Dissociative Amnesia- Memory Loss Essay -- short term memory, American

Introduction: The main Character is Lenard; he is an average looking male in his mid to early thirties. At first look one would never think that there is anything wrong with him, he speaks clearly and intelligently, id s polite individual and well-mannered when interacting with others. Lenard does the typical things and daily activities that a normal person does. On sight one can’t tell that, but Lenard has a condition where he cannot recall anything that happens to him within a matter of minutes, things such as people he meets, the conversations he had and places he’s been become distant after a few minutes. The only thing that Lenard is able to remember is those things that happened before the incident that caused his diagnosis. The things that Lenard is able to recall are those things such as his name, who he is, and the way his life was before the traumatic experience. Lenard is incapable of making new memories as well as short term memories. Diagnosis: In the film Lenard tells people that he has short term memory loss, this isn’t the case though, Lenard’s disorder is in fact more serious then he knows. Lenard has; individuals who have this condition like Lenard have difficulties remembering parts of their lives from a single event or numerous events that have occurred. Dissociative amnesia typically occurs when a traumatic event happens in that individual’s life. For Lenard, the traumatic event that occurred in his life was the rapping and murder of his wife which occurred in their own house while Lenard was asleep, then awoke to see what was going on, to which he was hit across the head with a gun which caused his condition, then left laying besides his lifeless wife on the bathroom floor, Symptoms & Axis I-V: The DSM... ...ma he encountered didn’t occur. Works Cited: DSM-IV-TR. (n.d.). American Psychiatric Association. Memento. Dir. Christopher Nolan. Landmark, 2000. DVD. Merriam-Webster. (n.d.). Etiology. Retrieved November 9, 2013 from Merriam- Webster: http://www.merriam-webster.com/dictionary/etiology NCBI. (n.d.) Us National Library of Medicine National Institute of Health. Retrieved November 9, 2013, from PubMed: http://www.ncbi.nlm.nih.gov/pubmed/16791779 Psychotherapy And Counseling. (n.d.). Dissociative Amnesia – DSMIV Definition. Retrieved November 9, 2013, from the DSM IV: http://psychotherapyandcounseling.org/dissociative-disorders- category/dissociative-amnesia Whitbourne, S. K., & Haligan, R. P. (2013). Abnormal Psychology: Clinical Perspectives on Psychological Disorders, Seventh Edition. New York, NY: McGraw-Hill.

Effective Communication Essay -- essays research papers

Running Head: Effective Communication 1   Ã‚  Ã‚  Ã‚  Ã‚  In order to be an effective manager in the work force today, one must have a very good understanding of the various ways in which people interact and communicate with one another. It is critical that good leaders display the ability to effectively communicate with their associates and subordinates as well as train and encourage others to demonstrate those same communication skills. By doing so, they will promote both a healthy and efficient work environment that everyone will be sure to enjoy.   Ã‚  Ã‚  Ã‚  Ã‚  The first challenge in effectively communicating with today’s workforce is diversity. The work force today is more diverse than ever and is rapidly becoming even more diversified as time passes. Leaders are already facing differences from many levels of society. And with every new group that enters into the workforce, there are still the cultural differences such as customs, beliefs, and expectations that are thrown into the mix as well. All of this, as well as many other issues only further complicates the task of achieving effective communication on all levels.   Ã‚  Ã‚  Ã‚  Ã‚  Perhaps the first and most obvious difference in the work environment is the difference of the sexes. Women Running Head: Effective Communication 2 possess a tendency to be more subtle or convincing rather than shouting out demands. Studies have shown that women are more likely to construct their requests in the form of suggestions or leading questions rather than be more direct (Adult Learner’s Guide, 1999). The conflict is evident if one considers the fact that males possess the complete opposite tendency. Men are often more direct and to the point. These two contrasting attributes are a fertile breeding ground for misunderstandings of all sorts. Women also do not hesitate to mix business with personal talk where men are more anxious to get to the details of the business at hand. For women this seems to be a double edged sword. On the one hand, the personal talk brings down some barriers and lets each one get to know the other so everyone is comfortable. This works in their favor in situations where they are meeting a group or individual for the first time. But on the other hand, after they become acquainted, women have trouble separating their personal feelings and allowing the... ...py and successful workplace. They must be able to convince others to set their feelings aside and deal with issues at hand and as the workforce becomes more and more diverse, this will become a larger challenge. Today’s leaders must understand that the varying methods needed to communicate are just as diverse as the environment in which they are needed. Not all techniques will apply to all people, but by listening to individuals and hearing what they are truly saying, a true leader will be able to communicate effectively with anyone on their team as well as encourage effective communication throughout their team. Only when this type of communication is obtained can a workplace truly operate without the usual shortcoming and pitfalls that trouble so many of today’s workplace environments References Adult Learner’s Guide, (2nd Edition). (1999). Adler, Ronald B. & Elmhorst, Jeanne Marquardt (1999). Communication at work: principles and practices for business and the professions, (6th Edition). St. Louis: McGraw-Hill. Pierce, Jon L. & Newstrom, John W. (1996). The manager’s bookshelf: A mosaic of contemporary views, (4th Edition). New York: HarperCollins College Publishers.

