Thursday, October 31, 2019
Krean kimchi culture research Paper Example | Topics and Well Written Essays - 1500 words
Krean kimchi culture - Research Paper Example This is why kimchi is a special dish for them. In America and in other parts of the world, the dish has gained quite a following. By conducting research on my Korean friends, I discovered that kimchi as a culture is getting popular no matter in Korea or America. This is not only because of its tastes, healthy ingredients, nutritional value and its history, but also because it represents the spirit of the Korean people and culture. The world now is full of health products. Their manufacturers say the products will help clean peopleââ¬â¢s bodies, prevent diseases or sicknesses or help people live longer. Some of these products are supposedly organic while some come in the form of capsules or tablets that are made from chemicals. I find this fact ironic because I do not think chemicals can be good for the body. As for eating organic food, I have yet to appreciate the taste because sometimes it can be very unfamiliar to the taste buds. Hanging out with several friends from Korea, I found out that Koreans do not care for organic food or food supplements because they have their own ââ¬Å"health dishâ⬠. This is what they call kimchi. I was further intrigued by kimchi when I discovered that it was being enjoyed around the world by non-Koreans, too. Health enthusiasts around the world have found out that the ingredients in the dish bring a lot of nutrition to oneââ¬â¢s body. To find out more about this Kor ean delicacy, I conducted some research and personally interviewed some of my Korean friends. This paper is a collection of my friendsââ¬â¢ experiences about kimchi. A non-American living in the United States cannot avoid eating fast food. The country is known for its McDonaldââ¬â¢s, Burger Kings and iHops. These chains make eating convenient for the busy people in the country, foreigner or not. Koreans are no exception. However, since the K There are various kinds of Kimchi according to what main
Tuesday, October 29, 2019
Finance Essay Example | Topics and Well Written Essays - 1000 words - 13
Finance - Essay Example discounted payback period, accounting rate of return, net present value, internal rate of return, modified rate of return and profitability index (Shapiro & Balbirer, 2003, pp.242). However, I find Net Present Value (NPV) as the most reliable capital budgeting technique. I will support my point by providing a thorough comparative analysis of NPV with the four most common techniques, accounting rate of return, payback period and internal rate of return. Each method is explained with the help of numerical examples found in the Appendix. Net Present Value is a technique which takes into account the time value of money. NPV for a project is calculated by finding out the present value (PV) of all the future cash flows, which the investment in the project is expected to generate. The PV of future cash flows is found by discounting them at the expected rate of return or cost of capital. Then, sum of the PV of all cash flows is compared with the cost of investment (Hampton, 1998, pp. 328). The selection criterion of a project is that, if the PV of future cash flows is greater than the initial cost of investment, the project should be selected. In other words, NPV tells us the present worth of cash flows which would be generated by the project in future; hence, if the initial investment that we make today is less that the expected cash flows present value, it means we will cover our cost, only then it will be wise to select a project. The formula to calculate NPV is sum of present values of future cash flows minus initial investment cost. A rule says that any project which has NPV greater than $0 should be selected, however, in case of mutually exclusive projects; where you have to choose one out of all the alternatives, choose the one which shows a higher NPV. The following paragraphs will carry out an in-depth analysis of the advantages and disadvantages of using this technique, so that we can have a clearer idea about situations when it can highly aid investment
Sunday, October 27, 2019
The main aim and focus in psychodynamic psychotherapy
The main aim and focus in psychodynamic psychotherapy The main focus of psychodynamic psychotherapy is to help individuals make sense of current problems and view how their past has/might/will/ have affected the current situation that would have brought them to counseling. Psychodynamic views the person as a whole thus mind, body, soul in order to recognize the relationships between these dimensions which make up the person. These internal relationships are dynamic, always changing as they form an individual. Psychodynamic psychotherapy helps review experiences and feelings that can only be understood in relation to a clients past. This is inturn helps reflects possibilities which might have led to the current problem or situations and hence counselor and client will explore the unconscious into the conscious mind. In psychodynamic psychotherapy there is the topographic viewpoint, which refers to the layering of mental processes into conscious, preconscious and unconscious. Freuds topographical model represents his configuration of the mind. According to Freud, there are three levels of consciousness, conscious this is the part of the mind that holds what