Comunication Essay Example | Topics and Well Written Essays - 250 words

Comunication - Essay Example It is also advisable for one to look people directly in the eye when communicating. Eye contacts in communication convey truth as well as honor. It is also good to ask questions before ending a conversation so as to clarify on some points that were not clear. Writing things down is also part of communication; writing helps one to remember a lot. Additionally, it is advisable for one to read whole messages or mails in order to avoid concluding things in the wrong way. Health care environment is associated with diverse communication between health care practitioners and patients as well as patients and nurses. As a result of this, effective communication is crucial. Team collaboration is also paramount to all activities that take place within a health-center. In most occasions, lack of communication results to medical errors; unfortunately, medical errors are a pervasive problem in many health care organizations (Finkelman, 2012). The errors are also the main causing agents for the deaths in healthcare organizations. Since medical education advocates error-free practices, it is crucial for health care professionals to be good in communication as well as to have good communication

Tsutomu Miyazaki, The inside out Essay Example | Topics and Well Written Essays - 2000 words

Tsutomu Miyazaki, The inside out - Essay Example when the real killer was apprehended in 1989, the killers true gender was male, he was a well mannered photo shop employee, and his name was Tsutomu Miyazaki. Upon his arrest, police and investigators confiscated thousand video cassettes that contain horror films and animation, one of which was a footage of one of his murders. His many pornographic comic books about young girls and pedophilia were likewise discovered (Whiteperil.com, 2006). But even the most hardened and sensationalized criminal must have had their own humble beginnings, and this goes true for Tsutomu Miyazaki. My stand on this issue is that Tsutomu Miyazaki was delusional and a paranoid Schizophrenia. Before going any further about the state of his mental health, a brief outline of his life and personality must be appraised objectively. Born in August 21, 1962, Miyazaki was premature at birth. His inborn deformity consists of gnarled hands that are permanently fused to his wrists. In order to rotate or use his hands, he needs to move his entire forearm. During his elementary and high school days, Tsutomu Miyazaki was considered an outcast and he often keeps to himself. In the beginning, he was a star student but probably because of his disfiguration, was constantly ridiculed and mostly keeps to himself. Hence, he not only lost the ability to properly socialize but likewise lost self-esteem in the process and his grades plummeted as well. Unfortunately , due to the low grades, he was not admitted at his desired university where he planned to study English and become a teacher. As an alternative, he went to a local college where he took up studies in order to become a photo-technician. In the exploration of his mental health a number of written articles and studies were brought forth to analyze how one human being could actually commit murder without though or conscience. According to an article by Leo Lewis (2008) of the Jiji Press in Tokyo, Miyazaki was a ravenous sexual marauder who

UK Employment Law Case Study Example | Topics and Well Written Essays - 1500 words

UK Employment Law - Case Study Example The author has ironically pointed out unfair justice of Mandox towards the dismissal of all the servants in her Manson including Bill and the various nannies who work in the Mandox household. If UK employment law is going to take the initiative for making the law against the unfair dismissal, the possibility of coming into effect is amounting to zero up to the tenure of Muriel Mandox, who remains Minister of Justice but observing the pathetic situation of Bill and the various nannies in the Mandox household, the need for strong employment law is on high demand. When the reader come to know the attitude of Charles, "famous indifference towards strangers was born of class, nationality, wealth and temperament could not fail to be surprised.", then he/she can immediately understand the situation of the labour group working under his control. He is sure to use them at their need and when need is finished; they are thrown out from the job. The view of Muriel Mandox is much more dreaded, she says, 'Look abroad for labour. Look at it this way. They're cheaper. They work harder. You know where they are. They have no friends and, if not satisfied, you can throw them out of the country. What more do you want British jobs for British workers; don't make me laugh. The British worker is a lazy, useless joke.(7)' A Minister of Justice can use these types of words in the private life in the house only and she will defend 'injustice' in public and at the time of election she will hate such people who dare to use such words. A justice minister has no justic e to the class of labour, no justice to humanity, no justice to emotion of a person, no justice to respect the dignity of her country, no justice to respect to the persons of her country, she only wants the cheap labour, she only wants harder labourers, marking the British worker as a joke. But in public she has ironically contrasting thought, "Her own first thought was to tell the overweening, exploitative capitalist bastard to go to hell (6)."In choosing the nannies for her children, she is much concern on the economy and faithfulness of them but she is not willing to pay any attention to them. They all were sacked when they have done unsatisfactory job without any consideration to their basic need of employment. If there could have been any protection law from the UK government then unfair dismissal become difficult for the people of downtrodden society or at least they can proceed to the court of law for the justice, though there are less chances of getting justice as the Minist er of Justice is the owner of the household, Muriel Mandox. At first she had been reluctant to hire childcare, but of the household of Bleak Hall it rapidly became obvious that only Bill had either inclination or patience to mind babies. Muriel's first choice nanny was English, wellborn, though not bright, comparatively well paid (5.00 per hour), but unfortunately insistent on regularity of hours and boyfriends. She lasted three months. The second, also English, better paid (7.00 per hour), working class in stock, also

