A Child Is Mysterious and Powerful free essay sample

Inside the kid lies the destiny of things to come. Whoever wishes to give some profit on society must safeguard him from deviation and watch his normal ways acting. A kid is strange and amazing and contains inside himself the mystery of human instinct. Clarify the above statement concerning the Montessori theory. The term Montessori Philosophy began from the name of Dr. Maria Montessori, one of the most compelling pioneers in youth instruction. She exhorted an instruction which consolidates a way of thinking with a pragmatic methodology dependent on the focal thought of opportunity for the kid inside a deliberately arranged and organized condition. To break down the above statement, we should realize what it is fundamentally the Montessori theory. Maria Montessori was a kindhearted woman who happened to live through the two universal wars. She was a lot of stressed that notwithstanding the advancement of science and innovation on the planet, why men are a lot of troubled, brutal and continue battling with one another. We will compose a custom article test on A Child Is Mysterious and Powerful or then again any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page She accepted this is a direct result of the absence of satisfaction of human psyche. So she deducted that as the grown-up appears through the youngster, it is critical to consider the individual route down from the very youth itself. Montessori has once opined that â€Å"It is the kid who makes the man, and no man exists who was not made by the kid he used to be. † (http://www. dailymontessori. com/maria-montessori-cites/) Montessori, who turned into the principal woman specialist throughout the entire existence of her nation, was selected as associate specialist at a mental facility. From this position she got opportunities to watch some intellectually impeded kids. Under her consideration and love a significant number of these youngsters improved even to a place that they could peruse and compose. After that Maria Montessori got opportunity to take care of some ghetto youngsters for whom she made a home. This was called Casa Dei Bambini, implies childrens house. It was from here that Montessori theory really advanced into being. Montessori made another method of training in which the youngster is considered as the focal point of instruction with the grown-up serving just as one who is helping him to create all in all; hysically, subjectively, inwardly, profoundly and socially. She found that with such an instruction a brought together character is shaped. As indicated by Montessori theory, the kid includes an undiscovered potential inside himself when he is conceived. This potential is the thing that causes him to create from birth onwards. This is called foreor dained mystic example. Christoph Schiebold states that Good training isn't to follow the pages of an exercise manual. It’s following the exercise manual that’s inside the youngster! (http://educationaljournal. wordpress. com/2011/07/02/quote-christoph-schiebold) The foreordained mystic example (otherwise called common laws of advancement) is there in the kid in an undeveloped stage when the kid is conceived. So as just a sound mother brings forth a solid infant, the foreordained clairvoyant example in the child additionally needs a feeding domain to develop well. In the given statement it is expressed a youngster is puzzling and amazing and contains inside himself the mystery of human instinct. Concerning Montessori theory the possibilities present in the youngster from birth itself is the thing that makes the kid strange and amazing. That itself is the mystery of human instinct as well. The kid is strange in light of the fact that there is an inner guide in the youngster which alone lets these laws to unfurl themselves. We the grown-ups can't comprehend what's going on there inside the kid. We can see just certain indications of these laws of normal improvement uncover themselves via cautiously watching the childs conduct. Presently let us break down why the kid is depicted as being ground-breaking. For this we should comprehend what the laws of regular advancement generally are. These are law of work, law of autonomy, advancement of consideration, improvement of will, improvement of insight advancement of feeling and otherworldly life, improvement of creative mind and inventiveness and phases of development. In this manner it is said that The kid is blessed with obscure forces which can manage us to a brilliant future. (The Absorbent Mind ,P2) During the perception of youngsters at Casa Dei Bambini, Dr. Maria Montessori found that youngsters incline toward work to play. They had the option to accomplish a self mix through this work. She found that the forceful and damaging youngsters got quiet and serene in the wake of working with the materials. She inferred that through work the youngster appeared to get satisfaction of some inside need which made him standardized. Montessori discovered that autonomy is important to the childs typical turn of events. The youngster utilizes his autonomy to tune in to his internal guide for activities that can be helpful to him and one who is served is really constrained in his freedom. It is all around said that we constantly serve youngsters; and this isn't just a demonstration of servility towards them however it is risky, since it will in general choke out their valuable, unconstrained movement. (Course manual P. 40). We can enable the youngster to achieve autonomy by giving open door for him to work with the materials without anyone else, by guiding him towards an offered end to build up his will, by giving him useful work to help him in creating discipline, by telling him and have a comprehension of what is acceptable and awful and furthermore giving him opportunity to uncover himself totally by assuming just detached job. Maria Montessori expressed that at specific phases of advancement, the youngster has affectability to his condition and he guides his focus toward specific items with high force and intrigue. By giving the youngster materials to work that draw in him ethically we can assist him with building up his fixation and construct his character. At the point when the kid has the most extreme capacity to focus or when he increase great capacity to consideration, he becomes more settled and progressively controlled and rested. Montessori accepted that choice taken by the kid on any action and the activity taken by him are the reason for advancement of the will. At the point when the kid is permitted to work with the materials as long as he needs, his self idea and intensity of focus create. In this manner the youngster increases a capacity to settle on his own decision which builds up his will. The observations made by the youngster with the assistance of his faculties are his insight. Getting cognizant information is finished by the childs knowledge, looking at and separating between the impressions got by the faculties. Dr. Maria Montessori accepted that improvement of creative mind and imagination are innate forces which create through his collaborations with nature. As to improvement of passionate and otherworldly life, Montessori found that the youngster has an internal capacity to respond to enthusiastic and profound encounters from birth itself. Montessori found 5 times of development in kids and every period has explicit objective, the directionality towards the objective is fixed and every period has its own delicate periods. To assist them with arriving at their objective by amplifying own possibilities, the parental figures and educators need to know these times of advancement. Here, from this point by point investigation of foreordained mystic example inside the kid what we can comprehend is that the youngster has numerous capacities (powers) inside him from birth itself. It is this potential that encourages him to self develop himself. With this a lot of unique natural resources it is very sensible to accept that the youngster is amazing. As indicated by the way of thinking of Montessori, the possibilities inside the youngster unfurl gradually over the span of time while kid self builds himself. In any case, certain inward guides and outer conditions are vital for the foreordained mystic example to uncover itself. The inward guides are touchy periods and absorbant mind. The outside conditions are condition and opportunity. Delicate periods are squares of time in the childs life when he is caught up with one trait of his condition to the avoidance of all others. Montessori found 6 delicate periods in youngster. They are affectability to arrange, affectability to learning through five detects, affectability to little articles, affectability to co-appointment of development, affectability to language and affectability to social part of life. A kid has affectability to arrange during the primary year itself. It is a direct result of this affectability that the kid becomes aggravated when he is presented to new items or individuals, or demands returning things on their places and become glad when they see things in acclimated places. In an exact and decided condition just can a kid arrange his recognition and structure an interior system with which to comprehend and relate his reality. Montessori discovered that the kid has an affectability to learning through his five detects. The youngster has a characteristic interest to investigate the things around him. So he needs to work with this condition to build up his neurological structures for seeing and thinking which is the premise of knowledge improvement. At the point when the youngster is around two to two and half years his consideration is drawn towards little articles. This affectability to little objets encourages him to focus his scholarly powers on a particular issue and furthermore causes him to hold his consideration for extensive stretch of time cultivating his capacity to center. The kid has affectability to development when he is two to 4 years old. During this period the youngster tends to perform and rehash a development for increasing more noteworthy control. Here the youngster figures out how to bring his body under his will. The youngster become delicate to human language during the time of affectability to language. The 6th part of delicate periods being sens

