Wednesday, July 31, 2019

What Makes Sammy Run?

What Makes Sammy Run? by Budd Schulberg portrays the life of Sammy Glick – a young and ambitious copy boy who rises to fame as a screenwriter in Hollywood. The name of the novel is significant in itself, for it underlines an age-old question: What makes an individual run? Is it the craving for success? Written in 1941 when the world was relatively quieter in terms of competitive edges, the novel seeks to find an answer to this question. The author does not temper the unethical means Sammy, the protagonist of the novel, resorts to in his run. (Schulberg, p.3)Budd Schulberg completely exposes his main character’s inability to care for others, especially his friends and associates whom he needed during the days of his struggle. Sammy is shown as a person who can go to any extent to fulfill his ambition of attaining the pinnacle of success in Hollywood. He does not mind backstabbing others, even his girlfriend, to reach his long cherished goal, and in the process, make hims elf a victim of self-inflicted loneliness and frustration. This book report is going to present a brief summary of the novel before examining Sammy’s relationship with the narrator Al Manheim.It is also going to make a comparative character analysis of the two, thereby tracing changes in their relation if there is any. The report will also focus emphatically on the end of the novel to investigate Sammy’s situation. Summary What Makes Sammy Run? begins with Al Manheim’s recollection of how he met a teenage Sammy, full of vigor and energy, when the boy was working under him as a copy boy to deliver newspapers. Immediately after he comes to know Sammy personally, he develops a strange attachment for him, partially out of his curiosity to explore the boy’s nature and partially out of his own business interests.However, Sammy regards Al as his best friend and mentor. The story of Sammy’s rise and eventual fall begins when one day he impersonates Manheim and rewrites one of his newspaper columns to impress the managing editor. Thus, Sammy manages to gain a column of his own. Later on, he steals a piece of writing by an aspirant named Julian Blumberg who wishes to make a career in screenwriting profession in Hollywood. This event turns the fortune for Sammy as he is credited for original screenplay of the movie Girl Steals Boy when it hits the theater.The next few years witnesses Sammy climbing the ladder of success and popularity in the most prized seat of stardom in the world. As fate would have it, he hires Blumberg as his ghost writer for a minimal payment. Meanwhile, Manheim comes to know that Catherine ‘Kit’ Sargent, one of the most promising novelists and screenwriters, has developed a crush for Sammy. Although Manheim is emotionally attached to this lady, he is openly told by her that she prefers Sammy to him. In the process tracing Sammy’s frenzied run for success and recognition, Manheim also observes t he power game and corruption that run rampant behind the scene at Hollywood.This is evident from the fact that Sidney Fineman, one of the revered producers around, gets victimized by Sammy, loses his job and dies, apparently of a broken heart. Moreover, Sammy goes about his mindless business of securing his career and personal life in the indignant manner imaginable when he decides to dump his girlfriend to marry Laurette, the daughter of a wealthy Wall Street banker Harrington. This marriage proves to be a disaster for Sammy as Laurette sees it no better than a business affair. Eventually Sammy finds his heart empty – as empty as the big mansion he owes, and orders for getting him a prostitute.Sammy’s relationship with Manheim – Comparison between Two Characters As mentioned earlier, Sammy and Manheim share a relationship of friendship and mentorship. However, reversal of roles and values is one of the major themes in the novel as the mutual dependency between Sammy and Manheim changes in the course of it. It is Sammy who is employed under Manheim in the beginning, but later on Manheim finds himself writing screenplays for Sammy. Again, Manheim is of moderate disposition in comparison with Sammy’s aggressive demeanor.He is portrayed as an observer whereas Sammy is the go-getter in modern corporate terminology. Sammy in the End The ending of What Makes Sammy Run? renders an incisive thrust to the very conscience of its readers. Schulberg gives his protagonist the life he truly deserves after fiddling around with other people’s careers and emotions. So it can be said that the author, with somewhat ironic affection, puts a brake to Sammy Glick’s running wheels of fortune by making him suffer for his actions. References Schulberg, Budd. (1993). What Makes Sammy Run?. New York: Vintage.

Tuesday, July 30, 2019

Scientific Method Research

This hypothesis will require research proving or disproving the question of mental illness causing a person's chance of becoming homeless to increase. I will first locate an area with a high volume of homeless individuals, as this research will include all genders and races. The participants of this study will include individuals who has suffered from any type of mental illness or had to undergo any form of psychiatric treatment. The next step would be to collect actual information showing current homeless rates and if at all possible, records indicating mental illness.I will also collect information from local homeless shelters and single-room housing programs in order to determine the availability of resources to the homeless. Food banks or kitchens will also be a great research aid, as these institutions provide free meals at no charge to these individuals, and lastly, make an attempt to gather information from a face to face conversation with people who are actually living on the streets. This method would probably be the most difficult, but if there is a hot meal involved, a survey, or form of questionnaire can be administered prior to receiving a meal with minimal force used to complete.To maximize participation, incentives such as gift cards or even a free night stay at a local motel may suffice. After my critical data is collected, I will create individual files with information consisting of dates of contact, as well as all pertinent information collected via questionnaires or face to face interviews in order to form tables and spreadsheets, showing common traits shared amongst these homeless individuals, then generate a separate table showing personnel suffering from mental illness. It is at this point in which these findings will be compared and thoroughly analyzed.This information will be presented in charts or graphs to show certain similarities between all variables. Research findings should be accurate and valid, if not, a new hypothesis concerni ng the issue of homelessness will be generated and studied again. However, if findings are true, this information may become beneficial to local community activist who serve the homeless population, as well as the mentally ill, and may provide the mental health professionals a clearer understanding of the relationship between mental illness and homelessness.This may lead to the question, how money who is mentally incapacitated can learn to sustain a healthy career and provide a living for themselves, or a family without medical attention. Ultimately, this information can be used to improve local programs within the community, or even inform congressmen to take better action responding more appropriately to the needs of the homeless population who are mentally ill. References Campaign for Mental Healthcare [http://www. Calypsos. Org/publications/access/homelessness. HTML] Corporation for Supportive Housing [http://www. Cash. Org/index. CFML? Obfuscation=page. Vicarage;paged

