Paper on the client Case Study Example | Topics and Well Written Essays - 1500 words

Paper on the client - Case Study Example ttitude, his validation of Cesar, and key words and phrases the doctor uses with respect to psychology. The principles, foundation, and dynamic of the doctor-patient relationship in Abre Los Ojos are very interesting. The doctor himself is a no-nonsense type of guy who encourages Cesar to try to remember what he himself did, and the movie also has a few twists at the end. Another important aspect of being a doctor—which Cesar’s doctor exemplifies—is what it means to be a professional (whether or not the doctor follows the rules and laws of doctor-patient relations). Understandably so, doctors must be continually assessing and evaluating the needs of the patient. Are the patients’ medications at the correct dosages? Do they need to be adjusted? The duty of the doctor is to continuously be monitoring a patient’s relative progress or the lack thereof. ... Usually a patient’s care team consists of: the doctors that are working on all of the patients; the main doctors which oversee the patient’s care setting; the social worker; the chaplain; and perhaps most obviously, the family and/or caregivers. In this case of Cesar the family and/or caregivers are basically replaced by the jail. It is the duty of the doctor on the end of the hospital or other organization taking care of the patient—not now speaking of the family and/or caregivers—that they establish a sense of trust and reliability with the patient. Since the doctor is the person who will have the most contact with the patient, it is of maximum importance that the doctor be professional, respectable, and affable. It is the duty of the other doctors to patiently listen as each individual doctor expresses his or her reflections on the progress of the patients. Similarly, it is the doctors’ duty to reflect on how the status of the patients are. The s ocial worker is available in order to address any issues that might come up regarding the patient’s living conditions, environment, etc. The chaplain is available in order to help out with a patient’s spiritual needs. The doctor’s self-exploration and identity struggles being faced while treating Cesar are manifold. In whatever case, the doctor is very important, and of course, one cannot forget the importance of the role of the jailers, which must work with the organization’s doctor on-call. The doctor works to provide the service of helping the patient through this troubling and complex time in his or her life. Hopefully the doctor can make that patient’s journey an easier and perhaps less stressful one. Cesar’s doctor faces