Macbeth and R+J free essay sample

Shakespeare imparts numerous temperaments in Macbeth and Romeo Juliet; the principle dispositions are love, and loathe fuelled treachery, and in my work these are the subjects I will break down. In Romeo Juliet and Macbeth, crucial characters have needed to deceive so as to accomplish love, for instance; In Romeo and Juliet; Juliet needs to sell out the authority of her dad so as to satisfy her fondness for Romeo. Regarding love this would imply that: The Storge (unrestricted love, shared among family) that Juliet once felt for her dad was met by sexism (Hatred for Women) upon his acknowledgment of Juliet’s Eros (love between two individuals) towards Romeo. Notwithstanding her quelled character, Juliet is inflexible on not wedding Paris and deceiving her family for Romeo. A statement to help this is; If all else fall flat, myself have capacity to bite the dust This implies Juliet would prefer to bite the dust than enter something that it not right. We will compose a custom paper test on Macbeth and R+J or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page A statement from Juliet’s Father; â€Å"How now, how currently, slash rationale! What is this? † †His utilization of reiteration underscores his rage because of Juliet’s recently discovered hostility in character, and his non-serious inquiry presents his strength and features the chain of command that was set up at an opportunity to distribute prevalence over male’s in a family, in this scene; the breakdown of Juliet’s Father and Mother’s relationship is generally obvious. Moreover this is where Juliet is generally separated from her family and turns out to be nearer to Romeo. My substitute understanding is that Juliet didn't deceive her family, however her family were sold out by there own pride, Pride was the destructive obstruction among acknowledgment and judgment. The most intense character improvement is Juliet’s, all through the play she develops and turns into much more retaliant to power and begins to become herself instead of faithful to thers, this procedure is fortified on account of the speed she has needed to get capable; because of the required weights she is relied upon to agree to and the quick multi day timeframe in which the story is passed on, this advancement in character gives her the determination to sell out her family; which additionally eventually bolsters my point. The sensational strategies utilized in Romeo and Juliet make a quickly solid effect because of the play being consolidated into a week and a feeling of tens ion. In Macbeth there are a few similitudes that additionally bolster my point; Macbeth needs to deceive King Duncan notwithstanding his faithfulness and Philia (The adoration for Friendship) needs to sell out him so as to get the Eros from the ever unrivaled Lady Macbeth, this circumstance repudiates all show as society was vigorously male centric which proposes that ladies ought to be accommodating to men; anyway in this event Macbeth adjusts with Lady Macbeths requests to kill King Duncan, this is the fundamental difference among Macbeth and Romeo Juliet. A statement that corresponds with this is; â€Å"But screw your fearlessness to the staying spot, and well not fail† †Lady Macbeth provokes Macbeth to kill King Duncan, introducing her predominance and desire over Macbeth. A statement from Macbeth after while accusing the watchmen for King Duncan’s murder; Here lay Duncan, his silver skin bound with his brilliant blood†¦ the killers, saturated with the shades of their exchange †This delineates the double-crossing that Macbeth has submitted, as his utilization of similar sounding word usage fortifies the deviation of this line and the way that he is further double-crossing King Duncan post his passing by laying the culpability on the gatekeepers; at the same time defending there execution. Moreover an elective understanding of selling out is clarified utilizing this statement; â€Å"Who can be shrewd, stunned, temprate, and furious† †Macbeths utilization of direct opposite (underlined) shows how he has gradually gotten conflicting since his merciless homicide of King Duncan which I accept demonstrates he has sold out his own tendency. The principle emotional method utilized in Macbeth is sensational incongruity, emotional incongruity is the place something that is demonstrated toward the beginning of the play will either turn out to be valid or change toward the finish of the play or moreover could mean something contrary to cap may occur. A case of this is; â€Å"This manor hath a charming seat; the air deftly and pleasantly suggests itself unto our delicate faculties. † †This is a critical utilization of emotional incongruity, the depiction of the earth is wonderful; anyway unbeknown to King Duncan, this is the place he will be killed, and thi s likewise interfaces in to disloyalty. Besides, toward the beginning of the play, Macbeth portrays Banquo to be a â€Å"Friend† anyway later in the play we realize that Banquo turns into his foe and must be murdered because of the reality he is an extraordinary danger to Macbeth’s seat; which is a further duplicity that Macbeth has done. Definitively; I trust Shakespeare’s entire utilization of emotional incongruity connects in to selling out straightforwardly, on the grounds that the steady utilization of sensational incongruity implies that the plot continues changing; successfully showing that the plot double-crosses itself consistently. This continually passes on a temperament of bogus expectation and a scary feeling of the obscure. Adding more top to bottom to the two plays, there are further correlations; Such as the utilization of destiny, when Romeo and Juliet begin to look all starry eyed at we realize that due to their experiences; it will prompt demise, and likewise in Macbeth the witches tell a prediction where Macbeth becomes lord and afterward bites the dust the two plays contain various types of catastrophe anyway the two plays meet a similar end. Proof to help this in Romeo and Juliet is: â€Å"A pair of star-crossd sweethearts take their life† †Meaning that two diverse sided (Montague/Capulet) darlings end their life. What's more, for Macbeth: â€Å"All hail, Macbeth, thou shalt be above all else from this point forward! † †This is the prescience of Macbeth turning out to be top dog and afterward kicking the bucket. Moreover, in Romeo Juliet and Macbeth, passing is a vital cost to be paid for harmony, for instance, Romeo and Juliet need to kick the bucket all together for the Capulet’s and Montague’s to live in peacefulness, to help this, a statement from the earliest starting point discourse: â€Å"What here will miss, our work will endeavor to mend† †This implies where we have flopped before we will endeavor to succeed presently, meaning that Romeo and Juliet’s demise were basic to the ‘Fair Verona’ accomplishing harmony, in like manner in Macbeth, Lady Macbeth and Macbeth’s passing was likewise major to congruity being reestablished to the ingdom, an extra statement to help this is: â€Å"The usurpers reviled head: the time is free† †the statement is about Macbeth’s cut off head, and occupies thoughtfulness regarding the way that with his passing ‘the time is free’ which suggests it is serene. Anyway opposite there are numerous distinctions, for instance the sorts of adoration/connection between the two couples in each play; In Macbeth there relationship is truly insecure and Lady Macbeth is overbearing over Macbeth; additionally there affection for one another isn't through energy; however through the desire for covetousness and force as Lady Macbeth is urgent for Macbeth to become lord by murdering King Duncan and deceiving his dedication to him: â€Å"And take my milk for nerve, you murd’ring ministers† †This proposes she will successfully become Queen and emphasizes her merciless nature; it likewise underlines the imbalanced relationship where the situation of prevalence consistently changes significantly. Toward the beginning Macbeth is a courageous and honorable legend and he is predominant anyway as the play goes on and when Macbeth’s masculinity is addressed by Lady Macbeth â€Å"are you not a man? † he at that point gets agreeable and is directed by Lady Macbeth. In Romeo and Juliet

How to Meet More People

How to Meet More People What follows is a thought that Ive mulled over recently put into beautiful words by my dear friend Amy F. 20. Its conclusions shes come to (sometimes the hard way) after making it halfway through hell. Without further ado How do I meet know more people (To new friendships! A special thanks to my dear friends Matt Q. ‘19 and Noah M. ‘20) Recently, a friend in search of more friends, new experiences, and potentially a significant other asked me, How do I meet more people?” Except, I think what he really meant was, “How do I know more people?”, because in my experience, making the effort to know, rather than meet, others has always led to the strongest friendships. For example, I met my best friend (hey Alex!) four months ago. In that time, where we proceeded to hang out almost daily, hes gotten to know me better than nearly anyone else at MIT. He inspires me to be a better person everyday, shows me why it is crucial to always be kind, and teaches me so many things that I don’t even know how to start returning the favor. MIT feels like a completely different (and much better!!) place because of him, along with all of the other wonderful people I’ve gotten to meet and befriend. My friends understand me, and it’s liberating. They are my cheerleaders and my muses, and I can’t imagine who I’d be without them. So, how do you meet more people? Well, *meeting* more people is easy: go to more public events, make friends with your friends’ friends (and your friends’ friends’ friends), and seek out novel experiences, especially if they make you uncomfortable. However, *knowing* more people, and I mean understanding others and being understood, is hard. And it’s crucial to know than meet because there are things you learn and realize, about yourself and others, at only this level of understanding. But people are on their own life trajectories, busy with their endless todo lists, classes, personal problems, existing relationships, etc. There is only so much time in a day to do everything, so why do you deserve their time? And why do they deserve yours? With everything that happens, it’s easy to forget that people want to care. People want to hear about your day, understand the way you think, know your biggest aspirations, and be there for the best and worst times. People want to know you. Because that feeling of being on the absolute same page with someone else, of being known and understood, is DEEPLY satisfying. We can initiate intimate connections and shared experiences by making the time. But this brings up another point: in getting to know others, its not only about making that time, but also how we’re spending that time. More than twenty years ago, a psychology study conducted by Arthur Aron (and others) examined the acceleration of intimacy, and consequently made two strangers fall in love after 36 questions. These ordered questions, ranging from “Would you like to be famous? In what way?” to “Of all the people in your family, whose death would you find most disturbing? Why?”, intentionally foster feelings of trust and closeness through personal revelation. In the end, the study concluded that the development of strong relationships is closely tied to mutual emotional vulnerability. In her reflections of applying these 36 questions to someone in her own life (it worked), Mandy Len Catron muses, “But I see now that the story isn’t about us; it’s about what it means to bother to know someone, which is really a story about what it means to be known. To be known, we must be comfortable sharing about ourselves and open to the possibility that anything can happen. At the same time, we MUST bother to know others, because friendship is a two way street. Being vulnerable is a risk, albeit a mutual one, but that’s why getting to know people is so so exciting. To know people and for others to know us, we need to be vulnerable so others will do the same, we need to take the pains to understand so others will do the same, and we need to want to care so others will do the same. This is beyond just me or you or our relationships; this is for the sake of making the world a more empathetic, better place. In knowing people, we don’t just understand who they are, but we influence who they are. I often forget about this power we have, how our thoughts and actions are consistently shaping the people around us. In my time here, there has been nothing more beautiful than these moments of realization with my closest friends. Most recently, Alex told me that I’ve made him a better person. “Youve made me way more open to trying new things” “Less judgmental and more accepting of people as they are” “I think youve also made me a more loving/caring person” We need to not only meet others, but also know them, because we make our deepest contributions in the lives we touch. I’ve never regretted spending, sometimes even prioritizing, my time to connect with others through meaningful conversation. I’ve realized that it’s in these chances I take, of being vulnerable and honest and willing, where I fully experience what it means to understand and to be understood, to love and to be loved. “You realize, love is not a tragedy or a failure, but a gift… that nothing in this world is deserved except for love, that love is both how you become a person, and why.” -John Green, Turtles All the Way Down Shoutout to Alex H. ‘19, for being an all around fantastic person

