Values, Self Confidence And The Feeling Of Belonging

Values give us self-awareness, self-confidence and the feeling of belonging. They help us make the right choices and force us to develop integrity. Values show us how to choose between different priorities and give us an idea of what improvements we need to be made to improve our relationships with others. When we act with these values they give us credibility, and help us to know where we stand, and clarify what we will and will not tolerate. We make many choices daily, some have very minor significance, others of extreme importance, and each one of these choices we make have a huge impact not just on us, but those around us. Even a very small decision such as having a burger instead of a salad could effect our health in the long run, and in result affect the people we love. There are seven values that are absolutely essential for human survival. The seven include justice and fairness, caring, respect responsibility, honesty, loyalty and liberty. These seven values play a major ro le in our lives. Many of us forget these values that we have been taught. Living in this busy and fast paced world, many us of neglect to practice these core values. The ethical couture of this world is spiraling downward. We seem to be focused on ourselves rather than caring about others. I will be describing how these seven essential values are expressed in my life and some areas that need some work. I strive to be the best person i can be, I understand we live in a cruel world, but I feel itShow MoreRelatedFactors That Influence the Development of Individuals Self Concept1687 Words   |  7 Pagesinfluence the development of individuals self concept. I am going to outline how factors can influence the development of individuals self-concept, firstly, I will to define what is self-concept. Self-concept self concept is about the way we view ourselves. There are two sides of our self concept and these include: our self-esteem, which is how we feel about out selves that is the the worth and value that you as a person attribute to yourself, and self-image, which is how we see ourselvesRead MoreOur Well-Being Depends on a Secure Sense of Belonging to a Group.Docx871 Words   |  4 PagesOur well being depends on a secure sense of belonging to a group The idea of belonging is an important and fundamental value in our lives. For humans as social creatures, belonging to a group provides a sense of security both physically and mentally. A group provides a framework of values, attitudes and rules that the individual can find a sense of security and comfort from when all share the same aspects of life. A sense of belonging therefore most commonly emerges from personal experience, conceptsRead MoreThe Sense Of Belonging And Interpersonal Connectivity1222 Words   |  5 PagesThe sense of belonging and interpersonal connectivity is a widely researched topic in psychology, but controversies have been surrounding it among different researchers (Ma, 2003). Also, it has been defined in various ways . According to Vallerand, sense of belonging has to do with the feeling of connectivity with others in the same environment, often involving identifying oneself with a particular group. When the sense of belonging is deeply rooted within a group, one feels accepted, loved and respectedRead MoreSelf Confidence And Self Esteem768 Words   |  4 PagesThe self-confidence and self-esteem of young children may be greatly boosted by a strong key person approach in the setting. Many aspects of this approach support the safeguarding of children. A sense of wellbeing involves feeling good about yourself and having a positive outlook on life. It embraces a range of positive feelings, including enjoyment, vitality, self-confidence and self-esteem. Children and young people who have a positive sense of wellbeing are less likely to be vulnerable to abuseRead MoreThe Importance Of Interpersonal Relationship972 Words   |  4 Pagesfulfilled, the third level of human needs is interpersonal and involves feelings of belongingness. Humans need to feel love and acceptance from social groups such as families and peer groups. In fact, the need to belong is so innately ingrained that it may be strong enough to overcome physiological and safety needs. (Maslow’s Hierarchy of Needs, 2017) What this implies that it’s a given human nature to want to feel a sense of belonging to a group. This group is expected to support and connectedness withRead MoreStrictly Ballroom and Neighbours by Tim Winton Essay Belonging.1576 Words   |  7 Pages2010 HSC Area of Study BELONGING ‘An individual’s interaction with others and the world around them can enrich or limit their experience of belonging’ Discuss this view with detailed reference to your prescribed text and ONE other related text of your own choosing An individual’s relation with others in their surroundings, may be enhancing or rewarding, or even set a boundary in a way for them to belong, however sometimes an individual’s environment can be too restrictive which would make itRead MoreThe Importance of Promoting Equality, Diversity and Inclusion in Schools1032 Words   |  5 Pagesof how our own attitudes, values and behaviour may lead to that inclusive practice, how to challenge discrimination and how to promote some important anti-discriminatory and inclusive practices. First of all is important to define what is meant by inclusion and inclusive practice. Inclusive practice is a process of identifying, understanding and breaking down barriers that compromise the children participation in their educational process, in their feeling of belonging and in their wellbeing inRead MoreAcademic Motivation and Group Belongingness of Regular and Irregular Students1613 Words   |  7 PagesRationale of the Study Many educational researchers agree that the need for belonging is one of the most important needs of all for students to function well in all types of learning environments (Connell Well Born, 1991; Deci Ryan, 1991; Finn, 1989; Osterman, 2000). The feeling of belonging may have a direct and powerful influence on students’ motivation (Goodenow, 1993). For example, perceived support and the sense of belonging are expected to increase students beliefs in their success and accordinglyRead MoreDo Name Brand Clothing Affect Children and Teens Lifestyles and Interactions With One Another? 1206 Words   |  5 Pagesthere peers for wearing the wrong type of â€Å"brand† or do not have enough money to buy the right type of brand. Of course some might object that name brand is beneficial for children and teenagers, I concede that is name brand clothing can boost ones confidence. Although I still maintain that name brand clothing is harmful and destructive for teen’s lif estyles. Name brand clothing and its advertising negatively effects the social and individual interactions of children and teenagers. Nature of the Debate:Read MoreInterpersonal Relationship and Self-awareness1703 Words   |  7 PagesIntroduction In this essay, we will discuss the importance of self-awareness and other forms of awareness in building quality relationships. Communication plays a vital role in developing any kind of healthy relationship, regardless of what phase the relationship is in. â€Å"Ineffective communication causes an interpersonal gap that is experienced in all facets of life and in all sectors of society† (Bolton, 1987, p.4) Communication can be divided into two categories which is verbal and non-verbal

Resilience Free Essays

Resilience No matter how old, or young you are there Is no doubt that life has had a tough and rigorous grip on you. It could have been so rough that you think that there Is no way to recover. But you seem to always recover In time. We will write a custom essay sample on Resilience or any similar topic only for you Order Now This Is the meaning of human resilience. It Is the ablllty to be knocked down by life but picked back up and become stronger by yourself. The way you become stronger Is not only based off of yourself (internal sources) but by your environment (external sources). With these sources you can become resilient to life and always become stronger! To be resilient means, â€Å"the power or ability to return to the original form, position, etc. , after being bent, compressed, or stretched; elasticity. † (The Free Dictionary). This definition would be for the non-living. Just like a tree being blown in the wind it will bend all it can but as soon as the wind stops it will regain Its normal posture. This is what we humans do too! We all take pressure from life, whether it’s good or bad, we will become stressed or hurt (bent like the tree). As soon as that pressure goes away we can recover to our normal being. The oak fought the wind and was broken, the willow bent when It must and survived. † (Robert Jordan, The Fires of Heaven). Just Ilke this willow tree, we must bend when life takes Its toll on us. Humans have the ablllty to recover, so we must use it often to survive life’s rough times. Overall the meaning of human resilience is the ability to recover quickly when we are being bent from life’s everyday pressures. Human resilience comes from internal and external sources. The external source is the environment that you are in. I say it is the environment because environments ive you more options to be able to be resilient. Here is an example. If you live in a small rundown town In Virginia, which has basically no companies or industries thriving In the area, compared to New York City. New York City is a place full of opportunities to become resilient because there Is so many companies and Industries that are growing, so you will have a much greater chance to recover from something if you would live in New York City just like Jeannette Walls. The main idea is that if you are becoming resilient it would be easier in the right environment, with he right opportunities just like in the Glass Castle. The most important source is the internal source, which is our mind and soul. Without our mind and soul we would have no self-motivation, and without self- motivation we cannot be resilient. â€Å"No matter how much falls on us, we keep plowing ahead. That’s the only way to keep the roads clear. † (Greg Kincacid) This quote is perfect because it shows self-motivation! Without it you cannot keep plowing ahead. Everyone who Is resilient has self-motivation, Just Ilke Jeannette Walls when she was otivated to leave Vlrglnla and to move to New York. How to cite Resilience, Papers