one is aware of, people can visualize about their conscious experience and can think about it in a logical fashion. While the preconscious level is the ordinary memory meaning to say things stored here are in the conscious, they can be readily brought into conscious. Freud felt that this part of the mind was not directly accessible to aw areness. In part, he saw it as a damping place for feelings and ideasà that are tied to depression anxiety, conflict and pain and if not dealt with will lead to cases of suicidal thoughts. These feelings and thoughts if not dealt with and according to Freud, they are the exerting influence on our actions and our conscious awareness (Messer 1995). Psychodynamic psychotherapy goes in depth of every detail presented in the therapy whether its past or present situation as the main aim is to view how the past might have affected the present. Psychoanalytic concepts explain human growth and development, and the nature of psychological problems. Psychodynamic counseling uses the therapeutic relationship to gain insight into unconscious relationship patterns that evolved since early stage of life, memories and other evidence of early relationships are used to make sense of current problems. The process of change occurs as clients become more aware of the effects of the unconscious, including defense mechanisms that influence negative behavior, and hence more able to control their actions and responses in the future. Existential approach sees humans as being able to change and transform a negative lifestyle to a positive, living and meeting the conditions of worth meaning clients live a life that Rogers explained to be conditions of worth that are threatening to the self ( Barret-Lennard,1998, p.101) .Meaning to say the individual can no longer live as unified whole life as this is further explained to mean one might be deserting themselves from the way of a positive lifestyle they once lived. The existential approach is all about exploring meaning and value and learning to live authentically meaning living in accordance with ones priorities and values. The existential approach hold that the human being struggle is with the givens of existence that is death, isolation, freedom and meaninglessness.People often ignore these existential givens, until life events increase the sensibilities (Corey, 2005, p.174) According to Yalom, these four existential realities are the root of most psychological problems . While other existentialists may be more optimistic about the ability of people to find answers to these questions, it is generally agreed that these four issues are central to the human experience. That is why Existential counseling seek to empower the client through self actualisation working with the here,now and the futurenot including the past (Blackham, 1975, p.114). The approach is mainly person centered as it views the client as their own best authority on their own experience, and it views the client as being fully capable of fulfilling their own potential for growth. It recognizes, however, that achieving potential requires favourable conditions and that under adverse conditions, individuals may well not grow and develop in the ways that they otherwise could. People commonly become aware of their desire for counselling when there is some internal or external disturbance in the homeostasis of their lives, the hormonal imbalances of adolescence often coincides with emotional storms which bring them to a counsellor (Clarkson, 1999,p 41 ) People seek counseling for a variety of reasons that include but are not limited to the following sadness, anxiety, relationship problems ,loss of work, persistent feelings of isolation and loneliness, or even aiming or needing motivatition to be more successful in life,work or relationships. (Prochaska Norcross, 2003) Wexler, 1974 viewed therapy as a process of expanding consciousness and bringing about more effective information that would occur in the context of genuine empathic relationship characterized by positive regard. à Existential therapy seeks to help clients live with freedom and to remove the limitations that are self-imposed.à By challenging clients about rigid beliefs and thought patterns, therapists work to provide an environment where individuals are safe to consider their belief systems and adopt new views.à Therapists focus on current life situations the client is dealing with rather than resolving past issues.à Through this focus on the here and now, individuals address their beliefs and look at enjoying life more fully and with more appreciation . Sessions of psychodynamic psychotherapy have greater frequency to allow for more in-depth treatment. The duration of individual sessions varies, It is not usually possible at the start of treatment to estimate the number of sessions that will be necessary in order to achieve the persons goals. It is possible, however, for the person to make arrangements for a specific number of sessions. Psychodynamic psychotherapy and existensial humanistic counseling operates the same way in the counseling room.They all begins with a period of evaluation during which the client discusses with the therapist the reasons for seeking treatment. This process gives the therapist the opportunity to learn about the person, to develop an understanding of his or her troubles, and to formulate ideas about how treatment should proceed. This phase of