Child writing paper
Thursday, September 3, 2020
Mitch Tooley Free Essays
English Assessment Plaster cast and Fresh trap The tales I have decided to discuss today are Plaster Cast by Archimede Fusillo, and Fresh Bait by Sherryl Clark. I have decided to discuss these specific stories, in light of the fact that the manners by which they are comparative caught my advantage when understanding them. The two stories feel as though they are composed from end to starting. We will compose a custom article test on Mitch Tooley or on the other hand any comparative point just for you Request Now They unfurl gradually, keeping the peruser in riveted anticipation, on the edge of their seat, until the end, when the story takes its final gasp to uncover to the peruser the loathsome, unexpected truth. The creators of these two stories utilized numerous procedures to make works that are comparable somehow or another, different in others. It is these various procedures I will converse with you about today. One of the most significant components of a short story is portrayal. In the two stories, the writer interlaces the ideas; disarray and doubt to depict their individual heroes, letting out little subtleties to interest the peruser and make them wonder about the characters. In mortar cast, Miranda (the fundamental hero) is another craftsmanship understudy entering grim models into her school workmanship appear. uote ââ¬Å"Theyââ¬â¢re not fit for a school craftsmanship showâ⬠pg49 Her character is gradually evolved and uncovered through these models, that appear to be ghostly and ââ¬Å"too lifelikeâ⬠for comfort. Essentially to Plaster Cast, the character characteristics of the principle hero in Fresh Bait are uncovered gradually. The anonymous character stays to the peruser a secret, as we are left to lurch gradually yet indiscriminately after her on her bizarre excursion. Correspondingly to Miranda, the unknown legend in Fresh Bait appears to be to some degree abnormal to the individuals around her who can't comprehend the particular things the does. uote ââ¬Å"I strolled back a couple of paces, bowed down and noticed his number plate. â⬠Pg19 Structure Language Technique examination The Technique in these accounts is very unique. In new lure the language procedures generally incorporate descriptors, posting and a couple of analogies and representations, quote ââ¬Å"Called up the rundown in my mind once more. Blue Holden new. Deals Forty-Fifty. Finger. â⬠Pg21. This statement is a case of posting. The language strategies in the mortar cast for the most part incorporate descriptors and redundancy. Statement ââ¬Å"They could be living things. Breathing, throbbing, living things. â⬠Pg49 The most effective method to refer to Mitch Tooley, Essay models
Saturday, August 22, 2020
Civil War in Congo Essay example -- essays research papers fc
à à à à à The ongoing Civil War in Congo has been a bleeding flight, causing all the more then 3.3 million passings in only 4 short years.1 Various dissident and ethnic gatherings have been associated with the savagery, battling about Congo's rich regular assets or occupied with an unpleasant ethnic war. With such huge numbers of contradicting groups, it has made arriving at an answer troublesome. While an unpleasant harmony arrangement has been built up, irregular battling springs up in the nation ordinary. The individuals of Congo are being driven farther into neediness and starvation can't deal with the battling for especially more. I recommend that the answer for the post-Civil War savagery in Congo is to freed the nation of every outside country and their issues, to be specific the Rwandans, and to get soldiers within the nation to hold a culmination and locate a quiet and reasonable goals to the issue, with a superpower like the United States going about as host and middle person. When all squabbles are altered, the Congolese can begin to concentrate on a monetary methodology for reconstructing the nation. à â â â â à à à à à Congo's Civil War started on November second, 1998 when Laurent Kabila attempted to drive out Rwandan aggressors who helped him topple Mobutu Sese Seko.2 Sese Seko came into power in 1966 when he drove a defiance to oust the administration of Patrice Lumumbra. Sese Seko prompted Africanizing of the nation by necessitating that all residents drop their Christan names, and by renaming all the land areas with progressively African