Creating the Constitution Research Paper Example | Topics and Well Written Essays - 1250 words

Creating the Constitution - Research Paper Example The bill of rights is a vital constituent of American law and the government. It symbolizes culture and freedom of the United States of America (Beeman,23). The first three articles of the constitution are important in the land. They outline the three branches of the government, and states a set of regulations and rules these branches must follow. This ensures smooth running of the federal government. The American constitution was refined from the Articles of Confederation and Perpetual Union. It was initially ratified by the nine states only. The final draft was then penned by Jacob Shallus. The penned draft is found and displayed in the Records of Administration and National Archives of Washington, D.C. Creation of American constitution was a long process. It was difficult to persuade the 13 states of America to ratify the constitution. The draft was based on the separation of powers, federalism and provision of checks and balances (Riemer, 55). The details of blue print of the new government under the new constitution and which bound all the American states were: The article I of the constitution provided for the functions and separation of the congressional powers. The legislation created here is bicameral. It also outlined the qualification for one to hold an office. It also set methods of selection both the senators and the representatives. It also stated powers such as declaring wars and regulating interstate commerce. Article II provided the power to the president of United States to execute laws. The article II also limited the president’s term to four years a maximum of two terms in office. It stated the mechanisms of removing the president from the office. The constitution also set the modest powers of the president. The powers include negotiator of foreign treaties, ambassadors’ appointment, judges and other high rank officers. The most important power vested on him is the power of being the commander-in chief of the armed forces.

Reason in Philosophy Essay Example | Topics and Well Written Essays - 250 words - 4

Reason in Philosophy - Essay Example In the Twilight of the Idols, he describes the problem of the early philosophers such as Socrates and he says, "you want to know what the philosophers' idiosyncrasies are?... Their lack of historical sense for one thing, their hatred of the very idea of becoming, their Egypticity. They believe that they ought to be showing respect for something when they dehistoricize it, sub specie aeterni,- when they turn it into a mummy." He believes that for the past decade or so, philosophers (attempting to define why society is the way it is, or why someone behaves as they do), have lost touch. They use concepts that have been mummified, meanings that they kill the idea as it is and instead, stuff it with their beliefs. When they are faced with questions they cannot handle or that is beyond their reasoning, they look for reasons to criticize it (NIETZSCHE). The irony in his way of reasoning enables the reader to understand why he completely differs from every other philosophers explanations. It is his interpretation of what reasoning ought to be. This guides the themes he discusses in his first book where he rejects God and Christianity and sees them only as generalizations and a point whereby the philosophers confuse the idea of causal from effect. As a result, they take the obvious truths - the last idea, which is Christianity that ought not to be included, and criticizes what they accept as good since for him it is evil. According to Nietzsche, good people are great liars. As such, the society has embraced this morality to Christians who, in essence, are reasonable. A reasonable person, in this case, refers to an individual who embraces alternative truths. Thus, the society tends to criticize people by morally generalizing them. His justification for this argument, is that a strong person has learnt to put his personal desires for p ower that brings happiness to most humans under control, instead of being caught in crossfire of trying to justify themselves (Nietzsche).

Inspector Goole Essay Example for Free

Inspector Goole Essay I believe such cliff-hangers put the characters in a defensive and confused mood and they left wanting to know what is to happen next. Who thought the inspector knew a lot therefore they have to co-operate by telling the truth and this makes the jig-saw puzzle of the mysteries easily soluble. That is the scenes with each Act are easily identifiable as the initial atmosphere is established, as the focus moves from one character to the next and as the family seeks to explain the evenings events. At the end of the play, the audience are shocked and surprised that inspector Goole, who has acted professionally, so it seems, has turned out to be a fraud and a fake. Afterwards, the audience, I presume, becomes more confused and bewildered. The plan was a type of whos done it (by Agatha Christie) which progressively builds up and heightens the supernatural nature of the mystery surrounding the inspector. However, the inspector has successfully made Sheila and Eric confessed their guilt and irresponsible behaviour towards Eva Smith yet the inspector leaves the audience guessing who actually is responsible for the death of Eva Smith, and the audience having learnt that the inspector is a fake, makes them more surprised at his professional manner and style of his interrogation and enquiries. Initially, the role of the fake Inspector Goole, who visits the Birling family residence and to interrogate them about the supposed suicidal death of Eva Smith, tries to make the characters aware of the broader view of responsibility because before the entry of Inspector Goole in Act one, Mr Birling tells the two young lads Gerald and Eric that,  A man has to mind his own business and look after himself and his own After the inspector has given his speech of Love, the three; Mr and Mrs Birling and Gerald are adamant and refuse to accept any responsibility on their part, which contributed to the death of Eva Smith. Before the end of the play, Gerald Croft rings the infirmary to confirm the death of Eva Smith and the falsehood of his cocked up story of the death of a young woman now on a slab at the infirmary. Mr and Mrs Birling and Gerald are in jubilant and triumphant mood that they have been vindicated that no girl has died and the infirmary hasnt had a suicide for months. Just then, the phone rings. This time, it is a real inspector who confirms that indeed a young girl