Prevention and Detection Program for Diabetic Retinopathy

Question: Discuss about thePrevention and Detection Program for Diabetic Retinopathy. Answer: The global burden of diabetes and diabetic retinopathy is high and with the world's seventh largest diabetic population in Saudi Arabia the risks of developing complications due to poorly managed diabetes is high. Unhealthy lifestyles, lack of exercise and high blood glucose levels expose patients to the risk of visual impairment. The economic and social burden of the disease is so high that a large part of the country's annual health budget is spent on the treatment of diabetes. The productive years of life are reduced and due to the disability caused by loss of vision patients may lose jobs. Regular eye examination can help in the early detection of retinopathy among diabetics. But most patients are treated by primary healthcare physicians who are not trained in diagnosis for retinopathy or they delay referrals to ophthalmologists. The delay caused in detection of early stage retinopathy causes the disease to progress to a stage where eye sight is permanently lost. The inability of the pancreas to produce sufficient insulin and the development of insulin resistance can be treated with medicines, insulin therapy, diet and exercise, but most patients fail to adhere to the regimen and this results in poor management of blood sugar. The vasculature of the retina develops weak walls and the capillaries supplying blood to the retina begin to rupture during the non-proliferative stage. As a response to the loss of blood vessels, neo-vessels develop on the retina to maintain the supply of oxygen. This causes macular thickening during the proliferative phase of diabetic retinopathy and causes blindness which cannot be reversed. The objective of the project that follows is to reduce the disease burden due to diabetic retinopathy by planning a screening program to screen diabetic patients. The program shall create a mobile screening centre that can help to spread awareness about retinopathy so that awareness can be generated by reaching out to people in workplaces, educational institutions, and even in prisons, so that patients remain alert to symptoms and seek timely medical treatment. The goal of the project is to reduce blindness and visual impairment that occurs due to uncontrolled diabetes and the program shall be implemented as follows: Creation of awareness at the community level Advertisements with content that shows the connection between poorly managed diabetes and the occurrence of diabetic retinopathy . Starting online discussion boards that encourage and stimulate discussion among professionals so that they can discuss cases and share learnings from their experiences. Any advancement or development of new techniques and technology about ophthalmoscopy, examination using fundus camera, pupil dilatation and tests that help in examination of eye health of patients. Ways to communicate the details of the extent of retinopathy, if any, to the patient can also be discussed. Reducing the costs for the government Involvement of non-governmental organisations in funding the mobile screening centres Referring patients with medical insurance to private hospitals and treating those without insurance in government funded hospitals. Steps for the improvement in quality of service Provision of higher number of free screenings, through inclusion of on site screening. Provision of mobile vans to the remote areas of Saudi Arabia. Agreements with hospitals that have the best facilities in ophthalmic departments. Training of technicians in the mobile vans at local hospitals Training of volunteers that will enable them to use tools, learn to identify the symptoms of retinopathy and how to communicate with patients Include a maximum number of diabetes patients in the screening program. Narrative Problem Statement Globally, 34.6% of all diabetics suffer from diabetic retinopathy (Hajar, et al., 2015). Diabetic retinopathy occurs in a high number of patients due to a high prevalence of diabetes in the Kingdom of Saudi Arabia the WHO has ranked the country seventh in the world in terms of the number of people afflicted with the non-communicable disease (Al Dawish, et al., 2016). The disease burden due to the debilitating diabetic retinopathy in Saudi Arabia is high and it is an area of priority for Saudi National Prevention of Blindness committee and the Ministry of Health. Several associated complications that occur due to high blood glucose levels increase the morbidity and mortality due to diabetes. Unhealthy diets, a sedentary lifestyle and very less physical activity among urban population is the main reason for occurrence of diabetes (Majeed, et al., 2014). In a study in the Taif region, it was found that 33% of all diabetics suffer from diabetic retinopathy(Al Ghamdi, et al., 2012). In an other study in the Madinah region, 36% of the diabetes patients were found to suffer from diabetes induced retinopathy(El-Bab, et al., 2012). 77% of all diabetics have been reported to suffer from some form of diabetic retinopathy within 10 years from onset(Hajar, et al., 2015). Blindness and visual impairment can be prevented if retinopathy is detected early. Lifestyle modifications and control of blood glucose level can prevent diabetic retinopathy and other complications associated with poorly controlled diabetes, where patient's blood glucose levels are 200mg/dl. In Saudi Arabia diabetes has been well recognised as a public health problem. The economic burden on the country may have reached $0.87 billion (Naeem, 2015). Together with the complications diabetes is an expensive disease to manage. It can also cause increased absenteeism, reduced productivity of individuals when they are ill from the complications, they may lose employment if disabled, years are also lost due to mortality. The cost of pain and suffering is huge. Cost burden on the healthcare system, expenses on medication and administrative costs are immense(Naeem, 2015). Within two decades the increase in the healthcare cost for diabetes has increased by 500% in the kingdom. Of the 180 billion medical budget in the year 2014, 25 billion Saudi riyals were spent on the treatment of diabetic patients. Annual expenditure towards treatment of diabetics in Saudi Arabia is twice that of people without diabetes annually at $1255 versus $590 (Alhowaish, 2013). What is diabetes Diabetes is a serious public health problem in Saudi Arabia and is often associated with obesity and occurrence of cardiovascular disease in the population. The high levels of blood sugar in type 2 diabetes occur either due to less production of insulin from the beta cells of islets of Langerhans in pancreas or due to insulin resistance or both. Insulin resistance is caused due to lack of exercise and a sedentary life. The insulin receptors on cells do not function and the transport of blood glucose to cells is impaired. This causes the patient to suffer from low energy and high blood glucose. In type 1 diabetes which is also called juvenile diabetes the pancreas stops producing insulin altogether. Patients have to be treated with recombinant insulin before each meal to control high blood sugar levels. It is important to add medication, diet and exercise to control high blood sugar levels. Steady blood glucose levels within normal limits below 160mg/dl do not cause complications, suc h as diabetic retinopathy, nephropathy (Al-Rubeaan, et al., 2014), cardiovascular disease and foot problems. Apart from lifestyle changes, such as, regular exercise, diet control, weight loss, regular eye examination can help in the detection of diabetic retinopathy in the early stages for prevention of diabetic retinopathy. Screening for the detection of diabetic retinopathy involves a dilated fundus examination ,by a trained ophthalmologist. It is a safe and non-invasive procedure (Khandekar, 2012). The examination is done via Ophthalmoscopes with a 20 diopter lens. Evaluation of the retinal status and the macula is carried out. Presence of disease at the initial stages can be treated and permanent damage to the patient's eye can be prevented. In some patients diabetic maculopathy may also be observed but it usually occurs in some of the patients who have diabetic retinopathy. Although methods for detection are there, one reason for late diagnosis of the problem among diabetes patients in Saudi Arabia is that they are mostly examined by primary healthcare physicians who do not have sufficient training in the examination of the eyes for detection of early signs of retinopathy. This delays diagnosis, the symptoms of visual impairment begin to show up, but little can be done to prevent blindness at a late stage (Rasheeda Adelb, 2017). Training of primary healthcare physicians in conducting timely eye examination is therefore recommended. What actually cause retinopathy? The walls of the capillaries that supply blood to the retina weaken due to persistently high blood sugar levels. When the vessels rupture, due to a loss of sealing, the person begins to lose vision. This occurs in two phases. The first phase is asymptomatic and is referred to as the non-proliferative diabetic retinopathy. With time the number of abnormal capillaries increases and this affects the oxygenation at the retina, causes disruption in vision and the disease begins to progress to the proliferative phase. The retina begins to allow proliferative of newer capillaries to compensate for the loss of the earlier capillaries. The new and fragile vessels are called neo-vessels. The amplification of the proliferative phase reaches the macula where it causes a condition called macular edema. This causes decreased visual acuity and the vision becomes affected causing visual impairment (Aao.org, n.d.). Monitoring and Evaluation Monitoring and evaluation of retinopathy among patients will be done at several levels. Each screening centre will be a centre for monitoring patients and screening them for possible retinopathy. The weaknesses and strengths of each centre shall be monitored. Data from different screening centres will be compared to understand the benefits of the interventions. Centres with weaknesses will be made to function at par with those centres that perform well. A project manager will be in charge of data collection every month and will keep a watch on the functioning of the centres. References Aao.org, n.d. what-is-diabetic-retinopathy. [Online] Available at: https://www.aao.org/eye-health/diseases/what-is-diabetic-retinopathy [Accessed 19 September 2017]. Al Dawish, M. et al., 2016. Diabetes Mellitus in Saudi Arabia: A Review of the Recent Literature.. Current diabetes reviews, 12(4), pp. 359-368.. Al Ghamdi, A. et al., 2012. Rapid assessment of avoidable blindness and diabetic retinopathy in Taif, Saudi Arabia.. British Journal of Ophthalmology, 96(9), pp. 1168-72.. Alhowaish, A. K., 2013. Economic costs of diabetes in Saudi Arabia.,. Journal of Family Community Medicine, 20(1), pp. 17. https://doi.org/10.4103/2230-8229.108174. Al-Rubeaan, K. et al., 2014. Diabetic nephropathy and its risk factors in a society with a type 2 diabetes epidemic: a Saudi National Diabetes Registry-based Study. PloS one, 9(2), p. e88956.. El-Bab, M. F., Shawky, N., Al-Sisi, A. Akhtar, M., 2012. Retinopathy and risk factors in diabetic patients from Al-Madinah Al-Munawarah in the Kingdom of Saudi Arabia. ). Clinical Ophthalmology (Auckland, N.Z., Volume 6, p. 269276. Hajar, S. et al., 2015. Prevalence and causes of blindness and diabetic retinopathy in Southern Saudi Arabia . Saudi medical journal, 36(4), p. 449.. Khandekar, R. ., 2012. Screening and public health strategies for diabetic retinopathy in the Eastern Mediterranean region. Middle East African journal of ophthalmology, 19(2), p. 178. Majeed, A. et al., 2014. Diabetes in the Middle-East and North Africa: an update.. Diabetes Research and Clinical Practice, 103(2), pp. 218-22.. Naeem, Z., 2015. Burden of Diabetes Mellitus in Saudi Arabia. International Journal of Health Sciences, 9(3), p. VVI.. Rasheeda, R. Adelb, F., 2017. Diabetic retinopathy: Knowledge, awareness and practices of physicians in primary-care centers in Riyadh, Saudi Arabia. Saudi Journal of Ophthalmology, 31(1), pp. 2-6.