names.3 During the 1980's Sese Seko's legislature gotten support from the United States, because of socialism's rising fame in Africa. In view of the abuse of the assets and riches produced by normal assets, the rich got more extravagant and the poor fell farther into neediness. Sese Seko manhandled Congo's regular assets and in the long run helped lead the nation into a condition of monetary ruin. In 1997 Sese Seko was ousted by Laurent Kabila. When Kabila assumed control over the nation it was torn up pretty bad however he didn't do anything t o attempt to improve the condition of the country. At the point when he attempted to oust a similar Rwandan agitators that helped him come to control, he began a war that in the long run prompted his demise. Numerous different ethnic and agitator bunches within Congo who depended on the Rwandans for insurance joined the uprising.4 Africans inside and around Congo picked s... ...à à à Farah, Global Insights. New York: Macmillan McGraw-Hill School Publishing Company, 1994. Endnotes 1 ââ¬Å"Quick Guide: DR Congo,â⬠BBC News. Refreshed Mar. 07 2005. BBC News, Accessed 06 March 2005, 2 ââ¬Å"Congo Civil War,â⬠GlobalSecurity.Org. Refreshed Feb. 11 2005. GlobalSecurity.org, à à à à à à à à à à Accessed 06 March 2005 à â â â â â â â â â â â â â â â â â â â â â â â â 3 ââ¬Å"Mubutu Sese Seko,â⬠Encyclopedia. Refreshed 2005. Infoplease, Accessed 06 March 2005, 4 ââ¬Å"Congo Civil War,â⬠GlobalSecurity.Org. Refreshed Feb. 11 2005. GlobalSecurity.org, à à à à à à à à à à Accessed 06 March 2005 à â â â â â â â â â â â â â â â â â â â â â â â â 5 Ibid 6 Ibid 7 Ibid 8 Ibid 9 Ibid 10 ââ¬Å"NewsHour with Jim Lehrerâ⬠Conflict in Congo, PBS, October 22, 1998. Transcript. Gotten to 06 March 2005 11 Garten, Jeffrey E, ââ¬Å"Don't Just Throw Money At The World's Poorâ⬠BusinessWeek, March 7, 2005. 12.
Friday, August 21, 2020
Language and Mongolia free essay sample
I remain before the homeroom, uncertain of what I am truly expected to do. I take a gander at the essences of every understudy, all around the age of twelve or thirteen, gazing up at me in expectation. I should show them how to communicate in English, however I donââ¬â¢t realize how to begin, considering I was just given this task about an hour back. I had strolled back to the school at a lively pace with a million thoughts in my brain of what I could do. When I arrived at the structure however I understood that I had no clue about what the understudies were at that point able to do. Anyway remaining here now I would prefer not to appear to be timid or apprehensive on the grounds that genuinely Iââ¬â¢m not, and I need to make this as a good time for them as could reasonably be expected. I stroll to the front of the room and gave a boisterous ââ¬Å"Sain baina uuâ⬠or hi, to attempt to welcome them out of nowhere I had the entirety of their consideration and the time had co me to start. We will compose a custom article test on Language and Mongolia or on the other hand any comparable point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page This past summer I went through a month voyaging and working in the assorted nation of Mongolia. It was my first time abroad and living in a nation where I had never even heard the language. At the point when we had first arrived in their capital city of Ulaanbaatar we hit the ground running, hopping quickly into Mongolian language exercises and classes about their way of life. These exercises would demonstrate extremely helpful as we ventured out toward the northern region of Khovsgol. While there we finished various network administration ventures, anyway none of them very influenced me as much as instructing English to the Mongolian understudies. This was the task that I had been looking generally forward to, considering I had quite recently been painting floors for three days. This was just the second cooperation I had with the understudies, yet before I even began they in a split second remembered me. While the others sat quietly, one young lady unhesitatingly stated, ââ¬Å"You are Abigail, yes? You are generally excellent at the games.â⬠I perceive the young lady, named Biak, and I review the games we played when we previously showed up at the school with the Mongolian understudies. I rapidly think about the word for thank you-ââ¬Å"bayarlalaaâ⬠. One young lady focuses at me and afterward strolls up and begins to contact my hair. She takes a gander at me apprehensively and says ââ¬Å"Yellow?