Breaking Bad News to Family and Friends Essays

Breaking Bad News to Family and Friends Essays Breaking Bad News to Family and Friends Essay Breaking Bad News to Family and Friends Essay Assessment item 3: Reflective Journal Part B – Death Dying; Breaking bad news SIDS 5/9/2011 Word count 500 ? Health professionals have the task of informing family and friends of their loved ones death or terminal illnesses this process occurs daily in the pre hospital environment, emergency departments and doctors rooms. A Sudden, unexpected death or impending death is a crisis for the patient family and emergency medical staff. The emergency clinician has multiply responsibilities when dealing with the challenge of death or dying patients these including the physiological needs of the patient, family and medical staff (Gary Wasserberger 1986). Deaths is a part of life. Most deaths that occur in the pre hospital environment will be beyond the ability of the EMS provider to prevent. Dealing with death is one of the most profound challenges an EMS provider will face (Soreff, Cadigan 2003). Disclosing the bad news is difficult and most professionals who have the task of delivering bad news do it badly there is no training manuals for these circumstances and every situation is different. The people who broke the news included doctors, nurses and the police. Police were thought to be the most sympathetic; doctors and nurses the least (Finlay, 1991). As an ambulance officer, I have attended many patients with terminals illnesses and have had the tasks of dealing with sudden death. My first actions will normally include dealing with the clinical side of the case and leaving my senior most experienced partner with the family’s physiological care. When I have found myself looking after the family in crisis and on reflection, I find myself going thru the processes of what occurs next with the family, the attendance of police, doctors and funeral directors. Each case I have attended is different and requires a different approach and thou we read documents and study on the best practice each case plays out in its own way. First impressions are crucial as a representative of emergency services you are granted a certain amount of the public’s trust at each new scene. You have to earn the rest by putting the patient or the family’s if the patient is deceased at ease by letting them know you are on their side you respect their comments and you want to help (Bledsoe, Porter, Cherry 2006). Understanding my own emotions and personal growth with in pre-hospital care and dealing with death and dying patients has forced me to undergo and develop a respect for death and how it effect people in different ways. Thru ongoing study and experience on the job I challenge myself everyday to arm myself with knowledge and develop skills to prepare myself with the inevitable tasks and cases involving death and dying patients. Studies show evidence that good communication skills are a prerequisite of patient care, acquisition of these skills are something we develop as we gain experience in our respective field of medicine (Del Mar, Henderson 1997). Forming a relationship with a person in a crisis may be particularly difficult; the routine elements of etiquette still need to be observed. You should introduce yourself to the patient and or relatives and friends. It’s worth obtaining some information during the conversation if possible. what the patient or family are concerned about, who is related to whom, what they already know, history leading up until the arrival of EMS and most importantly what the news might mean to the family, specifically when deal with sudden death (Del Mar, Henderson 1997). On reflection I have actively chosen to arm myself with qualities such as warmth and unconditional positive regard, empathy and genuineness to help me provide a professional positive experience for each of the patients I attend as an advocate for the ambulance service. References Bledsoe, B. E. , Porter, R. S. Cherry, R. A. (2006). Therapeutic communications. In Paramedic care, Principles Practice: Introduction to advanced prehospital care (2nd ed. ). (pp. 464-480). Upper Saddle River, New Jersey: Brady, Pearson, Prentice Hall. Del Mar, C. Henderson, M. (1997). Communicating bad news to patients and relatives. Kubler-Ross, E. (1969). On death and dying. London: Tavistock Publications. Ordog, G. j. Wasserberger, J. (1986). Dealing with sudden death of the emergency patient. Canadian family physician, Vol 32, 797-802. Retrieved from ncbi. nlm. nih. gov/pmc/articles/PMC2327621/pdf/canfamphys00194-0003. pdf Sanders, M. J. (2001). Mosby’s paramedic textbook. (2nd ed. ). St. Louis: Mosby-Elsevier. Soreff, S. M. Cadigan, R. T. (2003). EMS Street Strategies: Effective patient interaction. Clifton Park NY: Delmar Learning.