interviewing and learning may take place in one session or over a series of sessions; or it may be done in a less structured manner, depending on the therapists style. At some point within the first few sessions, the therapist and the individual will come to a mutual understanding of the goals for treatment. The two methods of counseling only defer with what has to be discussed in the treatment room meaning to say psychodynamic goes deeper into exploring a clients past of which existential only deals with current problems and focus on way forward. By allowing the client to communicate ,the counselor encourage self exploration on the clients part and also allowing the client to hear themselves speak and becoming familiar with their own thoughts and feelings that the client may have not realized had the opportunity to see (Meier Davis 2005 ). When the thoughts and feelings are taken back inside the projecting person from the other person, they may be better able to handle them as they also bring back something of the other person and the way they appeared ( Meir Davis 2005) bringing to attention that treatment will be focusing primarily on the insight of past present and future helping to make the unconscious conflict become conscious. session, the therapist is trying to judge, how much you are in touch with your own feelings, what feelings you are not aware of, how close are you to knowing the unconscious feelings, how painful these feelings are to you, and how well you can tolerate the pain that becoming aware of these feelings will bring. In the book Systems of psychotherapy, Rogers emphasizes the importance of communication as a genuine sense of empathy so that clients will experience a deeper understanding and acceptance of what they will be going through (Prochaska Norcross, 2003, p.89). As according to Prochaska some experiences are distorted or denied, there is incongruence between what is being experienced and what is symbolised as part of a persons self concept. According to Prochaska, an individual have an experimental world, in order to understand a clients action a counsellor who use both existential humanistic and psychodynamic counselling therapy place himself in the internal framework of a client (Prochaska Norcross, 2003, p.141). Wexler, 1974 viewed therapy as a process of expanding consciousness and bringing about more effective information that would occur in the context of genuine empathic relationship characterized by positive regard. A client whose counsellor might not want to use psychodynamic therapy (that is talk about past experiences in depth) may feel that the counsellor does not want to touch on certain issues of his/ her life . The therapeutic relationship in contemporary psychodynamic counselling is based on acceptance, empathy and understanding, with an emphasis on developing a good working alliance that fosters trusts. The counselor takes account of the real world of the client, including the impact of trauma, cultural difference, sexual orientation, disability and social context. The insight and understanding about human functions gained from psychoanalytic theory, can enhance the life of the counselor as well as the client, and can be put to a variety of good uses. The most defining strength of psychodynamic theory is the appreciation of the unconscious, Freud attempted to provide a means of understanding the unconscious world as it tends to review and work closely with the present situations/ probles being explained by client (conscious) . At the same time some clients might not feel comfortable to discuss their past or explore themselves and their feelings might work well with existensial counselors . existential humanistic counseling core condition of unconditional positive regard means the client is free to explore all thoughts and feelings, positive or negative, without danger of rejection or condemnation which leads to empathic understanding of clients thoughts, feelings, from the clients own perspective. Unlike in psychodynamic counseling where the counselor takes the journey to the clients past and try to match their current problems with their past. Existential therapy in a way makes the client grow in their own way unlike psychodynamic that tries to match personalities traits of clients generation to what they will be going through in the present time. However in psychodynamic therapy by getting deeper with clients past the counselor will know more information, behaviour, character and self defenses of a client. In doing so it helps strengthen their relationship as the client feels more comfortable to explore more issues in their past life and this will in turn might stren gthen the relationship of them .Psychodynamic psychotherapy is a form of depth therapy because its aim is to reveal or try to make sense of the unconscious to become conscious. The goals of psychodynamic psychotherapy vary therapy seeks to relieve a client through the development of insight, or the slowly developing awareness of feelings and thoughts that were once outside of the persons awareness through guidance from a therapist, the adult becomes aware of present ways of coping that are ineffective and how they served a purpose in childhood that is no longer relevant. The person learns that he or she now has a range of new options for solving problems, and for living in general that are now based on his or her maturity and independence.
