral part of the Ventilator Bundle and has been correlated with reduction in the rate of ventilator-acquired pneumonia. This procedure is generally initiated after 48 hours of continuous sedation.

Kress et al. demonstrated that daily interruption of continuous sedation decreased the length of time patients spend on the ventilator and in the ICU and diminished the number of diagnostic tests performed to evaluate why a patient was not waking up once sedatives had been discontinued.

This protocol involves daily 50% dose reduction, and furthermore decreasing the sedation of the continuous drug infusion (including opiates) and monitoring the patient until he or she starts to show signs of awakening or agitation. At this time the patient is assessed for readiness to wean. The patient can also be assessed neurologically at this time.

The continuous sedation infusions can be titrated at the discretion of the bedside nurse to achieve a Ramsay sedation score of 2 to 3. In comparison with routine management, the daily cessation of drug infusions significantly reduced time on the ventilator in the ICU and provided a valuable window of opportunity for assessment of the patient’s neurologic function.

 

Steps in Procedure Points to be emphasized
Eligibility for Daily Sedation Vacation evaluated every morning at 7:30 AM on all mechanically ventilated patients receiving IV sedation (Propofol, Benzodiazepines, Narcotics and/or Precedex) after 48 hours of continuous sedation.

 

 

Exceptions to Daily Sedation Vacation include patients who are on paralytics, on medication for chronic pain or on sedation for comfort care.

 

 

Other unit specific exceptions:

  1. MICU – FIO2 > 80, Peep > 15
  2. SICU – open abdominal wounds, in which fascia is not closed, unless ordered by a physician, fresh post-op (10-12 hrs.)
  3. NICU – elevated ICP (ordered as per Physician), on sedation for anti-seizure purposes

 

Decrease sedation until patient awake and agitated. Assess patient’s readiness to wean. Respiratory therapists are available in the ICU at this time for active weaning.

 

A Spontaneous Breathing Trial (SBT) will be done on patients who meet the criteria. If successful, after 30 minutes patient will be extubated. (Refer to Spontaneous Breathing Trials for details).

 

This process should occur during morning rounds (between 8AM and 11 AM) and patients should be extubated in a timely fashion after passing the SBT.

 

During the Sedation Vacation it is recommended that a neurological exam be completed at this time to assess the patient on continuous sedation for an acute change in mental status or focal neurological deficits.

 

Patients not sedated as deeply will have an increased potential for self extubation. Increased monitoring may be warranted to ensure patient safety.

 

Patients may have an increased potential for pain and anxiety associated with lightening sedation.

   
Procedure for Daily Sedation Vacation:  
Fentanyl

1.       If the patient is not exhibiting significant pain, decrease the Fentanyl drip by 50%.

2.       If after 30 minutes patient is still not overly agitated,delirious, or in significant pain, decrease fentanyl by 50% again.

3.       If patient becomes agitated, delirious, or develops significant pain give a 50 microgram bolus of Fentanyl and restart the drip titrating the rate as necessary to obtain a Ramsay score of 2-3.

 

Morphine

1.       If the patient is not exhibiting significant pain, decrease the Morphine drip by 50%.

2.       If after 30 minutes patient is still not overly agitated, delirious, or in significant pain, decrease Morphine by 50% again.

3.       If patient becomes agitated, delirious, or develops significant pain give a 4 mg bolus of Morphine and restart the drip titrating the rate as necessary to obtain a Ramsay score of 2-3.

 

Hydromorphone

1.       If the patient is not exhibiting significant pain, decrease the Hydromorphone drip by 50%.

2.       If after 30 minutes patient is still not overly agitated, delirious, or in significant pain, decrease Hydromorphone by 50% again.

3.        If patient becomes agitated, delirious, or develops significant pain give a 0.5 mg bolus of Hydromorphone and restart the drip titrating the rate as necessary to obtain a Ramsay score of 2-3.

 

 
Propofol

1.       If patient has significant pain make sure patient has a form of medication ordered for routine pain relief.

2.       Reduce Propofol rate by 50%.

3.       If after 30 minutes patient is still not overly agitated or delirious decrease the rate again by 50%.

4.       If patient becomes agitated or delirious after reducing the drip resume infusion of Propofol and titrate to a level that results in a

 

 
Lorazepam or Midazolam

1.       If patient has significant pain make sure patient has a form of medication ordered for routine pain relief.

2.       Decrease the Lorazepam (Ativan®) or Midazolam (Versed®) drip by 50%.

  1. If after 30 minutes patient is still not overly agitated or delirious decrease the rate again by 50%.
  2. If patient becomes agitated or delirious and needs to return to IV drip, administer 2 mg bolus of Lorazepam or Midazolam and restart the drip. Titrate the rate up or down as necessary to obtain a Ramsay score of 2-3

Dexmedetomidin

1.       If the patient is not exhibiting significant pain, decrease the dexmedetomidine drip by 50%.

2.       If after 30 minutes patient is still not overly agitated, delirious, or in significant pain, decrease dexmedetomidine by 50% again.