Analysis of Angelas Ashes Narrated by Frank McCourt Essay -- Angelas

Analysis of Angela's Ashes Narrated by Frank McCourt Angela's Ashes: A Memoir is Frank McCourt's acclaimed memoir. It charts the author's childhood from his infant years in Brooklyn, through his impoverished adolescence in Limerick, Ireland, to his return to America at the age of nineteen. First published in 1996, McCourt's memoir won the 1997 Pulitzer Prize in the category of best Biography/Autobiography, and has gone on to become a worldwide bestseller. McCourt, who for many years taught writing in a New York public high school, waited for over forty years to write about his troubled youth. Arguably, waiting for years before writing his autobiography allowed Frank McCourt to talk about his childhood in the most objective way possible. McCourt treats the subject of his own difficult life with even-handedness and objectivity. McCourt never downplays the fact that he suffered from acute hunger and deprivation in his youth. He once described this autobiography as "an epic of woe." Nothing about the author's boyhood was easy. But Frank's world is not one of self-pity. Although the protagonist endures a troubled upbringing, it is one that instills in him strong moral values and a healthy sense of humor. McCourt's prose style is ambitious in its scope, yet detailed in his focus; it is prosaic in order to capture everyday life, but poetic in order to evoke a homeland. McCourt wrote a sequel to Angela's Ashes entitled 'Tis, which describes his experiences as a young man in America. A film version of Angela's Ashes was made in 1999. Summary The narrator, Frank McCourt, describes how his parents meet in Brooklyn, New York. After his mother, Angela becomes pregnant with Frank, she marries Malachy, the father of her child. The family grows, and Angela struggles to feed her growing family of sons while Malachy spends his wages on drink. Frank's much-loved baby sister Margaret dies, and Angela becomes depressed. The McCourts decide to return to Ireland. In Ireland, more troubles plague the McCourts. Angela has a miscarriage, Frank's two younger brothers die, and Malachy constantly drinks away the dole money. McCourt's childhood is characterized not only as a time of great deprivation, but as a time of good humor and adventure. When the first floor of the house floods during the winter, Angela and Malachy announce that the family will leave the cold dam... ..., priests, family members, and people in positions of authority. Even Frank's father may be seen as an antagonist, since his alcoholism aggravates his family's poverty. However, Frank's true antagonist is not one individual, but the general discrimination he faces because of his poverty Setting (time) - Late 1930's and 1940's Setting (place) - Brooklyn, New York (briefly) and Limerick, Ireland Point of View - First person Falling Action - Frank earns enough money to leave for America, and says an emotional farewell to Ireland Tense - Present tense or immediate past; the author writes as though he is experiencing events for the first time, in the present moment Foreshadowing - The death of baby Margaret seems to anticipate Frank's near-continual state of bereavement in Limerick, as he struggles to cope with the demise of two of his brothers, Theresa, and many other friends and relations Tone - Humorous, self-effacing, matter-of-fact. McCourt matches his tone to the age of the narrator, becoming more serious and worldly as the narrative progresses Themes - Guilt, class distinction, hunger Motifs - Anti-English sentiment, stories and folktales Symbols - River Shannon, eggs Analysis of Angela's Ashes Narrated by Frank McCourt Essay -- Angela's Analysis of Angela's Ashes Narrated by Frank McCourt Angela's Ashes: A Memoir is Frank McCourt's acclaimed memoir. It charts the author's childhood from his infant years in Brooklyn, through his impoverished adolescence in Limerick, Ireland, to his return to America at the age of nineteen. First published in 1996, McCourt's memoir won the 1997 Pulitzer Prize in the category of best Biography/Autobiography, and has gone on to become a worldwide bestseller. McCourt, who for many years taught writing in a New York public high school, waited for over forty years to write about his troubled youth. Arguably, waiting for years before writing his autobiography allowed Frank McCourt to talk about his childhood in the most objective way possible. McCourt treats the subject of his own difficult life with even-handedness and objectivity. McCourt never downplays the fact that he suffered from acute hunger and deprivation in his youth. He once described this autobiography as "an epic of woe." Nothing about the author's boyhood was easy. But Frank's world is not one of self-pity. Although the protagonist endures a troubled upbringing, it is one that instills in him strong moral values and a healthy sense of humor. McCourt's prose style is ambitious in its scope, yet detailed in his focus; it is prosaic in order to capture everyday life, but poetic in order to evoke a