Steroids And Athletes Essays - Anabolic Steroids, Sex Hormones

Steroids And Athletes What kind of role model is Mark McGwire? Many people are familiar with his seventy homeruns in one season, but do they know that he has been using androstenedione, a type of steroid that boosts testosterone levels? While it is perfectly legal in the United States and in the major leagues, it sends the wrong health message to athletes of every age. If young adults take androstenedione, or any other steroid, they may regret it for the rest of their lives. Artificially high levels of testosterone have been shown to permanently damage the heart, trigger liver failure, and stunt a teenager's growth (Gorman 21-22). All are too great of a price for any sport. What it all comes down to is that we need to educate both ourselves and all intercollegiate athletes about the risks involved with steroid use. Anabolic-androgenic steroids are chemical derivatives of the male sex hormones. Anabolic refers to the constructive or building-up process of the body's metabolism. Androgen refers to male-life or masculinizing characteristics. There are also two other types of steroids: estrogenic or corticosteroids. Estrogenic steroids produce female or feminizing characteristics, and corticosteroids originate in the cortex of the adrenal glands and have a shrinking effect. The latter is used to treat tissue stress, reduce inflammation, and to ease pain (Ringhofer 174). Users take steroids in cycles lasting six to twelve weeks or more. Stacking, or the use of more than one type of steroid, helps to maximize strength gains, minimize side effects, and avoid detection. To build size, strength, and speed, athletes often use 10 to 100 times the medical dosage (Yesalis xxv). Anabolic-androgens can be taken either by mouth, by injection, or, more recently, by skin creams or patches (Cowart 25). The two main reasons that athletes use steroids are to improve athletic performance and to improve their appearance. In 1985, Anderson and McKeag did the first study of college athletes correlated with steroid use. They interviewed 2039 male and female athletes and discovered much new information. Nine percent of football players used anabolic-androgen steroids. Other male sports included track and field (4%), baseball (4%), tennis (4%), and basketball (3%). The only women's sport associated with steroid use was swimming, in which 1% were users. Five percent of Division I athletes were users in 1985, as well as 4% of D-II and 2% of D-III athletes. The same study was repeated in 1991, in which 2282 athletes were questioned. Overall, steroid use slightly increased, especially since three women's sports became associated with steroid use. Swimming remained at 1%, but one percent of basketball players and track and field athletes also admitted to using the drugs. For men's sports, the figures are the following: football (10%), track and field (4%), baseball (2%), basketball (2%), and tennis (2%). Five percent of both Division I and II athletes admitted to using steroids, as well as 4% of D-III athletes (Yesalis 60). Since then, steroid use has decreased in Division I sports, but increased among females. Steroid use by adolescent girls in the US is low but significant (Cowart 61). The use of anabolic-androgenic steroids can lead to some cosmetic side effects. First, they have an effect of body hair. Body hair patterns are steroid hormone dependent. Normal anabolic-androgenic steroid use can lead to an increase in facial hair growth and a gradual recession of the hairline. Balding is accelerated with long-term administration to normal individuals with the balding gene. Androgens increase sebaceous gland size and secretion rates, which can result in acne. Relatively weak androgens can increase sebum production and skin lipid cholesterol content also. Lipid cholesterol content appears at peak levels in the sebum excretion after three or four weeks of androgen administration (Yesalis 115-116). Gynecomastia, the development of abnormal breast tissue in males, "occurs in men when estrogen levels increase or androgen levels decrease relative to the amount of estrogen present" (Yesalis 116). Many other side effects occur that are not visible. Increase in appetite, energy, or aggressiveness, and a more rapid recovery from strenuous workouts may be some of the first to appear. Anabolic-androgenic steroids can affect the liver and cardiovascular and reproductive systems. Liver function can be damaged, resulting in jaundice, blood-filled cysts, and benign and malignant tumors. An increase in blood cholesterol levels and blood pressure can lead to early development of heart disease, which can increase the risk of heart attacks and strokes. For males, production of naturally occurring hormones may be increased, which can result in shrinking testes, low sperm count, and infertility. In females, male-like characteristics may appear, such