Questions about Asia Assignment Example | Topics and Well Written Essays - 750 words

Questions about Asia - Assignment Example In a family, it is the number of persons divided by the available arable land. Rate of natural population increase refers to the total birthrates minus the total death rates in a given population. In a family setting, the rate increases with a figure and decline if the figure is negative. Doubling time refers to the period required to achieve a double population growth rate. Doubling time involves dividing the growth rate percentage into 70. A growth rate of 3.5 shows a doubling time of 20 years. Gobi desert, a cold desert and the fifth largest in the world is Asia’s largest desert (Man 8). The desert constitutes of bare rocks unlike many other deserts that are sandy. The desert has a historic treasure for fossils, pre-historic tools and early dinosaur eggs. Gobi desert has extreme environment with temperatures of over 100 degrees in summer and below – 40 degrees in winter. The desert has rapid climatic changes and little rainfall. The desert homes many animals and drought resistant shrubs. Gobi is semi desert and desert and is expanding at a high rate. The desert has a history of human habitation by mostly nomads. The desert has strong dusty winds during the fall and spring and has a water oasis. Gobi is a Mongolian name which means ‘very large and dry’. The Himalaya Mountains block the desert from receiving enough rainfall (Man 10). Taklimakan desert is a dry and hot desert. It is the largest in China and has vast salt accumulation. The desert is sandy and contains crescent shaped sand dunes that can reach 300 meters high. This desert is one of the world’s largest shifting sand deserts. The desert has frigid temperatures. The desert is moving to the neighboring areas due to a shift in the sand caused by strong winds. South Asia has several mountains examples being Himalayas and Mount Everest. The Himalaya Mountains are the highest in the world. The

Analyzing a building or architecture based on several questions, see Essay

Analyzing a building or architecture based on several questions, see them in the uploaded file - Essay Example The size of the arena is estimated by the seating arrangement which is 5,110 permanent seats with 7,610 moveable chairs. Dorton Arena is opened to various patrons or clients across a diversity of the world. For instance, in the earlier days it was a residence of various sports teams and presently is the residence of the Caroline Rollergirls Its plan constituents steel, cast iron, parabolic arches, ground and tiers underneath rigid chairs are concrete. The support-hanging roof is a grooved metal decking enclosed with a bonded ceiling cover, while the edge columns are concrete-encased steel. Windows are steel framed with painted, glare-reducing glass. Therefore the materials used widely for construction are steel and concrete. The purpose of the building was for multi-use but the initial intention was to be just a domestic animals exhibition area and later, in the finishing point, still, it was approved extended use, showing the current necessitate for flexibility in the plan of intern al venues. For example it was a perfect place for business shows, graduations, sporty events, circuses, speakers, and other special events. In addition to above events, the arena is also used for concerts during the North Carolina State Fair. ... It is therefore a multipurpose building. In view of the fact that the building is multipurpose, it serves several people in the world who are in different sector of production. Furthermore, it is at the interest of the North Carolina especially in the following sectors; farming, production, business and education The building’s function influences its design in that, the literary & aesthetic value of the building completely compliments the wants of the functions taking place indoors, in the view that the tent-like, weigh down formed roof measures the original use of extra bent delay form in a structural design. In this case, the tiered seating of the ground and the line of the roof increase in equivalent. Comparing to other buildings that serve the same purpose, Dorton Arena is the most likeable structure because of its services that it provides. Thus, agriculture, industry, and commerce but it has seen a mixture of other functions. In the 1970’s it hosted the American Basketball Association’s Carolina, Raleigh Ice Caps, a minor league hockey team, called Dorton its home from 1991 to 199. It is also specious and therefore accommodates many people than other buildings. It is again influencetial to the future designs. For instance, in 1957, the American organization of Architects acknowledged the arena as one of the top best structure most anticipated to persuade the expectations of American architecture. It was listed as a state famous headstone in 1972 and The National Park Service says the structure has been highly praised globally for its modern blending of design and engineering. It’s two-twisted parabolic arch plan, edge hold columns, and wire structure provides a clear view from anywhere indoors and the building's