The Death Of The Vietnam War - 2139 Words

My head felt as if it was too explode, blood was dripping down from my forehead, and a throbbing pain was coming from my leg. At first I had no idea where I was or what was happening. In the distance I could hear a scream, although it was fading and my eyesight was blurry. I tried to stand up as I remember but I was not able too. I kept wondering to myself if this was a dream, but I felt pain. Terrible pain. How could I feel this much pain if it was a dream. Then all at once it came back to me. The memory, the fear, the frightfulness, the nervousness, and the sadness. My grandfather had fought and piloted many planes in the Vietnam War. The war had started in the year of 1955 and my grandfather was only only 16 years old, a sophomore in high school. He had been going with my grandmother Kaye Ivrene, which they met in high school and dated till they married when they both turned 18. Before my grandparents even ended up getting married my grandfather had signed up to fight in the Vietnam War. They didn’t honestly expect to even get married until they realized they couldn’t be without each other. My grandmother had known about him going into the war and decided to wait for him to get back, but before he left they had to get married and he couldn’t withdraw his application to the army in that point of time. One thing my grandfather didn’t expect is for my grandmother to get pregnant in which just so happened to be my mother. He ended up piloting and fighting in the war forShow MoreRelatedThe Death Of The Vietnam War1023 Words   |  5 Pagesrelative way, but you re older. Shorter of breath and one day closer to death† (Pink)The third lyrics relates to how time catches up without the realization. As the Americans came to war and saw the horror of the battlefield, it was no surprise that they felt it could be their last battle. â₠¬Å"It is estimated that 350 Vietnam Veterans dies by suicide while in Vietnam. After Vietnam, estimates have a range as high as 70,000 Vietnam Veterans who have committed suicide.† (Lee 713). As a soldier would seeRead MoreThe Death Of The Vietnam War Essay1736 Words   |  7 Pagesneighboring countries, like a falling domino that causes an entire row to fall down. Although the Vietnam War is seen by many as the only option to try to end the spread of communism, the specious outcome of the war was not effective enough to justify the amount of unethical decisions and situations that were allowed to take place. In 1961, under President Kennedy, 100 Special Forces troops were sent to South Vietnam and by 1963, just two years later, U.S military advisors and Special Forces had increasedRead MoreThe Things They Carried By O Brien934 Words   |  4 Pagesthinks the death of his comrade, Ted Lavender is his fault. Jimmy Cross is only 22 years-olds, too young to take on the respon sibilities of being First Lieutenant at war. Jimmy Cross’s Fascination with Martha reading and daydreaming about her letters and photos. Jimmy Cross is the way his mind could escape from the ugliness of the wars. In The Vietnam War, being a strong leader over the unit is impossible if the war’s mission is undefined. Death is a part of fighting in The Vietnam War. Ted Lavender’sRead MoreSafety During The Vietnam War1645 Words   |  7 PagesSafety During Battle: Vietnam War Andy Nguyen Junior Division Individual Paper Fire, ash, cinders, and smoke. A loud noise comes from overhead. People are screaming and running in terror. A bomb has went off. This sequence of events happened multiple times during the Vietnam War. Many soldiers died, and even more citizens died. In the past, there may have not been many laws/regulations that protect citizens to prevent casualties, but everyone learns from their past. Apparently the world hasntRead MoreThe Things They Carried By Tim O Brien1459 Words   |  6 Pages1950’s, the Vietnam War turned to be the modern pinnacle for battles resulting in the deaths of 58,000 American soldiers and millions of Vietnamese death. It saw the viable destruction of modern technology such as the newly fashioned M-16 rifle and the Apache, a helicopter made for mass destruction. For the soldiers experiencing Vietnam, it was truly an experience which would shape their hearts and minds forever. As evidenced in Tim O’ Brien’s The Things They Carried, The Viet nam War was an emotionalRead MoreVietnam War Turning Point Essay1425 Words   |  6 PagesHome The Vietnam War was a long and bloody war between a communist government against South Vietnam along with its ally, the U.S. After long years of fighting and many deaths, the war ended on April 30, 1975 after President Nixon and the communist government negotiated secretly about a compromise. The paris peace accord solved a long-lasting issue, that was the vietnam war. The Paris Peace Accords was a major turning point in the Vietnam War because it ended the Vietnam War, brought peace to theRead MoreWhat ´s Dark Tourism?1253 Words   |  5 Pagestourists go to places that are related with death and tragedy. Death and tragedy are usually associated with darkness. For this reason, many authors prefer using the word thanatourism, because this term is a neutral term without any emotional meanings. More recently it was suggested that tourists also need reasons to visit a destination of dark tourism. The main signs of dark locations is their historical value rather than their associatio ns with death and suffering. In a certain sense, dark tourismRead MoreThe Things They Carried By Tim O Brien899 Words   |  4 PagesDuring the Vietnam War, a range of emotions occurred within every soldier. Even though some veterans can move past their memories of war, many soldiers became haunted by their dark memories. In Tim O’Brien’s fictional novel The Things They Carried, O’Brien takes his readers through several different events and emotions that occurs to his character during the Vietnam War. Although his character sometimes faces a tough time telling the story, O’Brien manages to inform his readers of the differentRead MoreU.s. Soldiers During The Vietnam War1472 Words   |  6 PagesU.S. Soldiers in the Vietnam War To this day, many Vietnam veterans suffer and feel forgotten, unappreciated, and even discriminated against. Combat experiences or physical disabilities have ruined some of their lives. For more, returning to normal life had not been easy. Imagine if you had just graduated out of high school and were sent to a guerrilla warfare far away from your home. During the war, you were exposed to a lot of stress, confusion, anxiety, pain, and hatred. Then you were sentRead MoreEssay on Shattered Youth: How the Vietnam War Changed a Generation1591 Words   |  7 PagesThe Vietnam War is a conflict that was extremely polarizing to people in the United States and words such as ‘wasted’ or ‘quagmire’ are negative words associated with the war. In his book A Rumor of War, Philip Caputo provides a personal account of events that he experienced leading up to and during the war as a soldier in the United States Marine Corps. Caputo’s experiences transform his id ealistic views of war when he is faced with the realities of combat, and ultimately the events cause him to

Community Health And Population Focus Nursing - 3441 Words

Community Health and Population Focus Nursing – C229 Task 1 Char Lene Mowery Western Governors University A1. Description of Community The candidate provides an appropriate description, with substantial detail, of the community where the fieldwork was performed by identifying each of the 5 given items. geographical area (e.g., county, city, town)†¢ area size†¢ population size†¢ demographics †¢ physical and social environment (use the windshield survey from task 1 of NURS 3411) It was founded in 1821 and named after General Nathanael Greene, a Revolutionary War hero. Greene County is the largest county of Indiana’s 92 counties. It is a rural county found in Southwestern Indiana, consisting of acres of farmland and is approximately 543 square miles in size. It makes a wonderful home for the outdoor enthusiast with its vast variety of outdoor activities. Linton is the largest city in the county and boasts its Fourth of July celebration as it is the home of the largest parade in the state of Indiana. The natural beauty of the county gives one a rural country setting with access to large city excitement just a short drive away. As it is the largest county in Indiana with an overall population of approximately 33,000 people of which 98.1% are English speaking white Caucasians and 14.6% are married couples with children below poverty. The mean income for this county is $42,684.00. The total of unemployed is 9.3% in comparison to Indiana over allSho w MoreRelatedHistory of Public Health Essay938 Words   |  4 PagesThe History of Public Health and the Role of the Community/Public Health Nurse Walden University NURS 4010 Section 04, Family, Community, and Population-Based Care 10 / 21 / 2012 The History of Public Health and the Role of the Community/Public Health Nurse Overview Public health, a population-centered nursing had been in existence since the late 1880s under the guise of different names. The focus of public health nursing was on sanitation, communicable diseaseRead MoreThe Nursing Career1082 Words   |  4 Pagesanalytical abilities. Communities are dynamic, and nurses must adapt to and be able to provide patients with whatever care is needed.† (Meadows, 2009). The PHN uses clinical knowledge along with an ecological viewpoint. A public health nurse can practice in clinics, health departments, faith-based organizations, mobile vans, homes, correctional facilities, occupations, community centers and hospitals. There is no setting that a public health nurse cannot practice to deliver a community-focused interventionRead MoreFuture of Nursing1315 Words   |  6 PagesFuture of Nursing July 14, 2013 The Future of Nursing According to the Institute of Medicine (IOM), the nursing profession is the largest population in the nation s health care workforce with over three million members. Because of this, nurses have a fundamental role in the transformation of the nation s rapidly changing health care environment. To achieve this role, the IOM addressed several key recommendations to serve as a guide to the direction of the future of nursing (InstituteRead MoreThe Principles Of Community Health979 Words   |  4 PagesM1DB Principles of Community Health Like any profession, the perception of nursing can change depending upon perspective. The purpose of this discussion is to compare and contrast community health nursing  practice with hospital-based nursing practice in the provision of essential  core functions and services. The paper will delineate nursing theories  and models of care in relationship to those practices.  Ã‚  Additionally, examples will be  provided from nursing experience.  Ã‚   Nursing care can be analyzedRead MoreTransition For Community Health Nursing960 Words   |  4 PagesJournal Article Summary: Transition to Community Health Nursing The nursing profession offers an unlimited number of specialties and clinical areas for practice and employment focus. Nursing practice includes; surgery, labor and delivery, telemetry, intensive care unit, and even community nursing care. Furthermore, nurses can explore various degrees, ADN (associated in nursing diploma), baccalaureate nursing (BSN), and even nurse practitioner (NP) covering all areas of the healthcare spectrum. However;Read MoreCommunity Health Nursing As Coined By American Nurses Association ( Ana )876 Words   |  4 Pagesâ€Å"Community health nursing was coined by American Nurses Association (ANA) as a general term for all nurses who worked outside of institutional settings† (Clark, 2014). Community health nurses work for a facility, but practice only in the community itself. Health indicators, such as mortality rates, disease prevalence, levels of physical activity, obesity, etc., are often used to describe the health status of a community and serve a s targets for the improvement of a community’s health. Community healthRead MoreThe History of Public Health and the Role of the Community/Public Health Nurse1136 Words   |  5 PagesRunning head: PUBLIC HEALTH AND ROLE OF THE COMMUNITY HEALTH NURSE 1 PUBLIC HEALTH AND ROLE OF THE COMMUNITY HEALTH NURSE 2 The History of Public Health and the Role of the Community/Public Health Nurse When considering the evolution of healthcare and the role of the nurse in the United States, many people might first consider this in the context of the hospital setting. While the history of acute care is an important area to consider, it is imperative that equal attention be givenRead MorePublic Health and Community Nursing Essay1254 Words   |  6 PagesPublic Health Layers NUR 408 April 23, 2012 Deborah Nallo Public Health Layers The focus of Public Health continues to shift with time because of various social, economic, and political forces. Exploring the public health layers of history in the Los Angeles County, State of California, and the United States, and a comparison between public and community health nursing is the beginning to increasing our knowledge toward resources available. The history of public health in the county of LosRead MoreEssay about The Future of Nursing751 Words   |  4 PagesRunning head: THE FUTURE OF NURSING The Future of Nursing: Leading Change, Advancing Health Victoria G. Tapia Grand Canyon University: NRS 430V March 25, 2012 The Future of Nursing: Leading Change, Advancing Health On October 5, 2010, the Institute of Medicine (IOM) released its recommendations in Nursing in the United States, â€Å"The Future of Nursing: Leading Change, Advancing Health.† For two years a committee named Robert Wood Johnson Foundation (RWJF) worked to study facts, researchRead MoreThe Role Of Nurses As An Effective Leader1093 Words   |  5 Pagesparamount in the nursing professional requiring nurses to deliver exceptional care, evaluate outcomes, and serve as leaders in the improvement of health care (AACN, 2016). Transition Transitioning from an associate degree to a diploma nurse has made a difference in many aspects of practice. For instance, leadership and management alone have taught the importance of being cost effective and becoming an effective leader. Furthermore, the educational aspect of baccalaureate prepared nursing has proven