has died drinking disinfectant and is on the way to the infirmary. Then inspector wishes to visit the Birlings (second time round) for a fresh investigation. I therefore believe that this is proof of Priestleys use of time as element of his play. Now the audience are left in no doubt that the events of the play are going to start all over again because according to theory of nature of time, the cycle of identical lives will be repeated if people involved change nothing of significance. J.B Priestley wants to convey a moral and social message that we all should think, feel and act like responsible people in the community helping one another. I believe that the sort of audience who went to the theatre in 1945 were, naà ¯Ã‚ ¿Ã‚ ½ve and ignorant but rich and powerful. Despite the ignorance of the audience, they were wealthy and powerful people of the society at that time after the Second World War. Therefore, they could easily identify with the Birlings. These people are selfish, uncompromising and thought of themselves and their families and disregarded the plight of the poor and disadvantaged members of society. This is vividly in Mr Birlings advice to Eric and Gerald;   but I care. I was almost certain for a knighthood in the next Honours List-  Having identified themselves with the Birlings, I feel that the audience will feel guilty for being irresponsible and selfish towards the poor and disadvantaged in the society. Therefore I believe if injustice and inequality are allowed to flourish in the society, mistakes of the old generation will repeat itself in generations to come. The play encourages the audience to learn from the mistakes of the past and to recognize that selfish pursuit of riches and power can be destructive. J.B Priestley encourages his modern audience to see that capitalism has many victims. He also makes them aware that our lives are linked and that our behaviour affects one another to see the need to create a better society. Nevertheless, the modern society reacts to the characters in the same way in the sense that the rich are becoming richer and the poor becoming poorer, due to the selfishness and inward looking of the wealthy and powerful over the less advantaged members of society. I feel Priestleys use of surprise interrogations and inquiries do not work in modern times. This is because before an inspector of the police visits a residence to interrogate, he first makes himself known by producing his identity card. I believe the end is a surprise because after inspector Gooles speech, the real inspector of the police rings announcing the death of a girl who has drank a strong disinfectant and that the police inspector is on his way to ask questions. Despite the present of socio-political conditions, I believe Priestleys moral and social message is still relevant. For instance, inequality and class systems are prevalent in modern societies. For example, the labour party which is socialist inclined seems to stress the idea of interdependent community but fail to practice what they preach. The original audience are different from the present day audience, whereas the audience in 1945 were aristocrats, wealthy and powerful, the present audience have different social status therefore I think one should expect diverse reactions. Thus, the play does not affect them in the same way. However, I feel that the play is still worth performing because modern audience are still committing the old mistakes that the original audience committed. Morden society is still irresponsible and class system is also operative. Again the elite and affluent exercise power over the less advantaged and the poor, and they are business conscious more than being charitable. In this play, Priestley writes about social message, love and responsibility. Socially, the writer makes me feel and accept that people share a common humanity and that we are all interdependent.  Again Priestleys writing about love through charity which is faked by Mrs Birling encourages me as an audience to express true love.  I believe this play has encouraged me to look back to the mistake of our fore-fathers in all circumstances and live as a member of a community contributing and helping to build a society devoid of wickedness, irresponsibility and selfishness.  In conclusion, I must admit I have been overwhelmed by Priestleys use of time as an element of his plays ( The dessert Highway-1944 and The Linder Tree-1945), to demonstrate how in general; the behaviour of each member of a community can affect others.

Communication In Nursing

Communication In Nursing To listen to another person is the most caring act of all. Listening and attending are by far the most important aspects of being a nurse (Burnard 1992). One of the basic elements of nursing is good communication skills with patients. Being unable to communicate well with a patient immediately can destroy the nurse/patient relationship and therefore the patient may not trust the nurse (Anon 2007). The purpose of this essay is to discuss the importance of communication in nursing. Without communication nurses would be unable to provide the correct care, but improving communication is a life-long developmental process (Ewles and Simnett 2005). I will draw upon my personal experience from the clinical area to show how well the theory relates to the practical side of nursing and use the process recording sheet for structure and guidance (Appendix i). In accordance with The Nursing and Midwifery Council (2008) Code of Conduct, nurses must respect peoples right to confidentiality. Therefore for the purpose of this essay I have used a pseudonym and the patient discussed is referred to as Carol Brown and any personal or identifiable information has also been altered so as to protect her privacy and dignity which are also enshrined in the Nursing and Midwifery Council (2008) Code of Conduct. I asked Carol for explicit permission to use our interpersonal relationship in my communications essay and advised her of my obligations on my professional conduct to which I am bound by the Nursing and Midwifery Council (2008), regarding professional, moral and safe practice. Carol was in agreement to be involved with my assignment and on no account was her physical care at risk during this interaction. I was nearing the end of my placement in a general medical ward within a large general hospital. The ward treat a variety of medical complaints including diabetes, gastrointestinal disorders, stroke and alcohol liver disease. A young 36 year old female was admitted to the ward, now known as Carol Brown with an increased weight loss due to non-intentional self-neglect