homeland. McCourt wrote a sequel to Angela's Ashes entitled 'Tis, which describes his experiences as a young man in America. A film version of Angela's Ashes was made in 1999. Summary The narrator, Frank McCourt, describes how his parents meet in Brooklyn, New York. After his mother, Angela becomes pregnant with Frank, she marries Malachy, the father of her child. The family grows, and Angela struggles to feed her growing family of sons while Malachy spends his wages on drink. Frank's much-loved baby sister Margaret dies, and Angela becomes depressed. The McCourts decide to return to Ireland. In Ireland, more troubles plague the McCourts. Angela has a miscarriage, Frank's two younger brothers die, and Malachy constantly drinks away the dole money. McCourt's childhood is characterized not only as a time of great deprivation, but as a time of good humor and adventure. When the first floor of the house floods during the winter, Angela and Malachy announce that the family will leave the cold dam... ..., priests, family members, and people in positions of authority. Even Frank's father may be seen as an antagonist, since his alcoholism aggravates his family's poverty. However, Frank's true antagonist is not one individual, but the general discrimination he faces because of his poverty Setting (time) - Late 1930's and 1940's Setting (place) - Brooklyn, New York (briefly) and Limerick, Ireland Point of View - First person Falling Action - Frank earns enough money to leave for America, and says an emotional farewell to Ireland Tense - Present tense or immediate past; the author writes as though he is experiencing events for the first time, in the present moment Foreshadowing - The death of baby Margaret seems to anticipate Frank's near-continual state of bereavement in Limerick, as he struggles to cope with the demise of two of his brothers, Theresa, and many other friends and relations Tone - Humorous, self-effacing, matter-of-fact. McCourt matches his tone to the age of the narrator, becoming more serious and worldly as the narrative progresses Themes - Guilt, class distinction, hunger Motifs - Anti-English sentiment, stories and folktales Symbols - River Shannon, eggs

Aids essay

Nowadays, with the developed industrialization there are a lot of dangerous diseases which have influence on the people. There are the cancer, osteoporosis, Alzheimer’s etc. One of them is AIDS – the serious disease. Unfortunately, day by day the number of people who are infected with Aids is increasing. Infected people are very weak to fight off other infectious disease and soon they will die. AIDS is one of the dangerous diseases, so the people need to know about how to prevent it.Acquired Immune-Deficiency Syndrome, popularly known by its abbreviation AIDS is a fatal disease as it attacks and destroys the immune system of the body. It is caused by a virus called Human Immuno Deficiency Virus or HIV in short. HIV damages body’s immune system by destroying white blood cells which help us to destroy invaded pathogens. When HIV enters a white blood cell, it may remain dormant. However, once it is activated, it infects another cell to produce many new HIVS. After a certain period of time, the white blood cells are destroyed and leading to a loss of function of the immune system (Y.K. Ho,2004). The first ever case of a person with AIDS was detected in America in 1959 which later emerged as a dreadfully widespread disease in the 1980s in countries like France, , Belgium, Uganda, Zambia Tanzania, Zimbabwe etc. Moreover, AIDS was first clinically observed in 1981 in the United States. [The initial cases were a cluster of injecting drug users and homosexual men with no known cause of impaired immunity who showed symptoms of Pneumocystis carinii pneumonia (PCP), a rare opportunistic infection that was known to occur in people with very compromised immune systems.Soon thereafter, an unexpected number of gay men developed a previously rare skin cancer called Kaposi's sarcoma (KS). Many more cases of PCP and KS emerged, alerting U. S. Centers for Disease Control and Prevention (CDC) and a CDC task force was formed to monitor the outbreak. In the early days, the CDC did not have an official name for the disease, often referring to it by way of the diseases that were associated with it, for example, lymphadenopathy, the disease after which the discoverers of HIV originally named the virus.They also used Kaposi's Sarcoma and Opportunistic Infections, the name by which a task force had been set up in 1981. At one point, the Center of Diseases Control coined the phrase â€Å"the 4H disease†, since the syndrome seemed to affect Haitians, homosexuals, hemophiliacs, and heroin users. In the general press, the term â€Å"GRID†, which stood for gay-related immune deficiency, had been coined. However, after determining that AIDS was not isolated to the gay community, it was realized that the term GRID was misleading and the term AIDS was introduced at a meeting in July 1982.By September 1982 the CDC started referring to the disease as AIDS. HIV is a fast spreading disease in the world which if—not controlled—can take an epidemic proportion. According to the data and statistics of World Health Organization, global summary of the AIDS epidemic, 2009, the number of people living with HIV is around 33. 