Monday, July 29, 2019

A needs orientated approach to care

This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used collaboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effect ive this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient. The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can be d ocumented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a major f actor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE) as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship. A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all hav e an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan. The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as rea sonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm. Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code of c onduct ‘you must obtain consent before you give any treatment or care’ (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem. Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trained member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications A needs orientated approach to care This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used collaboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effect ive this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient. The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can be d ocumented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a major f actor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE) as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship. A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all hav e an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan. The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as rea sonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm. Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code of c onduct ‘you must obtain consent before you give any treatment or care’ (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem. Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trained member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications

Sunday, July 28, 2019

Rhetorical analysis Essay Example | Topics and Well Written Essays - 750 words - 4

Rhetorical analysis - Essay Example The main theme for this speech was the need for equality and human rights that covers people from all racial backgrounds in the US. In order to achieve desired effects on the audience, King applies several rhetorical appeals pathos being among them. In the speech King employs the use of pathos which by definition is the appeal to the emotions in order to gain approval which enables him change the audience’s perceptions of race relations by convincing them not to hate each other on basis of race but to instead hate racism which will be the basis for a new, better world. During the delivery of the speech, King described the black people as being â€Å"crippled† by the â€Å"manacles of segregation† and â€Å"chains of discrimination† (Luther 1963). These words are specifically aimed at making the audience realize the situation of the black community who are in great calamity. By using the word â€Å"chains† King want the audience to realize that racial discrimination has made being black a crime. This is because innocent black people were being treated as if they had committed a crime and therefore, have to be restrained. Another instance of the use of pathos is the mention of the black people being stranded on a â€Å"lonely island of poverty† while rest of the American society were enjoying themselves in â€Å"ocean of material prosperity† (Luther 1963). This statement is meant to inform the audience that contrary to the ancient belief that the blacks were poor because they were not as clever as the whites , it was actually the white American society that was literally holding them back. Apart of the use of pathos to appeal to his audience, King also uses logos which is the use of reason by supplying the necessary data, evidence, and irrefutable facts when making an argument. King used a number of facts that were present in

Undecided Essay Example | Topics and Well Written Essays - 500 words - 7

Undecided - Essay Example The speaker in this poem intended to bring out various messages. This poem highlights three main messages; decision-making in life, Isolation in the society and that nature is beautiful and attractive. The speaker in this poem shows that one cannot avoid decision making in life. While he is travelling, he stops between the woods and a frozen lake. The beautiful and alluring woods are the reason he stops, he stares at them for a while before his little horse shakes the bell of its harness to ask for any mistakes. The speaker realizes that he has to make a decision on whether he should remain in the attractive woods or continuing with his journey probably to the village, where he has promises that he needs to fulfill. The speaker has to choose between two worlds. The woods are attractive and seem to offer the speaker perfect quiet and solitude, which he seems to desire. On the other side, there is a different world from the woods, the world with people and societal obligations. Both sides interest the speaker in different ways but he has to decide which side is the best for him. The world with people however seems more important to the speaker since he decides to leave the woods and continue with his journey. In the poem â€Å"stopping by woods on a snowy evening†, the speaker has to choose between his self-desires and society desires. It seems that it is unusual for him to stop for a while and enjoy himself, for instance stopping to admire the beauty of the woods. His duties and responsibilities to the society do not allow some time for him. He however stops for a while to stare at the lovely woods. His little horse shakes the bell of its harness to alert him that it is unusual to stop in the woods. He decides to continue with his journey where he has duties and responsibilities to fulfill for the society. This implies that he

Saturday, July 27, 2019

Differences between Chimpanzees and Human Essay Example | Topics and Well Written Essays - 500 words - 1

Differences between Chimpanzees and Human - Essay Example Chimpanzees make friends and strengthen by mentoring each other. Researchers state that chimpanzees shave an estimate of 50 close friends and links compared to those of human being that is estimated to be around 150 and 200 (Dale, 26). The human anatomy has a skin that has limited areas that are covered in hair, in a chimpanzee, all parts of the body other than the face is covered in hair. The skull of a human brain is sustained by a vertebral column while the skull of a chimpanzee dangles forward from the vertebral column. Human beings walk in an upright manner that is enabled by the legs that are stronger than legs, feet that are arched and the capability to straighten the knees that enabling walking, on the other side, the chimpanzees walk on four legs since they have longer arms and knees that are bent. The social life of chimpanzees is largely based on survival while that of human beings s based on needs. Human beings show advanced forms of communication whereas chimpanzees use sounds and gestures that are only known to them. In this film, the social behaviors of humans surprised me, especially the fact that their social closeness is based on survival. Unlike in other animals such as the lion, there is no territory for the strongest; the chimpanzees live as one big happy family. The other thing that I found impressive is their ways of displaying affection, love, and kindness. They often play with each other, cuddle and hug each other. The adult chimpanzees take care of the young ones by ensuring that they get food and that they are safe from external threats and risk. Finally, I did not realize that chimpanzee s mourn for the sickness or loss of one of them, they are very compassionate (Dale, 34).