probably caused by her chronic condition although could be deep rooted to family relationships (Day and Leahy-Warren 2008). Carol was awaiting heart surgery, replacement hips and replacement knees at major surgical hospital in another area of the country. Her health status was poor as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. Carol was in need of pain management, and although it was currently being managed with a variety of powerful painkillers, these proved to have little relief. Carol spent the majority of time in bed due to her severe pain, and due to this she cried out a lo t. I thought that communication would be difficult with Carol as she was mostly in pain but I also believed that she would like someone to talk to but that person would need to be a good listener. It is important to remember that nurses have the duty to provide care holistically, for the whole person, not just for their physical needs but their mental and social needs too (Kenworthy et al. 2002). Carol liked to be washed in her bed every morning as movement for her was difficult. The bay that she was in was busy with little privacy and only the curtains for seclusion. I went into assist her to wash one morning and because of her psoriasis she needed special creams applied routinely. She spoke quietly about her illness and explained her difficulties to me. Her head was bowed and she had difficulty in making eye contact. She talked slowly and quietly and sometimes mumbled, she also appeared quite melancholy at times. Talking about her family, her illness and when she was younger made her sad and she was crying. I think this was cathartic for Carol and it could be that feelings beneath the surface may need uncovered in more detail to enable her to release her emotions (Bulman and Schutz 2008). I felt that Carols ability to communicate was linked to how she felt about herself. She was inclined to judge herself too severely and underestimated her abilities. This self-blame reflect ed her ability to communicate (Ewles and Simnett 2005). She was in so much pain, her head was bowed and she could not make eye contact. I was leaning in close to her bedside, touch was not good, her body was too sore. I tried to show empathy towards Carol by giving her time to talk, being patient and listening to her. This was an example of Egans (2007) Soler theory which is a non-verbal listening method that is used commonly in communication. Was she crying because she was in so much pain or was it because she was recalling happy memories from before she fell ill? I was keen in developing the therapeutic relationship. According to Arnold and Undermann-Boggs (2003), empathy is the ability to be sensitive to and communicate understanding of the patients feelings. Being compassionate is similar to being empathetic in a way that it is important to recognise that Carols feelings belong to her and not to me. I was interested in Carols illness, to learn more about her condition and hear about her difficulties. Getting to know your patient helps to promote dignified care (Nicholson et al. 2010). She was very independent and wanted to do as much as she could by herself. Help was minimal and she only asked when she was struggling to re-position her feet. I used active listening to allow to her speak without interrupting. Active listening is not only the act of hearing but of being able to interpretate any underlying meaning (Arnold and Undermann-Boggs (2003). I paid close attention to her facial expressions and body language and Argyle (1988 p.57) suggests facial expressions provide a running commentary on emotional states. I asked Carol open questions about her illness as I thought this would allow me to encourage her to talk and she responded to this well. Open ended questions are used to elicit the clients thoughts and perspectives without influencing the direction of an acceptable respon se (Arnold and Undermann-Boggs 2003 p.241). It also allowed Carol to describe her experiences, feelings and understandings and I felt this approach was appropriate. I wanted to try and distract her from her pain as I found it difficult to see her being so unhappy, so I commented on some magazines that were lying on her table and asked her about her taste in music. This was a good subject, her eyes lit up and she smiled. We finally made eye contact. Carol and myself were exchanging verbal and non-verbal communication in order to understand each others feelings. According to Kozier (2008) non-verbal communication can include the use of silence, facial expressions, touch and body posture. Carol was keen to talk about her taste in music and became very chatty, in fact, she became somewhat excited. I put some cds on for her to listen to and as I did this she asked me questions about my taste in music. There was now no barriers to our communication as we both shared the same taste in music. When the music was playing Carol was in a different world, she was more relaxed. Research has shown that the pain and tension of illnesses such as arthritis can be eased with music therapy (Murcott 2006). I took her hand and held it gently, her eyes were closed, she was smiling and she appeared more content. By holding her hand, I felt as though I was comforting and reassuring her. Touch is a form of non-verbal communication and can be a powerful way of communicating (le May 2004). This was an indication that I really did care and that I wanted to help her. Using touch skilfully and thoughtfully can convey that you are able to be with your patient (Benner 2001 p.57). Communication can be therapeutic and the music playing was not a barrier in communications, it was in fact beneficial. Music has the power to tap into our emotions and alleviate tension (Mallon 2000). Therefore, it is argued that effective communication is more than delivering high quality patient-centred care; but it also allows patients to feel involved in their care, which can make a significant difference to their outlook on their treatment (Collins 2009). Reflecting back I realised that I was really quite worried about the communication difficulties I was facing during my interaction. Carol was a very obstinate person who knew exactly what she needed and yet she desperately wanted to be as independent as possible. I wanted her to allow me in and for her to be comfortable with me. I am glad I eventually gained her trust and we both became more relaxed. Trust is an important element in the nurse/patient relationship and can in fact affect the patient care in practice (Bell and Duffy 2009). In fact, the impact that this interaction had on our relationship was that as the days went on we