3.        If patient becomes agitated, delirious or develops significant pain, load with 1 mcg/kg dexmedetomidine and restart the drip titrating the rate as necessary to obtain a Ramsay score of 2-3.

 

 
Repeat Sedation Vacation at least Daily  
   

Documentation

Nursing:

1.        Critical Care Flowsheet/JeffChart – document wean attempt, ventilator settings, and success or failure of procedure. Document patient’s response to SBT.

2.        ABG results

3.        Document neurological assessment and response to decreased sedation.

 

Respiratory:

1.        Respiratory Flowsheet – document wean ventilator settings and response to attempt to wean.

2.        Document assessment findings and patient response that indicated success or failure of wean.

 

References

 

Kress JP, Pohlman AS, O’Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. New England Journal of Medicine. May 18 2000;342(20):1471-1477.

 

Original Issue Date: 8/8/2007
Revision Date(s): 1/25/08
Review Date(s):  

 

Responsibility for maintenance of policy: Content Expert, Amy Callahan, RN, CRNP, ANCC
  (Signature on File)

 

(Signature on File)

Approved by: Sharon Millinghausen, RN MSN Vice President

 

 

 

 

 

References

Jefferson University Hospital Sedation Vacation protocal retrieved from

http://hospitals.jefferson.edu/

Strategies for Sedation Vacation in the MICU retrieved from

http://www.aacn.org/wd/ntispeakermats/PosterPresentations/00042670/00042670.swf

Reagan Library Reflection

As both a museum and a memorial of sorts, to both Reagan and his time in office, the Reagan Library is filled to the brim with historical information, testimonies, and artifacts. In a place that has such an extensive wealth of history and provides so many opportunities to expand one’s knowledge, it was difficult to choose just a few points of focus.

The first part of the museum that really grabbed my attention was the exhibit featuring Nancy Reagan and her support and love for her husband. She seems to have been an extremely notable first lady, particularly in how she took her role in stride. In this exhibit, one of her quotes was displayed which stated “I threw myself into these various first lady roles- spokeswoman, hostess, manager, and friend…above everything else, the first lady is the president’s wife.” Though the last part of the quote seems simplistic, I believe that it truly encompasses what it means to be an admirable first lady. Being the president’s wife does not just mean that you are committed to your love and your marriage, but it means that you are also committed to your country and to assisting your partner in his work. Nancy Reagan went far beyond that, instigating her own improvements throughout the country such as her “Just Say No” campaign, which sought to keep school kids from turning to drugs and alcohol. She traveled across the country, made television appearances, and visited rehab centers all as a part of this campaign.

Other particularly gripping aspects of the museum include the auditory stimuli given. One in particular the old-fashioned phone on which you could ‘dial in’ to one of Reagan’s speeches. Listening to his famous “Tear Down This Wall” speech through the speakers and hearing his way of describing communism as this huge evil entity was interesting. He even refers to the Berlin wall as a “scar” which every person in Berlin is forced to look upon.

While we were visiting the replicated Oval Office, there was a group of young school-children in the room with us who pointed out that there were jelly beans on the table. At first I had thought nothing of it, but the museum workers pointed out that Reagan had loved jelly beans. This became more apparent throughout the rest of the museum, including an entire portrait of Reagan himself consisting entirely of Jelly Belly jelly beans.

A more emotionally driven aspect of the museum which attracted my attention was the video of the attempted assassination. Since I wasn’t exactly the greatest history student in high school, I hadn’t even known prior to going to the museum that there had been an attempted assassination on Reagan. Seeing the video and hearing the reactions of both the people then as well as the people now who were in the room watching with me was an incredibly interesting experience. Even today, people still feel the fear and the ache of watching a president nearly die before their eyes.

Though my next piece from the museum may be seemingly unremarkable, I found that the section on music and art from the time period was enjoyable and emotionally driven. As somebody who is very in touch with music, it was almost a personal experience to be taken back in time to what they listened to and were entertained by at that point in time, some familiar and some not. Reagan himself said “where there’s liberty, art succeeds.” I understood this as meaning that, since America is a great country, it has incredible things to offer in terms of the arts and in terms of music- aspects of culture which transcend age and time.

I believe that the curator chose to include not only the “Tear Down This Wall” speech, but other huge signs and images against communism in order to portray communism as an incredible evil that the “hero” Reagan sought to defeat. Nowhere in particular can I recall there being any actual description of Communism. In fact, even in the open film-sequence, it was only referred to as an evil that was threatening to take over the world. In all honesty, though I know communism in practice has had major and tragic downfalls, the actual ideology of it isn’t necessarily bad. Rather than choosing to educate on communism though, the museum only seeks to portray it as the evil that those at the time believed it to be.