Industrialization and Appalachia Essay Example for Free

Industrialization and Appalachia Essay Industrialization and Appalachia The Industrial revolution did not â€Å"skip over† Appalachia but the native mountain people did not benefit from the effects of industrialization and were left in a worse situation. The stereotype of the Appalachian people that was formed prior to the industrialization era was that mountain people were noble, savage, independent, proud, rugged, dirty and uneducated. The industrialists to promote economic development and industrialization of Appalachia used this backward image of the Appalachian people. They believed that the native Appalachian people were incapable of developing the Appalachian Mountains natural resources on their own. However in trying to keep up with the modern world during the industrial revolution the people of Appalachia were doomed to their pre-industrial image. Until the era of industrialization Appalachia was a region of small, open-country communities, concentrated in valleys, coves and hollows. Each community of farms was self-sufficient socially and economically. The focus of a self-sufficient farmer was that of survival by working in their own crops and hunting or raising livestock for food. They tended to have large families to help with all the demands of the farm. After the Civil War northerners came into the southern Appalachian Mountains, and many were surprised by what they found. They found a multitude of mineral and timber wealth as well as a romantic beauty of the mountain landscape. Capitalists responded to this discovery and began to industrialize the Appalachian Mountains for their own profit. Capitalists believed that the Appalachian people were too backward to know that they were sitting on an abundance of resources so they manipulated the mountaineers into selling large amounts of land for basically nothing. As Eller wrote in his book Miners, Millhands and Mountaineers, â€Å"some sold entire mountains for a mule, horse or rifle†. Industrialization depended first upon the building of an adequate transportation system into, out of, and within the mountain regions of the South. The railroad was built and it opened the doors to the full exploitation of the mountains natural resources. Coal and timber extraction were the primary resources that drove the Industrial Revolution in Appalachia. The extraction of these resources required the employment of the Appalachian farmer. The mountaineer left their farms for wage employment  and became dependent on that. The uncontrolled flow of the coal and timber industry took up huge plots of farmland and forced families to move to the mining towns. With the presence of the coal and timber companies in place, the mountaineer could not hope to be more than barely self-sufficient. The area industrialized without developing sufficient infrastructure to sustain itself, dooming the mountain people to poverty. The average mountaineer had been an independent sort of person, running his own farm, raising a family and building his own future. When brought into coal, timber, and textile towns, he was at the mercy of his employer. The mountaineer became totally dependent on his employer and was forced into terrible conditions. Besides this dependence to his employer the mountaineer could not go back to his old home place and farm again because the cutting of timber ruined agriculture. â€Å"One of the most important results of industrialization in Appalachia has been the negative impact it has had on the long-term economic health of the region. None of the industries in Appalachia, and especially not the coal industry, encouraged rival or spin-off economic development during their boom years. The effect has been sporadic economic growth without real economic development† (A Handbook to Appalachia, 15). In Miners, Millhands and Mountaineers, Ellers thesis was that while Appalachia had undergone industrialization, the region itself failed to modernize. He argues that during and after the industrialization process mountain people lost their independence and self-determination of their ancestors, without becoming full participants in the benefits of the modern world. The mountain people found that the growing prosperity had bred greater dependence on the system beyond their control. Worst of all, none of the wealth the industrialists stripped from the mountains remained there. The industrial revolution was not properly development in Appalachia and it left the Appalachian people poor and barely able to care for themselves. So it is obvious that, in trying to keep up with the modern world, the people of Appalachia were doomed to their pre-industrial image or stereotype. Works cited 1. A Handbook to Appalachia, an introduction to the region; edited by Grace Toney Edwards, JoAnn Aust Asbury, Ricky L. Cox Copyright 2006 by the University of Tennessee Pres/Knoxville. 2. Eller, Ronald D. Miners, Millhands and Mountaineers. The University of Tennessee Press, 1982.