became very good friends and she was very special to me. Sully and Dallas (2005), suggests that to have an empathetic understanding of our patients needs we must recognise their need for comfort and we respond to this compassionately. It was important to be non-judgemental, I accepted Carol for who she was no matter what her circumstances were and my main concern was to care for her in a professional and beneficial way and in a manner that she preferred. The Royal College of Nursing (2003) suggests that the personal qualities of a nurse should include compassion, respect and a non-judgemental approach. Putting the interaction into perspective, I originally found Carol very demanding, always calling out and constantly pressing the call buzzer. Some staff were very reluctant to go to her because her personal care was very time consuming. It was time consuming but it was because she was in a lot of pain. Surely this was a barrier to communication as some staff did not take the time to listen to what Carol required and as health promoters, we need to develop skills of effective listening so that we can help people to talk and express their needs and feelings (Ewles and Simnett 2005). Rogers (2004) used the term unconditional positive regard, this meaning that people can be too judgemental and it is important to disregard how much of a b urden someone thinks a patient with complex needs might be and treat everyone equally. From recording and analysing my interactions I have learned to accept people for who they are as each of us have had different experiences throughout life and these experiences make us who we are. It was also important to acknowledge Carols point of view, her emotions and thoughts without judgement as being aware of these helped to appreciate her perspective and needs (Silverman et al. 2005). I have also learned to be a good listener and an active listener. Ewles and Simnett (2005) suggest that this means taking note of the non-verbal communication as well as the spoken words. It is important to maintain eye contact, observe the body language, listen properly and pick up on non-verbal signs as well as verbal signs. The environment is important too, along with being sensitive, honest and compassionate (Anon 2007). Collins (2007) argues that judgemental attitudes can stand in the way of getting to know your patient and that labels attached to individuals such as demented can act as a l anguage barrier. Effective nursing requires us to be assertive, responsible and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusion, the key points that have been discussed in this essay are that of the importance of communicating in nursing and how nurses can improve their communication skills and maintain their effectiveness. We must provide holistic care for our patients and the goal is to listen to the whole person and provide them with empathetic understanding. Another key point is that we must be non judgemental no matter what the patients circumstances are. Overall communication during this interaction was positive, therapeutic and helped to build a relationship. This essay has shown how personal experience from the clinical area relates the theory to the practical side of nursing and how it is imperative that communication is clear, understandable, appropriate and effective. 2059 words References ANON., 2007. Communication skills (essence of care benchmark). Nursing Times. http://www.nursingtimes.net/whats-new-in-nursing/communication-skills-essence-of-care-benchmark/361127.article (Accessed on 21.07.10). ARNOLD, E., and UNDERMANN-BOGGS, K., 2003. Interpersonal relationships: professional communication skills for nurses. 4th ed. Missouri: Saunders. BELL, E., and DUFFY, A., 2009. A concept analysis of nurse-patient trust. British Journal of Nursing. 18(1), pp. 46-51. BENNER, P., 2001. From novice to expert: excellence and power in clinical nursing practice. New Jersey: Prentice Hall. BLAZER-RILEY, J., 2008. Communication in nursing. 6th ed. Missouri: Elsevier. BULMAN, C., and SCHUTZ, S., 2008. Reflective practice in nursing. 4th ed. Sussex: Blackwell. BURNARD, P., 1992. Counselling: a guide to practice in nursing. Oxford: Butterworth-Heinemann. COLLINS, S., 2009. Good communication helps to build a therapeutic relationship. Nursing Times. 105(24), pp.11-12. DAY, M.R., LEAHY-WARREN, P., (2008). Self-neglect 1: recognising features and risk factors. Nursing Times. 104(24), pp.26-27. EGAN, G., 2007. The skilled helper: a problem management and opportunity development approach to helping. 8th ed. California:Thomson. EWLES, L., and SIMNETT, I., 2005. Promoting health: a practical guide. 5th ed. Edinburgh: Bailliere Tindall. KENWORTHY, N., et al., 2002. Common foundation studies in nursing. 3rd ed. Edinburgh: Churchill Livingstone. KOZIER, B., et al., 2008. Fundamentals of nursing: concepts, process and practice. Essex: Pearson Education. LE MAY, A., 2004. Building rapport through non-verbal communication. Nursing and Residental Care. 6(10), pp. 488-491. MALLON, M., 2000. Healing Sounds. The Scotsman. 12th May, p.9. MURCOTT, T., 2006. Music Therapy. The Times. 18th February, p. 17. NICHOLSON, C. et al., 2010. Everybody matters 1: how getting to know your patients helps to promote dignified care. Nursing Times. 106(20), pp. 12-14. NURSING AND MIDWIFERY COUNCIL, 2008. The NMC code of professional conduct: standards for conduct, performance and ethics. London: NMC. ROGERS, C., 2004. On becoming a person: a therapists view of psychotherapy. London: Constable. ROYAL COLLEGE OF NURSING, 2003. Defining nursing. RCN. http://www.rcn.org.uk/__data/assets/pdf_file/0008/78569/001998.pdf (Accessed on 29.07.10). SILVERMAN, J., et al., 2005. Skills for communicating with patients. 