Don Quixote and Chivalric Ideals

Don Quixote and Chivalric Ideals Free Online Research Papers During the era of Miguel de Cervantes, the ideals of chivalry and knighthood were the prominent themes in literature. Romantic tales of valiant knights and love captured the imaginations of medieval readers, and this influence proved still to be strong during the Renaissance. In the fifteenth century, these medieval values clashed with the new emphasis on reason. The influence of both sets of values can be seen in the Miguel de Cervantess novel, Don Quixote. In this work, Cervantes illustrates the idealistic character of Don Quixote, who is possesed by chivalric ideas of heroism and valor. Don Quixote sets out to reform the world along with his sensible companion Sancho Panca. After an ill-starred career as a knight-errant, Don Quixote renounces his ideals and is restored to excessive sensibility. At the same time, Sancho Panca champions the very ideas that Don Quixote comes to reject. Through his use of names and through the naive ideals of Don Quixote and his subsequent exchange of beliefs with Sancho Panca, Cervantes reveals the need for a proper balance between the extremes of idealism and rationalism. The subject of names is a prevalent one in Cervantess work. Cervantes begins the work with the peculiar declaration, In a certain village in La Mancha, the name of which I do not choose to remember, Don Quixote makes his residence. The anonymity of the village parallels Cervantess ambiguity when discussing Don Quixotes real name. He explains that he is said to have gone by the name of Quijada, or Quesada, although it is most likely that he was called Quijada. Cervantess deliberate manner of forgetting and his vagueness in relating Don Quixotes real name contrasts sharply with Don Quixotes own naming of things. In taking on his new role as knight-errant, he assumes the name Don Quixote de la Mancha, which, according to him reveals his lineage and honors his fortunate country.† In fact, Quixote signifies the armor that a knight wears to protect his thigh. In choosing this inglorious name, the title character shows his distorted sense of what is admirable. Don Quixote also selects the satisfactory name, Rosinante, for his horse, connoting a hack or nag. Furthermore, when he selects a healthy, buxom, country wench to fall in love with, he gives her the name Dulcinea del Toboso, which he regards as romantic, musical, and expressive, like the names he had chosen for himself and his horse. With such bizarre names that do not suit their subjects, Don Quixotes skewed perspective on life is shown. While Cervantes goes to one extreme and decides to forget the name of a town, Don Quixote intentionally picks out ridiculous names for himself, his horse, and his lady. With the absurdity of these extremes, Cervantes asserts the necessity of finding the middle ground. With the name of Quixote, the title character is presented as a comical, ludicrous figure. Cervantes refers to him often as the poor gentleman who has lost his senses and who has the brain of a madman. During his time as a knight-errant, Don Quixote travels far and wide seeking adventures and righting wrongs. In his mission to save the world, Don Quixote is inspired by the books he read of knights, chivalry, and honor. Everything he does is modeled on these romantic stories, into which Don Quixote immerses himself completely. He explains to Sancho Panca that knights-errant are not permitted to complain of any wound they receive. But he permits his squire to complain, as he had not read anything to the contrary in his books of knight-errantry. Another instance of Don Quixotes reliance on the model of his books occurs when stays awake thinking of his Lady Dulcinea because he read about those knights-errant who passed many sleepless nights in woods and deserts remembering their ladies. Thus, Don Quixote shapes his whole life around the fictional accounts of imaginary figures and looses control of his own life. During his adventurous journey, his â€Å"squire,† Sancho Panca, accompanies this would-be knight. This devoted servant is much more temporal than his master, and Sancho revels in such pleasures as plentiful food and a luxurious slumber. Sancho Panca shows his practicality when he warns Don Quixote of the foolishness of some of his missions. When Don Quixote plans to attack the perceived giants in fierce and unequal combat, Sancho implores him to see correctly that the giants are merely windmills. In addition to bestowing rational advice on his master, Sancho puts his trust in God, saying at various points, Gods will be done, and Lord have mercy upon us. While Don Quixote puts his faith in his tales of chivalry, Sancho relies on God for mercy and guidance, and with his rational behavior represents a great contrast to the senselessness of his master. The traits of master and servant are reversed, however, when Don Quixote is defeated in battle and returns home to renounce all his previously held beliefs. Suffering a severe sickness, Don Quixote is eventually restored to consciousness, and he at once declares that God is merciful and that he is now cleared of those dark shadows of ignorance that clouded his understanding from incessant reading of those detestable books of chivalry. This startling reversal in thought causes his friends to think that his sudden and easy transition from madness to sanity is a certain signal of his approaching death. Cervantes thus equates sanity with death: at a time when most people begin to lose their minds, Don Quixote is at his most rational. Another drastic transformation occurs in Sancho Panca. Upon seeing his master renounce his beliefs, Sancho entreats him to once again espouse chivalric ideals. Sancho encourages him to Get up and go walking in the fields with the hope that behind some bush t hey may find Lady Dulcinea. It is now Sancho who defends the absurd ideas that once deluded Don Quixote. It is unusually easy for both characters to exchange beliefs. Cervantes is therefore expressing the impossibility of remaining faithful to extreme beliefs such as those Don Quixote and Sancho Panca hold at different points in their lives. The logical conclusion, thus, is to find a middle road to which one can hold firm. The balance between idealism and reality is often difficult to find. The struggle to reach a middle ground is illustrated in Miguel de Cervantess novel, Don Quixote. Through the characters of Don Quixote and Sancho Panca, Cervantes illustrates the challenges individuals face to balance their lives with a mix of idealistic and rational thought. Cervantes establishes this struggle through the issue of names. In Cervantess forgetting the name of the village and in Don Quixotes deliberately giving absurd names to things, the folly of adopting extreme notions is shown. Cervantes follows with examples of excessive idealism and rationalism. In connecting sanity with death, Cervantes seems to dismiss rational thought as pointless. But his portrayal of Don Quixotes foolishness in his knightly adventures also illustrates a kind of futility. And in the two characters reversals at the end, Cervantes reveals that it is worthless to only adopt a single way of thinking. The two ends of idealism and pragmatism, however, must both exist in a persons life. If not for Sanchos rationalism, Don Quixotes journey would have been quite difficult. Likewise, without Don Quixotes fantasies, Sanchos life would have lacked entertainment. Such a story as Don Quixotes would not exist if not for the imagination; at the same time, it would be ridiculous to accept this story as truth and not consider it from a realistic point of view. Through this charming, yet sobering, tale, Cervantes illustrates that a proper balance between idealism and practicality must be achieved, and that without both principles, life is fruitless. Research Papers on Don Quixote and Chivalric IdealsHonest Iagos Truth through DeceptionWhere Wild and West MeetAnalysis Of A Cosmetics AdvertisementResearch Process Part One19 Century Society: A Deeply Divided EraEffects of Television Violence on ChildrenPersonal Experience with Teen PregnancyMind TravelTrailblazing by Eric AndersonThe Masque of the Red Death Room meanings

How to Understand Mandarin Chinese Tones

How to Understand Mandarin Chinese Tones While residents across China use the same written character system, the way the words are pronounced differs from region to region. Standard Chinese is Mandarin  or Putonghua, and it consists of five pronunciation tones.  As a student of the Chinese language, the hardest part to differentiate is first, second, and fifth tones.   In 1958, the Chinese government rolled out its Romanized version of Mandarin. Prior to that, there were several different methods to sound out Chinese characters using English letters. Over the years, pinyin has become the standard around the world for those wishing to learn to properly pronounce Mandarin Chinese. This is how Peking became Beijing (which a more accurate pronunciation) in pinyin. Using characters, people simply know that that character is pronounced with a certain tone. In Romanized pinyin, many words suddenly had the same spelling, and it became necessary to designate tones within the word to differentiate them. Tones are of vital importance in Chinese. Depending on the choice of tone, you could be calling for your mother (maÌ„) or your horse (mă). Heres a brief introduction on the five vowel tones in the Mandarin language using the many words that are spelled ma. First Tone: ˉ This tone is designated by a straight line over the vowel (maÌ„) and is pronounced flat and high like the ma in Obama. Second Tone:  ´ This tones symbol is an upward slant from right to left over the vowel (maÃŒ ) and begins in the mid-tone, then rises to a high tone, as if asking a question. Third Tone: ˇ This tone has a V-shape over the vowel (mă) and starts low then goes even lower before it rises to a high tone. This is also known as falling-rising tone. Its as if your voice is tracing a check mark, starting at the middle, then lower then high. Fourth Tone: This tone is represented by a downward slant from right to left over the vowel (maÌ€) and begins in a high tone but falls sharply with a strong guttural tone at the end like you are mad. Fifth Tone: †§ This tone is also known as the neutral tone. Has no symbol over the vowel (ma) or is sometimes preceded with a dot (†§ma) and is pronounced flatly without any intonation. Sometimes its just slightly softer than first tone. There is another tone as well, used only for certain words and is designated by an umlaut or  ¨ or two dots over the vowel (lü). The standard way of explaining how to pronounce this is to purse your lips and say ee then end in an oo sound. Its one of the hardest Chinese tones to master so it may help to find a Chinese-speaking friend and ask them to pronounce the word for green, and listen closely!

Management of Organisations Assignment Example | Topics and Well Written Essays - 2500 words

Management of Organisations - Assignment Example 1.) Therefore, organisational performance should be measured. Assessing an organisation's performance also helps to determine whether or not the company has a clear mission (one that addresses the needs of a particular marketplace) and whether or not people on all levels of the organisation understand the mission. Assessing the performance also allows the organisation to review the mission statement and to determine if the mission is referenced when developing organizational strategies. Assessing an organisation's performance will help to determine the procedure and processes that are set in place and whether or not these are in compliance with federal, state, and local laws. Examining the current ethics compliance programs (if there is one) and the processes which are set in place to assess compliance with accounting and financial management system helps to determine if the system that human resource uses is effective. Examining how the organisation measures employee satisfaction and how it handles employee satisfaction and how the processes of accreditation and certification operate along with their effectiveness can be determined by the assessment of an organisation. These methods are just some way that a manager can assess internal environment of an organisation. organisation is service oriented and its focus is on the c... The organisation is service oriented and its focus is on the clients. Fitness First is the largest health club operator in the UK and Europe. Having grown from a single health club, twelve years later Fitness First has 1.2 million members in fifteen countries. There are 166 Fitness First clubs in the UK, which is the focus of this case study. They provide top-quality service and equipment at a value price in a non-intimidating environment. Regardless of an individual's current fitness status, they offer the opportunity to improve his/her fitness level.Fitness First strives to deliver its members the best experience each and every time he/she walks through their doors. It was found that the customer service to clients is impeccable. Through word-of-mouth, feedback, increased membership, etc. the assessment of this portion of the organisation was excellent. However, the assessment of employees, staff, and policies regarding staff were assessed, the results were not the same. The company pl aced much emphasis on meeting the needs of its clients which left a gap in meeting the needs of its employees. Perhaps by implementing Investors in People, the largest health club operator, which caters to people can also provide cater to their people (employee) and reach its objectives more effectively. Management 4 In order to improve the company's weaknesses, based on findings during the assessment, the company decided to invest in its staff and employees in addition to investing in its clients. Taylor & Thackwray, (1996:1), as cited in Scutt (1998) stated that, "Investment in equipment depreciates whilst investment in people appreciates". As this quote points out, investing in people will deliver a huge return.