3 million and AIDS death in 2009 is around 1. 8 million. The highest numbers of AIDS cases are found in Mumbai in India which is known as die AIDS capital of the country and is closely followed by Chennai, Thiruvanandiapuram, Nagpur, Aurangabad and Kolhapur.Mizoram, Manipur, Nagaland and Delhi too have a number of HIV cases being reported in die recent years. As per die common myth, HIV infection is not contagious as is measles, chicken pox, tuberculosis, cholera, plague, smallpox etc. The infection mainly spreads through a sexual route or blood to blood contact. HIV spreads mainly through sexual relationship-whether heterosexual or homosexual with an infected partner, transfusion of HIV infected blood and blood products, use of infected syringes or needles and is passed on by an infected mother to her unborn child.It is therefore, foolish to believe that HIV spreads through mosquitoes, embracing, holding, touching or kissing each other, shaking hands, coughing, sneezing, spitting, sharing of public toilets or swimming pools, sharing meals or eating from the same plates, or sharing clothes, bed sheets, or attending similar schools or working together. There are many causes to explain why people got AIDS and there are also some serious effects. The first cause can be because they did not recieve enough information about specific illnesses like AIDS.So to help us to prevent AIDS: we need to educate the children carefully. It is because AIDS has existed since many years ago. Although many scientists have tried to discover the treatment against this terrible disease, they have not found some patent treatments yet. Scientists caution that a safe, effective vaccine against HIV may be at least a decade away, mainly because, like the influenza virus, HIV mutates (changes structure ) quickly, producing different strains. An ideal vaccine must be able to stimulate neutralization of both â€Å"free† viruses and those hidden within lymphocytes, such s T-helper cells. Researchers in various countries have developed and are testing a few preliminary vaccines. One sub-unit vaccine, made from virus coat material (a glycoprotein) genetically cloned in an insect virus (the baculovirus, which attacks moths and butterflies but no humans) has been shown to stimulate an immune response in experimental animals. Another preliminary vaccine, produced by cloning modified Vaccinia viruses, containing a portion of HIV envelope, is about to enter clinical trials in New York. But to date no vaccine tried in animals or humans has been shown to prevent AIDS.The best way to avoid AIDS is to regard it as a highly lethal disease and practice commonsense prevention. Avoiding infection is in one’s own hands. People can protect themselves. To halt its spread, people are enco uraged to obtain and apply accurate AIDS information to their living styles and sexual habits in order to reduce the risk of getting or transmitting the virus. Sadly, health promoters claim that â€Å"reaching the many who don't want to know† is no easy task. Health promoters suggest that educators must learn how and when to communicate AIDS information – in the right way at â€Å"teachable† moments.Many Public Health Departments are now taking the lead in disseminating education about AIDS with large scale public awareness programs. On the other hand, there are many ways to reduce AIDS, but the primary way is have a protective sex. One of the examined showed that consistent condom use reduces the risk of HIV transmission by approximately 80% over the long term. When one partner of a couple is infected, consistent condom use results in rates of HIV infection for the uninfected person of below 1% per year.There is some evidence to suggest that female condoms may provide an equivalent level of protection. Application of a vaginal gel containing tenofovir (a reverse transcriptase inhibitor) immediately before sex seems to reduce infection rates by approximately 40% among African women. By contrast, use of the spermicide nonoxynol-9 may increase the risk of transmission due to its tendency to cause vaginal and rectal irritation. Circumcision in Sub-Saharan Africa â€Å"reduces the acquisition of HIV by heterosexual men by between 38% and 66% over 24 months†.Based on these studies, the World Health Organization and UNAIDS both recommended male circumcision as a method of preventing female-to-male HIV transmission in 2007. Whether it protects against male-to-female transmission is disputed and whether it is of benefit in developed countries and among men who have sex with men is undetermined. Some experts fear that a lower perception of vulnerability among circumcised men may result in more sexual risk-taking behavior, thus negating its p reventive effects.Women who have undergone female genital cutting have an increased risk of HIV. Programs encouraging