Anabolic Steroids :: essays research papers fc

In today’s modern age muscle supplements have become the answer for many young people to develop the body which they want to achieve. Younger users are taking supplements without thinking about the consequences that go along with taking them. Young athletes are choosing to buy muscle substances that they know nothing about. To get to the solutions on how to fix the supplement problem among young athletes, it is most important that we educate both the athletes, and their parents about the risks involved with taking muscle supplements. It is vitally important to understand what the supplements are and why athletes take them. Creatine is an amino acid that is produced in the liver, pancreas, and kidneys, and it helps muscles replenish adenosine triphosphate (ATP), which fuels muscle contraction (Balsom). Creatine was made famous by the Major League Baseball player Mark Maguire, who openly shared with the public his daily use of Creatine. Mark Maguire broke the record for homeruns hit in a season, and since then Creatine has become the most widely used supplement out on the market. No one is sure about the long term side effects of Creatine. Some scientists believe that when being used by young athletes it may stunt the growth of the adolescent. Some of the short term side effects include cramps, especially in the legs, and upset stomach. I used Creatine when I was 16 years old, and built up an extra 15 pounds of muscle while on the supplement. My main sport was soccer, and the extra muscle was great and helped me tremendously at first. Then problems started occurring in the lower half of my body. My legs would cramp while I was in the middle of a game, which had never happened to me before. It was then that I realized that Creatine was causing the cramps. Soccer requires a large amount of running, and with constant leg cramps I was unable to perform at the level I needed, so I stopped using the supplement. Within two weeks I had lost the extra 15 pounds, which was disappointing, but I was cramp free in the legs, which was a relief. Several of my friends who played football were also using Creatine, but the sport they played required less running, and more muscle. Therefore the supplement aided them in becoming better football players. The key to using supplements lies in the results you want to achieve, and the risks you are willing to take.