2nd ed. Oxon: Radcliffe publishing. SULLY, P., and DALLAS, J., 2005. Essential communication skills for nursing. Edinburgh: Elsevier. Communication in nursing Communication in nursing To listen to another person is the most caring act of all. Listening and attending are by far the most important aspect of being a nurse (Burnard 1992). One of the basics of good nursing is good communication skills with patients. Being unable to communicate well with a patient immediately can destroy the nurse/patient relationship and therefore the patient may not trust the nurse (Anon 2007). The purpose of this essay is the realise the importance of communication in nursing. Without communication nurses would be unable to provide the correct care, but improving communication is a life-long developmental process (Ewles and Simnett 2005). I will draw on my personal experience from the clinical area to show how well the theory relates to the practical side of nursing and use the process recording sheet for structure and guidance. In accordance with The Nursing and Midwifery Council (2008) Code of Conduct, nurses must respect peoples right to confidentiality. Therefore for the purpose of this essay the patient discussed is referred to as Miss C., and any personal or identifiable information has also been altered so as to protect her privacy and dignity which are also enshrined in the Nursing and Midwifery Council (2008) Code of Conduct.. I asked Miss C. for explicit permission to use our interpersonal relationship in my communications essay and advised her of my obligations on my professional conduct to which I am bound by the Nursing and Midwifery Council (2008), regarding professional, moral and safe practice. Miss C., was in agreement to be involved with my assignment and on no account was her physical care at risk during this interaction. I was nearing the end of my placement in a general medical ward within a large general hospital. The ward had a variety of medical complaints including diabetes, gastrointestinal disorders, stroke and alcohol liver disease. A young 21 year old female was admitted to the ward, now known as Miss C., with an increased weight loss and she was in need of pain management. Miss C., was awaiting heart surgery, replacement hips and replacement knees at major surgical hospital in another area of the country. Her health status was poor as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. Miss Cs., pain was managed with oramorph, ketamine and fentanyl patches, but these proved to have little relief. Miss C., spent the majority of time in bed due to her severe pain, and due to this she cried out a lot. Her head was bowed and she had difficulty in making eye contact. She talked slowly and quietly and sometimes mumbled, she was also a very sad person. I thought t hat communication would be difficult with Miss C., as she was mostly in pain but I also believed that she would like someone to talk to but that person would need to be a good listener. It is important to remember that nurses have the duty to provide care holistically, for the whole person, not just for their physical needs but their mental and social needs too (Kenworthy et al. 2002). Miss C., liked to be washed in her bed every morning as movement for her was difficult. The bay that she was in was busy with little privacy only the curtains for seclusion. I went into wash her one morning and because of her psoriasis she needed special creams applied religiously. She spoke quietly about her illness and explained her difficulties to me. Talking about her family, her illness and when she was younger made her sad and she was crying. I felt that Miss Cs ability to communicate was linked to how she felt about herself. She was over-critical about herself and underestimated her abilities. This lack of self-confidence reflected her ability to communicate (Ewles and Simnett 2005). She was in so much pain, her head was bowed and she could not make eye contact. I was leaning in close to her bedside, touch was not good, her body was too sore. I tried to show empathy towards Miss C., by giving her time to talk, being patient and listening to her. Was she crying because she was in so much pain or was it because she was recalling happy memories from before she fell ill? I was desperately trying to understand how she may be feeling. According to Arnold and Boggs (2003), empathy is the ability to be sensitive to and communicate understanding of the patients feelings. Being compassionate is similar to being empathetic in a way that it is important to recognise that Miss Cs feelings belong to her and not to me. I was interested in Miss Cs illness, to learn more about her condition and hear about her difficulties. She was very independent and wanted to do as much as she could by herself. Help was minimal and she only asked when she was struggling to re-position her feet. I used active listening to allow to her speak without interrupting but I paid close attention to her facial expressions and body language. Argyle (see Kenworthy et al. 2002) suggests facial expressions provide a running commentary on emotional states. I asked Miss C. open questions about her illness as I thought this would allow me to encourage her to talk. It also allowed Miss C to describe her experiences, feelings and understandings. Open ended questions are used to elicit the client s thoughts and perspectives without influencing the direction of an acceptable response (Arnold and Boggs 2003 p.241). I wanted to try and take her mind off her pain as it was upsetting to see her being so unhappy, so I commented on some magazines that were lying on her table and asked her about her taste in music. This was a good subject, her eyes lit up and she smiled. We finally made eye contact. Using the semiotic school of thought, Miss C and myself were exchanging verbal and non-verbal communication in order to understand each others feelings. According to Kozier (2008) non-verbal communication can include the use of silence, facial expressions, touch and body posture. Miss C was keen to talk about her taste in music and became very chatty, in fact, she became sort of excited. I put some cds on for her to listen to and as I did this she asked me questions about my taste in music. There was now no barriers to our communication as we both shared the same taste in music. When the music was playing Miss C was in a different world, she was more relaxed. I took her hand and held it gently, her eyes w ere closed, she was smiling and she appeared more content. By holding her hand, I felt as though I was comforting and reassuring her. This was an indication that I really did care and that I wanted to help her. Using touch skilfully and thoughtfully can convey that you are able to be with your patient (Benner 2001 p.57). Communication can be therapeutic and the music playing was not a barrier in communications, it was in fact beneficial. Therefore, it is argued that effective communication is more than delivering high quality patient-centred care; but it also allows patients to feel involved in their care, which can make a significant difference to their outlook on their treatment (Collins 2009). Reflecting back I realised that I was really quite worried about the communication difficulties I was facing during my interaction. Miss C., was a very strong willed person who knew exactly what she needed and yet she desperately wanted to be as independent as possible. I wanted her to allow me in and for her to be comfortable with me. I am glad I eventually gained her trust and we both