sexual abstinence do not appear to affect subsequent HIV risk. Evidence for a benefit from peer education is equally poor. Comprehensive sexual education provided at school may decrease high risk behavior. A substantial minority of young people continues to engage in high-risk practices despite knowing about HIV/AIDS, underestimating their own risk of becoming infected with HIV.It is not known if treating other sexually transmitted infections is effective in preventing HIV. To conclude, AIDS is a very dangerous diseases, so it needs to be controlled.. We must go to all extremes in preventing this virus from spreading much more that it already has. If you could spread it then you need to be tested, educated, isolated and treated. We must do all that it takes to prevent someone else from being infected. References Aids. In Wikipedia. com. Retrieved from http://en. wiki pedia. org/wiki/HIV/AIDS

Communication in Nursing Essay

To listen to another person is the most caring act of all. Listening and attending are by far the most important aspect of being a nurse (Burnard 1992). One of the basics of good nursing is good communication skills with patients. Being unable to communicate well with a patient immediately can destroy the nurse/patient relationship and therefore the patient may not trust the nurse (Anon 2007). The purpose of this essay is the realise the importance of communication in nursing. Without communication nurses would be unable to provide the correct care, but improving communication is a life-long developmental process (Ewles and Simnett 2005). I will draw on my personal experience from the clinical area to show how well the theory relates to the practical side of nursing and use the process recording sheet for structure and guidance. In accordance with The Nursing and Midwifery Council (2008) Code of Conduct, nurses must respect people’s right to confidentiality. Therefore for the purpose of this essay the patient discussed is referred to as Miss C., and any personal or identifiable information has also been altered so as to protect her privacy and dignity which are also enshrined in the Nursing and Midwifery Council (2008) Code of Conduct.. I asked Miss C. for explicit permission to use our interpersonal relationship in my communications essay and advised her of my obligations on my professional conduct to which I am bound by the Nursing and Midwifery Council (2008), regarding professional, moral and safe practice. Miss C., was in agreement to be involved with my assignment and on no account was her physical care at risk during this interaction. I was nearing the end of my placement in a general medical ward within a large general hospital. The ward had a variety of medical complaints including diabetes, gastrointestinal disorders, stroke and alcohol liver disease. A young 21 year old female was admitted to the ward, now known as Miss C., with an increased weight loss and she was in need of pain management. Miss C., was awaiting heart surgery, replacement hips and replacement knees at major surgical hospital in another area of the country. Her health status was poor as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. Miss C’s., pain was managed with oramorph, ketamine and fentanyl patches, but these proved to have little relief. Miss C., spent the majority of time in bed due to her severe pain, and due to this she cried  out a lot. Her head was bowed and she had difficulty in making eye contact. She talked slowly and quietly and sometimes mumbled, she was also a very sad person. I thought that communication would be difficult with Miss C., as she was mostly in pain but I also believed that she would like someone to talk to but that person would need to be a good listener. It is important to remember that nurses have the duty to provide care holistically, for the whole person, not just for their physical needs but their mental and social needs too (Kenworthy et al. 2002). Miss C., liked to be washed in her bed every morning as movement for her was difficult. The bay that she was in was busy with little privacy only the curtains for seclusion. I went into wash her one morning and because of her psoriasis she needed special creams applied religiously. She spoke quietly about her illness and explained her difficulties to me. Talking about her family, her illness and when she was younger made her sad and she was crying. I felt that Miss C’s ability to communicate was linked to how she felt about herself. She was over-critical about herself and underestimat ed her abilities. This lack of self-confidence reflected her ability to communicate (Ewles and Simnett 2005). She was in so much pain, her head was bowed and she could not make eye contact. I was leaning in close to her bedside, touch was not good, her body was too sore. I tried to show empathy towards Miss C., by giving her time to talk, being patient and listening to her. Was she crying because she was in so much pain or was it because she was recalling happy memories from before she fell ill? I was desperately trying to understand how she