It was the same exact fear that was meant to be felt as part of the museum that lead to unfair persecution against those who were believed to be Soviets and Communists during the Red Scare. The room surrounding communism was dimly lit with lights which would change unexpectedly, in order to replicate a feeling of a lurking evil and uneasiness. I personally believe that perpetuating stereotypes without providing any concrete pro/con information gives less potency to the library and museum as a whole. In spite of this, though, the overall museum experience was quite enjoyable and I will hopefully be visiting again sometime in the future.

The Reagan Library Significance

Reagan Library Discussion

Last week I went to the Reagan Library to visit the time of Ronald Reagan’s presidency. It was a really amazing place to see with all sorts of cool exhibits and showcase rooms to see as well. It was an incredible experience to see sow many exhibits showing what he did during his administration. Today I plan on talking about some of the exhibits there and what there significance was to me. There were so many that choosing which ones I’d be discussing was really quite troublesome but totally worth it. I’ll also give my own personal opinions on the subject. This was one of the greatest presidencies of all time for me and hopefully it will be for you as well.

First, I want to discuss about the vehicles that Reagan used during his time to get from place to place. The model car used during his administration was a 1972 Lincoln Continental that was reinforced with bullet proof glass on all the windows. Some areas of the car were bulletproof as well in order to secure the president’s safety at all times. It was considered one of the most fashionable models at the time and usually well guarded as well. A surprising fact about this particular model was that it wasn’t used by just Reagan in that the model had been continually used since Lyndon B. Johnson’s as a sort of tradition. Though it did end with Reagan’s presidency it was also involved with both his and Ford’s assassination attempts which would seem to suggest why they discontinued that tradition. To this day it still sits proudly in the museum’s exhibit next to Air Force One.

Secondly, is the most famously known object that everyone knows about the president of the United States… Air Force One. It’s the most common thing about presidents since planes were first invented. Air Force One is a private jet or plane exclusively for the president to anywhere in the country. Whether it’s to reach important meetings like the State of the Union Address to Congress or simply taking it for a much needed vacation when they have the time. Reagan’s plane is a lot smaller compared to the ones flown today like Barack Obama’s with much more confined space. A fun about this plane is that Ronald loved eating chocolate cake and would always want to eat it but his wife wouldn’t let him. So he came up with a plan to always have a chocolate cake onboard in case it was someone’s birthday. That way he could eat the cake and his wife didn’t realize that fact. Air Force One has always been a symbol for the President and will do so for years to come, you can see it for yourself at the library in the wing made especially to house it along with a few other pieces.

Third, is the suit that Ronald Reagan was shot in on his assassination attempt decades ago. The attempt happened on March 30, 1981 while leaving the Washington Hilton Hotel in D.C. He was shot twice one in the chest and the other in the arm and besides him three other people were injured in the shooting. The perpetrator, John Hinckley Jr. was found not guilty by reason of insanity. One interesting fact about this incident was him motive for doing this and according to him he tried to gain favor Jodie Foster, an actress/producer during this time was still fairly young. Reagan’s suit is currently on display at the library also with the live footage from news crews as the shooting took place.

Another important exhibit is the replica of the Oval Office during Reagan’s presidency. The room is exactly alike in both height and length making it the closest replica of the oval office ever made to scale before. It included many other things such as a mid century tower clock and his official desk is set there. One rarely gets to see the oval office from photos or videos but this is a one of a kind exhibit to feature the entire Oval Office of a given President. One fact about this is the desk which every president calls the Resolute desk is that it was sent by Queen Victoria to President Hayes as a gift and was fashioned by remains of the British Artic Exploration ship Resolute. The Oval Office is a symbol of the President’s power and will be for many years to come from those who came before them.

The last of them is also related to Air Force One in a way but just a bit different and that is Marine One. Marine One is a helicopter that is used to transport the President of the United States the same way Air Force One does only over a much shorter distance. It usually landed in the White House South Lawn since ample room was available and is the only authorized aircraft to fly in a no-fly zone. An interesting fact about Marine One is that it isn’t only a helicopter but a call sign as well for the Marine Corps. Sometimes the Army took turns escorting the President and when they did they called it Army One. The helicopter that flew Reagan sits proudly next Air Force One in the same exhibit to show off it’s time during the Reagan Administration.

The one to me that was the most fascinating is definitely the suit during his assassination attempt because it evokes feelings of realization. Before this I always thought the President of the United States couldn’t be killed but this proved me wrong because it has happened before and may happen again when we least expect it. This is a testament o that truth and helped me understand that not everything is at we seems with the people near the President. This represents one of the well presented facts of Reagan’s legacy because it shows that everything is possible when it seems implausible. This a truly accurate representation in Reagan’s history though not the best one in most people’s eyes and that most wish that this never happened.