Tsutomu Miyazaki, The inside out Essay Example | Topics and Well Written Essays - 2000 words

Tsutomu Miyazaki, The inside out - Essay Example when the real killer was apprehended in 1989, the killers true gender was male, he was a well mannered photo shop employee, and his name was Tsutomu Miyazaki. Upon his arrest, police and investigators confiscated thousand video cassettes that contain horror films and animation, one of which was a footage of one of his murders. His many pornographic comic books about young girls and pedophilia were likewise discovered (Whiteperil.com, 2006). But even the most hardened and sensationalized criminal must have had their own humble beginnings, and this goes true for Tsutomu Miyazaki. My stand on this issue is that Tsutomu Miyazaki was delusional and a paranoid Schizophrenia. Before going any further about the state of his mental health, a brief outline of his life and personality must be appraised objectively. Born in August 21, 1962, Miyazaki was premature at birth. His inborn deformity consists of gnarled hands that are permanently fused to his wrists. In order to rotate or use his hands, he needs to move his entire forearm. During his elementary and high school days, Tsutomu Miyazaki was considered an outcast and he often keeps to himself. In the beginning, he was a star student but probably because of his disfiguration, was constantly ridiculed and mostly keeps to himself. Hence, he not only lost the ability to properly socialize but likewise lost self-esteem in the process and his grades plummeted as well. Unfortunately , due to the low grades, he was not admitted at his desired university where he planned to study English and become a teacher. As an alternative, he went to a local college where he took up studies in order to become a photo-technician. In the exploration of his mental health a number of written articles and studies were brought forth to analyze how one human being could actually commit murder without though or conscience. According to an article by Leo Lewis (2008) of the Jiji Press in Tokyo, Miyazaki was a ravenous sexual marauder who

Healthcare mangement - Delivery and service - team work Essay

Healthcare mangement - Delivery and service - team work - Essay Example A better knowledge and development of skills of every individual is improved by their participation. The welfare of the team and the set goal gains a upper hand than the personal development and motives of an individual within the team (Growing a team, 2011). In a healthcare setting the members of a team work together to provide care for patients. For instance a physician and physiotherapist may work together to provide care for a patient (Clements, Dault & Alicia, n.d). In many cases the team leader can include several members within the team which can result in an unbalance and incase the team includes only people with a particular expertise only a specific area is focused and developed while gaps are left in the other areas. Many individuals within a team may have a feeling that their talents are underutilized within the team. In case the leader is unable to motivate the members, the work output often is not satisfactory and is left incomplete. In case of such differences, all the team members do not get their fill which is also reflected in the final result (Growing a team, 2011). In healthcare team work constitutes an important aspect for providing patient care. The collaborative efforts of both the physician and other paramedics would help to provide optimum care and treatment for the patients as the specific skills of everyone in the team results in improved outcomes for the patient.