may be feeling. According to Arnold and Boggs (2003), empathy is the ability to be sensitive to and communicate understanding of the patient’s feelings. Being compassionate is similar to being empathetic in a way that it is important to recognise that Miss C’s feelings belong to her and not to me. I was interested in Miss C’s illness, to learn more about her condition and hear about her difficulties. She was very independent and wanted to do a s much as she could by herself. Help was minimal and she only asked when she was struggling to re-position her feet. I used active listening to allow to her speak without interrupting but I paid close attention to her facial expressions and body language. Argyle (see Kenworthy et al. 2002) suggests â€Å"facial expressions provide a running commentary on emotional states†. I asked Miss C. open questions about her illness as I thought this would allow me to encourage her to talk. It also allowed Miss C to describe her experiences, feelings and understandings. â€Å"Open ended questions are used to elicit the client ‘s thoughts and perspectives without influencing the direction of an acceptable response† (Arnold and Boggs 2003 p.241). I wanted to try and take her mind off her pain as it was upsetting to see her being so unhappy, so I commented on some magazines that were lying on her table and asked her about her taste in music. This was a good subject, her eyes lit up and she smiled. We finally made eye contact. Using the semiotic school of thought, Miss C and myself were exchanging verbal and non-verbal communication in order to understand each other’s feelings. According to Kozier (2008) non-verbal communication can include the use of silence, facial expressions, touch and body posture. Miss C was keen to talk about her taste in music and became very chatty, in fact, she became sort of excited. I put some cd’s on for her to listen to and as I did this she asked me questions about my taste in music. There was now no barriers to our communication as we both shared the same taste in music. When the music was playing Miss C was in a different world, she was more relaxed. I took her hand and held it gently, her eyes were closed, she was smiling and she appeared more content. By holding her hand, I felt as though I was comforting and reassuring her. This was an indication that I really did care and that I wanted to help her. â€Å"Using touch skilfully and thoughtfully can convey that you are able to ‘be with’ your patient† (Benner 2001 p.57). Communication can be therapeutic and the music playing was not a barrier in communications, it was in fact beneficial. Therefore, it is argued that effective communication is more than delivering high quality patient-centred care; but it also allows patients to feel involved in their care, which can make a significant difference to their outlook on their treatment (Collins 2009). Reflecting back I realised that I was really quite worried about the communication difficulties I was facing during my interaction. Miss C., was a very strong willed person who knew exactly what she needed and yet she desperately wanted to be as independent as possible. I wanted her to allow me ‘in’ and for her to be comfortable with me. I am glad I eventually gained her trust and we both became more relaxed. In fact, the impact that this interaction had on our relationship was that as the days went on we became very good friends and she was very special to me. Sully and Dallas (2005), suggests  that to have an empathetic understanding of our patient’s needs we must recognise their need for comfort and we respond to this compassionately. It was important to be non-judgemental, I accepted Miss C., for who she was no matter what her circumstances were and my main concern was to care for her in a professional and beneficial way and in a manner that she preferred. Putting the interaction into perspective, I originally found Miss C very demanding, always calling out and constantly pressing the call buzzer. Some staff were very reluctant to go to her because her personal care was very time consuming. It was time consuming but it was because she was in a lot of pain. Surely this was a barrier to communication as so me staff did not take the time to listen to what Miss C required and as health promoters, we need to develop skills of effective listening so that we can help people to talk and express their needs and feelings (Ewles and Simnett 2005). From recording and analysing my interactions I have learned to accept people for who they are as each of us have had different experiences throughout life and these experiences make us who we are. It was also important to acknowledge Miss C’s point of view, her emotions and thoughts without judgement as being aware of these helped to appreciate her perspective and needs (Silverman et al. 2005). I have also learned to be a good listener and an active listener. Ewles and Simnett (2005) suggest that this means taking note of the non-verbal communication as well as the spoken words. It is important to maintain eye contact, observe