Friday, July 26, 2019

Literature 2.4.3 Essay Example | Topics and Well Written Essays - 250 words

Literature 2.4.3 - Essay Example Here, the reader is confronted with the fact we all hate to be judged, especially when people know little about us. This reasoning is not just something Atticus teaches Scout about the creepy, seemingly psychopathic neighbor, Boo Radley; it is a concept the entire town must embrace. When Atticus pleads the case of a black man who was falsely accused because of his skin color, rather than his actions or character, he admonishes the whole town – and me as the reader ? to put aside preconceived notions about others by getting to know them first (a timeless lesson no matter what society you like in). A couple of characters’ lives in Lee’s novel both reflect and digress from my own. Scout’s curiosity reflects mine, as we both search for new ways to look at situations and are often ridiculed for being too inquisitive. However, her assertiveness far exceeds my own. Boo Radley is often prejudged and misunderstood, as am I, but we are both liked once people get to know us. Unlike Boo, I do not live a life of obscurity and have social graces. These are just a few comparison/contrasts to note. Works Cited Lee, Harper. To Kill a Mockingbird. New York: Warner Books, 1988. Print.

Thursday, July 25, 2019

Introduction and Problem of Practice Research Paper

Introduction and Problem of Practice - Research Paper Example Nursing scholars have moved from developing nursing Meta theories to building theories that encounter specific problems related to nursing practice. Some of theories have been said not to cover completely nursing phenomenon. It may be argued that it is because some countries have little theoretical development. Due to this argument, many believe that the discipline of nursing is less affluent. It has also been facilitated by the transference of American nursing theories to other countries. To expand the nursing theories, theorists have gone to other countries, held conferences and participated in translation of books. Nursing theories have often been founded in the conviction that the nursing body of knowledge should be control or influence clinical practice rather than being defined by it (American Nurses Association, 2010). Nursing theories can be used in differentiating the focus of nursing from other professions (American Nurses Association, 2010). Concepts of theories have been used to guide all phases of the nursing process, including planning, implementing, and evaluating nursing care (Finkelman, 2012). In addition, they have been used in describing and explaining desired responses during practice. Nursing theories makes nurses to be focused on the goal set, hence making them more alert and confidence in their practice. They guide research; validates and modifies the theory, hence enhancing communication. Theories have been used to contribute to the development of the nursing disciple body of knowledge. Some theories are more worthy for certain situations, for example, one theory can be used to a patient in a home health care setting, whereas a patient in an acute care environment will use a different theory (Sabah, 2013). All the approaches are valid as long the nurse recognizes the value and usefulness of nursing theory as a tool for effective nursing practice. There are many theories used in the nursing field to solve problems encountered while attend ing to a patient by the professional nurses. An example of a theory to show how theories have been used in practice; Faye Glenn’s human needs theory, which was set to guide in providing human needs to those in hospital, but also has relevance for nursing care in community setting. Faye Glenn used this theory to promote the image of the nurse who was not only kind and caring, but also intelligent, adept, alert and prepared so oversee that patients receive quality services. This theory influences the nurse’s judgment in the selecting steps, in solving the patient problem and focusing in taking care of the patient. The problem facing the practice; the gap between theory and the practice in nursing has widened over the years. According to Sabah, â€Å"It is becoming difficult everyday for the nurses to administer multiple theories; this is due to conflicting knowledge they posses for use in their daily practice.† In most theoretical pieces of work in nursing, major threads of theoretical thinking are difficult to identify (Sabah, 2013). Problem in the practice that has been encountered is that, many theorists have used the term theory as interchangeable with such terms as conceptual framework, conceptual model, and paradigm. Some theories cannot be applicable when needed in the medical room to a patient (Masters, 2011). Many scholars have stated that the grand nursing theories or the conceptual framew

Wednesday, July 24, 2019

Social and personal adjustment Essay Example | Topics and Well Written Essays - 500 words

Social and personal adjustment - Essay Example The important aspects of the adjustment process are the existence of a motive, circumstances leading to its frustration, resulting in varied responses. This may eventually lead to the discovery of a solution. It is an accepted part of our cultural pattern for individuals to be frustrated; therefore, adjustments that result in achievement are necessary (Macionis, 2007). In the understanding of social and personal adjustments, four units are included in our discussion; Successful Living, True success is the one that helps both yourself and others around you. This demands an individual to consider the social effects of his or her action. No one succeeds by himself therefore; success compels a person to not only study himself, but also other people, adjusting and re adjusting himself to them from time to time (Uhl & Powers, 1938). If you plan your actions to help other people as well as yourself succeed, then you are socially and personally adjusted. Social Life in the Modern World, our everyday life provides us with countless cases of the need for discovering why people have acted as they have. What is the motive in actions people undertake? Such motives may include; lack of satisfaction, circumstances that force people to act, talents that lead to self-expression and, money that makes people work (Uhl & Powers, 1938). Azmitia writes that there several types of Personal Adjustment which include: Learning as personal adjustment, an effective learner saves himself much time, effort and money and gains great advantage in the cease-less struggle of modern times. Efficient reading as personal adjustment, from the printed pages we get many ideas of both the past and the present. Study as personal adjustment, study is important since it helps us think our problems through for ourselves before we can use the answers we have fully (2008). Personal adjustment to people and situations, this involves seeking whatever we think may give us