â⬠holding up my mesh to show me. I gesture my head rapidly, point at her hair and state ââ¬Å"Kharâ⬠, dark in Mongolian, which makes her grin and run back to disclose to her companions. I am not, at this point stressed over where to begin. Quickly I circumvent the room and begin pointing at hues. A few understudies definitely know every one of them while others excitedly track. While doing this movement I hear another understudy notice that she needed a rabbit, so I began drawing pictures of creatures, showing them the names, and invested energy working with every individual until they knew every one of them. We wound up covering a great deal of subjects that day, with every understudy joyfully taking an interest for the total of the exercise. I could feel the fervor in them as we worked. Each understudy was quickly pointing around the room and I could hear yells of ââ¬Å"Red!â⬠, ââ¬Å"White!â⬠, ââ¬Å"Thatââ¬â¢s a horse!â⬠and ââ¬Å"I have a goat!â⬠surrounding me. At that time, remaining before that study hall, I felt as though I had the option to open their psyches while simultaneously they had the option to open mine. The association I had with them was simple and common. I presently understand that the dread I felt toward the start, that vulnerability of how this was all going to function, was superfluous and that you donââ¬â¢t need an exercise plan with the goal for individuals to learn. Now and again the most ideal approach to instruct is at the time.
Friday, June 12, 2020
The Top 11 Best Persuasive Essay Topics for Teenagers
Natural Therapies Institute A List Of Exciting Persuasive Essay Topics for Teenagers Every time when a teacher says, ââ¬Å"write an essay onâ⬠¦.â⬠the next words out of her mouth are drowned out due to the collective noise of groans, sighs and yawns coming from students in attendance. However, many youth now days, are concerned about quite a few things, and would eagerly share their opinions. These are some essay topics by ewritingservice.com that will entice them to read, research, debate and write on ââ¬â Should we have mandatory military service Mandatory military service means a service that is compulsorily required by specific civilians (young males) to serve the military for required amount of time. Taken, that it is compulsory, write an essay on should there be such a system that poses such obligations to its citizens. Should voting in the elections be made compulsory by law Many times you see people ignoring their civic duty for other business or simply out disinterest, however as much as voting is their right, civilians also have the right to not vote. Therefore, discuss should voting be made mandatory. Should Textbooks be replaced by tablets/computers? This is an age of information and technology. When we have progressed so much, should be stop textbooks in favor of tablets? Should there be co-ed sports team Why are there separate teams for girls and boys? Will a co-ed team ever work out or fail. Discuss. Are child artists unnoticed victims of child labor There are many cases of child actor go wrong stories than anyone can count. We have seen the most famous child artists having disastrous adulthood, is this due to the stress and pressure of work? Are child artists really unnoticed victims of child labor? Only food that fulfills nutrition requirements should be served in cafeteria Cafeteria food should be pleasing to the taste buds or should it primarily be concerned about the nutrition it provides the child. Should various religions be taught in schools Religion and misunderstanding it, has proved to be the reason for intolerance, should it be taught by schools? Is todayââ¬â¢s youth aware of the countryââ¬â¢s political events? Teens are usual considered to be ignorant by the adults, is this true, or are youths more aware of things happening around them than what adults think? Violent video games/movies lead to actual violence. Discuss Violent behavior is influenced by watching bloodshed on screen or not. Sex Education should be mandatory Youth should have a mandatory sex-education class to answer their questions or should such topics to be kept for students to discover themselves? Homework should be compulsory Should every teacher give compulsory homework to persuade children to study?Expert admission essay writing service - get your essays written by professional application essay writer.