My trip to the Reagan Library

Knowing about presidents was something I did because I had to for all of my history classes. It wasn’t until Friday that I actually had an interest for learning about someone else besides myself and my friends. I went with an open mind ready to learn and that’s exactly what I did. I learned so much not only about Reagan but about history as well. I got an inside to how times were back then. It is so different to read about it in a book than actually see objects that take you back in time. It’s like everything became so real when I read the side comments next to an object or saw pictures. What caught my attention the most was the president then and the first lady’s love stories and the wedding memory section they had. I was surprised that they would let such intimate object be seen by everyone but I’m happy they did because I enjoyed it and it made me feel a connection with the museum. With that said I will be going to more and I’m very happy I was able to go to the Reagan library because it opened a whole new door full of curiosity to something I had never been interested before. After going I called my dad and I couldn’t stop telling how amazed by some things I had seen. I’m planning on taking my siblings for them to experience what I experienced and become more interested in history.

1

The picture above was one of the ones that impressed me as soon as I walked in because as a president I would have never thought that he was an actor. I had always known that acting was not a career but more like a hobby. It was interesting that Reagan committed to it from High school to College. Those stages of my life have been the ones I have taken more serious than any other stage in life only because those are the ones I feel are shaping my life. If I would have been acting I know for sure my parents wouldn’t have been happy. My parents would have just seen it as me throwing my life away and that’s one of the things I was most excited to tell my dad. I told him the president of the United States of America at one point was an actor and not at a young age. I thought he was going to laugh and be surprised but like always the smartness of my dad surprised me and instead he said yes because that you are meant to be you will be either sooner or later and Reagan was a really smart man. I thought to myself that is really true. ” What you are meant to be in life you will be either sooner or later”

2 Athletes usually practice to be famous one day for the sport they practice not to be the president, that’s exactly what I thought to myself when I read this. Also the fact that he was not planning to become president but an actor. I usually think people who become very important are those who keep their noses in books all throughout High School. Although by the looks of it Reagan proved me wrong. It seemed like he was the jock everyone liked and knew or so that’s how I picture it in my head. The most important thing I took out of this was the fact that he was so involved in many things and was still able to have the grades to become president. I admire that because as a student when I was in High school I thought six classes was to much to handle especially with cheer. I could only imagine the amount of stress he had with being president of the drama club as well as being involved in yearbook. My props to you Reagan!

3 I thought it was so fascinating to see the yearbooks Reagan designed. I have yearbooks and I knew the people who designed them and I would never think they would become president one day. Not only was it nice to see the yearbooks a president had designed but it was also interesting to compare them to the ones I have of my senior year. They are nothing alike. The ones in the picture seem more serious to me although they are still nice. My yearbooks look like a children’s book compared to these. I would have liked to have seen them from inside to see him maybe acting or simply be a normal teenager like me now. Not only would I be interested in seeing Reagan but maybe his friends and how girls my age dressed like back then. Just by looking at the cover of the yearbook I had so many questions what if I looked in it and looked through every page. I probably would not be able to stop thinking of questions to ask. It would be one of those things that would take me back in time just by looking at pictures. I could not help it to think the black and white picture on tip did not look like him. That’s when he was a teenager in High school. Maybe looking through the yearbook would have helped me see more of how he was as a teenager which is something I would have been interested in finding out. I already knew by him previously being an actor that he was outgoing and loved being on stage but what else was he into? anything I’m into now maybe?

4 From what I know the world in Hollywood is really aggressive and competitive. Yet Ronald Reagan in his first 18 months had 13 films already that’s very impressive to me. I would have thought as being as smart as he is that it would not be hard to get what he wanted but like it says in the comment ” He lobbied hard for the part of…….”. It is also pretty admiring that he was noble enough to buy his parents a ranch and house. People who get to become something re usually those who I believe become less humble but from what I see Reagan was humble and it shows a lot of his personality.

Overall like I said before I enjoyed myself at the Reagan library it was definitely a new experience that I enjoyed. I would go back and walk through it again just to learn more about the small details.

Ronald Reagan Library

When I was told that we were going to the Ronald Reagan Library I imagined an actual library with books (which made me really excited because I love books), not a museum. However as I walked through the museum and I realized that I didn’t agree with many of his ideas. Although he did seem to be a more progressive Republican in some aspects he is also well known more for his conservative Presbyterian church going values.

One of the video excerpts from the museum shows Ronald Reagan’s views on higher education. Ronald Reagan believed that higher education was a privilege not a right. Regan believed that it was the parent’s obligation to provide for their and their college costs. As a fellow college student now I can see the flaws in that theory, the amount of debt a college student racks up after college is $35,200 in loans and credit card debt, Reagan lowered the amount of financial aid because he wanted to lower the deficit but people are still in debt and so is the country. By raising tuition costs and lowering financial aid the gap between the higher and lower class widened.

There was also a video excerpt from Ronald Reagan on his views towards the Russians. Reagan felt they were “god-less savages” and “the evil empire” he wanted to have the more nuclear arms than Russia as to show intimidate Russia into not going to war with the United States it was also so that if the Cold War did turn into a nuclear war the United States would be ready. Reagan ended up out-spending Russia and tripling the nation’s debt by the time he left office in 1989.