Tuesday, July 23, 2019

1) answer these 3 questions using slides uploaded. 2) summarize slides Essay

1) answer these 3 questions using slides uploaded. 2) summarize slides - Essay Example Task-focused approach is directive and consultative as the same time. This is common in universities where the senate makes decisions and communicates them formally through instructions, emails, and memos due to its bureaucratic nature.Managers at low levels may consult to gain commitment of staff. Banks on the other hand, mostly engage in charismatic transformation through directed business process re-engineering. This is because its success is based on how it functions and often needs to restructure processes. Multinational enterprises operate in a dynamic environment hence need to adapt to changes frequently. In this case, it may engage in facilitated as well as directed change styles and its scale of change may vary from fine tuning to corporate transformation. It is therefore likely to engage in turnarounds hence use directive style with some coercion. A good example is the Toyota lean manufaturing technique referred as the Just-in-Time manufacturing and involves eliminating was te in the production process.This type of change may not be applicable to universities which mostly deal with people and not manufacturing processes. There are many factors that can cause organisations to fail in their change initiatives. One key factor is inefficient communication. The way management communicates change determines whether it will be succesful or not as communication is meant to gain engagement and commitment to a cause. The leader needs to explain why change is vital, how they will benefit from it and what will not change so as to minimise anxieties and resistance. Communication also allows the leader to give a vision or direction of where the company is going and what is expected of everyone. In this way, staffs will be commited to the change implementation otherwise they will resist. However, it is not only communication that matters but

Admissions Essay Essay Example for Free

Admissions Essay Essay There have been several people with prominent impacts on my life, but why focus only on the people who have influenced me? Let us broaden the scope to include all worldly matter. Then I make no hesitation in stating that my canine companion, Toby, has been my greatest influence. Toby, a vivacious miniature schnauzer, is at a well-ripened age of eleven. He is not the same dog he was when he was younger. He sleeps about 18 hours a day and it is impractical to take a nap on the couch with him, because his snoring is loud enough to be fooled with the reverberation of my dad after a long day of golf. However, just before 5 o’clock in the afternoon, only the gray hairs scattering Toby’s black coat give away his old age. It is around this time every day that Toby begins his racket of letting you know that it is getting â€Å"close† to his dinnertime of 6 o’clock. Toby’s daily reminders guide me to take a stand against the common adolescent breakfast fast. They are also a source of accountability in my quest to keep a positive outlook on all things that I encounter in my life. See more: Satirical essay about drugs While Toby may be an ordinary dog, he and I share something that I have never had with another human. Toby and I communicate better than any two humans do. To a third party, it seems as though I am carrying on a conversation with a non-responsive dog therefore essentially speaking back and forth to myself. However, I assure you that Toby responds back in his own way. What makes our communication so superior is Toby’s masterful ability to express himself non-verbally. This allows me to open up to him and not have to worry about him responding with insensitive or uninsightful utterances. I have learned through Toby that when a person goes to another human to talk they would rather that the person speak less and listen more. I have also found my canine companion to be dependable. He is at my feet when I need him on a cold night to do the job my comforter is supposed to do. After having one of â€Å"those† days I can count on him to be there when I walk through the door and not running to the corner. I use this example of dependability and apply it to my daily life by being there for others as  Toby has been there for me. It may, to some, be a bit silly to consider a dog influential, but these people must not have had the privilege of owning one of man’s very own best friends. I like to think that if our world had more children with dogs like my Toby, it would also have more children learning the core values that aid in responsibility and kindness.