Sunday, May 17, 2020
Love Poems for that Special Lady - 2111 Words
LOVE POEMS FOR THAT SPECIAL LADY ROY L KEITH Copyright Page content to be provided by TRAFFORD INTRODUCTION I AM DEDICATING THIS TO A LOVELY LADY THAT INSPIRED ME TO WRITE THESE POEMS. EVEN THOUGH I CANââ¬â¢T EXPRESS MY DEEPEST GRATITUDE TO HER. I DEDICATE THIS BOOK TO HER. THANKS FOR EVERYTHING APRIL. A Single Rose All the love that history knows, is said to be in a single rose. Yet all that could be found in two, is less than what I feel for you. Angels With the angels still near and dear to the heart This couple shall prosper and never grow apart For itââ¬â¢s not always the eye that is the first to see What really matters in life and what is meant to be So remember that to love is time well spent And what brought you two together was heaven sent So, go hand and hand to a future unknown Knowing that with the Lord, you will never be alone Love is when you look into someones eyes and see their heart Take a moment every day Look deep into each others eyes Never hesitate to show affection Small gestures will keep a love alive Talk openly about your feelings Take time to show that you care Treasure each and every moment Because to find true love is rare ââ¬Å"Aprilâ⬠We sat side by side in the morning light and looked out at the future together Love feels no burden, thinks nothing of trouble, attempts what is above its strength, pleads no excuse of impossibility It is therefore able to undertake allShow MoreRelated Essay on Lust and Love in Shakespeareââ¬â¢s Sonnet 130 and Campionââ¬â¢s There is a Garden860 Words à |à 4 PagesLust and Love in Shakespeareââ¬â¢s Sonnet 130 and Campionââ¬â¢s There is a Garden in Her Faceà à à à When a comparison is made between There is a Garden in Her Face by Thomas Campion and Sonnet 130 by William Shakespeare, the difference between lustful adoration and true love becomes evident. Both poems involve descriptions of a beloved lady seen through the eyes of the speaker, but the speaker in Campions poem discusses the womans beautiful perfections, while the speaker in Shakespeares poem showsRead More Comparing Form and Content of Jabberwocky, The Raven, and Lady of Shalott955 Words à |à 4 PagesComparing Form and Content of Jabberwocky, The Raven, and Lady of Shalott à à à à In many poems, the use of imagery and sound causes the reader to consider them to be good or bad. Repetition, alliteration, the use of metaphors and images together with rhymes and the text itself work together to create that special feeling or message the poet wants to share. The Romantics believed that poetry should express the poets feelings or state of mind and should not be worked with or thought throughRead MoreA Comparison Of The PoeThe Raven And Ligeia1056 Words à |à 5 PagesThe Raven and Ligeia Edgar Allen Poe is known as a dark gothic writer. His stories and poems are filled with mystery, love, horror, and a melancholy vibe. The symbols found in Poeââ¬â¢s poem ââ¬Å"The Ravenâ⬠creates an atmosphere of doom, in ââ¬Å"Ligeia the narratorââ¬â¢s thoughts show a possibility of drug abuse, these show the commonalities and differences of Edgar A. Poe reoccurring themes of pain of love, loss, and addiction. Comparing both ââ¬Å"The Ravenâ⬠and ââ¬ËLigeiaâ⬠there are many similarities and differencesRead More Contrasting Love in To His Coy Mistress and Elegy for Jane Essay example1174 Words à |à 5 PagesContrasting Love in To His Coy Mistress and Elegy for Janeà à à If one is interested enough to look, one can find twenty-eight definitions for the word love in the dictionary. Such a broadly-defined word has no doubt contributed to the diverse array of poems which all claim (legitimately) to be about love. Two such poems are To His Coy Mistress, by Andrew Marvell, and Elegy for Jane, by Theodore Roethke. Both poems are clearly love poems; however, the types of love that each one representsRead MoreRepetition Of Lucille Clifton s White Lady1291 Words à |à 6 PagesRepetition in Lucille Cliftonââ¬â¢s ââ¬Å"white ladyâ⬠I like persimmons. I like persimmons. I like persimmons. There. Iââ¬â¢ve repeated the phrase thrice. Now, if I asked you to identify whether I like persimmons or not, you would, almost certainly, say ââ¬Å"yes.