Behavior of Gases Essay Example for Free

Behavior of Gases Essay Introduction: In this experiment, the problem trying to be solved is what gas laws are being used when the pressure, temperature, and volume are being measured. The three gas laws are Boyle’s Law, Charle’s Law, and Gay-Lussac’s Law. The Boyle’s Law is when volume and pressure are being compared. Pressure and volume are inversely proportional, because when pressure goes up, volume goes down. The Charle’s Law is when volume and temperature are compared. Volume and temperature are also inversely proportional as well. Lastly, Gay-Lussac’s Law is when pressure and temperature are compared. Pressure and temperature are directly proportional; therefore when pressure goes up, temperature also goes up. The formulas are as follows: Boyle’s Law: P2 P1 = P2 V2 Charle’s Law: V1/T1 = V2/T2 Gay-Lussac’s Law: P1/T1 = P2/T2 Hypothesis: If volume, temperature, and pressure are measured, they will follow the laws and fit under Boyle’s, Charle’s, or Gay-Lussac’s law. Expected Results: It should be expected that when volume and pressure are measured, pressure will go up and volume will go down. When volume and temperature are compared, volume will go up and temperature will go down. Lastly, when pressure andtemperature are measured, pressure will go up as temperature goes up. Experimental Procedure: Part I Connect a 20mL syringe to a LabQuest Select: File New Then, Mode: Change to Events with Entry Next, Enter Name as Volume Enter Units as mL Select OK Start at 10mL on the syringe and wait for the reading to Select Keep Keep at least 6 data points (any of your choice) Only pull the syringe out (making the mL readings higher each time) Stop the Data Collection and view the graph and points Record Part II Place an Erlenmeyer flask in a beaker big enough to fit the flask Connect a temperature apparatus to the Lab Quest and place probe in beaker Then connect the pressure tube to the Lab Quest in channel 2 and connect the other end of the tube with the rubber stopper to the Erlenmeyer flask Select: File New Then Mode: Change to Selected Events Exit In sensors menu, change units to Kelvin Tap graph X-axis: chose temperature Place faucet, room temperature water in the beaker Select Keep Place ice in the beaker Select Keep Place room temperature water in the beaker again and place on a hot plate Wait for the water to boil Place temperature probe and Erlenmeyer flask back in beaker Select Keep Record result from graph and chart Results: VOLUME (mL) PRESSURE 10 103. 27 12 87. 6 14 76. 14 16 67. 5 18 60. 96 20 55. 15 This data and chart is comparing volume and pressure. The graph represents the Boyle’s Law because as the pressure is going up the volume is going down. TYPE OF WATER TEMPERATURE (K) PRESSURE Normal 102. 8 295 Ice 98. 29 275. 4 Boiling 122. 31 357. 4 This data and chart is comparing temperature and pressure. The graph represents Gay-Lussac’s Law because as temperature goes up, pressure goes up as well. Discussion: This experiment went extremely smooth. The data was easy to collect as long as you kept the Lab Quest and tools stable to ensure for accurate readings for temperature, pressure, and volume. The graphs and data easily coincided correctly with the theories of the gas laws, as was shown accessibly once the graphs were made. Although the data coincided with the theories correctly, the temperature readings for freezing and boiling may have not been completely accurate because the temperatures of the water was not measured accurately for correct boiling and freezing temperatures, but recorded solely for the theories and to prove them. Overall, the experiment held up well and the hypothesis and theories were proven to be correct.