Macbeth’s Downfall Was Brought on by His Ambition Free Essays

The tragedy of Macbeth by William Shakespeare outlines how the lust for power can bring out the worst in people. This is evident through Macbeth’s vaulting ambition to be king which ultimately leads to his downfall. Through Macbeth wrestling with his conscience about the prophesies of the witches he started to gain the trait of ambition. We will write a custom essay sample on Macbeth’s Downfall Was Brought on by His Ambition or any similar topic only for you Order Now We also see his ambition continue to grow through the persuasion by his soul mate which is also shown through the 1961 CBC TV production of Macbeth. His want to stay king brought out the tyrant within him and shows the evil side of Macbeth, letting his ambition take over. His growth of ambition through the play leads to his tragic death. Macbeth was given a glimpse of prosperity through the witches prophesies. â€Å"All hail Macbeth, thou art shalt be king hereafter† the use of the prophesises outlines foreshadowing within the play. The witches are telling Macbeth of his future and he is left to wrestle with his conscience. This is shown when Macbeth in his soliloquy says â€Å"this supernatural soliciting cannot be ill, cannot be good/ if ill why hath it given me earnest success† we see Macbeth wrestling with his conscience and his ambition starting to grow, he is starting to believe the witches and the seed of ambition is planted inside him, which is the first step leading to his demise. We see Macbeth’s ambition continue to grow and lead to his death through the persuasion of lady Macbeth. Lady Macbeth uses guilt to talk Macbeth into committing regicide and becoming king. This is shown through the quote â€Å"wouldst thou have that which thou esteemst the ornament of life and live a coward in thine own esteem letting â€Å"I dare not† wait upn â€Å"I would† like the poor cat I th’adage† the simile â€Å"the poor cat I th’adage outlines how Lady Macbeth uses guilt to talk Macbeth into killing the king by calling him a coward. This is also shown in the 1961 CBC tv production of Macbeth when Lady Macbeth is using her feminism to persuade Macbeth, causing his ambition to grow even more. When you durst do it, then you were a man and to be more than what you were, you would be so much more the man† this quote shows how Lady Macbeth uses guilt and calling Macbeth a coward to persuade him to commit regicide. The persuasion of Lady Macbeth causes Macbeth’s ambition to continue to grow which another step is leading to his downfall. Macbeth’s desire to stay king brings out the tyrant within him, his vaulting ambition causes wrath on anyone who stands in his path, even his closest friend. This is shown when Macbeth is planning to kill his best friend, Banquo, â€Å"come seeling night/scarf up the tender eye of pitiful day and with thy bloody and invisible hand cancel and tear to pieces tgar great bond which keeps me pale† the use of dramatic irony in this quote shows us how much Macbeth’s ambition has taken over, and how he is not even hesitatint to murder his bestfriend, he is wishing for the night to come when Banquo’s death finally happens so all his fears will be washed away and he will be able to remain king. Macbeth’s desire to stay king causes him to kill his bestfriend, his ambition has taken over fully by this stage which is the final factor contributing to his death. We see Macbeths ambition start to grow when he is wrestling with his conscience about the witches prophesies. Furthermore , his ambition continues to grow through the persuasion of regicide from his soul mate and Macbeths desire to stay king unleashes his ambition, all these aspect contribute to Macbeth’s vaulting ambition, thus leading to his tragic death. How to cite Macbeth’s Downfall Was Brought on by His Ambition, Papers Macbeth’s Downfall Was Brought on by His Ambition Free Essays The tragedy of Macbeth by William Shakespeare outlines how the lust for power can bring out the worst in people. This is evident through Macbeth’s vaulting ambition to be king which ultimately leads to his downfall. Through Macbeth wrestling with his conscience about the prophesies of the witches he started to gain the trait of ambition. We will write a custom essay sample on Macbeth’s Downfall Was Brought on by His Ambition or any similar topic only for you Order Now We also see his ambition continue to grow through the persuasion by his soul mate which is also shown through the 1961 CBC TV production of Macbeth. His want to stay king brought out the tyrant within him and shows the evil side of Macbeth, letting his ambition take over. His growth of ambition through the play leads to his tragic death. Macbeth was given a glimpse of prosperity through the witches prophesies. â€Å"All hail Macbeth, thou art shalt be king hereafter† the use of the prophesises outlines foreshadowing within the play. The witches are telling Macbeth of his future and he is left to wrestle with his conscience. This is shown when Macbeth in his soliloquy says â€Å"this supernatural soliciting cannot be ill, cannot be good/ if ill why hath it given me earnest success† we see Macbeth wrestling with his conscience and his ambition starting to grow, he is starting to believe the witches and the seed of ambition is planted inside him, which is the first step leading to his demise. We see Macbeth’s ambition continue to grow and lead to his death through the persuasion of lady Macbeth. Lady Macbeth uses guilt to talk Macbeth into committing regicide and becoming king. This is shown through the quote â€Å"wouldst thou have that which thou esteemst the ornament of life and live a coward in thine own esteem letting â€Å"I dare not† wait upn â€Å"I would† like the poor cat I th’adage† the simile â€Å"the poor cat I th’adage outlines how Lady Macbeth uses guilt to talk Macbeth into killing the king by calling him a coward. This is also shown in the 1961 CBC tv production of Macbeth when Lady Macbeth is using her feminism to persuade Macbeth, causing his ambition to grow even more. When you durst do it, then you were a man and to be more than what you were, you would be so much more the man† this quote shows how Lady Macbeth uses guilt and calling Macbeth a coward to persuade him to commit regicide. The persuasion of Lady Macbeth causes Macbeth’s ambition to continue to grow which another step is leading to his downfall. Macbeth’s desire to stay king brings out the tyrant within him, his vaulting ambition causes wrath on anyone who stands in his path, even his closest friend. This is shown when Macbeth is planning to kill his best friend, Banquo, â€Å"come seeling night/scarf up the tender eye of pitiful day and with thy bloody and invisible hand cancel and tear to pieces tgar great bond which keeps me pale† the use of dramatic irony in this quote shows us how much Macbeth’s ambition has taken over, and how he is not even hesitatint to murder his bestfriend, he is wishing for the night to come when Banquo’s death finally happens so all his fears will be washed away and he will be able to remain king. Macbeth’s desire to stay king causes him to kill his bestfriend, his ambition has taken over fully by this stage which is the final factor contributing to his death. We see Macbeths ambition start to grow when he is wrestling with his conscience about the witches prophesies. Furthermore , his ambition continues to grow through the persuasion of regicide from his soul mate and Macbeths desire to stay king unleashes his ambition, all these aspect contribute to Macbeth’s vaulting ambition, thus leading to his tragic death. How to cite Macbeth’s Downfall Was Brought on by His Ambition, Essay examples