Intravenous Paracetamol to manage pain Research Proposal

Intravenous Paracetamol to manage pain - Research Proposal Example Patients are bound to experience pain after the effect of anaesthesia given before surgery is finally gone. White et al (2010) had reported a result of surveys in Europe and the USA, stating the need to improve the quality of managing pain after surgeries. The practice then was to use opioids which have multiple adverse effects (AEs): constipation, urinary retention, vomiting/nausea, allergic reactions, confusion, sedation, respiratory depression, and hypotension. These AEs increased the cost of hospitalization and delayed the recovery of patients. A better way of managing pain was then under clinical trials for 15 years. It involved the use of analgesics that require less opioids. There was no FDA approved Intravenous Acetaminophen at that time. Cadence Pharmaceuticals Inc. patented the first I.V. Paracetamol in July 8, 2011 (US SEC 2011) and produced Ofirmev which, until the present, does not have a competitor worldwide due to the recognized protection for intellectual property. Th is gathered evidence about the efficacy and safety of using Ofirmev (the only available US FDA approved Intravenous Acetaminophen in the market), how it benefits patients, and actually improved the quality of pain management. There were evidences based on actual clinical trials with patients that proved the efficacy and safety of Intravenous Paracetamol to neonates, infants, children, adolescents, adults, and even the elderly with age 65 years old and above, for mild, moderate, and severe cases of pain, especially postoperative pain. Introduction Focus is given to the extent of actual benefits observed in many clinical trials, limitations, and clarifications pertaining to the use of I.V. Paracetamol use for postoperative pain management. As a background, over a year after the introduction of the US FDA approved injectable pain reliever under the brand name Ofirmev, doctors have pursued further clinical trials in Europe and the USA covering thousands of patients. One of the reference s of this paper took the effort to search for registered clinical trials in order to learn more about efficacy, safety, proportion of patients who responded favourably or not, to mostly postoperative cases. It would be interesting to know under what conditions I.V. Acetaminophen should be administered to patients. What procedures were followed? Why? There are very young to very old patients who encounter the need for surgery. How should it be given? In actual experiences, was it safe to administer the use of this analgesic to any of such patients? What are the chances of having a satisfied postoperative patient after using Ofirmev? For one thing, doctors excluded patients with symptoms pointing to contraindications against the use of Intravenous Acetaminophen. These are situations wherein patients have severe liver disease, hepatic impairment and active hepatic disease, allergic to acetaminophen, chronic malnutrition, severe renal impairment, and to patients with history of being al coholic. The US FDA (2012a) announced that the limitation per dosage of acetaminophen should be 325 mg. while the total maximum dosage per day must not exceed 4 grams. For infants, the recommended dose of the US FDA for acetaminophen in vial is only 50 mL per child weighing less than 33 kg. (US FDA 2012b, p.12) There were cases of acetaminophen over dosages in infants and adults in the past. For adults, from 1998 to 2003, a total of 131 people experienced â€Å"acute liver failure in the United States† due to acetaminophen overdose (US FDA 2012a). Nonetheless, the medical practice has changed from using mostly opioids like morphine and non-steroidal anti-inflammatory drugs (NSAIDs) to the preferred use of Intravenous Acetaminophen in combination with less opioids only when needed, for reasons that will be disclosed in this paper. Problem and Purpose Quality management of postoperative pain requires provisions for the comfortable recovery of patients right after surgery. Unfor tunately, the use of opioids to

The Many Types of Anxiety Disorders Essay Example for Free

The Many Types of Anxiety Disorders Essay There are many different types of anxiety disorders which can vary from obsessive compulsive disorder, Post traumatic-stress disorder and the many different types of phobias. Even though there are many different types of anxiety disorders they all are mostly built off the same emotion of anxiety or excessive nervousness. Although we all may feel nervous when put into an uncomfortable position and get nervous or anxious, those with the disorder go through a completely different set of emotions. Just to touch basis in depth on a few different disorders, here are a few types of anxiety disorders along with what they are and how it affects the person. * Generalized anxiety disorder: this anxiety affects the person by making him/her worry about life in general, with no real reason to be worried. People with this type of anxiety disorder tend to always expect disaster and can’t help but to worry about family, money, work and or school. Medication is known to help people who tend to have a lot of difficulty coping with everyday life. It’s known that most that are medicated for generalized anxiety disorder starts off on a low dosage and then works to be taken completely off. Another form of treatment is cognitive behavioral therapy. Which is the person learns about what types things sparks or triggers the effects of their anxiety. This type of therapy is known to help patients not worry so much. Post-traumatic stress disorder (PTSD). This type of anxiety disorder is known to follow someone after they have experienced a traumatic event (sexual assault, unexpected death of loved one, past war experience) People who have this disorder tend to have thoughts or memories of the traumatic event. It is also well known that people with this disorder tend to become â€Å"emotionally numb† Symptoms: * Difficulty falling or staying asleep * Avoiding people, places, things or situations that remind them of the event * Suffer from flashbacks, hallucinations amp; nightmares * Difficulty concentrating Rapid breathing * Muscle tension Treatment: * Medications such as antidepressants. Psychotherapy is used to help patients learn ways to control or manage symptoms and or develop ways of coping with the disorder. * Exposure therapy: has the patient re live the past traumatic event, this is known the help the patient overcome their past and current worries and fears. There are many other different types of anxiety disorders that vary in effects (long term and short term), what the person deals with on a daily basis, along with many different types of treatments. All anxiety disorders are similar and dissimilar within many ways and can really vary from person to person.

Ballroom dancing versus everyday conflict :: essays research papers

Good Morning/Afternoon Mr. Strathdee and fellow English scholars, today we take a journey into the world of ballroom dancing. Ballroom dancing, although not a dance of individualism, it also rebels against the label of conformity often thrown at it. Our task was to compare the documentary ‘Absolutely Ballroom’, and the movie ‘Strictly Ballroom’. To properly undertake our task we were compelled to lose ourselves in the plots, music and techniques used in both films. Both show us the highs and lows of songs, elaborate dance routines, lavish costumes, and outlandish characters. We watch as the plot weaves between drama and romance, while demanding the audience understand the importance of freedom and defying all bonds to achieve your dreams and ultimately victory in the face of all that opposes you. The plot of â€Å"Absolutely Ballroom† is admittedly a little boring; however it has some relevant points that we find ourselves being able to relate to within the documentary, holding our attention throughout the half an hour it ran for. â€Å"Absolutely Ballroom† was based in the town of Ystrad fawr, population 10 000, where ballroom dancing is lame and disco is the in thing. Within this quaint little town there is thirty-two female ballroom dancers; none with a male partner. A group of eight courageous young teens set out to find eight male partners. They succeed. The question is which ones would stay? Be who you are; not who someonelse tries to make you. This is the theme of â€Å"Strictly Ballroom†. It’s a story of two young people, Scott and Fran, and their fight to be individuals and free to do and be who they feel they truly are. They forsake tradition and family to dance their own steps together at the Pan-Pacific Grand Pix. In the documentary ‘Absolutely Ballroom’, many techniques are used to entice the audience to continue to watch their presentation of reality television. The first aspect is the songs they use. To be truly effective, as this documentary was, the songs must fit perfectly so that the audience subconsciously is listening, but consciously is observing the images on screen and don’t missing out on any important information which may detract from the story – line. A documentary technique obviously favored in this production was real life action footage, or unobtrusive camera. In all the interviews staged, you don’t see the camera or hear the questions being asked. A lot of the footage filmed is of the dancers’ feet, floor shots and aerial shots.