â⬠Having the same statement reiterated three times makes one more confident that itââ¬â¢s not only important, but that itââ¬â¢s a fact in this context! In Lucille Cliftonââ¬â¢s ââ¬Å"white lady,â⬠a tone of desperation is conveyed through repetition of words, phrases, andRead More Sonnets: The Power of Love Essay1581 Words à |à 7 PagesPower of Loveà à à à à à à à à à The majority of Elizabethan sonnets reflect two major themes: time and love. William Shakespeare, too, followed this convention, producing 154 sonnets, many of which deal with the usual theme of love. Because the concept of love is in itself so immense, Shakespeare found several ways to capture the essence of his passion. Therefore, in his poetry he explored various methods and used them to describe the emotions associated with his love for a mysterious dark lady. TheseRead MoreMutual Forbearance Poem Analysis1419 Words à |à 6 Pagesrelationship, and for some, of life itself. It is in this widespread influence that the conceptions of love and marriage are such powerful topics in modern and classical literature, specifically poetry, the more lyrical structure providing a more aesthetic and artistic impression on the reader, usually the object of the poetââ¬â¢s desires. Yet, William Cowperââ¬â¢s poem Mutual Forbearance ââ¬â Necessary to the Happiness of the Married State C owper twists the expectations of marriage to something more unstableRead MoreShakespeare Sonnet 144 Theme1207 Words à |à 5 PagesShakespeareââ¬â¢s well-known collection of poems tie two controversial and famous concepts within the numerous forms of poetry together in a mesh that puzzles the speaker beyond words. The sonnets written by Shakespeare give his readers insight to the love problems that he reflects, ponders, and battles in his mind in well over 2,000 written lines in the entire collection. The first half of these sonnets are directed towards a young man, and the other section is speaking of a ââ¬Å"dark ladyâ⬠who holds the speakerââ¬â¢s heartRead MoreExamples Of Heroism In The Faerie Queene1029 Words à |à 5 Pagesare only four out of the many that are shown but are definitely significant characters to this epic poem. They all share some common similarities and differences other than the fact that they are vital characters to this epic poem. Also, they in dividually have their own unique characteristics and traits which eventually lead them to be heroes. Out of the many knights presented throughout the poem, there is one knight in particular whos the only to reappear in every book. He is also a great hero;Read MoreEmily Dickinson Transcendentalism757 Words à |à 4 Pagesexceptional poet. She is a philosophical woman, and her poems reflect that. She wrote about things people thought arenââ¬â¢t topics that women should be discussing, such as life, death, love, success, and the impact of society. She doesnââ¬â¢t follow the rules women or poets are supposed to follow, but that is what makes her a great author. Though her poems are unusual and against the norm of poetry, she is undeniably a transcendentalist author, as depicted in her poems This is My Letter to the World and The Soul Selects
Wednesday, May 6, 2020
Breast Cancer Patients Treated With Endocrine Therapy
When it is assumed that 40 % of breast cancer patients treated with endocrine therapy are resistant to this therapy it becomes a problem within the health world, because that such a larger number of patients are not being cured from this treatment. Researchers have studied the Cyclin D1 (CCND1) amplification for being the possible cause for tamoxifen resistance. Cyclin D1 is found within 10-20% of breast cancer patients making it a prime suspect too why patients are becoming resistant to treatment procedures. Not only does CCND1 amplification preferentially occurs in ER positive breast cancer patients, but also eight different studies have shown data linking poor response of tamoxifen therapy too CCND1. FISH (Fluorescence in situâ⬠¦show more contentâ⬠¦This means the average number of tumor blocks per breast cancer was 6.0 in this study. All in all the results show that the CCND1 amplifications is rarely heterogeneous in breast cancer. The high degree of homogeneity seen for C CND1 amplification suggests that this alteration represents an early event in breast cancer development in a small subset of breast cancers and that the CCND1 amplification status determined in a core biopsy will be highly representative of the entire tumor and appropriate for predicting treatment outcome if applicable. (CDKs) cyclin-dependent kinases are a family of serine/threonine kinases that are controlling progression throughout the cell cycle. In this review the main focus is going to be on cyclin D1 and other similar manner of functions. Cyclin D1 plays one of the most important roles in the cell cycle, because it will lead to progression through association with CDK4 and CDK6. The problem discussed is that within Cyclin D1 the DNA damage response and repairs alarms the chromosome stability. Metastasis has become a major cause of death in cancer patients that resulted in studies of cellular migration making it essential for tumor metastasis. Scientist have figured out that cyclin D1 binding of pk27 contributed to cellular migration. The review very