Macbeth’s Downfall Was Brought on by His Ambition Free Essays

The tragedy of Macbeth by William Shakespeare outlines how the lust for power can bring out the worst in people. This is evident through Macbeth’s vaulting ambition to be king which ultimately leads to his downfall. Through Macbeth wrestling with his conscience about the prophesies of the witches he started to gain the trait of ambition. We will write a custom essay sample on Macbeth’s Downfall Was Brought on by His Ambition or any similar topic only for you Order Now We also see his ambition continue to grow through the persuasion by his soul mate which is also shown through the 1961 CBC TV production of Macbeth. His want to stay king brought out the tyrant within him and shows the evil side of Macbeth, letting his ambition take over. His growth of ambition through the play leads to his tragic death. Macbeth was given a glimpse of prosperity through the witches prophesies. â€Å"All hail Macbeth, thou art shalt be king hereafter† the use of the prophesises outlines foreshadowing within the play. The witches are telling Macbeth of his future and he is left to wrestle with his conscience. This is shown when Macbeth in his soliloquy says â€Å"this supernatural soliciting cannot be ill, cannot be good/ if ill why hath it given me earnest success† we see Macbeth wrestling with his conscience and his ambition starting to grow, he is starting to believe the witches and the seed of ambition is planted inside him, which is the first step leading to his demise. We see Macbeth’s ambition continue to grow and lead to his death through the persuasion of lady Macbeth. Lady Macbeth uses guilt to talk Macbeth into committing regicide and becoming king. This is shown through the quote â€Å"wouldst thou have that which thou esteemst the ornament of life and live a coward in thine own esteem letting â€Å"I dare not† wait upn â€Å"I would† like the poor cat I th’adage† the simile â€Å"the poor cat I th’adage outlines how Lady Macbeth uses guilt to talk Macbeth into killing the king by calling him a coward. This is also shown in the 1961 CBC tv production of Macbeth when Lady Macbeth is using her feminism to persuade Macbeth, causing his ambition to grow even more. When you durst do it, then you were a man and to be more than what you were, you would be so much more the man† this quote shows how Lady Macbeth uses guilt and calling Macbeth a coward to persuade him to commit regicide. The persuasion of Lady Macbeth causes Macbeth’s ambition to continue to grow which another step is leading to his downfall. Macbeth’s desire to stay king brings out the tyrant within him, his vaulting ambition causes wrath on anyone who stands in his path, even his closest friend. This is shown when Macbeth is planning to kill his best friend, Banquo, â€Å"come seeling night/scarf up the tender eye of pitiful day and with thy bloody and invisible hand cancel and tear to pieces tgar great bond which keeps me pale† the use of dramatic irony in this quote shows us how much Macbeth’s ambition has taken over, and how he is not even hesitatint to murder his bestfriend, he is wishing for the night to come when Banquo’s death finally happens so all his fears will be washed away and he will be able to remain king. Macbeth’s desire to stay king causes him to kill his bestfriend, his ambition has taken over fully by this stage which is the final factor contributing to his death. We see Macbeths ambition start to grow when he is wrestling with his conscience about the witches prophesies. Furthermore , his ambition continues to grow through the persuasion of regicide from his soul mate and Macbeths desire to stay king unleashes his ambition, all these aspect contribute to Macbeth’s vaulting ambition, thus leading to his tragic death. How to cite Macbeth’s Downfall Was Brought on by His Ambition, Papers Macbeth’s Downfall Was Brought on by His Ambition Free Essays The tragedy of Macbeth by William Shakespeare outlines how the lust for power can bring out the worst in people. This is evident through Macbeth’s vaulting ambition to be king which ultimately leads to his downfall. Through Macbeth wrestling with his conscience about the prophesies of the witches he started to gain the trait of ambition. We will write a custom essay sample on Macbeth’s Downfall Was Brought on by His Ambition or any similar topic only for you Order Now We also see his ambition continue to grow through the persuasion by his soul mate which is also shown through the 1961 CBC TV production of Macbeth. His want to stay king brought out the tyrant within him and shows the evil side of Macbeth, letting his ambition take over. His growth of ambition through the play leads to his tragic death. Macbeth was given a glimpse of prosperity through the witches prophesies. â€Å"All hail Macbeth, thou art shalt be king hereafter† the use of the prophesises outlines foreshadowing within the play. The witches are telling Macbeth of his future and he is left to wrestle with his conscience. This is shown when Macbeth in his soliloquy says â€Å"this supernatural soliciting cannot be ill, cannot be good/ if ill why hath it given me earnest success† we see Macbeth wrestling with his conscience and his ambition starting to grow, he is starting to believe the witches and the seed of ambition is planted inside him, which is the first step leading to his demise. We see Macbeth’s ambition continue to grow and lead to his death through the persuasion of lady Macbeth. Lady Macbeth uses guilt to talk Macbeth into committing regicide and becoming king. This is shown through the quote â€Å"wouldst thou have that which thou esteemst the ornament of life and live a coward in thine own esteem letting â€Å"I dare not† wait upn â€Å"I would† like the poor cat I th’adage† the simile â€Å"the poor cat I th’adage outlines how Lady Macbeth uses guilt to talk Macbeth into killing the king by calling him a coward. This is also shown in the 1961 CBC tv production of Macbeth when Lady Macbeth is using her feminism to persuade Macbeth, causing his ambition to grow even more. When you durst do it, then you were a man and to be more than what you were, you would be so much more the man† this quote shows how Lady Macbeth uses guilt and calling Macbeth a coward to persuade him to commit regicide. The persuasion of Lady Macbeth causes Macbeth’s ambition to continue to grow which another step is leading to his downfall. Macbeth’s desire to stay king brings out the tyrant within him, his vaulting ambition causes wrath on anyone who stands in his path, even his closest friend. This is shown when Macbeth is planning to kill his best friend, Banquo, â€Å"come seeling night/scarf up the tender eye of pitiful day and with thy bloody and invisible hand cancel and tear to pieces tgar great bond which keeps me pale† the use of dramatic irony in this quote shows us how much Macbeth’s ambition has taken over, and how he is not even hesitatint to murder his bestfriend, he is wishing for the night to come when Banquo’s death finally happens so all his fears will be washed away and he will be able to remain king. Macbeth’s desire to stay king causes him to kill his bestfriend, his ambition has taken over fully by this stage which is the final factor contributing to his death. We see Macbeths ambition start to grow when he is wrestling with his conscience about the witches prophesies. Furthermore , his ambition continues to grow through the persuasion of regicide from his soul mate and Macbeths desire to stay king unleashes his ambition, all these aspect contribute to Macbeth’s vaulting ambition, thus leading to his tragic death. How to cite Macbeth’s Downfall Was Brought on by His Ambition, Essay examples

Right On Time by Gretchen Wilson free essay sample

I have been a fan of Gretchen Wilsons for a long time. I have every one of her albums, bought each one on the day of their release. I only do that a select few artists, that list which includes Shania Twain. Gretchen Wilson is no Shania Twain, but they are comparable in the sense that they both have done what THEY want with their careers. I appreciate artists like that. They do what is in their best interest, not whats the best for a corporation. This album is my absolute favorite of Gretchens because she is able to experiment. She touches on her rock roots in a large part of the album, but still respects the genre she originally came from. If you liked, Redneck Woman days, you will love the opening track, Get Outta My Yard. The edginess is still there, and she is not taking anything from anyone. We will write a custom essay sample on Right On Time by Gretchen Wilson or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Wilson plays around, successfully of course on tracks like, Ive Been In Love. This track reminds me of Adele meets a softer Beyonce meets country and the odd combination fits so perfectly. Gretchen even takes you back to the days when classic country was put to a record. The title track, Right On Time, and Birds of a Feather bring me back to the crackling records on record players, and each one of those songs is executed so nicely. The album has heavy guitar overload as well, on tracks like, Dust Bone, and My Truck. Lyrically, My Truck sounds like a hardcore country song, but the arrangement proves to be more soft rock. Overall, the album is full of surprises that are sure to please, and if you were every Leary of new Gretchen music after three years, and more of rock leaningsI am here to affirm that its well wOrth your while to purchase. Key Tracks: Get Outta My Yard, Still Rolin Crazy, Right On Time, Birds Of A Feather

Handwriting a Letter Essays

Handwriting a Letter Essays Handwriting a Letter Essay Handwriting a Letter Essay Lou Bennett Everest on line English Composition I Handwriting a Letter Versus Sending an E-Mail Abstract This essay will compare the different effects between writing a regular letter compare to todays new way of sending an e-mail. Since E-mail is, deliver almost as immediately, it is often preferred over traditional mail today. The traditional mail is now call â€Å"snail mail†, which means it is slower than e-mail. Some people still enjoy the old fashioned hand-written letter from a friend or loved one delivered through the post office . The personal level and the finality of the product are a few difference between handwritten letter from a friend or loved one delivered through the post office. By handwriting a letter and sending it by post certainly has its benefits, but the advantage of e-mail outshines tradition with its convenience, low cost and fast delivery so make sure you have the digital addresses of the people you wish to correspond. There is not any question about sending and receiving a hand written letter via traditional mail. It can be quite fun and enjoyable. Some things about this form of mail are personal and can be very heart warming. Although hand written correspondence is very endearing, it is not always the best form of communication, especially when e-mail is ready available and convenient option that you can chose. (Floyd Stephens wrote Advantages of Emailing Versus Hand Writing a Letter. ) References (Floyd Stephens wrote Advantages of Emailing Versus Hand Writing a Letter. )   History of Email were written by Yash Gode Published. The difference between an ordinary letter and an e-mail by Gillian Taber helium. com/items/1490527-the-difference-between-email-and-hand-written-letters The difference between an ordinary letter and an e-mail by Emily Hunter helium. com/items/359714-the-difference-between-an-ordinary-letter-and-an-e-mail :

How To Make Spanish Crossword Puzzles

How To Make Spanish Crossword Puzzles Are you a Spanish teacher who is tired of giving routine fill-in-the-blank and multiple-choice vocabulary tests? If so, you can bet your students are wearier of them then you are. The answer may be a fun variation of fill-in-the-blank - crossword puzzles, known as crucigramas in Spanish. With software available for only the bother of a download, you can quickly create Spanish-language crossword puzzles with your own choice of words. Free Crossword Puzzle Software The free software, EclipseCrossword from Green Eclipse Software, lets you readily make your own word lists and definitions, so puzzles can be custom-designed for what youre trying to teach. One nice feature of EclipseCrossword that makes it particularly suitable for teaching Spanish and many other foreign languages is that it supports diacritical marks, so you can include words with the à ± as well as accent marks on the vowels. The software, which uses Windows, is free, so you cant expect it to have the capability of professional software that will let you develop crosswords with the density and symmetry of the puzzles youll find in top newspapers and magazines. But it is otherwise quite versatile, letting you specify the desired size (go too small, and the program will leave words out) and output format. You can print the puzzles directly, or you can save them to a Web page.

The Evolving English Language Essay Example | Topics and Well Written Essays - 250 words

The Evolving English Language - Essay Example The English language has taken an interesting course of development from an obscure tongue to an international language with the dynamic and significant impact made on the language due to the efforts of standardisation in the context of regional diversity.This essay discusses in brief the development of the English as an international language, standardization and its significance on English as an international language.Right from the Anglo-Saxon period, English has constantly evolved to become what it is today. Its richness can be contributed to the fact that it has accommodated the changes brought in by a number of foreign influences for centuries. However the language remained within the confines of the geographical English boundaries for quite a few centuries. The advent of industrial revolution followed by colonization, laid the foundation for English to become a global language. The ambitious conquest as well as the philanthropic efforts of the colonist undertaken across the co ntinents, set grounds for leaving behind a rich legacy of the language and its usage long after the colonists were gone. The establishment of missionary educational institutions, hospitals and churches, the traditions of which were followed even after the colonial era played a major role in the English language flourishing in foreign soil. Knowing the language was more of a status symbol in many colonial and post colonial nations, which also led to its increased usage and prominence among world languages.