To What Extent Did Lenin Establish Communism in Russia Fro 1920-1924?

To what extent did Lenin establish Communism in Russia from 1920-1924? From an early age, Lenin opposed the Romanov autocratic regime, even more so following the execution of his brother for the assassination of Tsar Alexander III. Lenin was an avid follower of the writings of Karl Marx and believed communism was the way forward. He believed that everything should be owned by the government and then distributed evenly amongst the people. During the February 1917 revolution in Russia, Lenin was in exile. He knew his right-hand man Trotsky would tell him when the time was right to come back to Russia.The end of the February Revolution led to the end of the Romanov dynasty and to the Provisional Government under Lvov and Kerensky. It also meant the return of Lenin. By October 1917, he felt the time was right for a Bolshevik revolution. It was relatively bloodless and Lenin assumed the responsibility of governing Russia. Between 1920 and 1924, Lenin and the Bolsheviks attempted to shape the destiny of Russia and establish communism. He said, ‘’History will never forgive us if we do not assume power now’’.Having taking over Russia, Lenin now had the challenge of holding on to power. The first thing he did was put a decree on land. This meant that peasants were allowed take over private land. Therefore, landlords weren’t very happy about this. He also abolished the Assembly. Lenin believed in a one party dictatorship and this step was necessary for it to happen. It was at this time that the Bolsheviks became known as Communists. In an attempt to make all people equal, everyone was to be addressed at ‘’Comrade’’. Lenin’s next step now was to make peace.The slogan of the Communists was ‘’Peace, bread, land’’. From fighting in World War I, Russia was on the verge of bankruptcy. Lenin knew something had to be done. The Russians were losing battle after battle and the country co uldn’t take any more of it. Also, the army was in disarray. Soldiers were losing heart and most of them were killed. Lenin realised this had to be stopped. He was pragmatic and knew the country couldn’t take it much longer. Therefore, Lenin signed a peace agreement with Germany. This was known as the Brest-Litovsk Treaty or The Shameful Treaty.Although it obtained peace in Russia, it involved in the country losing a quarter of its land and population, eighty per cent of its coal mines and thirty three per cent of it farming land and manufacturing industry. Lenin insisted the survival of the communist regime depended on it! Lenin however was faced with opposition, collectively known as the ‘’Whites’’. These included a disarray of groups such as social revolutionaries, supporters of the Provisional Government, landlords, tsarist supporters and many more. This gave rise to a civil war in Russia. The war was the ‘’Reds’â€℠¢ vs. he ‘’Whites’’. The Reds had many more advantages than the Whites. The Red Army were under Trotsky, a very skilled military tactician. The Reds were being attacked from every direction by the Whites with the help of the Allied Powers. However, the Reds greatest threat was Pilsudski and his Polish army. This was the only battle were Lenin had peace negotiations and were he lost some of Russian territory. As time passed, Allied support lessened. This was a big disadvantage for the Whites. The Reds had another advantage over the Whites, they were more united.The Whites had many different groups who wanted and fought for different things so it didn’t work in their favour. One further advantage for the Reds was that they were located in central Russia, which was capable of being defended. This ended in victory for the Reds. During the civil war, Lenin took control of economic and political problems. He followed a policy of War Communism. This policy saw Lenin ensure that all industry and agriculture within the Communist –controlled territory was geared solely towards the war effort.All of the surplus crops that were grown by the farmers were requisitioned by the government and distributed between the workers and soldiers. Food detachments were sent to the countryside to get the food. This was very unpopular with the farmers. They began to cut back in grain production so eventually, Russia experienced a famine. An estimation of between five and seven million people died due to hunger. The Red Terror was set up by the Cheka. The Cheka were a secret police force set up to arrest and execute people who they believed opposed Lenin and the Communists.Any opposition to Lenin was dealt with legalised acts of brutality. It was a systematic terror designed to ensure the continuation of Communist rule. The Kronstadt Rising gave the Cheka a great opportunity to put down the revolt. The naval soldiers that were involved were brutall y treated and were easily defeated. Following the end of the Civil War, Lenin knew that change needed to be made. He ended War Communism and brought in the New Economic Policy. There was serious discontent which undermined support for Communism.The NEP ended the requisition of food from the peasants, peasants were now allowed to sell their surplus for profit and private enterprise was allowed in small factories. Although many of these terms were contrary to Communist beliefs, Lenin said that ‘’we must take a step backwards in order to go two steps forward at a later date’’. Although Lenin did not live to see the full effects of the New Economic Policy, he had a great effect on the Russians and established the first ever Communist state. Lenin took many steps in order for Russia to become a Communist state.