Reflective Essay On Gaining Management Skills In Nursing Nursing Essay

Reflective Essay On Gaining Management Skills In Nursing Nursing Essay For the last five years, I have been working in the capacity of senior staff nurse in a rehabilitation unit for patients suffering from various forms of mental health conditions. When the ward manager offered me the opportunity to attend a course focusing on management skills, I had mixed feelings. I was pleased to realise that my manager had confidence in me to participate; However, I felt that this would be a challenge. At the same time, I was apprehensive; would I be able to fulfil her expectations? Especially as this course was designed for charge nurses who are expected to take a managerial role. Boud et al (1985) wrote about reflection being a form of response of the learner to experience. Johns (2000) stated through the conflict contradiction, the commitment to realise desirable work and understanding why things are as they are, the practitioner is more empowered to take more appropriate action in the future. From a reflective perspective of my practice, I undertook this study because I wanted to develop my role and felt it would be a good opportunity for me to apply the knowledge gained into my clinical practice. Effective resource management in the health care is paramount as without resources, there would be no health services. Various and appropriate resources are required to function and support the delivery of healthcare. In a practice setting, there is the human resources and non human resources. Human resources are staffà ¢Ã¢â€š ¬Ã¢â€ž ¢s clinical knowledge, their skills and time. This refers to all categories of the workforce within the health care setting. It includes nursing, medical, management, domestic, Occupational therapist, administrators, patients, etc.. Therefore, this includes the skill mix of staff, recruitment and retention. Non human resources are buildings, medication, equipment methods and money. Methods as resources include clinical procedures, policies and training. For money, the resources include the cost of maintaining buildings, equipment, recruiting staff and their salaries and day today running of wards, etc. These resources should be utilized effectively in order to achieve targets at minimal financial cost, in the minimum amount of time and to a high standard. Learning about workforce planning gave me a greater understanding of assessing how many, and what type of staff required, identifying how these staffs will be supplied and deciding how a balance between demand and supply can be achieved. Workforce planning in the NHS is a challenging but an important process. More effective the workforce is ensuring better service for service users. During our study lessons, we have had plenty of opportunities to participate in group work. Within an establishment / ward situation it is important to complete the decision making process as a team. Members should realise if they are to discuss an issue, find possible answers to an issue or make recommendations in order for implementation. There must be an open forum for discussion. Given the above, there is less chance members will waste time dealing with issues beyond their responsibility. Commitment to the decision is important as this will increase the commitment to implementation of the decision. Some of the advantages of group decision making are it allows attempts to persuade and influence others, which could result in achieving high quality results. Because of participants wider knowledge, experience and data collection it could produce more possible solutions. People are more committed to implement what has been discussed and planned if they are included in the discussion a nd the decision making process. Sharing ideas, opinions and options increase the understanding of the situation and commitment to the decision. In group discussions there is opportunity to learn from the other members. The advantage is there can be a tendency for more dominate member to take over and influence others. However, a few of the participants may attempt to appear superior and dominate the group. Especially when there are strong personalities among the group members. Respect differences of opinion (Brounstein,2003; Payne,2001). Also, group members may become more interested in winning rather than investing the best possible option. I have experienced advantages as well as disadvantages during our group work sessions. It felt warm and satisfying to be a part of a group which ensures that everyone has an opportunity to be heard respecting everyoneà ¢Ã¢â€š ¬Ã¢â€ž ¢s idea and values. It was tense and uncomfortable when there are dominators and aggressors; they were interrupti ng others wanting only their ideas to be heard. There are numerous methods by which a group can interact, these be introduced to prevent the discussions being dominated. I have also experienced differences in ideas, which led to feelings of a frustration and an unfriendly atmosphere. When you have a group that works well together as a team, negotiating will become more effective. We should make sure that our negotiations are done in such a way that it flows. The aim is to find an outcome thats acceptable to both parties. To achive this, we need skills such as: Listening, Questioning, reasoning and accepting. There are many ways to show that you are listening to someone. These involve two sets of skills. Non verbal, which relate to what you do and verbal relates to what you say. Non verbal methods include giving the person eye contact, nodding and not looking at your watch or yawning. Verbal ways include letting someone finish what they are saying, and thinking about what they have said rather than about what you are going to say next and responding to their comments. In any negotiation situation, it is important that you should feel comfortable about questioning anything you are unsure of or not happy with. There is no point in taking up a hard and fast position when you go into a negotiating situation. When this happens, both side retreat into their corners, and it becomes difficult to reason. You must be prepared to make some minor adjustments and compromises, as will your negotiating partner to reach a suitable outcome. At the end of a successful negotiation, you should both feel satisfied that you have reached an acceptable decision. You should also both have had an opportunity to express your views, ask questions and work out a reasonable agreement. If one party cannot accept the position, the negotiation should continue. I have also learnt and experienced how important it is to have bargaining skills when you are negotiating between two groups. During our negotiating exercise what we failed to do was to discuss between team members our strongest and weakest arguments and planning the sequences of our arguments. I believe the negotiation process can be summarised as a trading game. There is one way to play the game. That is to trade what we have with what we want. Through this study course, I was expected to learn various topics such as finance/workforce scheduling, report writing/negotiating skills, Recruitment and selection, interview skills, etc. Each lesson I attended was crammed with information. There were a number of skills I learned as part of my coursework, but in addition I learned a lot by going through the process. Reading relevant books and discussing these with my fellow classmates broaden my knowledge and interest in each topic. Looking at sample essays made me realise writing a report requires logical thinking and planning in order to organise oneà ¢Ã¢â€š ¬Ã¢â€ž ¢s ideas carefully and express them accurately. This was a valuable exercise as we write reports daily in our work area. I could use my new found knowledge and skills at work. The day after I learned about negotiating skills, a situation arose at work where the new information I learned assisted me in tackling the situation confidently. The course also helped me to improve my supervision skills in leading the junior members of the team. Many of the lesions stressed group work. This allowed me to work in a team setting confidently and expand my team building skills. I highly value the skills and lessons I have learned from attending this course and would recommend the program to anyone who wants to expand their knowledge and skills. Boud D, Keogh R, Walker D (eds.) (1985) Reflection , turning experience into learning. London. Cogan Page. Brounstein,2003;payne,2001 Nursing Management and Leadership. Ann Marriner Tomer Johns C (2000) Becoming a reflective practitioner. Oxford: Blackwell