The Financial Crisis and Its Impact on China Research Paper

The Financial Crisis and Its Impact on China - Research Paper Example Chinese economy has never depended upon the risky Western financial measures. They rather treasure their deposits. In spite of this secured state, Chinese economy suffered fluctuations The global financial crisis has started shaking the Chinese economy as the ripple effect from American economy has worsened the already falling Chinese markets. Worldwide demand for their exports has been reduced. This resulted in the stopping of domestic industrial production. Factories have been closed and the employees lay off that led to unemployment and protests. Towards the end of 2008 they announced a $586 billion stimulus package targeted towards bettering growth and domestic consumption in ten different sectors of Chinese society. Infrastructure investment, disaster reconstruction, environmental safety measures are some of the sectors that have been touched. The package is expected to help iron and steel sectors, cement producers and certain other industries through the investment put on infra structure. The new step also improved growth by taking off loan quotas on lenders and raising credit for different projects that support rural areas and small scale businesses. Government has recognized the sectors where they really felt decline and announced packages that can bring up the economy. They have made reduction in interest rates and devoted funds for infrastructure construction. Steps have also been taken to improve real estate sales. China has also announced heavy rebates on taxes put on exporters. In the third quarter of the year 2008 the growth rate was just nine percent. This is the slowest rate the nation has witnessed in the last five years. China has also faced a consecutive fall in housing prices. Other industrial sectors like textiles, information technology and electricity production have also encountered decline. China is not heavily affected by the financial crisis like other countries because of its closed financial system. They are however affected by the f inancial crisis in innumerable ways. Other countries that have been fallen because of crisis urge China to extend a financial help hand by raising its own exports. A small slowdown in the financial growth rate of China is expected to bring big results. Certain economics have warned that China will encounter a serious recession even if its growth rate falls slightly below six percent. Chinese should keep at least nine percent growth rate to maintain its growing labor force and take farmers to the urban sectors. The international financial crisis has wounded different aspects of Chinese economy even though the actual impact is not completely visible in the year on year comparison. The most visible impact of the crisis is the loss seen in export-oriented light industry in China. Thousands of companies have fallen; thousands of workers have lost their jobs. According to the official reports more than ten million migrant workers have lost their jobs and returned to their native provinces . Industries in China have been highly affected because of the economic crisis. It has severely affected the equipment manufacturing industry. Chinese government had to introduce equipment manufacturing adjustment and boosting plan for countering the fall. Priority is given to the equipment manufacturing sector. This sector has been upgraded and supported by government. Independent innovation has been encouraged; this