Monday, July 22, 2019

The cruel treatment Essay Example for Free

The cruel treatment Essay Miss Havisham, her dream is rather alarming as she wants too seek revenge on all male sex the reason for this is because of the cruel treatment she received from her fian. Since that day she has been wearing the same bridal clothing and has not removed anything out or out of place in her home. She lives her life vicariously through Estella whom she adopted and is used to break every males heart. She invites males from when they are young so slowly there hearts may be broken, eventually her dream also fails as many know about her plans and they tend to ignore her. Well, I thought I overheard Miss Havisham answer- only it seemed so unlikely- Well, you can break his heart.' (Pg. 59) Another instance of foreshadowing, this is the first point in the story when the reader can see Miss Havishams plot with Estella. Further on her plans come to an end as Estella is married to Drummel who is a cold hearted man and now she is beaten and treated the same as his animals as drummel states in the novel also Estella says he whips his horses, in comparison Im spared. Now Estella ends back at Satis house alone just like Miss Havisham, neither the two have succeeded in there dreams. Abel Magwitch, who is at first a gruesome prisoner that escapes on the marshes where he meets pip. for he gave me a look that I did not understand, and it all passed in a moment. But if he had looked at me for an hour, or a day, I could not have remembered his face ever afterwards, as having been more attentive. (Pg. 37) Pip is talking about his convict after the soldiers catch him. This passage is important to the story because it foreshadows all that is to come. Pip could not interpret what the convict felt for him. He was sent down to Australia where he made a fortune by farming but after all that time he still risked his life and came back to England so he can be pips benefactor, because of the favour pip had done him. Pip does not know who his benefactor is as he couldnt even imagine it would be Magwitch. Yes, Pip, dear boy, Ive made a gentleman on you! (Pg. 315) Magwitch tells Pip this the first night he comes to his house. It reveals that Magwitch is his benefactor and this one statement totally changes Pips outlook on his good fortune. His dream comes to an end as he is sophisticated and does not realise that he is a convict, the novel ends where he began it as a convict, no improvements has been made in his life also. All the characters did not go far with there dreams as they too hasty into doing things, firstly pip with all the money he has he squanders it all, Miss Havisham relies on Estella when she is married and beaten and Magwitch who is an escaped convict doesnt realise that pip cannot become a gentleman as Magwitch himself is not a noble person. All three characters inhabit imperfection in their own personalities and are ruined matters beyond their control. Pip tries to become a gentleman when his benefactor is not a nobleman and his origin is a blacksmith, Miss Havisham adopts Estella to take her revenge through Estella and Magwitch is trying to be pips father which he can never be, none realise and are expecting too much of themselves. All characters are linked in this way that they could try to use any means to make there dreams come true but it will not work as somewhere at some point there will be a tun over as they are imperfect in some ways. All their dreams are unreal and because of this they act unusually and behave the way they shouldnt. Their expectations are far too great for them too control over and from this they fail into fulfilling their dreams and aspirations. This novel is a mirror image of dickens and from this he wanted for the middle and upper classes to understand the lifes of the working class people and also children along with the difficulties and hardship they had to go through.

Sunday, July 21, 2019

Benefits Of Virtue Ethics And Morals Philosophy Essay

Benefits Of Virtue Ethics And Morals Philosophy Essay When I think of virtue ethics, I think about myself and what or how I think of individual character. Many people say that I am kind, caring and very considerate person. That always think about other people and how I can help them. This would be because my moral belief is that I treat others as I like to be treated. So if you want respect then you have to give respect. But I also think about how I feel when I help someone. So you may ask yourself, what does that have to do with virtue ethics? Aristotle who is a virtue ethicist from Greece says that a virtuous person is not one that does the right act but one who consistently does the right act and for the right reason (Waller, 2005, p. 98). I myself know that I am consistently kind to people and care very much for people in my life but also for the elderly, kids and pets and I do this for the right reasons and that would be because it makes me feel good about myself. Aristotle also says that we are what we repeatedly do and that excellence is not an act but a habit (Waller, 2005, p. 98). I can say that I agree with that because when go see my mom who lives in a senior building and some who know what I do for work and need help or if they just want to sit and talk or need a ride to the store. I am always willing to help them and they want to pay me but I refuse because it is a habit for me to be nice and kind to them. When I am out and about and I see a dog it is a habit that I stop and pat the dog and talk to them because I am an animal lover. For me as I have stated I am a true animal lover so I do believe that not only humans but animals and insects should have some moral consideration. Tom Regan proposed that inherent worth need only be the subject of a life (Waller, 2005, p. 135) and I agree with him. What people forget about is that supposedly humans were apes way back when or should say humans evolved from gorillas. But animals of all species shapes and sizes have minds and feelings just like humans. They also have moral codes as well for example: a female gorilla has children and gives them love as well as teaches them how to survive and teaches her young right from wrong whether it is in eating a banana compared to pineapple or fighting with its siblings, just like a human mother does with her children. So it makes me wonder why anyone could be cruel to any animal. For many people they may question whether morality really does exist. For me I would have to say how you can think that it does not. Humans are a species that live life socially and if there were no morals in the world we would have to think of all the craziness that would be in the world and people would not live socially. Without having morals, humans could become extinct because no one would have a care in the world of who can do whatever to whomever like murder, rape, theft and there would be no reason to stop any of that. So by having morals in the world most people do not commit murder and rape or steal from another even though some people do those things that are not morally correct by many standards. Morals help bring peace to the world. The Rain Forest is an environmental dilemma for many years now. Some people do not care about the Rain Forest so they want to take the trees down to create products and not care about what how that affects life itself for humans or for the animals of all kind that live there and need to have it for survival. The Rain Forest not only affects the survival of animals but for humans as well. Then you have some people who believe that by taking down the trees in which will destroy the rain forest will affect humans as well as animals. These are the people that I agree with. It would be morally wrong to destroy that forest. Without the forest many of animals and insects that is needed for many different reasons that make the environment work in a positive way would disappear in return it would affect the environment itself. There are certain insects that eat other insects to make sure their populations do not get crazy and then you have the animals that use the water to survive and the mos t of all the trees that help keep the air clean and help with the process of oxygen. So morally it would be wrong to not only destroy the forest but to slowly be killing the animals. One way that they could prevent this would be to have a ban against anyone to cut trees for any reason in the rain forest. As humans we have already taken so much from the animals as well as from ourselves. Having virtue ethics and morals help this world for the many different reasons which keep order our society as well as the society of animals. Some people are taught from their parents to have some code of honors or morals and some are taught but just do not agree with them. We as humans only learn so much from our parents then learn the rest as we grow and develop our own virtue beliefs and morals. Cite Page Waller, B. N. (2005). Consider Ethics Theory, Readings, and Contemporary Issues. New York: Longman.