As I walked through the museum the suit Ronald Reagan wore during his assassination attempt intrigued me very much. It was ironic to me that Reagan was shot by a bullet that ricocheted off of the limousine that was created to protect the president from harms way. As a Republican Reagan still pushed to ban guns, most likely because he had experienced first hand what it was like to get shot and the damage that guns can do.

It was also very interesting to see how Nancy Reagan directly influenced Ronald Reagan’s presidency and his two presidential campaigns. Nancy Regan was described as the opposite to Ronald Reagan but was also described as “everything Ronald needed” Nancy Regan helped with campaigning and with pioneering drug abuse programs but she also helped Reagan win his elections by reigning in the women’s votes and the familial votes.Image result for ronald reagan

I also found the Ronald Reagans’ presidential campaign pin to be interesting because I realized that George H.W. Bush was his vice president and it amazed me how that Bush would end up being their next president and would then have his son become a president as well. It really blew my mind how a Vice President could become president and then have his son or sons continue his legacy.Image result for ronald reagan

I believe when the curator chose to add the video excerpt of Reagan’s distaste towards the Russians he or she was trying to exemplify Reagan’s world views. The curator might’ve added this video to show the beginning he ‘Red Scare’ and how Americans were reacting or better yet overreacting towards the idea of communism. The video’s authenticity is proven as there are multiple copies of this video and Reagan was known for his distrust of the Russians.

The video represent Reagan in a both favorable and unfavorable way, it highlights the strengths and the flaws in his ideology. Reagan distrusted the Image result for ronald reagan during the cold warRussians and it reflected during his speeches but the distrust in Russian led the Reagan administration to further their anti- communist agenda. It was a smart move to instil fear in the country because it was a way to push their agenda further because fear is a great motivator for people and Reagan took advantage of that.

Being Apart of History

          I’ve always had some kind of connection with Ronald Reagan. In the second grade, my class was given a project to research a president that was assigned to us, write a one-paragraph report on that president, and present our report to the class. I was assigned Ronald Reagan. At first, I was little unsure of what to do. I wasn’t even sure who he was, what he did, or even what time period he was from. With help from my parents, I learned all the good things he did and grew to really like him for all he did and who he was. I even included his famous words at the Berlin Wall, “Mr. Gorbachev, Tear Down This Wall!” in my speech. (Though I had to practice with my dad on how to pronounce Gorbachev for a few days.) I ended up getting an A on that project. But, since then, I’ve always looked up to Reagan. So, when it was announced that we would be going to the Reagan library for class, I was really excited. I had been to both the Nixon and the Reagan libraries in middle school and really enjoyed my time back then. I was looking forward to going back and exploring the life of one of my favorite presidents in US history. In the library, I was fascinated at every little thing that stood the test of time. But what really fascinated me was the following five things.

          The first thing that I really loved was something you see towards the beginning, around the time that Reagan won the presidency. Reagan kept two plaques on his desk that gave him encouragement when he was negotiating. One plaque reads, “There’s no limit to what a man can do or where he can go if he does not mind who gets the credit.” The other reads, “It CAN be done.” The two plaques echoes Reagan’s belief that in America, anything is possible and is only limited by one’s dreams. When I say this, I felt very inspired. Reagan knew that the road ahead would be tough. However, he didn’t let the fear of failure bring him down.

The second thing I really loved was the entire exhibit of the assassination attempt. On March 30, 1981, John Hinckley, Jr. shot at President Reagan, attempting to kill him. The entire shooting lasted about 2 seconds. Secret Service acted fast, tackled the shooter, and got the president out and saved his life. Four people were shot, including the president, who was shot in the chest and the forearm. In the exhibit at the library, they have the suit the president was wearing when he was shot, all cut up and labeled where the bullets were. They also had the x-ray of Reagan’s chest where the bullet was. They even had a quote on the wall from Reagan after the shooting. He said, “Whatever happens now, I owe my life to God and will try to serve Him in every way I can.” I really connected with this because in the light of tragedy, he turned to God. Because I was raised in a very Catholic family and have turned to God my whole life, it was refreshing to me that a president would openly include religion in his life.

The next thing I really loved was the map of Nancy Reagan’s “Just Say No” campaign. The “Just Say No” campaign was an advertising campaign, part of the U.S. “War on Drugs”, prevalent during the 1980s and early 1990s, to discourage children from engaging in illegal recreational drug use by offering various ways of saying no. Eventually, the scope of the campaign expanded to cover violence and premarital sex as well as drug use. The map showed campaign stops across the country and spanned over many years. I was really inspired to see the First Lady getting involved with the country. I always like seeing powerful women making a difference in the community.

Another thing I really enjoyed was the condolence letters sent to Nancy Reagan when Ronald died in 2004. Support was pouring from across the country and even around the world. In one of the condolence books, British Prime Minister Margaret Thatcher wrote, “To Ronnie, Well done, thou good and faithful servant.” With the many notes in the condolence books that were spread across the country, Nancy Reagan also received letters from world leaders, dear friends, and even complete strangers. The letters testified to the great respect and admiration so many people felt for Ronald Reagan and their sorrow at her loss. For the whole country and world leaders to come together to mourn the loss of Reagan really warms my heart and gives me hope for the world. For a moment, the world wasn’t divided. They were together to celebrate the life of one man.