Spirituality and Sexuality in Palliative Care

Spirituality and Sexuality in Palliative Care Anjum zahoor Significance of spirituality and sexuality in palliative care According to WHO (2012) â€Å"Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual†. The aim of palliative care is to provide comfort care and support system at end of life, to relieve suffering and cope with problem associated with life changes due to illness. Literature also supported that Palliative care does not depend on prognosis, as the life is at end stage, or cure the disease. But it focuses primarily on anticipating, preventing, diagnosing, and treating symptoms experienced by patients with a serious or life-threatening illness and helping patients and their families make medically important decisions. During my palliative course clinical I encountered with 80 year old male patient admitted with complain of drowsiness, hiccups and upper GI bleed. At Aku he was treated as aspiration pneumonia. During history taking patient stated that, from two days I was feeling weak and unable to move myself. After investigations, reports revealed that he was suffering from bilateral brain atrophy, subdural hygromas and Pleural effusion in left lung. In Four days clinical I observed that his son took care of his father, reciting holy Quran and sprinkle holy water on his face. When I assessed patient’s spiritual Domain, his son verbalized that before hospitalization he was very punctual in his rituals, offered prayers. Due to hospitalization he was unable to perform his rituals. During care when I asked about patient’s memorable day he stated that my memorable day is when me and my wife went to America to meet my daughter .we enjoyed a lot, visited the entire beautiful place and spend good time with my family. Suddenly patient stop conversation and cried. I shocked for a while, elaborating further he mention that he lost his wife. I felt very sad. The moment is very emotional, and my eyes are full of tears. I felt like crying. I felt the pain he was going through from which he can get relief after peace full death. I was very sorry for the absence of his family members, during his last movement who can give at least moral support for him. As a nursing student my responsibility is to provide holistic care to the patient and his family. During care I identified several affected domains, like physical (pain in leg and stomach, drowsiness), psycho-social (death of wife), spiritual (religious), and many others. Here all domains of palliative care are interlinked to each other but I focused on two affected domains: spiritual and sexual. This paper is about issues, intervention, recommendations regarding spirituality and sexuality. I would like to discuss the highlighted domain which was spirituality. Many patients find changes in their spirituality when they are at end of life. Some patients get very closer to God, offer their rituals and find religion as a coping mechanism to enhance their well-being. While some people get confused and stack in spiritual conflicts, blaming God for illness and denied from happening as result they separate themselves from supreme-power. Similar is the case with my patient, because of his illness his religious practice was greatly altered. As patient was CBR and has pain in his leg and right hand. He used to offer regular rituals prior, to his illness and now he is upset as he is unable to do. But he is very satisfied with his God’s blessing. He says that â€Å"God gave me everything, fulfill my wishes, and I am very happy with my life. But now he considers himself unkempt bec ause of urine bag, NG tube. I encouraged patient and his family to reconnect with God. Sulmasy, D. P. (2006). Stated that â€Å"spirituality play a vital role in a person’s coping style. It can also provide a network of social support that promote and to maintain emotional and psychological wellbeing†. As a nurse when I assess patients need, he verbalized that he wants to offer prayers. At that time I provide table covered with clean white clothes, so that patient put his tasbii on it and offer his prayer. Due to his physical illness he does not able to stand so, I encourage patient to offer ritual on his bed and I assist him with physical limitation. I curtain patients bed provided privacy and encouraged patient’s family to recite holy Quran near bed side, and assist to show the direction of kiblah. During feeding his son requested me to give holy water I give. The family really appreciates me and my effect comes fruitful. It makes me so happy and proud. Other highlighted domain was sexuality. Sexuality is fundamental desire for all human being. According to WHO as cited in (Tierney,D.K. (2008). â€Å"Sexuality is the combination of physical, emotional, intellectual, and social aspects of sexual beings in positive ways to enrich and enhance personality, communication, and love†. Most of the health care professionals are hesitant in asking about these issues. Health care provider always address physical, social, psychological domain and many times they neglect the domain of sexuality in their care. As a palliative