The Five Themes Of Geography :: essays research papers fc

The Five Themes of Geography During the 1980's the United States showed unacceptably low test scores on simple Geographic tests. The point Committee on Geographic Education could only attribute these results to Geographic Illiteracy, not only on the part of the students, but more importantly on the educators themselves. By 1984 it had become inexplicably clear that immediate action must take place to counteract this ongoing problem in our educational institutions (Journal of Geography 89). In response, the Joint Committee on Geographic Education produced a landmark publication entitled "Guidelines for Geographic Education". This document contained a scope and sequence in Geography with suggested learning results for the nations primary and secondary school systems, as well as suggested educational strategies for analysis on the part of the students and teachers. Most importantly, this article provided the Five Fundamental Themes in Geography, which have evolved to become an integral element of social studies education, because they take the world of geographic study beyond the realm of basic memorization, and into a new plane of analysis and implementation. These five themes include location, place, human-environment interactions, movement, and regions. Location answers the question of "where?". If you plan to meet someone at a specific time, and a specific place, the question of "Where will you meet?" must first be answered. To resolve this situation, Geography employs Absolute Location, and Relative Location. Absolute Location applies a grid-matrix system to the earth's surface in the form of coordinates. These coordinates, longitude and latitude, allow geographers to pinpoint exact areas of the earth's surface, and other planetary bodies as well. If Geographers wish to apply satellite technology to observe an area of the earth's surface, coordinates are used to pinpoint an exact location. Relative Location answers the simple question of where you would meet a person. For example: "Let's meet at Martin Hall, the building next to the Library." But, relative location is much deeper than simple location. It also involves interdependence of a location based upon its resources, people, and environment. If one wishes to build a ski resort, the location of that resort must be relative with the environment of the location. It would be illogical, and non- profitable to build a ski resort in the Mojave desert. However, it would be logical to build a resort in the higher elevations of the Rocky Mountains in Colorado, Idaho, or Montana. Every area on the surface of the earth is defined by some type of characteristic. Siberia is known to be very cold, but also a part of the Soviet Union, a formerly communist country. Belize is known to be very warm, but it is

Lamb to the slaughter CEL

Lamb to the slaughter a short story by Roald Dahl. Is about a woman so upset with her husband she kills him and how she keeps it a secret that she did it from the detectives. I will focus on the character Mary Maloney and how her character changes as the story progresses. At first Mary Maloney comes across as a loving house wife waiting for her husband to come home ‘now and again she would glance up at the clock but without anxiety, merely to please herself. ’ At first she acts nicely to her husband. She makes him drinks and asks if he is hungry.The key thing that changes her personality is her husband sits down and speaks to her we can only assume he was leaving her but to our astonishment she takes it in her stride and goes to get the leg of lamb but you can tell something is wrong when she walked across the room she couldn’t feel her feet touch the floor. It was a shock to the reader when she wacked her husband on the back of the head with the leg of lamb it wa s unexpected as she seemed so nice ‘At that point Mary Maloney walked up behind him and without any pause she swung the leg of lamb high in the air and brought it down as hard as she could on the back of her head.’This makes her act a lot different from the start she is no longer a loving wife she is more she is more a cold hearted killer. Sam (the shop keeper) dose not suspect a thing he just thinks she’s getting some vegetables for her supper ‘I would like some potatoes please Sam, yes, and I think a can of peas. ’ The detectives thin it wasn’t her because she had an alibi that she was at Sam’s shop at the time of death.The detectives view her as a grieving house wife widow