Friday, October 25, 2019
Concert Report Essay -- essays research papers
On June seventh at eight oââ¬â¢clock pm I attended a concert at Beneroya Hall. The concert was part of the Masterpiece series, performed by the Seattle Symphony and conducted by Hermann Michael; also including a special performance by the pianist Hà ©là ¨ne Grimaud. The performance included four pieces, two by Ludwig Van Beethoven, one by Maurice Ravel, and the last was by Richard Strauss. The two pieces by Beethoven were; Overture to The Construction of The House, and piano Concerto No. 4 in g major, Op. 58. The piece by Ravel was Pavane for a Dead Princess. Finally the last by Strauss was Death and Transfiguration. I truly enjoy going to the symphony, the music is quite a bit better than on any type of recording I have ever heard. The segment that I enjoyed the most was the Piano Concerto, beca...
Thursday, October 24, 2019
Gulliver’s Travels: Don Pedro de Mendez
In the beginning, Book IV of Gulliverââ¬â¢s Travels starts off as an almost comedic anarchist story of a captain being held hostage on his own ship and being thrown off board on a strange unknown island, but in reality ends up being a satiric comment on society with a deep philosophical meaning. The author, Jonathan Swift, cleverly intertwined many intelligent, complex and interesting characters into the voyages of the antagonist: Lemuel Gulliver. Don Pedro De Mendez, a character introduced by Swift in the eleventh chapter, serves great use to the plot as well as to the readersââ¬â¢ understanding of Book IV of Gulliverââ¬â¢s Travels.Particularly as a bridge between two worlds; the reason (being the land of the Houyhnhnms) and the lawless (the yahoos or humankind around the world). Don Pedro De Mendez serves as a function of making the antagonist reflect. When the first encounter is made with Don Pedro we see that he is an outstanding ââ¬Å"Yahooâ⬠. ââ¬Å"He was a very courteous and generous person; {â⬠¦} desired to know what I would eat or drink {â⬠¦} but he ordered me a chicken and some excellent wine. â⬠(Swift 2456). The reader acknowledges from the start that he is a kind, generous, amiable and loving man.Many manners Don Pedro presents towards Gulliver leadââ¬â¢s him to commence his questioning in regard of whether humankind is really as awful as the Houyhnhnms have portrayed. ââ¬Å"that I wondered to find such civilities in a Yahooâ⬠(Swift 2456). Don Pedro showed care for Gulliver not only when he took him on board gratis but when he saved him from jumping off the boat to his death. ââ¬Å"He desired to know my reason for so desperate an attempt; assured me he only meant to do me all the service he was able {â⬠¦} that at last I descended to treat him like an animal which had some little portion of reasonâ⬠(Swift 2456).At this point Gulliver begins to realise that, even though he is still repulsed by human l ook and smell, not every Yahoo is as appalling as he is lead to believe. At this point, it is quite obvious that Don Pedro is inserted into the plot for a definite reason and it starts to take effect on Gulliver. Not only does he manage to withstand Don Pedro and his sailorââ¬â¢s company but he begins to create false pretences ââ¬Å"but pretending I was sick, kept close in my cabin. (Swift 2458) while he says that only Yahoos lie ââ¬Å"the use of speech was to make us understand one another, and to receive information of facts; now, if any one said the thing which was not, these ends were defeated, because I cannot properly be said to understand him; and I am so far from receiving information, that he leaves me worse than in ignorance; for I am led to believe a thing black, when it is white, and short, when it is long. â⬠(Swift 2428). ââ¬Å"For I had quite forgot the faculty of lying, so particular to Yahoos in all countries where they preside, and consequently the dispo sition of suspecting truth in others of their own species. (Swift 2456). More and more as the plot refines itself, Gulliver begins to regain old everyday