The Solitary Reaper Essay

‘The Solitary Reaper† is one of William Wordsworth’s most famous post-Lyrical Ballads lyrics. It describes the poet’s delight in a young woman’s melancholy song in an unknown language. A highland girl is singing a ‘melancholy song’ as she wings a sickle and reaps grain. The song is carried through the hills and valleys and seems to echo all around. To the poet the song seems sweeter even than the song of Nightingale. He does not want anyone to disturb the enchanting melodious music emanating from her. The tone of this poem is pleasant and it is a poem of praise on the natural beauty of countryside as well as the relaxed life of the rural people. Stylistic plays a very import rule in any writing, which fully helps express the author’s feeling and create an unexpected effect. This article discusses the language of this poem from syntax, phonology and graphology, semantics, lexical, language usage and passage. 1. Syntax (1) Parallelisms refers to the same structure is repeated two or more than two times. It can produce some esthetic efforts: patterned and in rhyme, good to read. In Stanza2, â€Å"Among Arabian sands†¦Among the farthest Hebrides† emphasize the Scottish girl’s special voice, which shows that the poet was impressed by the girl’s beautiful voice. (2) Inverted sentences are to change the normal word to produce some emphatic effect. â€Å"No Nightingale did ever chaunt†, â€Å"A voice so thrilling ne’er was heard† here is to emphasize that the solitary reaper’s voice is unique. In addition, this structure can keep the balance of sentence. (3) Rhetorical questions are to use the form of a question in order to express a strong emotion or to emphasize a particular aspect. â€Å"Will no one tell me what she sings† â€Å"Or is it some more humble lay, famillar matter of today?† â€Å"That has been, and may be again?† Since the poet couldn’t understand what the girl was singing, it seems that he asked these questions to himself. However, they are actually asked to the readers. Thus, the poet used the rhetorical question to connect with the readers by attracting their attention making them participate in his thinking. In addition, there are no exact answers to the question, which is thought provoking and emphasize the unique and impressiveness of the voice. 2. Phonology (1) Sound pattering can achieve a sense of rhythm and harmonious and connective effect. Assonance refers to the use of the same, or related, vowel sounds in successive words and consonance refers to the repletion of the last consonants of the stressed words at the end of the lines. For example â€Å"Sorrow, loss or pain†, this usage of the same sound â€Å"/o/†, â€Å"single†, â€Å"reaping†, â€Å"singing†, â€Å"sing†, â€Å"nightingale†, the repetition of /ing/, and â€Å"still†, â€Å"hill† in â€Å"I listened, motionless and still† and â€Å"And, as I mounted up the hill†, all this create a harmonious effect and sounds good. (2) Rhythm refers to a rhyme scheme (pattern) formed by stresses perceived as peaks of prominence. This poem consists of four stanzas, the first and fourth stanzas follow strictly the thyme pattern ABABCCDD, while the second and third stanzas are in the pattern of ABCBDDEE. Every stanza has end rhyme in this poem. For example, the end rhyme in the first stanza is /t/ /s/ /t/ /s/ /d/ /d/ /s/ /s/. (3) Punctuation marks are mainly used for special stylistic effects or rhetorical purposes. This poem adopts exclamation marks, for example â€Å"Yon solitary Highland lass! Stop here, or gently pass!† to expressing special feelings of impressiveness of the girl’s voice dash. Besides, â€Å"Will no one tell me what she sings? —Perhaps the plaintive numbers flow for old, unhappy, far-off things †, the usage of the dash here is to give the various guess on the question. 3. Semantics (1) Reference means that some units of language can be explained by referring to some other elements in the above or in the text below. And the author uses anaphora, one kind of reference, points above in this poem. â€Å"her† and â€Å"she† appearing in first and last stanza refers to the â€Å"reaper† in the title. This kind of reference can avoid repetition or burdensome, and looks simple of a language. (2) Conjunction refers to the elements which connect the clauses and sentences in a text, such words as, â€Å"and†, â€Å"or† etc. â€Å"And battles long ago†, â€Å"Or is it some more humble lay†, â€Å"And, as I mounted up the hill† It is used to show the detailed relations with each parts and this can show the author’ pleasant feeling about the song sang by the highland girl. 4. Lexical (1) Many of the words (images) chosen are poetic or obsolete words which are not frequently used in our daily life. For example, â€Å"Behold†(see), â€Å"yon†(German â€Å"jene†), â€Å"vale† (valley), â€Å"chaunt†(sing), â€Å"numbers†(lines), â€Å"lay†(song). These archaic words show that it is of formal style. (2) The word â€Å"overflow† is quite impressive. Using this word, the sounds of nature sung out by the solitary girl are so vivid that readers seem to visualize the smooth movement of the notes within the valley as well as to hear the song. The poet transferred the sense of hearing into visual and tactile feelings by using this word 5. Language The poet mainly use Simile and comparison in the this poem. â€Å"No Nightingale did ever chaunt more welcome notes to weary bands†¦Ã¢â‚¬  â€Å"A voice so thrilling ne’er was heard in springtime from the Cuckoo bird, breaking the silence of the seas†¦Ã¢â‚¬  The poet compared the girl’s singing to a Nightingale and Cuckoo bird. The metaphor and the comparison between the voice of the girl and that of the Nightingale and Cukoo at once points to her commonness and exclusiveness. It also underlines the power and purity of the voice of the solitary girl. 6. Passage At the beginning, the poet encountered a solitary Scottish rustic girl who was reaping and singing a melancholy song which had a charm for him. And then the poet made two comparisons of the melody to the sweet voice of a nightingale and cuckoo-bird. He stated that the girl’s song was far more beautiful than them. At the same time, the poet began speculating the content of the song which was sung in Scot—whether it was about some old, sad matters or some sufferings of present time. In the end the poet made a conclusion in which he emphasized the lingering effect of the music on him. In conclusion, this poem, â€Å"The Solitary Reaper†, reflects many sides of stylistics, including syntax (parallelisms, inverted sentences and rhetorical questions), phonology (sound pattering, rhythm, and punctuation mark), semantics (reference, conjunction), lexical (images), and language. It fully helps express the author’s feeling and create an unexpected effect. In a word, stylistics can be almost found and used in every kinds of writing.