comprehensive it is 9 pages of solid information even though 4 of the 9 pages are references. No, all the references are not related to the problem underShow MoreRelatedA Study On Breast Cancer843 Words à |à 4 PagesBreast Cancer Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in women (Up to Date, 2014). The associated risk can be as high as 12% for every woman in the United States, regardless of family history (American Cancer Society, 2013). For this reason, care begins with patient education, risk stratification, and preventative medicine. The paper will review preventative options, risk stratification based on genetics and age, and breast cancer treatmentRead MoreThe Potential Benefits Of Adjuvant Therapy3460 Words à |à 14 Pagesaddition to patient perspectives on their treatment options and findings from a brief GA, a further consideration in estimating potential benefits of adjuvant therapy is the patientââ¬â¢s estimated life expectancy, to determine whether they are likely to live long enough to benefit from the treatment. Chronologic age is an integral component of such estimates; however, it is by no means a sufficient consideration. As our two c linical cases illustrate, two 70 year old breast cancer patients can have veryRead MoreThe Common Endocrine System Malignancy912 Words à |à 4 PagesThe most common endocrine system malignancy in the Unites States is thyroid cancer. The majority of diagnosed thyroid cancers are classified as differentiated thyroid cancer (DTC). More specifically, these cancers are either papillary thyroid cancer (PTC) or follicular thyroid cancers (FTC), with 80.2% being diagnosed as papillary and 11.4% as follicular (Avram, 2012). DTC is the fifth most common cancer among females and has ten year survival rates of 97% for PTC and 94% for FTC (Khan et al.Read MoreEssay on New Treatments for Breast Cancer1923 Words à |à 8 PagesTreatments for Breast Cancer Breast Cancer affects one in eight of American women, and is the second most common cause of cancer death in America. I chose to write my term paper on breast cancer because it is a disease that has effected some members of my family. Due to this possibly inherited condition, I felt that researching the topic would help me learn ways to prevent the disease and educate myself to perform self-exams that may result in early detection. Breast cancer is a malignant tumorRead MoreThyroid Cancer Essay989 Words à |à 4 PagesThyroid Cancer is a thyroid neoplasm that develops in the thyroid gland. The thyroid gland consists of two large lobes that are connected by the isthmus and is located below the larynx on both sides of the trachea. The gland secretes hormones from the hypothalamus that may be stored in the colloid or released into the blood in capillaries. In the endocrine system, the thyroid gland secretes hormones that act on cells with specific receptors called target cells. When cancer develops in the thyroidRead MorePathogenesis And Treatment Of Breast Cancer1235 Words à |à 5 Pagesis known that cancer, in general, is a group of diseases that is characterized by the out-of-control growth and spread of a group of abnormal cells, which can often times result in death. More specifically, breast cancer is a hormonally dependent disease, which causes malignancy in the epithelial cells of the ducts and/or lob ules of the breast (Lippman, 2012). Therefore, ââ¬Å"women without functioning ovaries, who never receive estrogen-replacement therapy, do not develop breast cancerâ⬠(Lippman, 2012)Read MoreHormone Replacement Therapy in Transgendering the FTM Transsexual1759 Words à |à 8 PagesHormone Replacement Therapy in Transgendering the FTM Transsexual Gender may well be the most defining factor in the spectrum of elements that comprise the human persona. In fact gender is so basic to our identity, most people mistakenly assume that our sense of being male or female is defined with absolute certainty by our anatomical sex. Contrary to popular belief, our sense of gender and anatomical sex are two distinct elements; each developing at different times in different parts ofRead MorePhysioEx 9 Ex. 11 review sheet1186 Words à |à 5 Pagesï » ¿physioex 9.0 Review Sheet Exercise 4 Endocrine System Physiology Name: Kelly E. Fischer Lab Time/Date: 7:00 PM/Wednesday Activity 1 Metabolism and Thyroid Hormone Part 1 1 Which rat had the fastest basal metabolic rate (BMR)? The normal rat had the faster basal metabolic rate, because it was not missing its pituitary gland or its thyroid gland. 