Saturday, July 20, 2019

Teens and Sex - Abortion and Teenagers :: Argumentative Persuasive Topics

Abortion And Teenagers Throughout the semester, I have been researching information concerning abortion. Many people are totally against abortion, while others feel that there is nothing wrong with it. Some say that even if the fetus is one week or 45 weeks old it is still considered murder. Where do we draw a line? It is obvious that there will never be a right or wrong answer. Every women should have the right to do what she wants. Whether it is abortion or not. Some say that even contraception is wrong. Martin Luther called contraception homicide. One man said that who ever uses contraceptives would lose their souls. This does relate to abortion because if a couple only has sex just to initiate life, then there would be less diseases, very little abortions, and not many adoptions. Throughout the semester, I have been researching some of the many issues that relate to abortion. There are a few questions from type "A" category that I will try to answer based on what I have read throughout the semester. Many people often wonder what type of restrictions or shall I say rules are there for different states. In Pennsylvania, there is a requirement that teenagers show the consent of one parent or a judge, and another that puts a 24-hour waiting period for a woman after hearing a presentation from her doctor of alternatives to abortion. There has also been a provision that would have required women to inform their husbands if they wanted to have an abortion. Since states cannot ban abortion completely, they are trying to push restrictions like those in Pennsylvania. In most states, there will be a decision on whether or not teens have the right to obtain an abortion without involving their parents in the decision. Some say that if this actually goes through, then teens might seek an illegal abortion in their own state or might even consider self-abortion. States are also considering consent from the father and they are considering prohibiting the use of federal funds for abortions which might limit the teens options. Many pregnant teens avoid having an abortion, but then turn to adoption. It is estimated that approximately 3% of pregnant adolescents will place their infant for adoption. Some authors say that increasing the difficulty of having an abortion will have an effect on adoptions. They argue that pregnant adolescents will turn to adoptions instead, but then again the reason that there is such a low adoption rate is because of the legalization of abortions in the United States.

Free Essays - Bitter Reality in Landscape for a Good Woman :: Landscape for a Good Woman Essays

Bitter Reality in Landscape for a Good Woman "For my mother, the time of my childhood was the place where the fairly tales failed." (47) The loss of dreams for Edna has resulted in a loss of dreams and fantasy world for her children. The focus on the little mermaid is appropriate. Just as Edna makes the two girls into the tragic figure of the little mermaid by blaming their father for leaving/not leaving them, Edna continually makes her children into either the tragic figures or the villain by blaming them for her shattered dreams. In actuality, she is the pathetic tragic figure, unable to see how her children have helped her financially. She takes her disappointments and failed dreams and puts them onto the girls, as though it is their fault. Simply due to their existence, Edna often seems annoyed with the existence of her daughters. Kay's realization of this fact so early in life is the most distressing part of her story. Bearing the weight of this burden takes away the possibility of the children having dreams and fantasies of their own. Their awareness of this bitter reality makes it truly amazing that she titles this story Landscape for a Good Woman. Both middle and upper class mothers have certainly heard the message throughout their lives that their responsibility is in the caring for and nurturing of their children. This certainly leads to a multitude of tasks above and beyond clothing and feeding, which often result in a loss of freedom for the mother and a sense of enslavement. Breaking out of this pattern which has been expected of women and mothers in particular has been a goal for women for many decades. Being raised in a harsh environment has resulted in Edna naturally having an outlook on life that is quite different from the standard upper middle class belief of the mother being all sacrificing for her children. The emotional ties between mother and child seem to be on the back burner while more immediate needs are tended to. Edna's standards of what it means to be a good mother are entirely different from those of someone from a different class. She denies the upper-class role and defines motherhood in the only way sh e is capable of doing so, and is not damned by those around her for the way she raises her children.

Friday, July 19, 2019

Career, Career Interests, and the Value of a College Education :: essays research papers