and do her favours like drink and eat the leg of lamb but they don’t know she killed Patrick with the leg of lamb that they were eating the fact she feeds the men the leg that she killed her husband with is disturbing My impression of Mary towards the end is that she has the making of a psycho and is capable of much more I am not on her side as she killed her husband and no matter what he said you just cant go round killing people.Mary by the end is manipulating everyone and its hard to see the ‘soft’ side of her that you see at the start I don’t know if fooling the detectives was the right thing to do because she has to live with the fact she has killed someone for the rest of her life but you know why she didn’t and you understand its for her unborn child and she doesn’t know what will happen to him/her ‘what was the laws about murder with unborn children or did they wait till the tenth month? What did they do?’Mary has changed her whole personality during the story she starts off nice and then she because becomes deserving The overall message of this is don’t judge a book by its cover what looks nice on the outside can be dark and evil on the inside. He imparts this perfectly thr ew Mary because she was all nice at the beginning kills her husband covers it up and doesn’t get caught. I believe on the whole Mary was a victim as she has to live with the face she killed someone for the rest of her life. ï » ¿Lamb to The Slaughter CEL Lamb to the slaughter a short story by Roald Dahl. Is about a woman so upset with her husband she kills him and how she keeps it a secret that she did it from the detectives. I will focus on the character Mary Maloney and how her character changes as the story progresses. At first Mary Maloney comes across as a loving house wife waiting for her husband to come home ‘now and again she would glance up at the clock but without anxiety, merely to please herself. ’ At first she acts nicely to her husband. She makes him drinks and asks if he is hungry.The key thing that changes her personality is her husband sits down and speaks to her we can only assume he was leaving her but to our astonishment she takes it in her stride and goes to get the leg of lamb but you can tell something is wrong when she walked across the room she couldn’t feel her feet touch the floor. It was a shock to the reader when she wacked her husband on the back of the head with the leg of lamb it wa s unexpected as she seemed so nice ‘At that point Mary Maloney walked up behind him and without any pause she swung the leg of lamb high in the air and brought it down as hard as she could on the back of her head.’ This makes her act a lot different from the start she is no longer a loving wife she is more she is more a cold hearted killer. Sam (the shop keeper) dose not suspect a thing he just thinks she’s getting some vegetables for her supper ‘I would like some potatoes please Sam, yes, and I think a can of peas. ’ The detectives thin it wasn’t her because she had an alibi that she was at Sam’s shop at the time of death.The detectives view her as a grieving house wife widow and do her favours like drink and eat the leg of lamb but they don’t know she killed Patrick with the leg of lamb that they were eating the fact she feeds the men the leg that she killed her husband with is disturbing My impression of Mary towards the end i s that she has the making of a psycho and is capable of much more I am not on her side as she killed her husband and no matter what he said you just cant go round killing people.Mary by the end is manipulating everyone and its hard to see the ‘soft’ side of her that you see at the start I don’t know if fooling the detectives was the right thing to do because she has to live with the fact she has killed someone for the rest of her life but you know why she didn’t and you understand its for her unborn child and she doesn’t know what will happen to him/her ‘what was the laws about murder with unborn children or did they wait till the tenth month? What did they do?’Mary has changed her whole personality during the story she starts off nice and then she because becomes deserving The overall message of this is don’t judge a book by its cover what looks nice on the outside can be dark and evil on the inside. He imparts this perfectly th rew Mary because she was all nice at the beginning kills her husband covers it up and doesn’t get caught. I believe on the whole Mary was a victim as she has to live with the face she killed someone for the rest of her life.