became more relaxed. In fact, the impact that this interaction had on our relationship was that as the days went on we became very good friends and she was very special to me. Sully and Dallas (2005), suggests that to have an empathetic understanding of our patients needs we must recognise their need for comfort and we respond to this compassionately. It was important to be non-judgemental, I accepted Miss C., for who she was no matter what her circumstances were and my main concern was to care for her in a professional and beneficial way and in a manner that she preferred. Putting the interaction int o perspective, I originally found Miss C very demanding, always calling out and constantly pressing the call buzzer. Some staff were very reluctant to go to her because her personal care was very time consuming. It was time consuming but it was because she was in a lot of pain. Surely this was a barrier to communication as some staff did not take the time to listen to what Miss C required and as health promoters, we need to develop skills of effective listening so that we can help people to talk and express their needs and feelings (Ewles and Simnett 2005). From recording and analysing my interactions I have learned to accept people for who they are as each of us have had different experiences throughout life and these experiences make us who we are. It was also important to acknowledge Miss Cs point of view, her emotions and thoughts without judgement as being aware of these helped to appreciate her perspective and needs (Silverman et al. 2005). I have also learned to be a good listener and an active listener. Ewles and Simnett (2005) suggest that this means taking note of the non-verbal communication as well as the spoken words. It is important to maintain eye contact, observe the body language, listen properly and pick up on non-verbal signs as well as verbal signs. The environment is important too, along with being sensitive, honest and compassionate (Anon 2007). Collins (2007) argues that judgemental attitudes can stand in the way of getting to know your patient and that labels attached to individuals such as demented can act as a language barrier. Effective nursing requires us to be assertive, responsible and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusion, the key points that have been discussed in this essay are that of the importance of communicating in nursing and how nurses can improve their communication skills and maintain their effectiveness. We must provide holistic care for our patients and the goal is to listen to the whole person and provide them with empathetic understanding. Another key point is that we must be non judgemental no matter what the patients circumstances are. Overall communication during this interaction was positive, therapeutic and helped to build a relationship. This essay has shown how personal experience from the clinical area relates the theory to the practical side of nursing and how it is imperative that communication is clear, understandable, appropriate and effective. 1819 words

Middle Eastern History Essay -- essays research papers

1)  Ã‚  Ã‚  Ã‚  Ã‚  Statecraft and the unity of state and religion The fact that three quarters of the Koran is focused on civil procedure makes us appreciate how important establishing the state was to Muhammad. He embedded in these procedures in the Koran because he wanted no separation between religion and state. For good reason, having no split between these two facets leaves no gray area of rule that conforms to one system and not the other. He did not want the loyalties of his people to clash between their faith and their government. This achievement originated through the Koran’s integration of scriptures and civil guidelines. 2)  Ã‚  Ã‚  Ã‚  Ã‚   Absence of Clergy The absence of clergy within the Islamic faith is attributed to three causes.  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  In the early days of Islam, Muhammad would preach in the holy city of Mecca. During this time, Mecca was filled with Christians, Jews, and Pagans. The Christian and Jewish clergymen would mock Muhammad day and night; they discouraged and embarrassed him with hopes to break his will. Its safe to assume that from the start, Muhammad has a negative feel towards clergyman.  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Islamic faith is the much more self-serving than any of the other major religions. You convert yourself, marry yourself, & pray yourself. Muhammad did not feel it was essential or even necessary to institute a higher authority in the place of worship.  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Before Muhammad become The Prophet, he was very established, and greatly successful as a businessman. And his business intellect led him to the conclusion that it would be a waste of funds to setup a higher authority in the mosques. After all if he were to succeed at spreading Islamic influence into the Persian and Arabian Empires, he would need all the funds he could get.   Ã‚  Ã‚  Ã‚  Ã‚   3) Law Issues a.  Ã‚  Ã‚  Ã‚  Ã‚  Legal procedures The Islamic judicial system has somewhat a resemblance to the American judicial system. The greatest similarity is the practice that a person is innocent until proven guilty. Another likeness is the practice of Habeas Corpus. This provides that no person shall be held against his or her will without being formally charged with a crime. However, a major difference in regards to legal procedure between our two cult... ...nbsp;  Ã‚  Ã‚  Ã‚  Toleration of other religions and traditions Muhammad the statesman felt that it would have been ridiculous and unproductive to be abusive of other religions. After all, Muslim religion was built on Christian and Jewish faith. To attack the foundation, would be undermining the very faith of Islam. Because Islam is both a religion and a state, Muhammad felt it would be easier to run his state welcoming other religions. This principle allowed the great Muslim conquests into the Arabian and Persian territories to be so successful. If communities did not convert, they simply followed the credo of Islamic statehood and kept their religion. 9)  Ã‚  Ã‚  Ã‚  Ã‚  Education Before Muhammad was a successful, lucrative businessman, he was a poor, illiterate orphan. In fact, when Muhammad first received revelations from Allah, he wasn’t educated enough to transcribe them on paper. Just as the absence of prejudice amongst genders and classes, the availability of high education to all is also a pillar in the Islam way of life. If you are of Muslim faith, the Koran states that it is a requirement to become educated.

