Reflection - 1650 Words

Ian-Bradley Tancred This essay analyses and describes what reflection is and how it supports your personal and professional learning. It elaborates upon how and why recognizing your strengths and weaknesses are important and how they can enhance lifelong learning. It describes what arguments and assertions are, what the differences are between them and which one is better. Debnath describes reflection as a means of self-examination to learn from knowledge and experiences which will help transform a person s reactions and behaviours to similar events in the future. (Debnath, 2010) Schà ¶n explains reflection can be used at two different times: reflection-in-action and a reflection-on-action. Reflection-in-action is where a person reflects†¦show more content†¦Performing the Insite workbook activities, I analysed and reflected on my personal strengths and weaknesses and drew up a development plan to help me. The reflective models I use most are Gibb s Model of Reflection: Learning by doing (1988) and Rolfe et al. (2001). Gibb’s reflective model is a six-stage cycle analysing an event from what happened to what the action plan is. This allows for a good analysis of the event/problem and what needs to be done to improve. Rolfe’s reflective model is a three-stage model and has been identified as a good toolkit when used in reflective practice. It is also good for both novice and advanced practitioners (Bishop and Blake, 2007). Gibb’s and Rolfe’s models have common insights, namely the description of the event, analysis of what has occurred and the action plan. Rolfe’s three-step model begins with What? This is the entire description of the event occurring., The second step involves the practitioner constructing personal theories and knowledge about the situation by asking So What? The practitioner asks what they have learnt from the situation, what impact does it have on them, e.g. leadership skills, etc. what could they change to make it better and what broader issues have been highlighted by the event? The third step is Now What? This is the action plan for the reflection where the practitionerShow MoreRelatedReflection1479 Words   |  6 PagesReflections Both simple and complex reflections were used. A simple reflection used towards the beginning of the interview transpired into, â€Å"pretty active out doing a lot of things.† Alternatively, a complex reflection used when reflecting on Sarah’s feelings about what her friends think about her not socializing subsisted of, â€Å"it bothers you thinking about them, wondering about your intentions.† I used twice as many complex reflections as simple reflections. Unfortunately, I should have usedRead MoreReflection On The Word Reflection 701 Words   |  3 PagesFor me the word ‘reflection’ means taking time to really dig deep into my thoughts, to contemplate something meaningful and significant, to make a decision that often involves me and my future. It has a personal and emotional connection. Daudelin (1996) uses the word ‘reflection’ to encourage managers to create time to recognise the value of learning from past and current work s ituations (‘experience’) and to adapt this learning to new situations. I would prefer to choose the words ‘thought’ or ‘consideration’Read MoreReflection1218 Words   |  5 PagesReflection on your personal development Reflection is a major factor in developing self-awareness to improve services provided to everyone around me, this is to develop my own understanding in realising the good and bad made previously. Moving forward with a better understanding, as well as rectifying the mistake whilst recognizing the good points, (Horton-Deutsch and Sherwood, 2008). Working in a domiciliary setting and visiting vulnerable adults within their homes, I am constantly tryingRead Morereflection703 Words   |  3 Pageshelpful/ inspiring. Your completed template form and content should be a CRITICAL reflection of the paper/ chapter content but NOT merely summarize what you have read. TEMPLATE FOR REFLECTIONS ON EXPERIENCES DATE: PLACE: The experience 1. What experience are you reflecting on (class session, project group meeting, particular piece of reading, other)? Give a brief account of this experience. 2. 3. Reflections on Experience 4. 2. Looking back, what was particularly memorable/ interestingRead MoreReflection Of Illusion1635 Words   |  7 Pages Shattering a Reflection of Illusion I stare blankly at the blinking caret. Propped up snugly against three quilted pillows and one calculus textbook is my laptop. To be more specific, a laptop opened to an empty Microsoft Word document. Writing a speech is no easy task, but writing a valedictory address is like playing darts with spaghetti. Humbly accepting the position as the class valedictorian, I have been graced with the task of writing an excerpt that would fill my classmates’ hearts withRead MoreNursing reflection.12855 Words   |  52 PagesReflective Essay This essay will look at reflection on a critical incident that has promoted a positive outcome. It is not a very major incident but it stands out as it has a potential for learning. This essay will identify and explain Johns (1994) model of reflection and explain what reflection is and why reflective practice is necessary and how it can be used. Schone (1983) recommended reflection on critical incidence as a valuable term, sited in Ghaye and Lillyman (1997) a critical incidentRead MoreReflection Essay1616 Words   |  7 Pagesintegral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. SpouseRead MoreReflection On Self Development Through Reflection1854 Words   |  8 Pagesthrough reflection is a key issue of education and learning (Kennison, 2012), where you learn through experience (Tashiro, Shimpuku, Naruse and Matsutani, 2013), learn to self-evaluate (Duffy, 2013), identify gaps in knowledge and detect where further training or study is required to improve practice (Olarerin, 2013). Ultimately reflection is thought to be constant learning from practice, thus refining knowledge and experiences and putting them into practice (Naidoo, 2013). Within my reflection examplesRead MoreReflection Essay781 Words   |  4 PagesI determined that I needed a new interest, something to keep my mind engaged and challenged. I enrolled in the Doctor of Business Administration (DBA) through the Columbia Southern University (CSU) just for fulfillment. This reflection assignment exercise proves to be the catalyst for my future college endeavors. The assignment to reflect on DBA program dreamed of taking steps towards realizing those ideas and course accomplishments right now. Due to time some course assignments, I will embrace,Read MorePersonal Reflection756 Words   |  4 PagesPersonal reflections are characterized as learning through experience in gaining new insights and changed perception of self and practices. Reflection can be a difficult experience without the support and guidance of an expert (Johns, 2004). This personal reflection presents an exciting opportunity for me to consider how successful my placement in the intermediate care has been in terms of my own personal learning. By reflecting on the positive aspects of the placement, I will be able to make sense