I am currently employed as a software integration technologist with Motorola. The division I work in develops software used to identify persons, usually for law enforcement purposes, through fingerprint, palm print, facial, and demographic matching technologies. My job is to integrate these technologies into a single, fast, and easy to use system. Specifically, I code the workflow engine that allows the separate technologies to function as a single system. Instead of moving from company to company, changing jobs every few years like many of my past and present co-workers have done; I have been working at the same company for the last 18 years. I started at the bottom, in a data entry position while attending college classes in the evening. I worked my up the corporate ladder, meeting the challenges offered to me by my superiors, discovering my talents, developing my skills and performing to the best of my abilities. The reward was career advancement and increased compensation. Experience has taught me that there are many behaviors that will help you to succeed in a career. These behaviors include self-confidence, productivity, respect, the ability to work with others, a focus on quality, and a commitment to ethics.  Ã‚  Ã‚  Ã‚  Ã‚   Self-confidence in your own abilities will allow you to face challenges with a positive attitude and enthusiasm. You will be able to demonstrate a boldness and decisiveness that radiates professional integrity and communicate with impact. You must be â€Å"willing to say what you think is in the best interest of the organization – even if it’s not popular.† (Troiano, 1998) Plan and organize with the goal of being productive. Motivate yourself to achieve â€Å"necessary tasks and take on more challenges.† (Will your future, 2000) Be responsible for your own education. Learn quickly and work efficiently.   Ã‚  Ã‚  Ã‚  Ã‚  Build and sustain relationships with your coworkers and customers. Show respect and be courteous. Demonstrate an ability to work with others. Look to your peers for assistance and do not be reluctant to give assistance on work related problems.   Ã‚  Ã‚  Ã‚  Ã‚  Focus on quality, client service, and customer perceptions. The customer will be delighted with a quality product or service delivered punctually and professionally. Your superiors will note this satisfaction and use it when making future decisions that involve you.   Ã‚  Ã‚  Ã‚  Ã‚  According to the Columbia Encyclopedia, ethics is â€Å"the body of obligations and duties that a particular society requires of its members.† Society, in this case, refers to the corporate body. An employee has a responsibility to their employer to abide by the company’s code of ethics at all times. Career, Career Interests, and the Value of a College Education :: essays research papers I am currently employed as a software integration technologist with Motorola. The division I work in develops software used to identify persons, usually for law enforcement purposes, through fingerprint, palm print, facial, and demographic matching technologies. My job is to integrate these technologies into a single, fast, and easy to use system. Specifically, I code the workflow engine that allows the separate technologies to function as a single system. Instead of moving from company to company, changing jobs every few years like many of my past and present co-workers have done; I have been working at the same company for the last 18 years. I started at the bottom, in a data entry position while attending college classes in the evening. I worked my up the corporate ladder, meeting the challenges offered to me by my superiors, discovering my talents, developing my skills and performing to the best of my abilities. The reward was career advancement and increased compensation. Experience has taught me that there are many behaviors that will help you to succeed in a career. These behaviors include self-confidence, productivity, respect, the ability to work with others, a focus on quality, and a commitment to ethics.  Ã‚  Ã‚  Ã‚  Ã‚   Self-confidence in your own abilities will allow you to face challenges with a positive attitude and enthusiasm. You will be able to demonstrate a boldness and decisiveness that radiates professional integrity and communicate with impact. You must be â€Å"willing to say what you think is in the best interest of the organization – even if it’s not popular.† (Troiano, 1998) Plan and organize with the goal of being productive. Motivate yourself to achieve â€Å"necessary tasks and take on more challenges.† (Will your future, 2000) Be responsible for your own education. Learn quickly and work efficiently.   Ã‚  Ã‚  Ã‚  Ã‚  Build and sustain relationships with your coworkers and customers. Show respect and be courteous. Demonstrate an ability to work with others. Look to your peers for assistance and do not be reluctant to give assistance on work related problems.   Ã‚  Ã‚  Ã‚  Ã‚  Focus on quality, client service, and customer perceptions. The customer will be delighted with a quality product or service delivered punctually and professionally. Your superiors will note this satisfaction and use it when making future decisions that involve you.   Ã‚  Ã‚  Ã‚  Ã‚  According to the Columbia Encyclopedia, ethics is â€Å"the body of obligations and duties that a particular society requires of its members.† Society, in this case, refers to the corporate body. An employee has a responsibility to their employer to abide by the company’s code of ethics at all times.