The Final Gift

The average person knows very little of death; it is a feared topic and not openly discussed. We misunderstand the process, do not know what to expect, and there is great mystery surrounding the end of life. The authors saw a much-needed chance to educate the public, to allow them to learn from death, even to appreciate it as a natural part life. The patient does not know what they are facing, and are burdened with extreme fear. Many have unresolved issues in their lives, and these can be the source of great agitation and even panic as they approach the end.The caregivers, oth family and the medical team, use medication to ease physical pain but this is often not enough to produce peace. The authors know from experience that helping the patient requires more then simple pain management. One must listen and interpret what is happening, to help alleviate any concerns the patient has. Callanan and Kelley share the wisdom and the â€Å"gifts† patients offer in death, by approachin g each situation with â€Å"open hearts†¦ and minds† and celebrating the patient's life. (callanan ; Kelley, 1992) The authors coin the phrase â€Å"Nearing Death Awareness† to summarize the dying process. Callanan ; Kelley, p. 1) The dying have an â€Å"awareness† of what is happening to them, and possibly even a glimpse into an afterlife. With some basic education, families are taught to care for loved ones, making them comfortable, which change to look for. The dying should be given the choice on how and where they will spend their final time. They most often choose the familiar setting of home, surrounded by loved ones. Hospice nurses and other medical professions are available on site, giving care and support not only to the patient, but also to the family. Death is portrayed in our modern society as dramatic and painful.Often family members become simple spectators, playing no role in providing comfort leaving everything to the medical staff. (Callana n ; Kelley, p. 38) Callanan and Kelley seek to make families and friends more involved in the dying process; providing care and comfort. They understand what their loved one is experiencing, learn from it, and help them pass with dignity and peace. The passing will often leave us with clues, some related to their lives, professions, hobbies; and these are ways of them telling loved ones that they are dying, an attempt to make final communications.It is important for the family to listen for such clues and interpret them, to communicate with their loved one and reassure them that they will be fine; the arrangements have been made. Visions of an afterlife and visitations by deceased loved ones are common with many patients before death. This seems to offer comfort to most who experience this, and they are often unable to describe in words they Joy and beauty that they witness. The authors recognize these as supernatural and spiritual events. They serve to ready the patient for the aft erlife, and Join loved ones who have passed n.The scientific community disputes such assertions; viewing such occurrences as simple functions of the brain as it is failing and dying. Such â€Å"visions† would then be common to patients, as a shared physiological process we all experience from dying and near death experiences. The authors do not attempt to explain or dispute the reality ot these supernatural events They snare what a loved one might experience as they near death to educate. The experiences they have witnessed and the Joy and comfort brought about in an extremely difficult time by these spiritual events.The patient and their family will go through five stages in dealing with impending death: denial, anger, bargaining, depression, and acceptance. Denial is a result of shock; it keeps those involved from accepting the reality of the situation. (Callanan ; Kelley, p. 44) Denial should never be encouraged, as it can give false hope, and make the diagnosis even more difficult to accept. Anger can be the toughest to deal with, and can be driven by fear and resentment. Empathy and support should be offered as one works through the anger.Understanding and communication are important to try and overcome anger. Bargaining is best understood as an almost child-like behavior, â€Å"one more hug, one more story, one more drink of water (before bedtime)† (Callanan ; Kelley, p. 53) The dying try to postpone what is inevitable; and usually this bargaining is with a higher power, God. They make promises of change or good deeds while trying to â€Å"buy' more time or better health. Those around the patient may not be aware of the bargaining process, as the patient pleads with â€Å"god† in private.Depression stems from grief of losing relationships, health, future opportunities and experiences. (Callanan & Kelley, p. 4) The patient seeks to be understood and empathized with; attempts to dismiss or make light of the depression only worsen the situation. Acceptance finally comes as death approaches. Acceptance of death can be peaceful, yet painful for the family as they realize their loved one is ready to move on. (Callanan & Kelley, p. 55) Acceptance of death can be misinterpreted that one is giving up, does not care, or is detached from loved ones. To some degree, most people die†and react to someone else's death†in ways reflecting their usual style of handling of crisis†. (Callanan ; Kelley, p. 9) Our everyday natural personas and emotions tend to be amplified by death, and can bring out some of our worst and best behavior. â€Å"†¦Like birthing, dying can be an opportunity for the whole family to share positive experiences, rather than only sadness, pain, and loss. That is the challenge of this work, and that's the Joy for me†. (Callanan ; Kelley, p. 30) As a radiation therapist I will be working with many patients that are battling cancer, a life threatening diagnosis. For some, the trea tment is palliative; there may be little hope of a cure. It is important to recognize and understand what the patient s experiencing, their emotions, which stage's of the dying process they are in. Empathy and truly listening to the patient will be vital in building trust and open communication. Stages of death such as anger may be evident, and it is vital to realize the anger is not directed at medical staff, but a reflection of inner struggles the patient is going through.I have very limited experience in discussing and confronting death in my personal life. Final Gifts has given me a better understanding of what dying entails. The experiences Callanan and Kelley share will prove useful in discussing death with future patients. With the goal of providing the best care possible, I will be able to educate the patient better after reading Final Gifts. I will be able to explain what is typical when facing death. Help to alleviate concerns of the unknown, fear of pain and what is happe ning to them.The stories shared by Callanan and Kelley will make me more receptive to what the patient may be communicating to loved ones. I may be able to pass on such intormation to the family who are best suited to interpret such final requests. I now believe that death does offer lessons for us to learn from, to help us celebrate our own lives and those f loved ones. We can prepare to eventually leave this world without regrets. We could avoid hostile or broken relationship now, and have a new found appreciation for the time we have.The authors make many valid and insightful observations on the dying process. Hospice nurses by profession, they were able to observe and document the dying process of their patients, allowing us to learn from experiences of others. The end of life is certainly filled with emotions of all involved, physical changes, spiritual experiences, and highlighted by relationships with friends and family as death draws ear. The patient often knows they are dyi ng; their final mission is to make amends, find closure, and wrap up any â€Å"loose ends† in their life.It is important for the dying to know their family will be taken care of, that they accept their departure. Family should celebrate the life of the dying; their accomplishments, relationships and triumphs. The spiritual experiences, communicating with others in the afterlife and seeing beautiful places to come is a very fascinating topic. I have yet to personally experience any near death experiences, and find myself somewhat skeptical about he role a higher power and afterlife. I do not dismiss or deny any such experiences.I am able to draw personal comfort knowing there appears to be a peace that comes with such events as ones nears death. These near death experiences play an important role in giving Joy and comfort to those passing from this life. I do not need a scientific or religious explanation of the source, and there are infinite theories on the subject. Simply kn owing that such events are a cause of peace for the dying is very comforting. The authors seek to change death from taboo and feared to a part of life more nderstood and accepted.It is portrayed badly in media, as a sad and painful event. They seek to change the stereotypes of death, to educate the reader, help them face their own death or that of a loved one. Hospice care looks to alleviate the physical pain of the terminally ill, however emotional distress should not be overlooked. Unresolved conflicts with loved ones need to be addressed, sometimes with one's faith or â€Å"God† as well. Once healing of relationships is attempted or obtained, the dying rest knowing nothing was left unsettled in their lives.Families witness their oved one able to pass in peace and tranquility, making the loss that much easier to cope with. Callanan summarizes the process as such, â€Å"By listening and understanding these messages, we are given unique opportunities to prepare ourselves for their loss, to deal with our fears of dying, to use well the time that is left, and to participate more significantly in this life event†.

The Best War Ever essays

The Best War Ever essays Quick, what is your favorite war? If you are anything like the American masses, you are likely to say World War II. During wartime America was considered to be at its prime. America industry was booming, American soldiers were the strongest on the planet, and the nation was united as a well-integrated family. These images, which were also glamorized by Hollywood and the media, provoked people to develop a positive view of the war for decades to come. Contrary to these beliefs, World War II actually was not such a great war. To grant World War II the elusive title of the best war ever, we must forget about the bombings and the gruesome fighting battles while exaggerating only the good things. In his book The Best War Ever, Michael C.C. Adams challenges the reader to question their thoughts and experiences pertaining to America and World War II. Most people do not have first hand experience and go only by what they have seen and heard from the media, which makes the result a cleaned up, cosmetically enhanced version of reality(Adams 9). Adams attempts to debunk the myths pertaining to the misconception of glamorous battle conditions, the best fighting weapons, and a perfect home front in order to demonstrate that World War II falls short of being remembered as the Great War. The first myth pertaining to the war deals with the stereotypically depicted happy soldier. The United States Army was thought of as the most advanced in fighting ability, weapons, and supposedly held to a higher standard of ethics on the front. Because, with the exception of Pearl Harbor, there were no battles fought on American land, Americans were not given the opportunity to see the terrible conditions that soldiers endured on the front. The combat soldier was forced daily to watch his fellow man struggle to live, die, and later decay. Conditions for soldiers far exceeded poor. The foot soldier rarely ate ...