Christopher Marlowe :: essays papers

Christopher Marlowe Christopher Marlowe: what did he contribute to English literature and how is his writing reflective of the style of the times? Christopher Marlowe contributed greatly to English literature. He developed a new metre which has become one of the most popular in English literary history, and he revitalised a dying form of English drama. His short life was apparently violent and the man himself was supposedly of a volatile temperament, yet he managed to write some of the most delicate and beautiful works on record. His writing is representative of the spirit of the Elizabethan literature in his attitude towards religion, his choice of writing style and in the metre that he used. Christopher Marlowe was born in 1564 the son of a Canterbury shoemaker and was an exact contemporary of Shakespeare. He was educated at the King's School, Canterbury, and Corpus Christi College, Cambridge. He became a BA in 1584 and a MA in 1587. He seems to have been of a violent nature and was often in trouble with the law. He made many trips to the continent during his short lifetime and it has been suggested that these visits were related to espionage. In 1589 he was involved in a street brawl which resulted in a man's death. An injunction was brought against him three years later by the constable of Shoreditch in relation to that death. In 1592 he was deported from the Netherlands after attempting to issue forged gold coins. On the 30th of May 1593 he was killed by Ingram Frizer in a Deptford tavern after a quarrel over the bill. He was only 29 years old. During the middle ages, culture and government were influenced greatly by the Church of Rome. The Reformation of Henry VIII (1529-39), and the break of ties with that church meant that the monarch was now supreme governor. This altered the whole balance of political and religious life, and, consequently, was the balance of literature, art and thought. The literature of Elizabethan England was based on the crown. This period of literature (1558-1625) is outstanding because of its range of interests and vitality of language. Drama was the chief form of Elizabethan art because there was an influx of writers trying to emulate speech in their writing, and because of the suddenly expanded vocabulary writers were using (most of these new words came from foreign languages). Marlowe's plays comprise The Tragedy of Dido, Queen of Carthage (possibly with some collaboration from Nashe), Tamburlaine parts one and two, The Jew of Malta, Edward II, Dr.

Jean Watson theory Essay

Jean Watson’s Philosophy of Nursing NUR/403-Theories and Models of Nursing Practice August 9th, 2010 Introduction Jean Watson’s theories of nursing are instrumental in today’s structure of nursing. Watson’s theories are being practiced in various health care setting all over the world. One of these theories in the nursing process. This entails first assessing patient, planning, intervention and evaluation. There is multitude of research proving these theories to be effective in treating and caring for patients with this consistent approach. In this paper I will dissect her different carative factors learned and that is being practiced. I will discuss different examples of Watson’s theories of caring and its application. This will depict the level of importance and how valuable this approach certainly is. Nursing is also being based on more scientific approaches that Watson’s bases some of her theories. This is consistent with the changing nature of the philosophy of science and history, and the numerous methods for the advancing knowledge of nursing. Watson (19 99) Watson’s Theories Watson’s research is more focused on the caring aspect of it all. Caring is viewed as the moral ideal of nursing where there is utmost concern for human dignity and preservation of humanity as stated by Watson (1999). This focal point of her theory is the foundation in the science of nursing. Watson believed the center idea for nursing are based on various carative factors. These factors include humanistic- altruistic values, systematic use of the scientific problem-solving method for decision making, gratification of human needs, promotion of interpersonal teaching and learning. They also include qualities such as sensitivity to self and others, the need to instill faith and hope, creating trusting relationships, and promoting acceptance, positive feelings, making provisions for a supportive, protective and corrective mental, physical, socio-cultural and spiritual environment. Watson, J., & Foster, R. (2003). One imperative factor is the development of different transpersonal caring relationship. This is the concept of professional involvement with the participation of one’s entire self, using every dimension of a person as a resource in the professional relationship, This depicts a special kind of human caring relationship, a connection with another person, in high regard for the whole person and their sense of being. Human care begins when the nurse enters the space or field of another person, and is able to detect the other person’s condition, spiritually and emotionally, and can feel this condition within themselves, and responds in a way which the recipient feels open enough to convey and share those feelings longing or needed to be shared. (Watson, 1999). She believed that nurses should have and also further develop an approach of humanism, simply being able to convey common human feelings. Her teachings proves that effective caring promotes health in each individual and their well being. Conducive to health is also what a person’s perception of health is, as states by Watson, (1999). Watson believed that everything around us should be conducive to our wellbeing, whether it being creating a wholesome environment or nursing to our specific needs. For example just simply being in a clean environment can improve a person’s overall mood and thus enhancing chances for recovery. The act showing compassion and empathy is also pertinent to for one to achieve wellness. In experience, just the simple act of smiling conveys the feeling of caring. Cara (2003). For example, upon assessing a patient, just greeting them with a warm smile with direct eye contact can be a comforting feeling. It conveys sincerity and starts the process of a trusting nurse-patient relationship. Cultivating sensitivity to oneself and to others. This carative factor explores one’s ability to self assess as well assessing others. This explores the need of the nurse to feel or to begin to feel an emotion as it presents itself. If one’s own feelings aren’t properly developed or one does not know how to channel their own feelings, showing sensitivity to others may not be very successful. These feelings should be developed for one to interact with others on a genuinely sensitive level. Showing sensitivity among one another creates a higher level of  functioning within transpersonal relationships. Watson (2009). An experience I had with a patient comes to mind. A young man admitted to the hospital with multiple infections. He is observed to be very rude, sarcastic and shows a very negative attitude towards himself and his care providers. Upon receiving report about the patient, I felt reluctant in caring for him. The nurse stated he was unappreciative, obnoxious, demanding, and seemed very bitter. Upon greeting him and physically assessing him, I was cautious to thet kinds of questions I asked him. I was especially cautioushow I asked any questions and also my tone of voice. Upon making sure he had all his comforts and all requests were met I offered to share with him some details about my life. He listened keenly and I felt his interest. Soon after, he started sharing with me very personal details of his life as well. As Watson (1999) explained, nurses should spend uninterrupted time with your patients, commonly referred to as â€Å"caring moments.