Post Natal Depression Case Study

Post Natal Depression Case Study Table of Contents Case Study Care Plan Medical Point of view The Role of the nurse Building a therapeutic relationship Respect and Empathy Communication Tackling the problem The Reality Therapy and choice therapy. Working the therapy with Rachel Problems met during sessions. Conclusion Case Study. A 21 year old lady presented at Crisis Intervention Team (CIT) stating that she has these thoughts in her mind that she is going to harm her baby. She was experiencing an excessive fear of what she might do to her baby since these thoughts were telling her that she was going to knock the baby’s head against the wall. She was physically trembling with fear and anxiety. She had reduced her food intake and this had resulted in considerable weight loss. She was not sleeping at night leading to tiredness, lethargy which was hindering Rachel (imaginary name) from performing her daily chores. The pregnancy was unplanned but her boyfriend Robert (imaginary name) was very supportive during and after the pregnancy. He was very worried about Rachel since she had a complete change in character and from a happy go lucky person she had turned into an introvert always worried and depressed. Rachel explained that she had always thought that motherhood would be an enjoyable period in life. She had always dreamt of this period but she had never imagined that it would end up to be the worst experience of her life. She was so focused on her baby that she had forgotten how to live. She was all the time concentrating on her childhood, how much she had felt neglected by her mother at that time and her innermost fear was that she will end up behaving like her; that is why she had stopped working, going out and enjoying everyday life. Despite this, she was feeling guilty that she was not giving enough attention to her baby. CIT offers follow up sessions for 3 to 4 weeks, during which Rachel was asked to identify her problems and prioritise them. By identifying areas where she would like to improve, she would be lessening her suffering and make herself feel better; this was done together with the nurse. Care Plan Medical Point of view Rachel was seen by the CIT psychiatrist who prescribed antidepressants with the aim to try and alleviate Rachel’s mood. Glasser (2003) complained that it is a pity that nowadays psychiatrist and medical doctors prescribe psychiatric drugs prior giving counselling sessions first. The role of the nurse regarding her treatment was to educate the patient regarding the importance of concordance and informing Rachel about any side effects that might occur when starting treatment. The Role of the nurse The role of the nurse is to help the patient get better by offering the optimum level of care in order to empower her patient and help him/her improve his/her quality of life. Smith, Wolf and Turkel in 2012, explained that for the patient to be cured, s/he needs to be cared for as no curing can occur without caring (p.137). The nursing care plan should be planned together with the patient in order to identify the patient’s needs, plan and set goals to overcome the obstacles. Kelsey (2013) stated that NHS is emphasising on patient participation in the care plan as this will help the nurse to engage more with the patient while the patient will feel more empowered. This concept is firmly believed at CIT, and it was always stressed that all professionals collaborate for optimum care delivery together with patient. The patient also has the right to choose family members and/or friends whom he wished to be involved in his/her care. Building a therapeutic relationship In order to formulate a care plan with the patient, a therapeutic relationship must be built for a successful outcome. Caring is based on a relationship and for relationships to be effective both parties must be involved, (Govier, 1992). The fulcrum of nursing care is building a nurse-patient relationship by engaging with the patient and his carers. Building a therapeutic relationship helps the nurse to gain indispensible information about her/his patient whilst the patient learns how to trust the nurse (Lehman et al., 2004). Although according to nurses trust is vital for building a therapeutic relationship, this can be very difficult to establish with the patient. Literature states that trust has been a debatable topic in research; it does not concern only on the health care profession but includes also the institutions and other services providing the care, (Laugharne Priebe, 2006). In Malta there is still a good amount of stigma regarding Mental Health and Mental Hospital thus people are afraid to talk about their mental health problems. The stigma that surrounds the name of the mental health hospital in Malta still carries fear of the unknown and beliefs about mental illness hinder the patients from seeking help. This often results in severe deterioration leading to an involuntary admission (Farrugia, 2006). The same thing happened with Rachel at the beginning of our sessions when she was still terrified to discuss her innermost thoughts, believing that she would be judged and labelled as mentally ill thus providing grounds for an admission. Rachel needed to overcome her fears and start to confide in the nurse. In order to gain her trust, the nurse had to reassure Rachel that no harm will come to her and if she wishes CIT could offer her care in the community reassuring her fears regarding hospitalisation. This could only happen if Rachel agrees to work with the team members and keep to the plan which they had agreed on together. Rachel agreed with the proposal inviting her boyfriend to join the plan, which he accepted. Support and information was provided to both parties and they were satisfied with the plan. Respect and Empathy The nurse assured Rachel that both parties should respect each other. Papastavrou et al (2012) explains that to show respect towards a patient one should allow autonomy, show dignity towards the person, care for him/her holistically and ensure privacy and confidentiality. Assuring the patient that since she is seeking help, the team’s aim was to provide that help and not to judge her thoughts and actions. For the nurse to be able to understand the patient better she has to put him/herself in the patient’s shoes and this skill is called Empathy. Empathy was found helpful to humanize the care delivered to the patient (Barker, 2003). When the nurse shows that his/her intentions are genuine and is trying to understand the situation by offering help and keeping agreements, the patient will start to trust her/him. Communication Establishing trust, showing respect and empathy to the patient, needs good communication skills; Taylor, Lillis, Lemone, Lynn, and Smeltzer (1989), claimed that a therapeutic relationship can never be built if there is no good communication skills. It is imperative for the nurse to learn to listen attentively to verbal communication but also to learn to read the non-verbal communication that the patient is sending. Through the non-verbals, the nurse can extract information which the patient wishes to hide such as fear and anxiety through her body language (Stuart, 2009). Glasser (2003), emphasised on the importance to allow time for patient to narrate their problem, in order to be able to assess the patient in depth. Tackling the problem She does not like her life at the moment. She misses work and school (she was learning art, her hobby is drawing) She hates the thought of becoming like her mother She hates the thoughts that are obscuring her mind preventing her from enjoying life. The nurse went through the list of problems written by the patient and together with Rachel she tried to group them into categories. Keeping in mind that CIT service is provided over a limited amount of time, it is of utmost importance that the team tackle the urgent problems which have prevented the patient from functioning normally and reaching a Crisis. For secondary problems, Rachel will be referred to another team who can offer longer term care. The first two problems discussed were the fact that she is absent from work and not attending art school at the moment. This fact is making her feel useless and lonely. She is not doing these things because she thinks that if she starts to do things that she used to enjoy, she will neglect her child. This will make her worst fear that she will become like her mother come true. This made it easier for the nurse to narrow the amount of problems because in agreement with Rachel they decided to group all the three problems under one heading: fear of becoming like mum. Rachel admitted that if she could be sure that she would be nothing like her mother she would feel less stressed. The second problem was her bizarre thoughts which were persecuting her. During the first meeting they discussed at length the issue of harming her child and what chance there was that she would actually harm him. She took so much care of her child since his birth three months ago that it was highly unlikely that she would ever harm him. In reality she was caring fulltime for the child, taking care of him 24 hours a day and never leaving his side. Rachel’s boyfriend assured the nurse that she never left her child unattended. He explained that they were living with her mother who took care of the house chores and gave them moral support whilst Rachel took care of her child. After discussing all this with Rachel it was concluded that what she was feeling was unhappy, she lost her joy of living. It was important for Rachel to try to control her thoughts and worries and to try learning to sort them out. First she needs to work out if the worries are founded or not and when that answer is found she needs to choose whether to ignore or believe them. The nurse opted to work with Rachel on the steps of Reality/ Reality Theory by Glasser to help her overcome these fears. The Reality Therapy/Choice therapy. William Glasser developed Reality therapy way back in the sixties and it was based on identity theory, (Zastrow, 2010). The last two decades Glasser noted that his therapy focused more on human behaviour, how can it be altered and improved leading him to change the name of Reality Therapy to Choice Therapy, (Wubbolding, 2013). The choice theory explains how the life of the individual is determined by the choices he made. Every individual has his perceptions about his/her reality of life and according to Glasser the individual behaviour is in constant attempt to narrow between what we want and what we have (Zastrow, 2010 pg 491). The aim of the therapy is to help and teach individual to satisfy the internal motivation and or basic psychological needs. The Choice therapy focuses on the basic needs of the individual. Glasser (1996) explained that the therapy emphasised the four basic psychological needs which included belonging, power, freedom and survival (Jong-un, 2007). Belonging refers to family and friends. People; with whom a person can socialise, enjoy him/herself with, as well as feel loved. Power refers to the individual achievements in life such as achieving dreams and feeling worthwhile. Having your own space, acting independently, being autonomous and deciding for yourself covers the need of freedom. Whereas, survival needs are covered by nourishment, intimate relationships and shelter. Sunich (2007) in his article argued that Glasser wrote about five basic needs and the ones mentioned above and adding fun. Contrary to traditional theories, the Reality Therapy promotes the idea to focus on the ‘here and now’ and reduce concentrating on the past. The therapy is based on the patient’s willingness to change, make choices, take responsibility and sustain commitment. Its aim is to assess and identify the unmet needs of the patient exploring what behaviours they are displaying that either assist or interfere with them meeting their needs (Sunich, 2007 pg.3). Working the therapy with Rachel The nurse explained how choice therapy works and Rachel agreed that she would like to give it a try. The nurse explained that reality therapy is best summarized as WDEP which means: wanting, doing, evaluation and planning, (Cameron, 2013) In Rachel’s situation, it is important to focus on what she really Wants; she wished to get rid of her thoughts and fear. It was explained to her that she needs to start to learn to identify unrealistic thoughts and learn to control them. After the problem was ascertained the next step taken was to ask Rachel what she was Doing to try and get what she wished for. Rachel tried to explain what she had been doing but Evaluating the situation together Rachel admitted that the method she had chosen was not working. After that Rachel and the nurse agreed to try and formulate a new Plan which will help Rachel gain her joy in life back,(Cameron, 2013) . In the first session Rachel described herself as: â€Å"blocked in a black tunnel†, she was afraid to talk about her thoughts because the nurse might think that she was â€Å"going crazy†. but could feel that with the right support there is hope for her illness. The nurse had to explain to Rachel that she should stop labelling herself as depressed and concentrate on how she was feeling at that moment. Rachel admitted she was feeling unhappy, and this was caused because the patient had stopped doing the things, she liked to do so that she would be able to concentrate on her son 24 hours a day 7 days a week. Although she knew that she was still fearful of the thought that she might harm the baby. The nurse explained that feeling unhappy for a reason is not being â€Å"crazy†; the important thing is doing something about it to improve the situation (Glasser, 2003). The thought that she might harm the baby was explored at length. Rachel admitted that she never did anything to harm her baby, she loved him unconditionally, and she took care of his Adls. She never misses his appointment at the baby clinic where they confirm that the baby is very healthy and this was confirmed by Robert. The nurse documented everything they said on a page divided into two columns, labelled good care and neglect After Rachel finished, the nurse handed her the paper and explained to her what she had done. All the things Rachel had stated were listed under the good care column and the neglect column remained empty. Then the nurse asked Rachel â€Å"Seeing this paper how much are the chances that you are neglecting your son?† Rachel stared amazed at the paper as she answered â€Å"none†, thus this makes your thought unfounded. The nurse explained to Rachel needs to learn to do this exercise each time she has a thought so that she can identify if the though t is realistic or just an imaginary one. So they planned Rachel’s homework until her next session which focused mainly on identifying the thought and reasoning it out. After the first session she confessed that she felt better; the fear that she was going crazy subsided, she felt that she was not alone any more in her dark tunnel and hope was instilled. Sessions went by and Rachel started to learn how to control her thoughts better but choosing to ignore them. She was better but not good enough yet. Rachel had to start to stay away from her son a couple of hours so she has time for herself. It was the biggest step for her and as she described it as the most painful but with the help of Robert and their extended families she started to work a couple of hours a week. This made a drastic change in Rachel’s mood and she started to feel happy again. She started to make friends and felt that she belonged in society again and not isolated anymore. â€Å"Happiness or mental health is enjoying the life you are choosing to live, getting along well with the people near and dear to you, doing something with your life you believe is worthwhile, and not doing anything to deprive anyone else of the same chance for happiness you have† (Glasser, 2003 pg 7). Problems met during sessions. Seeing the story in writing might look as if it had been easy to empower Rachel enough to achieve goal. It included four weeks of intensive counselling with two planned sessions a week and several phone calls from Rachel asking for support and reassurance. This could be done by praising Rachel for her decisions and actions. There were times that the patient had to be confronted about her decision for example â€Å"you are thinking and assuming that your mum will not be capable to look after your baby. Did she show any signs of mistreating him or being unloving towards the baby? Are these just your thoughts tormenting you or there are facts which might lead you to think that she is incapable of looking after him?† There are many authors who criticise this method because of the above: they argue that it is a harshly confronted therapeutic approach towards the patient. Wubbolding and Brickell (2000), did not deny it but emphasised the fact that reality therapy is a gently confronted approach. Glasser (2002), explained clearly the consequences of seven deadly habits, which may arise during reality therapy session. These habits are criticising, blaming, complaining, nagging, threatening punishing and bribing or rewarding to control, but they cannot be allowed in any relationship because they will simp ly destroy it (Sommers-Flanagan Sommers-Flanagan, 2012). There was one episode at the beginning when Rachel entered the office unannounced shaking and sobbing. She was so desperate at that moment that she could not even talk. The nurse waited for Rachel to calm down but each time she did and the nurse asked her to talk Rachel ended up sobbing again. After more than half an hour, in a soft but stern voice the nurse had to tell Rachel that she had to speak up if she wanted help. The statement might have sounded insensible and blunt but it was all about the reality of the situation; Rachel understood that and reached for a paper and with great difficulty wrote what was troubling her. Sommers-Flanagan Sommers-Flanagan (2012) agreed with other above authors who believe that Reality therapy at times is too directive and might become almost offensive and unethical towards the patient. Conclusion Rachel started to look forward to her therapy session; she worked hard on her problems, kept with the plan and gradually she reached her goal. Basic knowledge about the therapy helped the nurse conduct the sessions but also made her aware of the need for more intensive training (Sommers-Flanagan Sommers-Flanagan, 2012). Post Natal Depression Case Study Post Natal Depression Case Study The Experience of Health Illness Level 2 Assessment Client Study Culture and the service user experience This essay details the experiences that I had in dealing with and observing a Mrs. N, a 28 yr old lady who safely delivered a baby girl in December of last year. Her major problem was the development of post natal depression, but there were a number of contributory factors which were relevant in her case, one of which was her culture and ethnic background which coloured both her expectations and her reactions to the various landmarks which punctuated her illness trajectory. 