15 Smile Quotes to Improve Your Face Value

Every morning, the newspapers bombard us with stories of death, destruction, and agitation. On a rare occasion, we read news that brings optimism and hope. Why should we begin our day reading morose news that builds on our frustrations? Lets begin our day with a smile. Smile. It is a simple act, but sometimes takes a lot of effort. Why dont we smile more often? Is it too tough to smile? The answer lies in our attitude towards life.  If we are more accepting of situations, we will be able to smile more easily. A smile can do wonders. Start your day smiling and see how the magic begins to work. People smile back at you; you feel happier, and you also make others happier. Sounds simple, right? Yet, we forget to smile. If you want a smile on your face, read these  fun quotes. It’s the best way to bring some fun into your life and start smiling. A smile can improve your looks and makes others find you pleasant, but apart from these obvious benefits, smiling has many more advantages: A Smile Makes You Look and Feel Younger A smile is an outward expression of a happy person. A positive attitude releases the right neurotransmitters and makes you feel and look young. It is a well known fact that happy hormones retard the aging process. Smiles Can Patch up Problems and Make Them Go Away Of course, the smile has to be a genuine one, not a wicked, sly grin. If you want to say sorry, sometimes an apologetic smile can suffice. Want to break ice in a new group? Smile! You will usually find others responding with a smile. Have you fought with your girlfriend, but dont want to stay mad? Smile and let go of your pent up anger. Smiles Bring in Business All sales people are taught to smile and befriend their customers. A smiling salesperson opens more doors to business than an unsmiling one. Likewise, if you are presenting to a delegate of buyers or dealers, a smile will improve your presentation manifold. Use your smile as an ultimate business tool to generate revenue. Pets Will Love You More If You Smile New research has shown that dogs are able to understand human smiles as a positive. They can look into a human face and decipher whether the face is smiling or frowning and what that means. Pets connect with humans on an emotional level. So the more you smile, the more your dog will love you. A Smile Can Spell the Beginning of a Great Relationship Like that girl in the neighborhood? Why dont you begin your friendship with a smile? Work on your facial curves and win her heart with your handsome smiles. Be generous when it comes to smiling. A smile is all it takes for love to blossom. Dont look for the best pickup lines, or a perfect way to say, I love you. A smile can say it all. Quotes on Smiling Read these quotes that teach you to smile.  As  Martin Charnin said, Youre never fully dressed without a smile. Phyllis DillerA smile is a curve that sets everything straight. Charles GordyA smile is an inexpensive way to change your looks. John Ray Beauty is power; a smile is its sword. Jim Beggs Before you put on a frown, make absolutely sure there are no smiles available. Mae West Dont cry for a man who has left you, the next one may fall for your smile. Mother Teresa Every time you smile at someone, it is an action of love, a gift to that person, a beautiful thing. George Carlin If a man smiles all the time, hes probably selling something that doesnt work. Maya Angelou If you have only one smile in you, give it to the people you love. Dont be surly at home, then go out in the street and start grinning Good morning at total strangers. Andy Rooney If you smile when no one else is around, you really mean it. Lee Mildon People seldom notice old clothes if you wear a big smile. Walter Anderson Smile. Have you ever noticed how easily puppies make human friends? Yet all they do is wag their tails and fall over. William Shakespeare The robbd that smiles, steals something from the thief. Leo Buscaglia Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around. George Eliot Wear a smile and have friends; wear a scowl and have wrinkles. Mark Twain Wrinkles should merely indicate where smiles have been.