humanoid habits. ââ¬Å"I only desired he would lend me two clean shirts, which having been washed since he wore them, I believed would not so much defile me. These I changed every second day, and washed them myself. â⬠(Swift 2457). ââ¬Å"The captain persuaded me to accept a suit of clothes newly made {â⬠¦} which I aired for twenty-four hours before I would use them. â⬠(Swift 2457). Jonathan Swift also used the character of Don Pedro as a plot mover. He helps advance and continue the plot in many ways.Primarily, if his ship was not spotted at just the perfect time by Gulliver, Gulliver would have continued to the northern end of the peninsula and probably have been hunted down by natives and murdered. The presence of Don Pedro saves Gulliverââ¬â¢s life twice that day, ââ¬Å"and in half an hour stole out, when I thought the crew was at dinner; and getting to the side of the ship, was going to leap into the sea, and swim for my life, rather than continue among Yahoos. But one of the seamen prevented me {â⬠¦} I was chained to my bedâ⬠(Swift 2456) so if Don Pedroââ¬â¢s men would not have been there to stop Gulliver from jumping, the plot would have ended. When they began to talk, I thought I never heard or saw any thing so unnatural, for it appeared to me as monstrous as if a dog or a cow should speak in England, or a Yahoo in Houyhnhnmlandâ⬠(Swift 2456). Also, Don Pedro and his men were the first Yahoos he spoke to in five years, which helped his progression from a houyhnhnm to a humanoid. ââ¬Å"When they began to talk {â⬠¦} they spoke to me with great humanity, and said they were sure their captain would carry me gratis to Lisbon. â⬠(Swift 2456). Finally, thinking that Gulliver is ready, shown in this quote: ââ¬Å"In a weekââ¬â¢s time he seduced me down to the door.I found my terror gradually lessened, but my hatred and contempt seemed to increase. I was at last bold enough to walk the streets in his company. â⬠(Swift 2458). Don Pedro assists the plot by persuasively pushing Gulliver to return to his hometown in England and try to weave back into society. ââ¬Å"Don Pedro {â⬠¦} put it upon me as a point of honour and conscience that I ought to return to my native country, and live at home with my wife and children. â⬠(Swift 2457). Although Don Pedroââ¬â¢s intentions were kind and comely, the attempt was a failure.Once arrived in Redriff, his hometown, he realised that he was not cured. ââ¬Å"The sight of them filled me only with hatred, disgust and contempt; {â⬠¦} my wife took me in her arms, and kissed me; at which, having not been used to the touch of that odious animal for so many years, I fell in a swoon for almost an hour. â⬠(Swift 2459). In conclusion, Don Pedro De Mendez serves as a function of mak ing the antagonist reflect on whether he shall return to the world of the Yahoos or not, in this sense Jonathan Swift uses his character as a plot mover thus demonstrating a bridge between two worlds.Don Pedro also serves as a summary clearly stating the most important part of the climax to the readers so they may understand better what is going on. In general, Swift uses Don Pedro as a coin flip; on one side we find the rational world of the Houyhnhnms and on the other side the ââ¬Å"irrationalâ⬠world of the Yahoos or humankind. If you compared the situation between the Houyhnhnms and the Yahoos to present society throughout the world, how rational are we exactly?Difference in opinions has cost many millions of lives: for instance, whether flesh be bread, or bread be flesh; whether the juice of a certain berry be blood or wine; whether whistling be a vice or a virtue; whether it be better to kiss a post, or throw it into the fire; what is the best colour for a coat, whether black, white, red, or gray; and whether it should be long or short, narrow or wide, dirty or clean; with many more. Neither are any wars so furious and bloody, or of so long a continuance, as those occasioned by difference in opinion, especially if it be in things indifferent. (Swift 2432).