2 Why did the metabolic rates differ between the normal rat and the surgically altered rats? How well did the results compare with your predictionRead MoreThe Most Vital Functions Of The Nervous System1233 Words à |à 5 Pagesexpensive public health condition with annual cost to society exceeding that of combined costs of diabetes, cancer, and heart diseases. Then, we have set of diseases that follow chronic pain. This includes, but not limited to, depression, stress related disorders and diseases caused due to immobility. Regrettably, chronic is usually co-morbid with other conditions like diabetes and cancer, and its incidence increases with age. Hence, if left unchecked, all we can expect is a steady rise in its prevalenceRead MoreOsteoporosis Is The Most Common Bone Disease1800 Words à |à 8 Pageshigh risk for fracture receiving androgen deprivation therapy for non-metastatic prostate cancer â⬠¢ Treatment to increase bone mass in women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer Dosage and administration â⬠¢ Prolia should be administered by a healthcare professional â⬠¢ Administer 60 mg every 6 months as a subcutaneous injection in the upper arm, upper thigh, or abdomen â⬠¢ Instruct patients to take calcium 1000 mg daily and at least 400 IU vitamin
Individual Focused Reflection
Question: 1 a) Reflect on and describe how your beliefs and attitudes towards people who have mental health issues have changed from before you started this mental health unit and since being involved in the unit. In your answer discuss factors that may have influenced your opinions prior to your study such as your own experience of mental health issues or that of someone you know; your knowledge base; your age, beliefs, ethnicity, etc. b) Consider the application of the model cultural safety in nursing care that we discussed in lectures in week 1 and in the tutorial in week 2. Thinking about your response to Part 1a, discuss how your own culture including your beliefs/opinions, values and attitudes may present challenges to your capacity to give care. 2a)Consider the material covered in his unitup to and including week 4 of the semester including the therapeutic use of self. What do you think you might find difficult about mental health nursing and the therapeutic use of self what do you think you will do well? That is, discuss your strengths and possible limitations. b)Following on from Part 2a, explain how you will use your learning in this unit to enhance your practice from a mental health perspective in two (2) specific nursing practice settings. The practice settings must not be mental health specialty practice settings. Demonstrate how your knowledge and skills of mental health and mental health nursing will enhance the care you provide in the settings you choose. Answer: 1 a)Unfortunately, many people hold a negative view about the people having mental health issues. My beliefs and attitudes towards the people suffering from mental health have changed as one of my uncles suffers from it. I have been with the uncle as a kid and did not understand much about mental health issues. I used terms such as mad and crazy observing his aggression issues. I felt insecure and scared around people with mental health issues. But, with time my knowledge base has expanded. With my growing age, I started researching about the mental health issues on the internet. I extended my knowledge base regarding prenatal issues and post-birth defects. As I belong to Asian background, with Nepalese ethnicity, I only know English and Nepali as the two languages. My family has visited several medical centres and educational institutions for these special cases. Therefore, my beliefs, attitudes and values changed as I observed the issue in many people. My respect and sympathy for t he special people increased. I felt sorry for the people undergoing mental health issues as it is not only devastating for them, but the entire family. They are undergoing pain and might not be able to express or communicate the issues surrounding them. My attitude towards psychiatric treatment has changed and I feel free to talk about the issues surrounding mental illness. I seek recommendations from psychiatrists or acquaintances that can provide me knowledge for the same. My compassion towards the people has also increased as I can feel and connect with them. b) Cultural safety is essential in nursing practice and it empowers the healthcare practitioner and the patient. As a mental care practitioner, I would have to work with people of different gender, generation, different ethnicity, religious belief and different levels of disability. My own culture, beliefs and opinions might challenge the capacity to give care. I feel sympathetic towards the patients suffering from mental health issues. My aim is to improve the health status and wellbeing of the patients. Having extreme concern can disrupt the medical treatments necessary for the patients. The patients may be provided with Electroconvulsive Therapy that is