care nurse it’s my responsibility to provide holistic care to patients so it’s important to discuss the impact of their illness on sexuality. Sexuality is not only about intercourse or not refer to just a physical act but it means identity, gender roles and orientations, libido, pleasure, and attachment. It is experienced and may be expressed through thoughts and feelings and love. It doesn’t matt er patient is so aged, weak or drowsy, but we have to assess patient sexual component. According to Julie (2004) sexuality is a lifelong natural need that is not limited by age, physical appearance, health status, or functional abilities. Referring to my patient’s sexual domain. No doubt patient’s wife is no more, he feel alone and misses his wife, he seems weak or aged but we have to assess patient’s sexual need, his feeling toward it. May be patient wants to meet his daughter share his feeling and emotion with her, gave any advice to them. As a nurse it is not necessary that I help patient to meet with his wife to fulfill his sexual desire, it doesn’t mean that. Delivering physical care also come in sexuality. Moreover, during our palliative course theory session, one of our faculties told us that physical appearance also comes under component of sexuality. If a person is looking well, his self-esteem also improves, while if a person is unkempt, his sel f-esteem declines which ultimately affects patient’s sexuality too. I give fully attention to my patient in care, I give mouth care, bedding, encourage to change clothes. Encourage patient’s family to share his feeling with him. Now a day Palliative care nursing is a very new and fruitful concept. It is started in our country but on a very slow moving and special effort is needed to build up this field. Moreover at organization level we have to work on it. Awareness session, programs are required. So we should conduct session with collaboration of other institution to come close to holistic care during last moment of live. As a student nurse it is our responsibility to assess all domain of palliative care. I would like to share a model that would further enhance our capabilities to understand the qualities of nurses that would help the nurses to play an effective role in palliative care. The model I am discussing isThe Nursing Role Effectiveness Model.This model focuses on the nursing variables such as education and working experience that had a direct impact on patients effective palliative care. If a nurse is well aware and educated about the technical ways of communication with a dying patient, so she can ease his suffering in an effectual manner (Lange, Thom Kline, 2008). Furthermore, health care team should have knowledge about spirituality so that they can identify and fulfill the need of patients by providing them holistic care. It is also recommended that there should be a separate room for patient and family, where they can peace fully performed their rituals. There should a system in hospital policy that provides a spiritual leader. For sexuality it is necessary that nurse should perform a profound sexual assessment and build a therapeutic relationship. It would allow the client to comfortably verbalize his feelings. Moreover, if his family would be there so we would encourage them to spend time with the patient, hug him, kiss him or be intimate with him. Hereother ways of conveying intimacy. Legg, M. (2013). In conclusion, palliative nursing care plays a vital role in terminally ill patients and family to enhance their wellbeing. It is very important component of holistic care and we nurses also play very crucial role in improving condition of patients, providing moral support, which include social, sexual, spiritual emotional and psychological domain. By end of two week of clinical I realized that how much palliative course is important to enhanced or support for patient. In future I will tried my best to help them ,provide a moral care .i used this knowledge in to practice in my community to promote this course. REFERENCE Baldacchino, D.R. (2011). Teaching On Spiritual Care: The perceived impact on qualified nurses. Nurse Education in practice, 11, 47-53. Julie,M. (2004). Sexuality at the end of life.American Journal of Hospice Palliative Care,21. Lange, M., Thom, B., Kline, N. (2008). Assessing Nurses Attitudes toward Death and Caring for Dying Patients in a Comprehensive Cancer Center.Oncology Nursing Forum,35(6), 955-959. doi:10.1188/08.onf.955-959 Legg, M. (2013). What is psychosocial care and how can nurses better provide it to adult oncology patients.Australian Journal of Advance Nursing, 28(3), pp.1-13.. Olasinde, T. A. (2012). Religious and Cultural Issues surrounding Death and Bereavement in Nigeria.Online Journal of African Affairs,1(1), 1-3 Tierney,D.K.(2008). Sexuality: A Quality-of-Life Issue for Cancer Survivors.Seminars in Oncology Nursing,24(2), 71-79. doi:10.1016/j.soncn.2008.02.001 Sulmasy, D. P. (2006). Spiritual Issues in the Care of Dying Patients: â€Å" Its Okay Between Me and God†. Jama, 296(11), 1385-1392. World Health Organization. (2012). WHO definition of palliative care nursing.