Wednesday, October 23, 2019
Grief and Loss in Adolescence: Principles, Responses and Challenges
Grief and loss are fundamental aspects of life; they are inevitabilities that stem from our mortality and our natural propensity to form deep emotional bonds with those closest to usââ¬âour family, friends and colleagues.Perhaps C. S. Lewis captured the sensation of grief best when he said: ââ¬Å"No one ever told me that grief felt so like fear.à I am not afraid, but the sensation is like being afraid. The same fluttering in the stomach, the same restlessness, the yawning. I keep on swallowing. ââ¬â C. S. Lewis, A Grief Observed How one physically manifests grief may vary between age groups and cultures but it is a universal occurrence in humans who are of normal cognitive development.In this paper, grief and loss will be reviewed in the context of Wordenââ¬â¢s principles and theories; specifically, what these principles say about grief and loss, how they might apply to the adolescence demographic, what challenges the health care provider might expect to encounter when working with a grieving adolescent, and how a health care provider can best respond to a grieving teenager. A series of hypothetical acute care settings will be presented to illustrate how a nurse might best proceed in responding to a grieving adolescent.Death during AdolescenceAdolescence is a transitionary stage of life that poses unique challenges for the individual. Change is the hallmark of this developmental period as teenagers struggle with hormonal changes, newfound desires for independence, confidence issues, and concerns about body image. Grief and loss during this stage of life, whether it be the loss of a parent, relative, or close friend, often greatly exacerbates the emotional state of a teen who is already experiencing the stresses associated with the transition from child to adult.According to Metzgar, typical grief responses of teenagers include anger, depression, withdrawal, frustration, confusion, acting out, and noncompliance (Metzgar, 2002). Unlike young childre n, who often do not fully contemplate the finality of death, adolescents are usually aware that death is final (Freeman, 2005). According to Freeman, adolescents have the mature intellectual development necessary to understand the core concepts of deathââ¬âuniversality, non-functionality, irreversibility, and causalityââ¬âand can elucidate fully the details (Freeman, 2005).This greater understanding of death places adolescents closer to adults on the level of death awareness; however, teens may wonder if a dead person will return; this thinking may include supernatural elements as teens often associate an unexpected death or serious illness with a supernatural event or cause (Brewster, 1982). An adolescentsââ¬â¢ grief experience is highly personal in nature, and unlike adults, teens tend to grieve more intensely.Often their grief response is not expressed smoothly or continuously but takes the form of a series of punctuated outbursts; in some cases an adolescent may make a concerted effort to control his or her emotions (Worden, 1996). In attempting to control their emotions, a teen may retreat inwardly by immersing themselves in highly personal activities such as reading, writing, listening to music, or exercising; in other cases, a teen may want to release the anger and sadness associated with their grief; in this case, he or she may act out angry or antisocial behavior (Worden, 1996).Of particular importance from a health care perspective is the recognition that teens often perceive death as something that happens to others even though they recognize that death is a phenomenon that can and will happen to everyone. When a teen is confronted with the death of a close friend or relative, their perception of death as being a phenomenon that is distant from them, is abruptly challenged. In the case of the death of a peer, death is often suddenââ¬âin an American study, the three leading causes of death in the 15 to 24 year-old age group are acciden ts, homicide, and suicide (Minino and Smith, 2001).In such cases, a teenââ¬â¢s sense of pseudo-immortality is often shattered (Freeman, 2005). The trauma associated with this may cause a teen to experience an overwhelming sense of helplessness or powerlessness (Aronson, 2005). In the case of the loss of one or both parents, a teen may experience a grief reaction that is unique for their age demographicââ¬âan irrational guilt associated with the normal desire to detach from their parents (Freeman, 2005). For the health care worker, it is crucial that this particular grief reaction is considered when helping a teen deal with the loss of one or both parents.Theoretical Principles: Grief and Loss according to Worden.In Grief Counseling and Grief Therapy, Worden conceptualizes the process of grief into a framework of four tasks that he suggests need to be addressed and completed before the process of mourning can be concluded (Worden, 1991). Wordenââ¬â¢s four task paradigm cons ists of:Task 1. To accept the reality of the lossTask 2. To work through the pain of griefTask 3. To adjust to an environment in which the deceased