The last thing that I loved was actual outside the library as you walk out of the museum. Standing by itself is a portion of the Berlin Wall. Every time I see it, it gives me chills. This portion of the wall stands tall and proud. On one side, you can see pretty decorations of flowers and butterflies, symbols of hope. On the other side, nothing but an “E.” This wall has been through so much, tells so many stories, and is our history.

History never ceases to amaze me. Seeing the way we dealt with situations not too different from ones we have now shows me the full circle we go through. Battles fought, lives lost, treaties written, speeches given. It’s all the same. What’s different is the time and the people.

 

Ronald Reagan Muesum

On Friday September 25th our University 198 class went to the Ronal Reagan Muesum/Library. Though we had been planning to go the week before there was a presidential debate happening that week so we ahd to reschedule which in the end worked out really well, since when we went there wasn’t that many people as there would have been if we had gone the week before. It was nice to have had experienced this moment with all of us together because it will be a moment we won’t forget.

Air Force One Pavilion: I thought the Air Force One Pavilion was really interesting because we got to see the actual airplane the president usedrr when he had to travel all over the world for issues concerning our country. When we h
ad the tour she explained to us how the president really was and how kind he was. She also told us that he had a massive sweet tooth and that he enjoyed eating jellybeans everywhere he went so the pilots knew to leave him a bowl of jellybeans, just for him. The fact that they went out of their way to give him some jellybeans when they had no obligation, just proves how likable Reagan was. The air force relates to his travel through his presidency and give us information on Reagan as a person not just a President.

Oval office: We got see an exact replica of the oval office, it was extraordinary how accurately they represented the office in which Reagan worked in through his Presidency. The reason why I choose it as an object to reflect on because I could honestly imagine Reagan working in the office and that was interesting to rr1imagine. What I thought was fascinating was that they put in the tiniest detail into the exhibit they put all the doors that lead to the oval office. And they also put a bowl of jellybeans in the middle of the room and I thought it was really funny that through out the exhibits they kept mentioning the fact that he loved jellybeans. In a way I felt like they kept telling us how much he loved jellybeans to humanize him and to portray him as an oridinary human being.

Assassination Attempt: It was strange to see the weaporr2n they tried to assassinate the president with. The fact that they kept the weapon and put it in a muesum was interesting. I thought it was amazing how he survived the accident and still kept a smile on his face. They showed us a video of him being shot and then after when he was getting out of the hospital, he was waving at the people and smiling. Honestly if it was me I would’ve been upset that someone tried to kill me but he took it really well which shows he was a very strong person. This was linked to his life as president and even though he had bodyguards he could also get hurt. And it shows that being President isn’t as safe as it sounds and is actually really dangerous and life-threatening.

Football Exhibition: I choose this exhibit because it was really fun to see. And even though I’m not a football fan it was amazing to see all the jerseys and the super bowl tickets. It was fun torr3 see the love for football many people have. And in a way it connects many Americans together. It wasn’t really connected to Reagan specifically but more like it was linked to the Americans of that time.

Nancy: I really loved this exhibit, honestly it was my favorite. Nancy played one of the most important parts in Reagan’s life. They were the ideal couple, what reagan didn’t have Nancy did and what Nancy didn’t have Reagan did. They were complete with one another and for them their love was magical. The love letters they shared were so romantic and portrayed how much they loved each other. The “say no” campaign that thrr4e first lady started was inspiring because though before the first lady was beieved to not do much during the Presidency Nancy played a huge part and she helped many people just like Reagan did. Nancy was linked to Reagan even before his Presidency and after his Presidency as well. She was a huge part of his entire life.

I think the curator chose the object of Nancy’s exhibit was to show powerful their love was. And even though Reagan was the President and our leader Nancy was the one he always went to for advice so in a way it was both of them that were leading the country.

My thoughts on the video, were thst Reagan was an honest man. A man who knew what made him happy and knew that he would never do anything to hurt his ahppiness. i was glad they did an entire exhibit on Nancy, which showed just how important she was to Reagan.

My emotional response to seeing the love letters was happiness because, I’m glad they got to experience something as magical as their love. I feel like they were known as one person because of how perfectly they completed the other. Watching the video of they talked about how they felt to be together was very beautiful. Reagan wasn’t ashamed of saying how Nancy was her rock and how he always went to her in times of need, to be able to admit that, shows real love.

Our response to their love is able to show us the truth in how human Reagan was, and how wise he was to see love as power and not weakness. He showed his love for Nancy and how to him she didn’t make him weak but more powerful and a better person.

The truth of the exhibit was to portray Reagan as an ordinary human and even though he was President he was very much like us. He had ambitions and he had love and he was an honest man how had a pretty good impact on our counry not just as President but as a human being how acheived his dreams. Reagan was an inspiration to many he was able to become a man with power and still remain himself.