1. Identify a specific client/user and provide a vivid but non-judgemental description of his or her personality, family, cultural and social background (include employment, education, housing etc). Mrs. N is a Bangladeshi lady who has been married for seven years. It was an arranged marriage. She is 28 yrs old which means that she was married comparatively late for her culture. Her husband, (Mr. N) is a year older than her and has been living and working in the UK for 8 years as a London Transport bus driver. He has been working to set up a home in the UK and it was always the intention that Mrs. N would come to the UK when conditions were stable for them. Mrs. N has lived in her in-laws home in Bangladesh until last year when she was granted permission to enter the UK and live with her husband. The seven years that she spent with her husband’s family were very difficult for her. She had a great deal of difficulty in coping with her mother-in-law’s (Mrs S.) overbearing and dictatorial manner. Mrs S felt that it was her place to â€Å"mould and shape† her daughter-in-law’s life and manners to suit what she considered to be her place in society. Mrs. N had only a limited education and would be considered to be less well educated than her husband. This was a major issue for the husband’s family and there was the underlying feeling that he â€Å"could have done better† for himself. Mrs S appeared never to miss an opportunity to remind Mrs. N of this fact. (Tseng, W et al. 2001) An additional factor was that both Mr. Mrs. N were intensely aware of the cultural and family expectations on them to have children. Although Mr. N frequently visited his wife in Bangladesh, she had not conceived for 6 years, which led to anxiety between the couple and friction between Mrs. N and Mrs S. When Mrs. N eventually became pregnant, she came to the UK to live with her husband in a culture that she was unfamiliar with and could only speak rudimentary English. She felt very isolated and had difficulty in coping with the day to day problems of living. 2. Provide a brief outline (no more than 200 300 words) of the basis of their need for health care (i.e. pregnancy or other specific physiological condition) highlighting only those aspects that may have implications for their cultural and social health and well-being. Mrs. N had a relatively uneventful pregnancy and a normal delivery. Routine midwife post delivery checks were normal, but it was noticed buy the health visitor that Mrs. N was becoming progressively more withdrawn, tearful and unable to cope with the new baby at about the 3 month period. This was difficult to assess as Mrs. N had difficulty in expressing herself and also was reluctant to involve the healthcare professionals in what she saw as â€Å"her problem†. There was some debate amongst members of the primary healthcare team as to whether these changes were indicative of post natal depression or whether they were due to social isolation or perhaps a combination of both factors. Post natal depression and culture A number of studies have shown that post natal depression occurs with a similar incidence across virtually all cultures and civilisations. (viz. Marks, M. N. et al. 1992). It is known that perinatal psychoses are a leading cause of maternal morbidity and suicide related to such morbidity is the major cause of maternal mortality in both the UK and in Northern Europe. (CEMD 2001). There is no good quality published work detailing the prevalence of such mortality in Asian countries, but there is no evidence to suggest that it is in any way significantly different from the European figures. In any event, one can clearly deduce that post natal depression (and the other perinatal psychoses) are a major cause of debility. Post natal depression is also known to be associated with longer term consequences for maternal mental health, marital problems and also the psychological health of the marital partner. (Asten P et al. 2004). It is also known to be associated with a number of adverse effects on the social and cognitive development of the infant and other siblings in the family. (Murray, J et al. 2003) A brief overview of the literature on the subject however, shows that the great majority of the studies conducted into the subject of post natal depression has been undertaken in Western societies (viz. Kumar, R. 2004). The consequence of this observation is that such research generally does not take into account the range of psychosocial experiences that are associated with other cultures and civilisations where there are differing rates of lone motherhood, differing degrees of social support and family bonding, quite apart from the different emphasis placed on relationships within marriage, kinship and family. All of these factors will intuitively impact on the incidence and nature (and possibly the clinical presentation) of post natal depression. 3. Define how you are using the notion of culture for the purposes of the assignment. Try to make explicit answers to the following questions: What evidence and research did you use to describe and analyse the client’s/user’s cultural perspectives, needs and any other factors that might influence their understanding and interpretation of health, illness and treatments? How did you gather the evidence? Evidence here must include the client/users own narratives. What were your findings? For example, how did the user/client describe their experience and how did their story fit with what you observed in practice? How did it fit with theory you have read? Were they seen as difficult or good clients by practitioners if so on what grounds and how might this be explained? Culture is a complex concept. Most definitions refer to various patterns of human activity and the symbolic structures that give such activities significance and importance. Cultures can be understood as systems of symbols and meanings that even their creators contest, that lack fixed boundaries, that are constantly in flux, and that interact and compete with one another (Findley A et al. 2006) Mrs. N’s culture was a central consideration in this case. Unlike many of her countrywomen, she had not become in any way anglicised and was, to a large extent, completely unprepared for the enormous cultural changes that she experienced between her lifetime home in rural Bangladesh and her new home in suburban London. If one adds to this the inevitable stresses of her first pregnancy, the loss of support of her (albeit critical) family and the advent of post natal depression. Bangladeshi culture regards childbirth as a major life event, generally with a greater significance than in western civilisations. (Cox, J. L. 2006). It is specifically considered to be one of the major â€Å"rites of passage† of a woman, not only from childhood to adulthood, but also into social respectability. (Gautam, S et al. 1992). Bangladeshi society has a number of specific rituals, prohibitions and proscriptions which typically accompany the passage of the woman into motherhood which are generally not found in western societies. These rituals both aid and guide the new mother, as well as providing the social support networks, to help the new mother adapt to her newly acquired role. It has been suggested that these rituals may assist in protecting new mothers from becoming depressed. (Seel, R. M. 1996) In the case of Mrs. N however, it is clear that she had no back up of such rituals or social network support, as she found herself being suddenly removed from her familiar society and being suddenly transported (at a very critical and emotionally charged time in her life) into an alien an unknown culture where she could not easily communicate with the healthcare professionals who were trying to help her. In a landmark study of transcultural birthing practices in 1983, Stern Kruckman found â€Å"surprisingly little evidence of the phenomenon identified in Western diagnoses as postnatal depression and suggested that the lack of post-partum rituals in Western society might be a cause of postnatal depression.† (Stern, G et al. 1983). The authors support this finding with the comment that â€Å"The effectiveness of counselling in treating the condition may be through its re-creation of post-partum ‘structure’ and the provision of social support which might formerly have been provided by the extended family (in Asian societies) and public recognition of the new role.† An additional feature which was not immediately apparent, but only came to light later in the trajectory of the management of the illness, was the fact that Mrs. N felt ashamed that she had given birth to a baby girl. In Bangladeshi culture it is considered a sign of cultural status to have boys, particularly the first child. Shaheen R et al. 2006). The fact that Mrs. N had a girl reduced her own self esteem enormously. 4. You should develop a discussion of the assessment of the person’s actual and potential cultural needs, with reference to a specific theoretical perspective that has been introduced in the module e.g. social class and effects on health or the impact of illness on the family. As far as possible, use the evidence of the client/users own words to provide a more vivid insight of the client/users view and to give a robust basis for your own analysis and discussion. Studies which have considered the cultural implications of post natal depression point to a number of factors which can be considered â€Å"independent risk factors† for the development of post natal depression. (Kit, L. K et al. 1997). In specific regard to the case of Mrs. N , one can identify many of these as being relevant to her case. We shall consider each factor in turn. Many studies point to a number of factors that are a cause of happiness in pregnancy (which reduce the incidence of post natal depression) and these include discovery of pregnancy and the awareness of foetal movement. There is no doubt that Mrs. N was delighted to find that she was pregnant, not only because it pleased Mrs S, but also it meant that she would join her husband in the UK. This has to be contrasted with the negative factors including the initial difficulty in conception in Asian families as being a factor which increases the likelihood of post natal depression. (Mari, J et al. 1999) Further negative associations were physical illness and discomfort, nausea, tiredness and a lack of sleep, (OHara, M. W et al. 1996) all of which were relevant to Mrs. N as she had bad back pain from about 18 weeks onwards which limited both her mobility and her ability to sleep comfortably. This pain did not resolve quickly after delivery and the lack of sleep persisted as she tried to establish breast feeding and experienced great difficulty as the baby did not feed well and therefore would not sleep well. The role of healthcare professionals is often cited as a cause of postnatal unhappiness in studies that involve Asian women (viz. Pillsbury, B. L. K. (1998) Maternity staff who are unsympathetic, and little time to talk (or difficulty in talking) are the commonest negative associations. Mrs. N certainly experienced both of these factors with some of the hospital staff and found her hospital visits very difficult. Fortunately Mrs. N has a normal, relatively atraumatic delivery which therefore spared her another independent risk factor for post natal depression. 5. How were these cultural needs addressed? If they were not, or only partially met, say so and describe in what way you feel they might have been better achieved. Mrs. N’s cultural needs were not met in a number of ways. Clearly the family support that she would normally expect to count upon was limited to her husband. This comment has to be seen in the context that her husband was a man, although she had known him for several years she had never lived in close dependent proximity to him before she was pregnant. In the same way, Mr. N was also a comparative stranger to this situation and he did not have other members of his family group to advise and support him. In the context of this small nuclear family unit (which clearly is not the cultural â€Å"norm† in Bangladesh) it was not surprising that tempers were frayed and that Mr. N did not always support his wife. It is possible that he did not even recognise the signs of the pathophysiology of the post natal depression. The language difficulty persisted. The hospital services provided a translator, but this lady was not present at every occasion that Mrs. N attended the hospital and therefore she sometimes had to rely on other Bangladeshi women to translate and to help her. Clearly this was far from satisfactory. 6. Offer a conclusion with some indication of how your experience of this particular person’s needs have informed your practice and evaluate your own interactions and experience with the client/user/patient and their carers. For further details on submitting assessments, pass requirements and other information please refer to the separate assessment pack. I have considered the case of Mrs. N at great length and reflected on its implications for my personal practice. (Palmer 2005). It is with some sadness that I look back. It seems clear that Mrs. N had a number of circumstances relevant to her post natal depression which were largely beyond her control. The fact that her â€Å"world† was uprooted while she was in the early stages of pregnancy and she was transported to a culture that was alien to anything that she had previously known, clearly was a major de-stabilising factor for her. The factors which could have been changed would have to be the fact that an empathetic translator could have been present at every interaction with the healthcare professionals and this might have not only eased her problems but might have given the healthcare professionals a reciprocal insight into her predicament. With her past history, one might reasonably deduce that she had a number of major risk factors for post natal depression and therefore it should have been actively considered from the point of delivery. There is a considerable body of evidence which suggests that the earlier post natal depression is positively diagnosed and aggressively treated, the less severe its eventual trajectory becomes. (Dennis C L 2005). The language difficulties, inexperience of cultural difficulties and a reluctance on the part of Mrs. N to seek help all contributed to her post natal depression reaching quite a severe level before it was finally recognised. References Asten P, M. N. Marks, and M. R. Oates (2004) Aims, measures, study sites and participant samples of the Transcultural Study of Postnatal Depression. The British Journal of Psychiatry, February 1, 2004; 184 (46): s3 s9. CEMD (2001) Confidential Enquiries into Maternal Deaths Why Mothers Die 1997 – 1999. The Fifth Report of the UK Confidential Enquiries into Maternal Deaths. London: Royal College of Obstetricians and Gynaecologists. Cox, J. L. (2006) Perinatal mental disorders – a cultural approach. International Review of Psychiatry, 8, 9 -16. Dennis C L (2005) Psychosocial and psychological interventions for prevention of postnatal depression: systematic review. BMJ 2005; 331: 15 (2 July), Findley, Carther Vaughn and John Alexander Rothney (2006). Twentieth-century World. Sixth edition, p. 14. Gautam, S., Nijhawan, M. Gehlot, P. S. (1992) Post partum psychiatric syndromes: an analysis of 100 consecutive cases : Indian Journal of Psychiatry, 24, 383 386. Kit, L. K., Janet, G. Jegasothy, R. (1997) Incidence of postnatal depression in Malaysian women. Journal of Obstetric and Gynaecology Research, 23, 85 89. Kumar, R. (2004) Postnatal mental illness: a transcultural perspective. Social Psychiatry and Psychiatric Epidemiology, 29, 250 264 Mari, J., Sen, B. Cheng, T. A. (1999) Case definition and case identification in cross-cultural perspective. In The Scope of Epidemiological Psychiatry (eds P. Williams, G. Wilkinson K. Rawnsley). London : Routledge. 1999 Marks, M. N., Wieck, A., Checkly, S. A., et al (1992) Contribution of psychological and social factors to psychotic and non-psychotic relapse after childbirth in women with previous histories of affective disorder : Journal of Affective Disorders, 24, 253 263. Murray, J. Cooper, P. J. (2003) The impact of postpartum depression on child development. In Aetiological Mechanisms in Developmental Psychopathology (ed. I. Goodyer). Oxford: Oxford University Press. 2003 OHara, M. W. Swain, A. M. (1996) Rates and risk of postpartum depression – a meta-analysis : International Review of Psychiatry, 8, 37 54. Palmer (2005) in Learning about reflection from the student Bulpitt and Martin Active Learning in Higher Education. 2005 ; 6 : 207 217. Pillsbury, B. L. K. (1998) ‘Doing the month’: confinement and convalescence of Chinese women after childbirth. Social Science and Medicine, 12, 11 22. Seel, R. M. (1996) Birth rite. Health Visitor, 59, 11 22. Shaheen R, Andres de Francisco, Shams El Arifeen, Eva-Charlotte Ekstrà ¶m, and Lars Ã…ke Persson (2006) Effect of prenatal food supplementation on birth weight: an observational study from Bangladesh. Am. J. Clinical Nutrition, Jun 2006; 83: 1355 1361. Stern, G. Kruckman, L. (1983) Multidisciplinary perspectives on postpartum depression: an anthropological critique. Social Science and Medicine, 17, 1027 -1041. Tseng, W. Hus, J. (2001) Culture and Family: Problems and Therapy. New York: Haworth Press. ################################################################ 1.7.08 Word count 3,070 PDG