is missingTask 4. To emotionally relocate the deceased and move on with lifeAccording to Worden, children and teens, like adults, must acknowledge and accept the reality and finality of death before they can begin to deal with the emotional impact of this loss (Worden, 1991). Generally this is easier for teens than children because their concept of death is more developed and in tune with that of an adultââ¬â¢s. In order to help facilitate acknowledgement of loss, a health care worker needs to explain the circumstances of the loss in a language that is both accurate and age appropriate.Since maturity levels vary within the teen demographic, one must not assume a given maturity level based on age; in this case the carer should make a concerted effort to determine the maturity level of a teen through dialogue and observation (Smead, 199 4). In task two, Worden suggests that the painful emotions associated with grief need to be worked through. By working through, Worden suggests that emotions need to be released in a healthy manner such that a teen is able to cope with the nature of their loss.In this case, the carer needs to assist the teen with opening upââ¬âhelping the teen discuss their fears and anxieties in a non-judgmental way. Encouraging teens to express their grief through creative arts and by engaging in rituals can be therapeutic in this regard. (Silverman and Nickman, 1999) In Wordenââ¬â¢s third task, adjusting to the loss of a deceased peer, sibling or parent requires that the adolescent develop an adaptation to this loss.Adaptation will be heavily influenced by what role the deceased played in the teenââ¬â¢s life; often this adaptation requires an extended period of adjustment (Worden, 1991). In this case, the health care workerââ¬â¢s role is to help the teen adapt to the loss of old role s (roles associated with the deceased) and adjust to the emergence of new roles (roles previously associated with the deceased now taken up by other individuals). In Wordenââ¬â¢s final task, the deceased are relocatedââ¬âthey are placed in an appropriate emotional place such that the bereaved can move on with their lives.For many bereaved individuals, relocation may involve the pondering of existential questions: Where did the deceased go? Why did they die? Is there a Heaven? Children and teens are often more open to supernatural explanations, and in this case, belief in an afterlife can be therapeutic as it helps the individual maintain a healthy and tangible link to the deceasedââ¬âit may give the bereaved a sense that the deceased is watching over me from Heaven (Silverman, Nickman and Worden, 1992).Grief and Loss in the Acute Care Setting: A Nurseââ¬â¢s RoleWhen a nurse is expected to provide emotional care to a bereaved teen, he orà she must consider a number of factors that may influence the grieving process. These may include: age, level of maturity, psychological state, physical state, and circumstances of the loss. In the following hypothetical case studies, a nurse will offer emotional support directed specifically at teens whom are experiencing different stages of grief as outlined by Worden. The question to be answered in each case is this: What would be the most appropriate nursing response? In each case, as the attending nurse, you will note the individualââ¬â¢s age, statements, stress level, and physical demeanor.Case Study One ââ¬â The immediate loss of a best friendTom is an 18 year old who has been admitted to a hospital emergency room after a traumatic car accident. His best friend Bret was a passenger and has been killed in the accident. Tom has minor physical injuries that you are tending to. He has just been informed that his best friend died at the scene. Emotional and in disbelief, he yells: ââ¬Å"Youââ¬â¢re a ll lying! Bret is not dead! He canââ¬â¢t be dead! He canââ¬â¢t be! Itââ¬â¢s my fault!â⬠Bret is shaking.Response:Using compassionate but clear and direct language you reaffirm that Bret has died. You show empathy to Tom but avoid making value judgments for him that offer explanations for the death or attribute blame. When interfacing with Tomââ¬â¢s parents you explain to them the stage of grief their son is going through and how best to assist him through it.Case Study Two ââ¬â Working through the loss of a parentSarah is a somewhat rebellious 17 year-old with a strong sense of independence. She doesnââ¬â¢t always see eye to eye with her mother, Jenifer. Six months previous, Jenifer died suddenly in car accident. Since the accident, Sarah has suffered major anxiety attacks and has been plagued by guilt. At school she has been involved in arguments and fights with other girls; on this occasion she is in the school infirmary after fighting with another girl. Af ter initially appearing angry, Sarah breaks down in tearsà and says: ââ¬Å"Why did my Mom have to die! I didnââ¬â¢t really want her out of my life!