the body language, listen properly and pick up on non-verbal signs as well as verbal signs. The environment is important too, along with being sensitive, honest and compassionate (Anon 2007). Collins (2007) argues that judgemental attitudes can stand in the way of getting to know your patient and that labels attached to individuals such as ‘demented’ can act as a language barrier. Effective nursing requires us to be assertive, responsible and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusi on, the key points that have been discussed in this essay are that of the importance of communicating in nursing and how nurses can improve their communication skills and maintain their effectiveness. We must provide holistic care for our patients and the goal is to listen to the whole person and provide them with empathetic understanding. Another key point is that we must be non judgemental no matter what the patient’s circumstances are. Overall communication during this interaction was positive, therapeutic and helped to build a relationship. This essay has shown how personal experience from the clinical area relates the theory to the practical side of nursing and how it is imperative that communication is clear, understandable, appropriate and effective. 1819 words Read more: http://www.ukessays.com/essays/nursing/communication-in-nursing-nursing-essay.php#ixzz2fJpdOIza

Advance Directives

What are advance directives? Advance directives are extremely important. It is essential that everyone make some sort of arrangement before an unfortunate situation happens to them where these decisions will need to be made. An advance directive is basically a living will or a written statement in which people state the type and amount of care they wish to receive during a terminal illness and as death approaches.Medical Law and Ethics stated that â€Å"Advance directives limit the type and amount of medical care and treatment that patients will receive if they should become incompetent and have a poor prognosis. It is important that directives are placed in writing; it is not sufficient for a person to just tell someone what his or her wishes for treatment are. The courts typically enforce written advance directives. † (pg 313) There are four types of advance directives.They are a living will, durable power of attorney for healthcare, uniform anatomical gift act, and a do not resuscitate order. The living will is a â€Å"document that a person drafts before becoming incompetent or unable to make healthcare decisions. † The durable power of attorney for healthcare is â€Å"A legal document that empowers another person (proxy) to make healthcare decisions for healthcare for an incompetent patient.It goes into effect after the person becomes incompetent and only pertains to healthcare decisions. † The uniform anatomical gift act is a â€Å"law that allows persons 18 years or older and of sound mind to make a gift of any part of their body for purposes of medical research or transplantation. † The do not resuscitate order is â€Å"an order placed into a person’s medical chart or medical record. It indicates that the person does not wish to be resuscitated if breathing stops. † (pg 103)

High school Essay

It was once thought that when a person gets out of high school, he is invisible. He can do whatever he wants, achieve all his dreams and aspirations, and become the person that he always envisioned himself to be. It probably never daunted him that he will become independent and responsible for the consequences of his actions; he would have treated those like simple challenges anyway. Obstacles that he needed to conquer in order to make him a stronger person and to reach his destination. And all this he would achieve, amazingly with the help of the environment. The environment does not literally translate to the trees, the suburbs, or the urban metro that we have come to know as an environment. It essentially means much more than that. It is how a person adapts to where he is. It is how he makes things work to his advantage, and at the same time not harming those around him. It is how he makes his life work, whatever the given circumstance. There are several ways on how to mold the environment and make it a part of the learning experience that will help an individual achieve his goals, find better jobs, and have self-satisfaction. It is important to note that a student has to realize the importance of getting a college degree. He will realize that the environment is competitive enough to require it. It is through what he experiences that he will come to know the importance of getting into college and in learning through the environment, he will realize that he has succeeded Time management is one of those ways on how the environment plays a key role in a person’s learning experience. As much as every person would want to control time, there are instances wherein it will always spin out of control. The heavy traffic, the weather, the floods, the mode of transportation – these are all elements that we cannot predict and therefore we cannot