I think the truth was portrayed really well. The video they showed us was very specific in how close they were. When they were together they were like best friends and husband/wife all put into one. You could really see the love they had for each other even if they wouldn’t say anything, just by how the would look at each other was all the proof you needed to see they were madly in love.

Overall it was an amazing experience, I feel like I got to know Reagan in a more personal way then just his actions as President. It’s great to remember that we’re all the same in the one simple fact that we’re humans.

 

 

 

A Trip To The Reagan Library

On Friday September 25, 2015 I was fortunate enough to go on a class fieldtrip to the Ronald Reagan Presidential Library with my University 198 – intro to interdisciplinary research class. When finding out that we would be taking a trip to the library I was excited to not see anything about the Ronald Reagan but to see the baseball exhibit that is within the library. Sadly we had missed that exhibit by two weeks and so I was really bummed out by they’re being no baseball involved in this fieldtrip. Bummed out and all I still went to the Library I didn’t really know what to expect when going to the Museum because he wasn’t really talked about in most if not all the history classes I had taken. Going into the Museum I was excited by the free Wi-Fi and interactive portions of the exhibits.

Going through this whole portions I felt that the displays where pretty credible they showed the different types of backgrounds that Ronald went through. At times I felt that some portions where very dry and didn’t provide enough information on certain portions like when Regan was purposing to boycott the Olympics.

174bf67889dd3aab51a3a120b00f4a35In the beginning of the tour we were shown the younger years of Ronald Regan. Displayed where his families background and how he was just an ordinary kid. Moving through to his teenage years we discovered that he was an all-star athlete through High School and College. Ronald was shown looking his best and always made sure to stand out. Displayed where some of his achievements through sports showing his letterman and other uniforms. This photo I selected was because at this time era playing football or let alone any sport meant that you were “all American” so this was just a little preparation of all the best all American president mementos to show later on in the museum.

Walking through the exhibit I was in for a major surprise. The aspiration of our regan_cigsJPGformer president was to become an actor and model it was something I would have never expected. Ronald Reagan was not only a movie actor but also a
cigarette model. I had found this pretty ironic because typically most politicians avoid the big screen or attention through the media until election time. The curator selected this because it shows how the start of his presidency started with a simple move to Hollywood.

 

Continuing through the exhibit we were in a group like setting that was very quiet. The lights were dim and a video had begun to play and it was a very heavy video to take in and watch. The photo shown was a very memorable moment shown where we no longer see the president almost as if he disappeared but we are clearly able to see a crowd of secret service men and policemen pile on the man who shot at Regan.42198 After going through this experience our president was looked at as a hero for being one of the bravest presidents to go back out. Personally I felt amazed because after the video we had seen we were able to see how quickly he was able to recover and reassure the American people that he is okay.

In a lighter spirit as I finished that portion I was able to see the different types of white house celebrations that went on during Reagan’s terms. This egg roll

b536daa177c35842798972cc2ae21dd1explained a lot to me because it is a tradition that still continues in the white house today. These traditions may not seem like much but it is often a time where both the president and first lady can be interactive on a personal level of a few children and adults. Seeing this portion made me feel elated presidents do have time to spend with their families and keep some of there traditions and often share them along with others who wish to part take in celebrations like this.

Being a president of the United States has a greater role than just being a leader. It is about being able to relate to everybody in the United States in anyway possible. Walking through the Library, I couldn’t help but think how much of Ronald Reagan’s personal life still remained during his presidency. Giving credit to the curators for selecting best possible mementos on Reagan’s presidency, I

1/26/1981 President Reagan with jellybeans with Alexander Haig and Richard Allen during a meeting with Interagency Working Committee on Terrorism in the Cabinet Roomwas always on my toes. What caught my eye was Ronald’s love for jellybeans. The Love for Jellybeans was something I believe was closely thought out. It was a “pull factor” used to make him look very relatable. The Jellybeans where strategically placed throughout the museum in the oval office, Air force one, and even during his precedential meetings there was always jellybeans in the photo or display. This pull made it feel a bit more personal to me.

 

Reagan Library Reflection

After going to the Reagan Library for the first time I was astonished by many artifacts. I’m not going to lie at first I though we were going to an actual library to look at books. As soon as we started walking into the museum my jaw dropped.reagan1

The picture on the left is one out of the five object I choose from the museum. Those were the outfits that Nancy and Ronald Reagan wore the day of his Inauguration. I’m a big fan of fashion therefore when I saw what they wore back in the day I fell in love with their clothing. Everyone has their own sense of style but I’m sure many people still like this style. This picture also has Reagan’s note cards of his speech.”Lets us begin an era of national renewal. Let us renew our determination, our courage, and our strength. And let us renew our faith and hope. We have every right to dream heroic dreams”  (Ronald Reagan). This  quote really stood out to me because it pretty much states that we can start over and have big hopes and dreams even if they seem impossible.