â⬠Response:You consol Sarah, and listen to herââ¬âyou let her release her emotions without restraining or judging her. You reassure Sarah that it is ok and normal to feel fear, guilt and doubt, and that is ok to express her feelings. You tell Sarah that she can come and share her feelings with you whenever she feels the need. If interfacing with Sarahââ¬â¢s father, explain to him what Sarah is experiencing, and offer helpful suggestions that are in line with Wordenââ¬â¢s model for task two grief.Case Study Three ââ¬â Adapting to the loss of a siblingJanet and Karen are sisters close in age, 15 and 17 respectively. They were inseparable and enjoyed doing things together such as sports, shopping and talking about boys. Janet looked up to Karen who she thought of as being her pillar of strength and confidant. Last ye ar Karen died suddenly from a rare form of meningitis. Janet has accepted the loss but has had a hard time readjusting to life without her sister. She is in the hospital being attended to for self inflicted cuts on her arms. Janet states that life is unexciting now because her sister is gone.Response:With empathy you help Janet recognize and reassign the emotional roles filled by her sister. You may suggest ways to help Janet remember Karen in a desensationalized way such that the memory of Karen is retained and respected but that recognizes that life must go on. The suggestion of doing activities (previously done with Karen) with friends or classmates might be helpful. This information should be relayed to Janetââ¬â¢s parents to help them understand how they might be able to assist Janet adjust to life without Karen.Case Study Four ââ¬â Relocating a deceased grandparentFourteen year old Ben loved fishing with his grandfather. Granddad was Benââ¬â¢s best friend. Earlier th is year Benââ¬â¢s granddad died suddenly from a heart attack. Ben accepted that granddad was gone, and he knew that there would be no more fishing. Ben was admitted to the hospital to receive stitches for a fall; Ben asks you: ââ¬Å"Miss, where do dead people go? My Granddad died this year you know.â⬠In a melancholy tone he continues, ââ¬Å"Iââ¬â¢ll never have a friend like him again.â⬠Response:In a compassionate tone reply that you are not sure where people go when they die and that it is one of lifeââ¬â¢s great mysteries. You may suggest that many people have different ideas as to where people go after death. Suggest to Ben that life is about continuing to develop special moments with people we associate with in life. Keep in mind that grief resolution involves reflecting on the meaning of a deceased personââ¬â¢s life, and keeping this as a pleasant memory. It is not meant to focus on the death itself.ConclusionsGrief is a fundamental aspect of life. Adole scence, being a major transitional stage in human growth and development brings with it unique emotional challenges. These challenges need to be addressed by the health care worker if he or she is to effectively assist a teen who is grieving for a deceased peer, sibling or parent. Worden suggests a four step paradigm for the grieving process that can serve as a guide for elucidating the stage of grief an individual may be experiencing.Knowledge of this model can assist the health care worker in grief stage recognition, and in making informed decisions that will ultimately help a teen deal with challenges involved in the of grieving process. With the support and encouragement of health care workers, peers, and relatives, adolescents can learn to successfully manage grief and loss, and move forward with their lives.
Tuesday, October 22, 2019
Fourwinds Marina Example
Fourwinds Marina Example Fourwinds Marina ââ¬â Case Study Example Four winds Marina Grade (17th, Jan. Four winds Marina Summary: The Four winds Marina is a partnership business owned by Sandy Taggart, William Brennan and Richard DeMars, which is experiencing a weak financial situation. The Marina only operates partially during a year, remaining closed between November and April. The previous general manager, though with an experience of 15 years in the Marine has opted to resign due to a misunderstanding with the owners, over payment issues, leaving the business in the hand of Jack Keltner, an employee who has been promoted to the new position, courtesy of his hard work and reasonable working experience (Cummings which comprises of a boats dock, sales room for boats and marine equipments and a marine repair shop, as well as the overall controller of the Taggart Corporation, comprising of the Marina and an Inn (Cummings & Worley, 2009). The business also offers boat storage and boat hire as part of its business, for the visitors during the season r unning between April and October each year. Also within the business complex is a snack bar, a grocery store and gasoline sales, all operating as extended ventures for the corporation. The Four winds complex sits on a 34-acre piece of land, rent by the State of Indiana, which Taggart Corporation won as a tender for a Motel and Marina, owing to the financial strength of its owners (Cummings & Worley, 2009). Owing to the financial weaknesses of this business complex, the new general manager has a daunting task of transforming it into a more profitable venture. ReferenceCummings, T. G., & Worley, C. G. (2009). Organization development and change (9th ed.).Mason, OH: Cengage
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