† He was depressed from being in and out of the hospital every other week. He was newly married and had a newborn baby, which he never got to spend time with or was able to help take care of. That quickly gave me insight to why he had such a negative disposition and also enlightened me to the sensitive manner in which he needed to cared with . Self awareness and actualization is an important component in having meaningful intrapersonal relationships. We should all strive to become more sensitive. This makes us as nurses, more authentic, evoking self growth and awareness to others. The nurse promotes health along with a higher level of functioning when meaningful person to person relationships are created. Humanistic/Altruistic system These values begin at a very early age in human beings. These are from shared experiences and lessons taught by ones parents or the environment. Altruism is a selfless concern for the wellness of others. If one is truly selfless in a humanistic manner, it comes from a place of sincerity. Individuals sometimes give of themselves hoping to get in return but the true approach which Watson teaches wishes nothing in return. Watson, J., & Foster, R. (2003). One’s ability to be altruistic is also  dependent on the level of selflessness. For example, working with ill and sometimes demanding patients day in and day out, one can become weary and can feel no need to go the extra mile for the small comfort of an individual’s need. For example, a individual comes in the hospital newly diagnosed with a fatal illness. The patient comes into the hospital alone, he is poorly dressed and does not seem to take very good care of himself hygienically. He does not requests much help. Even when in pain he did not ask for any pain medication. Upon doing my general assessment, it was easy to assess him emotionally as well. He had no family members with him for any support needed. He was weak from the disease process, he just could no longer take care of himself as he normally does. I thoughtlessly help him to get shaved and washed up before getting comfortable in bed. I also lent a listening ear as I asked him necessary questions about his health. I knew having someone help me out in this manner would make a difference in how I felt, so automatically and selflessly I did the same for him. If there is anything I am able to do for others that takes nothing but a simple effort, then I think the gratitude should be from bringing comfort and satisfaction where needed. This philosophy of offering selflessness to others is pivotal in the nursing role. Establishing a helping and trusting relationship. This factor in nursing has been in use for decades. The element of nursing and trust cannot be divided. Watson believed that different modes of communication establishes rapport and brings forth a caring relationship. She believed in the dynamics associated with a helping trust relationship, congruence, empathy and warmth. This means coming together in agreement, being able to put yourself in ones shoes and showing compassion. Communication varies from verbal to nonverbal ways of conveying messages and feelings. This includes actively listening in a warm manner that connotes empathetic understanding. As nurses we must especially listen to the demands of our patients no matter how big or small the need is. It is especially important to deliver on promises to patients. As it is often stated, it is better to under promise and over deliver. As simple as promising a patient to get them a meal and delivering it in a timely manner is a key example for building and maintaining a trusting relationship. Faith/hope The faith and hope factor can be a sensitive area when providing care. To many, It essential for patients to maintain a level of faith and hope. When a patient has nothing else to hold on to in the recovering process, having faith and being hopeful helps them to hold on to life. This is based on each individual’s belief and their perception of faith and hope, as well as the nurse’s understanding. I believe one has to properly assess the individual to whom this advice is being offered. This is imperative to know how well it will be accepted. It also depends on one’s cultural background. We should all be aware and be respectful of each individual’s beliefs and limitations. As stated by Suliman, Welmann, Omer & Thomas (2009), respect is easily acquired until there is a disagreement with what is recommended, at this point respecting the opposing persons choice becomes complex. In the instance that a patient or an individual can no longer rely on modern science for comfort it help to be able to hold on to your thoughts and beliefs otherwise known as hope. When a patient is given a death sentence from a disease process this may be the only thing that brings some peace of mind. For someone to look to you for your opinion at such a vulnerable moment in life means to me that my job is important to say the least. I have had different opportunities to carefully assess my patient and their life situations. This gave me the chance to divulge my opinions in the best acceptable manner suitable to my patients understanding. Conclusion Watsons’s theories has personally broadened my horizons personally and professionally. Researching her theories and concepts of nursing has given me immense insight on how to view and treat my patients in various situations. I find that her concept of caring is truly what the core element of nursing should be, or as she states it is the† true essence of nursing.†Watson, J. (1999). The nursing concepts developed by Watson have been tried and proven both professionally and personally. She provides many useful concepts  for the overall practice of nursing and the overall element of proving care for any individual. Watson ties together common theories in nursing education and thus the caring approach entity emerged. These carative factors can be implemented in any level of health care settings. It gives simple guidance to nursing and provides for better and more quality patient outcomes. Her approach unites all humanistic entities of the mind, body, and spirits for this caring, unique realm of nursing. Watson, J., & Foster, R. (2003). * * * * * * * * * * * * * * References * * Cara, C. (2003). A pragmatic view of Jean Watson’s caring theory. International Journal for Human Caring, 7(3), 51-61. * * Suliman, W., Welmann, E., Omer, T., & Thomas, L. (2009). Applying Watson’s NursingTheory to Assess Patient Perceptions of Being Cared for in a Multicultural Environment. Journal of Nursing Research (Taiwan Nurses Association), 17(4), 293-300. * * Watson, J. (1999). Nursing: Human science and human care, a theory of nursing. Sunbury, MA: NLN Press, Jones and Bartlett * * Watson, J., & Foster, R. (2003). The Attending Nurse Caring Model: integrating theory, evidence and advanced caring–healing therapeutics for transforming professional practice. Journal of Clinical Nursing, 12(3), 360-365. doi:10.1046/j.1365-2702.2003.00774.x.