Thursday, July 18, 2019

Online enhance corrective feedback for ESL learners

The purpose of the research is to look into the value of online enhanced disciplinary feedback for non-native talkers of English. It is analyzing in three countries which are the quality of their interaction online, their perceptual experiences and the rivals encountered. The research is done as when the research worker found that many foreign pupils in many western universities holding hapless linguistic communication accomplishments and experient civilization daze. Due to this job, they do non cognize what is appropriate and what is non. Hence, this probe on the value of online enhanced disciplinary feedback ( OECF ) is to develop their linguistic communication accomplishments and acquire them to socialise positively with the hosting pupils while prosecuting their academic classs. The research worker used qualitative and quantitative tools to garner informations in his survey. The Conversation Analysis and end-project study as the two chief instruments used both for NNSs and NSs. Conversation Analysis takes into history of the three facets of interaction in order to keep the quality discourse. There are ( 1 ) inductions of subjects, ( 2 ) petitions for elucidation and ( 3 ) elaborated replies to inquiries. To prolong the linguistic communication consciousness, the analysis included self-correction, blessings as preferable responses and incorporations of the corrected signifier or significance. The information collected was from hebdomad one to hebdomad eight. As for the end-project study, the research worker wants to cognize the penetrations on the value of OECF from both NNSs and NSs positions. By acquiring the topics to interact, the research worker was selected MSN courier for on-line synergistic tools as it is practical to the users. However, participants were reminded non to utilize their private electronic mails for this undertaking. Due to this, participants were given an option to open new histories on hotmail and trip new MSN courier. The participants were the international pupils from the Language Centre of the University of Dundee. They were 10 pupils from diverse background ; seven Chinese, one Italian, and two Indians. They were in-between stripling with small contact with NSs of English and had no friends as NSs to socialise with. Whereas, for the tutoring group or NS comprised of six pupils from the pupil community of the University of Dundee and four were from the university staff members. Most of the coachs were from Scotland and merely two came from the non English speech production backgrounds, nevertheless harmonizing to their bio-data that they possessed a good bid of English and understanding good of the British civilization. The processs are used by the research worker is the equal tutoring technique in which coachs are matched with NNSs. Both are interacting utilizing the online MSN courier in turn-taking. They are showing their thoughts and positions like inquiring inquiry, supply information and so on as though they are prosecuting in speaking but in other manner they are pass oning by typing the message online. In a conversation analysis, participants are identified for their linguistic communication consciousness such as middlemans are acquiring feedback for their grammatical and semantic inaccuracies. Furthermore, in this article, OECF is adopted few schemes from negotiated significance when a societal interaction emphasized negotiated significance in a cognitive procedure ( Long, 1996 ) . NNSs have the attempt to self-correct if they are acknowledging any mistakes during the communicating. These feedbacks could help them in their academic accomplishments. NNSs would be able to pattern their Englis h of no fright to be embarrassed when there are errors because they are non talking to the NS straight but by typing the messages. For the end-project study, the research worker developed study in a signifier of questionnaire with a five point Likert graduated table runing from Strongly Disagree to Strongly Agree to mensurate NNSs & A ; acirc ; ˆâ„ ¢ and NSs positions and attitudes. In the inquiry, they will bespeak their degree of satisfaction by ranking it from 1 to 5 in which 5 is the highest mark. The analysis is considered in the eight-week intercession. In the survey of quality engagement, it showed that conversation was non being monopolized by the NS when NNSs were lending every bit much as their coach equals ; whereby they were given clip to believe, explicate and type their messages. NNSs were able to alter the flow of their on-line conversation by originating subjects and asked for elucidation if there was any misinterpretation occurred. However, it besides indicated that NNSs were effortless to take enterprises in altering subjects and inquiring inquiries due to their deficiency of assurance in pass oning in English, hence they anticipated the coachs to make most of altering subjects. Following, in linguistic communication consciousness survey, consequences indicated that NNSs had clip to read, reflect, memorise and spread out their English linguistic communication cognition repertory. NNSs were able to read their NS coachs & A ; acirc ; ˆâ„ ¢ posters, infusion, generate, exchange and construct significance from the reliable environment. Finally, the consequences from the end-of-semester studies showed that both NSs and NNSs had a positive experience while engaged in this undertaking. NNSs feedback on this undertaking had offered them a socially and linguistically rich environment to pattern the mark linguistic communication. Harmonizing to NNSs, the text-based communicating provided a positive impact in bettering both their authorship and reading accomplishments and besides on their speech production accomplishments. They perceived those as an effectual manner non merely to interchange thoughts and to inquire for and clear up information but besides to show and back up their points of position. Indeed, their errors were noticed and they were able to be self-corrected. Part C With respects to the IT demands in this century, the research does involvement me. However, there are pros and cons to be considered to transport out this survey. Talking about the benefits from this survey, it is appropriate method for cut downing anxiousness in pupils larning English. NNSs particularly will non experience shy or embarrass if they make errors in organizing the syntactical sentences when they are non interact face to face with the NSs. Harmonizing to the findings, it was a positive feedback from NNSs on this research undertaking. They said that it gave a good deduction in their English acquisition and bettering both their authorship and reading accomplishments so as their speech production accomplishments. However, based from my sentiment the research did non good conducted. The first ground is, by looking from the facets of experimental cogency, the findings were non valid. This is reported in this article that during the undertaking has started, there were participants drop out from the undertaking and go forthing merely five braces to go on. The consequences from the findings were merely based from the five braces alternatively of 10 braces. The trying drawing was uneffective to obtain the satisfaction analysis on this survey. Second, the research worker indicated that he is utilizing both qualitative and quantitative methods in his research survey. Hence, the survey should follow with two groups.1 group which i s called the experimental group is given a intervention and 1 group which is called the control group does non have any intervention. Then, the consequences of the findings can be acceptable of whether the OECF truly run into it objectives. Third, the research worker should briefs the purposed lineation of the survey in order to acquire the good engagement from the participants. The research worker should aware of the different backgrounds of the NNSs participants to be matched with NSs coachs. I suggested that age is to see for choosing the NSs because harmonizing to the articles, there were four NS in their mid-twentiess and one in his late teens. Possibly, the research worker should see on the adulthood because I believe when younger NSs involves with the NNSs troubles in novice a conversation, therefore NSs will be easy acquire bored and they have the inclination of originating subjects that are more relevant to their age. Hence, the conversation failed to discourse efficaciousl y when NNSs will take a long clip to believe about the thoughts that they need to convey out. Harmonizing to the activities presented in the research article, I think the activities should be enriched with more reliable subjects, produce more light readings to the NNSs which related to the current issues and reading transitions that could arouse NNSs feedback immediately without hold. In add-on, to obtain more concise consequences, the period of survey analysis shall be extended to hebdomad 12 alternatively of hebdomad 8 hence legion activities could be planned. In general this research provides an chance for the higher instruction pupils to heighten their communicating accomplishments particularly in composing and talking. Beforehand, the research worker should clearly find his/her aims and what kind of research method that is applicable and appropriate for the survey. Often, we found that even though pupils had learnt English during a school clip but they were still confronting jobs to get the linguistic communication eloquence and truth. Therefore, this research undertaking is seen as the appropriate exercisings for pupils to modify their defects in English linguistic communication when they are able to show their thoughts and giving their ideas from the activities designed. They are affecting in two ways communicating in which their errors are being corrected by the experts or so called the coachs. On the manus of Malayan contexts, in order to implement this activities, the instructor shall look closely on the scholar involvements whereby the subjects to be discussed must be reliable, short and simple but is able to dispute their positions and able to promote them to do remarks. As a consequence, they learn more, understand the grammatical class in the sentences and larn new vocabulary each clip. Learning English should be merriment.