The picture below is a display of Ronald Reagan’s sport life. According to this display he was a very athletic person. I chose this as my second artifact because when you think of the president of the United States playing sportsreagan2 it sounds strange. Ronald Reagan loved playing sports and being outdoors. While he was growing up he would swim in the Rock River, hiked hills and cliffs around Dixon. When he was in high school he wanted to played football but he was too small his freshman year. By the time his Junior year came around he was ready to play football. He continued his football career when he went to Eureka College but also joined the swimming team. reagan5

For my third artifact that I chose was the displays from when he got shot. Since there was more than one I chose this display because it states what happened that day. On Monday 30, 1981 Ronald Reagan was shot at by John Hinckely but didn’t die, one of his securities did for saving his life. Although Reagan didn’t die he still got injured. One of the bullets hit him in the ribs and went through one of his lungs. Luckily the bullet stopped an inch before it reached his heart. When Reagan arrived at George Washington University Hospital he was in critical conditions and they didn’t know if he would survive. That day he lost more than half of his blood but luckily the surgeons his surgery was a success and he was able to recuperate himself.
reagan6

My fourth artifact is this display of when he died. On June 11, 2004 his family and close friends got together for his burial him before sunset and his interment that evening. In this image you can see the First Lady, Nancy Reagan, holding the American Flag. That flag was the one that covered Reagan’s casket. His casket was taken to the Reagan Library, the main lobby was filled with citizens and they were paying their respects to him. Its amazing to know that not only did Ronald Reagan have his own library but when he died he was there as well. I’m sure it was a good memory for Nancy Reagan. Seeing all those people in the main lobby paying their respects is a good way to close his private ceremony.

reagan3For my last artifact I chose this picture of me standing on the podium where Ronald Reagan gave his speeches. All this time I thought that he would remember all his speeches but he wouldn’t. They were all typed out on the screens next to the podium and would reflect on glass screens so that he would be able to read it. But it wouldn’t seem as if he was reading his speeches because no one can see the glass screens and the reflection of his speeches. Since the speeches reflected on both of his sides he would switch off what side he would read off of and it made it seem as if was making eye contact with the press.

My overall favorite object out of the five artifacts that I chose from the Reagan Library was the displays of when he got shot. I enjoyed this display for many reasons. One of those reasons is because they had multiple displays not just one. They had the blue suit he wore that day, it was the first and last time he wore it obviously because it got ruined. When he arrived at the George Washington University Hospital it was cut off from his body while the doctors were searching for his wounds. This suit was on display and I was able to see some blood stains and the bullet hole from his ribs.

Another reason why I enjoyed this display was because they had an identical gun to the one that John Hinckley used to try and kill Ronald Reagan. John had bought the gun on October of 1980 from a Texas pawnshop and used it on March 30, 1981. John had shot at Ronald Reagan from fifteen feet away. In this same display was a piece of the window of the Presidential Limousine. It was a bullet-resistant glass from the window. This was the reason why Ronald Reagan didn’t die because once one of his agents realized that there was shots being fired they immediately rushed him into the limousine. Sadly one of his secret service agents died that day for trying to save the presidents life.

This section of the Museum also had a picture of his x-rays and it shows the bullet almost reaching his heart. In my opinion they put all of these displays in this section of the museum so that who ever goes to visit it can see how bad his injuries were and how it was a depressing day for his family. When I was going through that section I was almost able to feel what his family felt that day. I was seriously about to cry. When I walked into that section I noticed the film playing and at first I thought it was going to be one of his speeches but it was the film of when John shot at Reagan.

After the museum I did some research on Ronald Reagan I found that Ronald Reagan carried a pistol with him in his briefcase everywhere he went, including Air force 1. It’s understandable because since he got shot at once, he wanted to be protected at all times. Even though he was being protected by the secret service he just wanted to assure more security. He never used the gun but I believe it just made him feel more secure just in case someone else would try to shot at him.

Since this section didn’t give much information about that day you can always investigate on your own more ways about it. As people call it “the truth” of what happened that day not just what is in display at the museum. You can always go online and look up the date, search up Ronald Reagan being shot at, or even John Hinckley. I’m more than positive you’ll be able to find out a lot more than the museum is showing us. You can also look at archives from Ronald Reagan and there most likely will be reports on that day but of course you will need special authority to access those files.

Overall this section of the museum really represents Ronald Reagan’s history of that day. Even though it wasn’t one of the best days of his presidency it was definitely one he overcame. Knowing that he was in critical conditions and that he lost nearly half of his blood but still managed to recuperate is a sign of how strong he is. Only a strong person would be able to overcome a day like he did and still be able to continue his presidency. Just to think of the fact that if President Reagan would have died that day then Vice President Bush would have been president in replacement of Reagan. Either way Bush still became the president after Reagan only Reagan was still alive then. Going to the Ronald Reagan Library was an education trip. It isn’t a library it is a museum of objects and facts from when Reagan was president.