control. Due to the unpredictability of these factors, one must always manage his time wisely, with allotment for situations like this. Being organized, following a routine and a flow of tasks also says that a person is disciplined. He has the strength to say no to distractions because he knows that he has allotted an ample time for everything, even for play. And temptation is one of the numerous obstacles that humans go through in dealing with their daily lives. The environment’s role in being able to overcome obstacles is that when we look hard enough, the answers are just out there, around us. It is magical that we sometimes have the answers right in front of us and yet we fail to recognize them. Everybody knows that we will never be given problems that we cannot solve. In trying to solve our problems, we get to know and discover ourselves more; the things that make us stronger, the emotions that make us weak. In discovering these unknown side of ourselves we create more options, we get to know more. If a person once said to himself that getting a college degree is not worth his time, effort, and money, this may not hold true if he was faced with an employment problem. The environment today is competitive enough to want more from its employees, and these employers do compensate for this. It is during the toughest times that we get to see the real attitudes of the people. Those who strive to outshine the rest will not just settle for a high school diploma, but for a higher one. Everybody’s goal in life is to become successful in whatever his or her endeavors are. It may be as small as finishing a 5-kilometer run or as big as running for the presidential seat, what we all want is success. For the individual whose environment shapes him to become the next big CEO, more qualifications have to be met. A college degree or an MBA will definitely make him go places and put an edge to his resume. It is not only in this career path that a higher education will prove to be useful, in fact, in all career paths, a higher education is always a better credential. Becoming a lawyer, a physician, an engineer, or a nurse may put you through the worst, sleepless nights you have ever had, but the end game is always a win. While one may not always understand why people want to have success and always feel like achieving a desire or attaining a goal, it is important that they know that they are working hard for themselves. There is nothing better than knowing that you have worked hard for something and you got what you wanted in the end. Reaping the fruits of your labor brings a sense of pride and self-satisfaction to one’s self. Everything that one has to work hard for, the stress of the environment, the pressure of achievement, overcoming these is necessary in order to achieve lifetime goals. In conclusion, working on lifetime goals allow people to see how hard work and studying can pay off for the future. The changing environment affects everyone differently. Employer’s at times allow employees to work on their studies while they are at work and offer the students reimbursements for their college work. For students who finish their degree, it will open many doors for them in advancing at their current professions. Students that complete their degree will have a sense of pride and accomplishment that was taken by them for all of their hard work and effort. The environment of each student is different. The variation of the stressful environments is different for each student. Some have family stress and some have work stress. Time management is a determining factor in each of these areas. It is crucial that the student completes all required materials when the assignments are due. When students look back and realize what they have accomplished they will know that they bettered themselves by working in this new environment. References: Jewell, D, (2008). One vision many paths. ProQuest Database, 16(9), Retrieved December 28, 2008, from http://proquest. umi. comezproxy. apus. edu Khalifa, M. & Lam, R. (2002). Web based learning: Effects on Learning Process and Outcome. Academic Search Premier Database, 45(4), Retrieved December 28, 2008, from, http://apus. agent-graphics. com. ezproxy. apus. edu Littky, D (2004). The big picture: Education is everyone’s business. APUS online library, Retrieved December 28, 2008, from http://web. ebscohost. com. ezproxy. apus. edu/ehost/detail .Ramey, S. & Ramey, C. (2008). The Learning environment, learning process, academic outcomes and career success of university graduates: The transition to school. Academic Search Premier Database, 33(4), Retrieved December 28, 2008, from http://web. ebscohost. com. ezproxy. apus. edu/ehost/detail Williams, K. (2006) Introducing Management: A Development Guide. APUS online library, Retrieved December 28, 2008, from http://apus. agent-graphics. com. ezproxy. apus. edu Zygmunt-Fillwalk, E. (2006). Encouraging School Success through family Involvement. Proquest Database, 82 (4), Retrieved December 28, 2008, from http://proquest. umi. comezproxy. apus. edu.