Personality Development Analysis Essay

Personality development is among the important aspects of life that we have to go through to ensure a complete and healthy life mentally, physically and emotionally. In this paper the three major theories of personality development are going to be used to analyse an individual that has already been chosen. Erickson’s theory of psychosocial development, Piaget’s theory of cognitive development, and Freud’s theory of psychosexual development are going to explain the various traits of our character in an effort to try and further understand the human personality development. The character has been chosen from the television series ‘Scrubs’; he is Dr John Michael Dorian also known as ‘JD’. JD is a 32 year old medical doctor; currently he is the residency director at St Vincent’s hospital, a position he recently acquired. He can be classified as a genuinely good doctor; this is shown by his concern for his patients while he was working at Sacred Heart Hospital. His best friend is Dr Chris Turk who is the Chief Surgeon at Sacred Heart hospital. The two of them have been together for most of their adult life; it has been frequently been confused that they are homosexual because of the closeness of their relationship. JD has a son called Sam who he adores. He has a girl friend called Elliot also a doctor in private practice. His mentor is Dr. Perry Cox who is the current chief of medicine at Sacred Heart hospital. All of them have worked together for over 8 years; they all have various close relationships depending on their line of work, perceptions e. t. c. Lastly JD has been portrayed as a needy human being; this is shown by his sensitivity and neediness. He has been described as the neediest person in the hospital. According to Erickson’s Psychosocial Development theory, JD is in the Intimacy vs. Isolation stage. At this stage the main virtue is love and understanding. It is at this stage that one dares to experience relationships with other people. These relationships are therefore key aspects in ones life at this stage in life (Feldman 2005). When we look at JD, we see that he has a network of relationships that actually determine how well he works as a doctor. His relationship with Dr. Turk is of more importance. The call each other using pet names; brown bear and vanilla bear, this shows that they are both comfortable with each other. This relationship is also characterised with a lot of child like games and competitions. The two can therefore be considered as inseparable no matter what the circumstances (Dacey & Travers 2002). They depend on each other through thick and thin. There is also a lot of focus on JD career. He has been described as the residency director at St Vincent’s Hospital a position that he accepted because he would like to live near his son; he wants to spend more time with his on Sam. That is another relationship that dominates his life, in fact since both JD and Turk have children, when ever they get free time they spend it together with their children. This shows that the relationship between the parents and the children is healthy and will be healthy in the future, another characteristic that JD is in the Intimacy vs. Isolation stage. Unfortunately, JD has had a series of bad relationships with the opposite sex; this attributed to the fact that he is not emotionally healthy at that level, very small things with the opposite sex tends to bring out the worst in him. This is not for lack of trying but because as he defines it he self sabotages all his romantic relationships, a trend that can be seen also in his social life though with varying degrees. That is why he is mostly lonely (Dacey & Travers 2002). According to the Piaget’s theory of cognitive development, JD as a rational adult is in the Formal Operational stage. He is able to think rationally and therefore reach rational conclusions. He can speak eloquently and therefore an effective communicator. He knows the difference between right and wrong; it is part of the reason as to why he is a good doctors. According to JD patients need the extra attention so that they can heal even faster. This he reached despite constant ridiculing by his friends and at time even the doctor. But he still feels that it is right to spend sometime to know ones patient. Some of the skills that one acquires when at this stage have also been demonstrated; JD uses his deductive skills to diagnose his patients (Leifer & Hartston 2004). This also enables him to spend more quality time with his patients. It is the same reason as to why he is very much attached to the same patients. He is able to make rational decisions; seen when he decides to take another job so that he can spend more time with his son. This is particularly a hard decision because it means moving away from his best friend Turk. It means spending less and less time with Turk; many still don’t believe JD could make such a decision, but he does. This shows that he understands that in life one has to learn how to make rational decisions that will further enhance our lives and the lives of our loved ones. Being selfish is therefore a sign that all is not well. Life sacrifices have to be made so as to ensure that we are with those that we love and cherish. Such sacrifices come out of making rational decisions and although some may be sad, one has to look at the bigger picture. On the other hand JD is know for making the wrong decision despite knowing what the consequences are; he has an inner monologue that is constantly telling him what he should do but he always ignores this advice only to suffer the consequences latter (Leifer & Hartston 2004). According to Freud’s theory of Psychosexual Development, JD has successfully gone through the required stages that one has to go through to ensure that he is ready and complete for life. He is an adult and has therefore managed to go through all the processes as described by Freud; he is therefore at the genital stage. At this point in life JD is struggling to establish a balance between a lot of things going on in his life. He therefore reaches a decision that favours him moving a way from what he is used to so as to be with his son. He also makes a decision that involves him living with Elliot his girlfriend and eventually his wife. At this stage one tends to focus on the needs of others rather than their own needs and this explains why JD made such a selfless decision so that he can be with his wife and further enhance his career as a residency director. At his point in life one also tends to be attracted to the members of the opposite sex; the decisions at this point could be self serving or simply just wrong but a relationship borne out of such a decision in this stage rarely lasts as one discovered that they were only attracted to the person because of one thing, their sexuality (Feldman 2005). In an analysis of all the theories, then it is safe to conclude that JD is in fact a normal healthy human being compared to any standards. Despite a few flaws here and there, he is emotional stable and mentally sound. He is a hard working member of the community and in no way a perfect person. A balance is therefore necessary; a balance of all the elements of personality development. This balance means that one is tolerable and consequently of sound abilities. JD has friends and family around him who love him and appreciate him; his childish nature has been described as a very normally way to avoid getting overwhelmed since he is in a demanding career. The fact that he is father means that he is a man who will do everything to ensure that his son never lacks anything and hopefully. In conclusion the theories of personality are meant to try and establish criteria through which a human being develops; they try and explain why human personalities are different and at times we all happen to go through the same things in life. Psychosocial characteristics are meant to establish how and why a person relates to others the way they do. It explains person’s social characteristic within the social context. Cognitive development explains tries to understand how humans acquire knowledge and therefore deduces a person’s personality through this process of learning. In the end we have the psychosocial development that is mainly focused on the sexual drive in human beings and how people’s personalities develop as a result of undergoing these urges; a balance and control of these urges at different stages in life means that one will end up with a good personality. But in the end a balance of almost all elements remains desirable; depending on the theories a balance of all these attributes means that one is of good nature and therefore a good human being to be with. References: Dacey John S & Travers John F. (2002). Human Development across the Lifespan. Boston: McGraw-Hill. Feldman Robert S. (2005). Development across the life Span, Upper Saddle River, N. J: Prentice Hall. Leifer G & Hartston H. (2004). Growth and Development across the Lifespan: A health Promotion Focus. St. Louis, Mo: Saunders.