Belief And Faith In Organisations Cultural Studies Essay

Belief And Faith In Organisations Cultural Studies Essay Religion and think of an organization is tradition. It's a term which is not unusual and is understood to nearly every person on earth. It outlined and could be equally discussed freely or it may be simply comprehended mutually, in other words, without stating anything-but could be represented in the only functions of even a company, team or a person. It's something not absent in all facets of our own lives. To put it differently, it's the real reason for an individual's behavior. But tradition may emerge in a variety of circumstances including cultural tradition and culture. It's worthy and a development of praise. You will find five measurements of the tradition: Masculity, Uncertainty prevention, Personal Group and Power Space Ferminity. Culture may be understood to be the organized manner to do things within an company where principles and beliefs which can be created inside the company is discussed. Therefore, the tradition direct the behavior of the people in the business. Additionally it is referred to as business lifestyle and is an integral facet of any workplace or business environment. Several occasionally we notice people make claims like: "Here Is just how is done points here". They may be the truth is that revealing or speaking in regards to the tradition. For varieties of Business civilizations are Bureaucratic, Flexible and Corperative. http://en.wikipedia.org/wiki/Organizational_culture Records from Pitch Hand-Outs Some Notes from Company Conduite. Cultural lifestyle is how individuals act according from what they've realized out of society or their family. This can be usually according to the competition anyone lives in or the state that she or he is from. It includes emphasizing ways that are specific that the items are complete and do-ing specific things. Distinct civilizations 've gotten distinct understandings of issues that were seeing. Something which could possibly be dismissed or as standard in one single tradition that was cultural might be considered to not be as low overlook in another. For instance,for instance, the notion of relationship in the tradition that is Oriental as well as the American tradition and each additional differ. It's an average matter to get a few to call home together without marriage in the lifestyle that is American. Yet, in the Oriental lifestyle (primarily Indian) it's really an excellent failure to do such factor plus in addition, it exhibits contempt for the ideals organized in their opi nion. Discovering the huge difference between both of these civilizations is this in Organisational tradition CHANGE usually takes spot frequently and readily. Say in case a kiwi supervisor of the business modifications, it is not unlikely the way points are complete because business may furthermore alter in accordance with the supervisor that is newest. Organisational lifestyle is generated from whoever owns the organisation/firm it self as well as the individuals who work with him. Organisational lifestyle period is dependent upon the operating as well as the equilibrium of their direction and such specific company. Organisational tradition h-AS boundation that is regular /connection by means of the people dealing together. Although the change in the tradition that is Racial just isn't a typical stuff that will occur often. Actually when there is an alteration, it could consider under consideration in to quite a few additional matters prior to the real selection is manufactured. Number of individuals creates racial culture /society discussing thoughts and sam-e opinions from previous period of time. Tradition period that is cultural typically are from wonderful earlier of forefathers. Ethnic lifestyle have really near heartedly connection by means of the people of this society. Racial tradition functions from spiritual and the tradition about the notion. Cultural lifestyle h AS less versatility because it's just adjustable lifestyle that is low and static. Cultural lifestyle h-AS host of diversity and selection when it comes to food, considering, clothing. Cultural traditions assistance is restricted for the individuals who make an effort to alter themselves in accordance with the scenario. Schein, E.H. (1985-2005) Business Tradition and Management, 3rd Ed., Josseybass ISBN 0-787-9-7597-4 Pitch hand-outs by Mona Some Notes from Company Conduite. (2) Direction Lifestyle - Describe how social understandings might affect behavior as well as the direction design of business or the person The direction instance that I've selected for the 2 concerns that are following, is the fact that of my Supervisor. He lately transferred to Nz and stems in the Sydney. COMPONENT A It's an extremely frequent consideration to listen to some one state: "No person is exactly the same". Lots of that time period this term can be used to generate folks realise that every person h AS diverse skills which it would unwise to examine yourself by means of another person only to be deterred by particular things one particular can-not execute while another may. Therefore, also an individual's understanding and each additional differ. Understanding means the method whereby individuals arrange, obtain and inter-Pret details in the surroundings. Numerous variables bring about individuals having intelligent that is various. As an example from, the household ideals which they obtained, the culture or the surroundings they was raised in etc. Since tradition is related to the conduct of somebody, it's quite probably that there's a large sway of the way in which issues are viewed by a person and execute things which could change from your additional man. It-no question performs an important part in the specialist area because lifestyle is apparent in all facets of our lifestyles. His ethnic heritage is greatly depicted by the authority fashion of my Mgr.. He comes from Sydney as cited before, as well as the tradition there's not rather same from my own, personal lifestyle. It's quite obvious in my experience that his authority design displays extremely on such a after having an exchange with him about his breeding and tradition. As a person, he aims to carry through his purpose as a supervisor and takes his career critically. Yet, he doesn't offer large respect to his standing on a regular basis. Usually, he and his workers joke, whether it is about a few other subjects or perform. He considers that employed within an company is in the manner of a household According to his tradition, offering because of the demands of his family is hardly unimportant which simply will not me-an purchasing them the necessary however in once getting quality moment away to invest together. So when work hrs are finished he requests every one depart the leftover employment for 24 hours later and to abandon the premises. It may be figured, his ethnic understanding is reflected by his management job. ( Address hand-outs by Mona ) http://en.wikipedia.org/wiki/Organizational_culture Some Records and Information from Company Conduite. COMPONENT B Me definitely does impress, particularly just how he applies to the fact along with his employees that he's quite friendly. On the other hand, being from a culture that is totally diverse, my strategy could not be rather same. While I 'd enjoy to get the easiness between my employees and me, I might at once anticipate they understand and value the place whom I got in the business. This greatly demonstrates from my ethnic heritage from my facet of the household, where we occur after every person and the predominantly organization values and values their regulators that are higher. On the other hand, that doesn't me-an that acknowledgement is required on a regular basis by this strategy but frequently on when more than a few of these have a tendency to overlook their independence being easygoing by means of the personnel causes some trouble later. Like the majority of the civilizations, for the households needs offering is crucial within my lifestyle. In a somewhat dissimilar circumstance from the lifestyle of my supervisor, our perception is not and to get the perform done when possible to depart the benefit to-morrow of today's. So, work that was hard is established during his or her mindset towards his work, earning a method for promotional material or their evaluation. Obligation is some thing of esteem that is large and is valued at facets and all amounts of the area that is operating. As an Indian, I realized that Foreign tend to be mo-Re sensitive and painful plus they welcome the strategy which comes directly to them-which signifies they connect you in the standing of equivalence in the place of standing of ethnic brilliance While having a dialogue that was friendly with the personnel is beneficial to develop their regard and admiration, it's urged to not allow it to be a custom wherein one forgets to cover regard to those they've been afflicted by. For instance,for instance, frequently and fully being a supervisor concerning your-self in gags during work-hours would unethical. The motives behind this are warranted from my understanding. There could make sure individuals who could easily get offended at this reality plus reason which they don't fit in the company and they might begin to distance themselves from the others. So, my strategy and that of my supervisor as a result of our distinct ethnic understandings might surely vary. As I will be an indian ( Address hand-outs by Mona ) http://en.wikipedia.org/wiki/Organizational_culture Some Records and Information from Company Conduite. COMPONENT III - Multi-Cultural company Every organisation consists of individuals. Individuals, that are people that are exceptional, also have various understandings for things that are different and come from other ethnic backdrops. An expression which is popular in describing companies is "multi-cultural organisation". The phrase variety is frequently connected to the expression. Variety is a phrase utilized to refer to the big difference among individuals on the job , which might be according to expertise, age, sex, the competition etc. Business that is Multi-cultural identifies the existence of distinct ethnicities in a business. A number of the features of a multicultural company are: Pluralism- People of civilizations, whether bulk or fraction get the capacity to affect the environment of procedures and essential beliefs. Architectural integration- associates from your fraction-tradition are reasonably re-presented in most occupations in any way amounts as well as in most practical duties. Casual community integration- fraction-lifestyle members get help in the profession improvement in types of support and coaching groups. Lack of splendour and bias - the demand to remove the lifestyle- through the use of various coaching and taskforce actions team prejudices. Minimal intergroup discord- variety will not encourage harmful clashes between members of fraction and bulk ethnicities. You'll find lots of advantages as well as drawbacks of being a true innovator in a cultural business that is multi. Edges Embracing lifestyle, practices and custom - It can help someone to manage the struggles between residence lifestyle/conventions and lifestyle that is fresh /conventions. In case that one discovers fresh vocabulary it really is a masterkey for the tradition that is second. C-Reative problemsolving - It can help anyone to generate alternative to your difficulty. In case that issue is being solved by one for whom the position enhances the option should both have worth, certainly resolve the mentioned difficulty or valued by some body. Minuses Battle increases - Really Being A innovator and battle can be created by functioning with individuals from varied places. Scenario appears are prepared with sights and several thoughts or were the other folks will not be ready to acknowledge the orders and attempts. Social issue - Social difficulties have been all seen by us in the course of our existence associations that are extended may not be easy to handle. Our self-esteem trust and is influenced this way, it are able to make li Fe that is handling change hard and give rise to conversation abilities that are previously lousy. Direction managing problems - Really Being A head its among the job that is difficult since you've got therefore a lot of people functioning from characteristics, behaviours, distinct ethnicities and age alongside you. S O at the same period one seems to function until it is often worst or the recommendations are prepared by him which the others must follow along with should they must live for the reason that firm. Thing that is certain like preparation and prediction, evaluation of aggressive and hazards, doubt tendering must be handled. Pitch giveaways by Mona http://en.wikipedia.org/wiki/Organizational_culture Some Notes from Company Conduite.

Responsibilities of Nonprofit Health Care Organizations Essay - 2

Responsibilities of Nonprofit Health Care Organizations - Essay Example ical Center (MMC) to keep its tax-exempt status, the number of open clinics is not making enough to keep MMC and the clinic itself on a productive phase. It could be possible that the location of the financially unstable clinic should be reconsidered. Closing the clinic should be the last option for MMC since the two outpatient clinics would not be able to accommodate the third clinic’s patients due to several factors and one could be the location. Even if the initial aim of putting up these clinics is to aid MMC retain its tax-exempt status, one should always put into mind that the aim of these clinics is to look after the health of patients disregarding the latter’s stature in the society (Nelson, 2005; ACHE.org, 2013). As it has been stated repeatedly, nonprofit healthcare organizations should always put into priority the kind of service they would be giving the patients. Everyone should be given the proper care that is needed at any given time, all the time. In the preamble of the ACHE’s Code of Ethics, one should utilize moral attitudes towards people who are in need of health care. One should always consider the well-being of others first before of the self especially in the aspect of finances. Taxes play a vital role in the government as it is the source of funds, part of which goes to welfare. Even if one is aiming for tax-exemption, the hospital or medical facility should still be providing the appropriate services that a profit-oriented organization is providing their clients. It is the moral and ethical thing to do, whether written in black and white or not. Healthcare executives are well-aware of the fact that it is not the profit which is the most important in the industry but the health and well-being of people (ACHE.org, 2013). United States Government Accountability Office. (September 2008). NONPROFIT HOSPITALS: Variation in Standards and Guidance Limits Comparison of How Hospitals Meet Community Benefit Requirements. 26 February 2014.