a shock treatment to relieve people from psychiatric illness. I must never make assumptions about the individuals beliefs and try to know more about the health problems faced by the individual. I am not very comfortable with dealing severe cases. As I have had a personal experience of my uncle with aggression, I might be unable to provide quality care to such patients. I might hesitate to serve people with a huge generation gap. I may also find it problematic to coordinate with people who have use language other than English. As I do not know language other than English, it would be difficult to communicate and coordinate with the patients not understanding or speaking English. Lack of cultural awareness and failure to provide culturally competent care can greatly increase the stresses experienced by critically ill patients and can result in inadequate care provided by healthcare professionals. 2a)According to Knight (2012), therapeutic use of self is recognized as an important tool as it shall give me the ability to use my personality in full awareness to establish relatedness and structure nursing interventions. With my caring personality, I have the ability to put patients at ease. I possess effective team working skills that enable me to work well with doctors, physicians and other nurses. I can control the stress levels so that the patients can remain calm in medical situations. With excellent communication skills, I can establish strong connections with the family members of patients. Effective communication also helps in building their faith in me. I have reliable time management skills that allow me to properly administer medical concerns. However, I am unable to handle pressure that may restrict me from performing duties effectively in the nursing practice. I get nervous easily and lack confidence. I plan for the worst try to do everything in my power to make sure it doesn't happen. I guess my weakness would be that I am a perfectionist. I am an "A" type personality. I want everything to be just perfect and it bothers me when things are not arranged in the manner I want. But retrospectively it is also strength in a manner as I don't stop till I am satisfied. I want the best working conditions to work and I want peoples respect if they want my respect in return. I prefer my nursing leaders motivating me for work rather than acting as a transactional leader. b) In the first nursing setting, I shall play the role of mental health counsellor. As one of my greatest strengths is communication, I can use that skill for mental health counselling. I can involve the patients in getting to know their issues and help solve them. As a mental health counsellor, I can regularly interact with the patients. I can use psychotherapy to improve the individuals mental health and resolve compulsions or emotions (Bearman et al., 2013). The range of factors affecting mental health of the individuals shall be assessed using different therapeutic tools. I shall provide them with social stigma and help develop their relationship with others. Counselling shall not just be available for the patients, but also their family members. In the other nursing setting, I can provide occupational therapy in which the mental health patients can lead fulfilling and meaningful lives. I can engage with some of the hardest service users who are enduing mental illness. I shall pr ovide quality care and involve the patients in productive roles where they can develop in a collaborative manner. I shall bring the patients in environment in which they could engage by doing pottery or woodwork. I shall use empathetic skills and ensure patients and their family that they can lead good quality of life. I shall look at their strengths and provide a different perspective to their life. Occupational therapy shall be used to make the individuals independent. The client-centred treatment shall help in great recovery of mental health patients (Sturkenboom et al., 2014). References Bearman, S. K., Weisz, J. R., Chorpita, B. F., Hoagwood, K., Ward, A., Ugueto, A. M., ... Research Network on Youth Mental Health. (2013). More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation.Administration and Policy in Mental Health and Mental Health Services Research,40(6), 518-529. Knight, C. (2012). Therapeutic use of self: Theoretical and evidence-based considerations for clinical practice and supervision.The Clinical Supervisor,31(1), 1-24. Sturkenboom, I. H., Graff, M. J., Hendriks, J. C., Veenhuizen, Y., Munneke, M., Bloem, B. R., ... OTiP Study Group. (2014). Efficacy of occupational therapy for patients with Parkinson's disease: a randomised controlled trial.The Lancet Neurology,13(6), 557-566.
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