The Transformation - Free Essay Example

Sample details Pages: 2 Words: 686 Downloads: 1 Date added: 2018/12/19 Category Society Essay Type Narrative essay Level High school Tags: Mother Essay Relationship Essay Did you like this example? Jessica woke up one morning to a strange feeling of herself. She immediately looked at the clock that was hanging on the wall of her room and instantly realized that she was late for her morning vocal classes. There and then, she heard a gentle knock on her door. It was her mother calling out to her as she reminded her that she was late for her classes. Moreover, her friend Janie had come by to pick her up so that they could go to the vocal classes together. Jessica and Janie had been best friends from their childhood, and in fact, their friendship had united their families significantly. Jessicas mother at her door wondered why her daughter had overslept when normally she would wake up on time. By then Janie had joined Jessicas mother at the door to call out for Jessica who apparently was not only hesitating to open her bedroom door but also had not responded to her mothers calls. Nevertheless, in the room, Jessica realized that she had difficulties getting off her bed. A dditionally, she had tried a couple of times to respond to her mothers calls at her bedroom door but realized that both her mother and friend did not notice her sounds. In her relentless attempts to get off her bed, Jessica managed to roll on her bed and eventually fell on her bedroom floor. There and then she crawled to her bedroom door and by the support the door itself she managed to unlock the door lock, and instantly the door flung open. To Jessicas shock, her mother had passed out instantly on seeing her while her friend screamed in great shock. For a moment Jessica was deeply perplexed, but after a couple of seconds trying to figure out what was going on, she decided to follow her friend outside, who by then had run out in terror. On her way out Jessica miss-stepped and rolled down the stairs and passed out. Jessica woke up only to realize that she was back in her room. On her right, there was a glass of milk, usually, her favorite, and some toast. Strangely enough, she ha d no feel for the food and did not even taste it despite that fact that she was hungry. Additionally, she noticed that her mother and close friends were constantly observing her in her room via her bedroom window. The following day Jessicas bedroom door opened and she walked in with fresh food of the kind as she took away the previous meal that she had not even touched. Jessica, on the other hand, could not stop wondering what was going on since her dear mother and her best friend had kept distance and instead studied her at a distance. Once again a day passed by and her mother opened her bedroom door to collect the untouched food by her daughter, only then she had brought some crap food from the previous meal. To Jessicas mother and her friends shock Jessica eat the scrap food happily with no regards to whom was observing her. Strangely enough, she loved the scrap food more than normal food which she was accustomed to taking. There and then her mother made up to let Jessica know of what had transpired of her. She put Jessicas big makeup mirror in front of her and Jessica realizing that she was no longer the young charming and beautiful lady and in fact was a huge hideous bug, passed out. Jessicas sudden transformation had largely changed her family since her mother looked up to her that one day she could change their home but facing the transformation her daughter had gone through melted her hopes fast. Jessicas case turned out unique and exceptionally heavy on her familys side since her mother had to try hard not to let out her secret as well as feed her daughter scrap food which raised questions from her neighbors who saw her rummage garbage bins. Jessica noticing her mothers frustration made up to let go of her life to free her mother from the trouble she was undertaking. Don’t waste time! Our writers will create an original "The Transformation" essay for you Create order

Essay on Cell phones and Relationships - 1319 Words

â€Å"Can you remember the last time you were in a public space in America and didn’t notice that half the people around you were bent over a digital screen, thumbing a connection to somewhere else?† (Fredrickson, 2013, pg. 1). In a world today where sending a text message containing the message â€Å"I luv you,† is equally powerful to that statement said in person to your significant other. Today’s generation is surrounded by the constant need to have technology and mainly cell phones at your fingertips. Gone are the days when people would talk to one another whilst standing in line, now it is all about having and using your cell phone to pass the time. All of this takes bondage on having an interpersonal relationship with each other and conversing†¦show more content†¦Here is a major concern with why people do not have conversations with other, they are already preoccupied with the device in their palm. That same study reports that 73% of phone users get panicked when not knowing the location of their phone, 14% get desperate, and 7% get sick to their stomach (Mobile Mindset, 2012). These emotional reactions lead one to believe that a person’s entire life is on that one device and so when that device has an unknown location it would give them that panicked reaction. By no means is it wrong to have these reactions, but it is a bit overwhelming to think that a lost phone could give more worry than losing a job or the passing of a relative/significant other. In turn, cell phones give people much to worry about and so knowing physiological triggers of use or disappearance is notable. Mainly, the million dollar question is what does cell phones do to intimate relationships and general conversation with the opposite gender. Research from the University of San Diego shows that there is an estimated 2.3 trillion minutes spent using wireless devices of the last year (Galvan, Golley Vessal, 2013, pg. 1). This source continue s on to say that â€Å"[people feel] personal connections towards cell phones† (Galvan, Golley Vessal, 2013, pg. 1). A question to be considered in this situation is how people even get into relationships anymore and that is driven by the amount of online dating site and technologicalShow MoreRelatedCell Phone Impact on Relationships706 Words   |  3 PagesDo cell phones have a negative impact on relationships? Recent advancements in communication technology have enabled billions of people to connect over great distances using mobile phones ( (Przybylski Weinstein, 2012). In fact, cell phones have become so essential in today’s society that more than 90% of the population owns one, making mobile phones the social norm. Through today’s technological advances with smartphones (cell phones) permit keeping in touch with people and the world a wholeRead MoreCell Phone Use And Its Impact On Personal Relationships Essay1623 Words   |  7 Pagestexting and socia l media, people have become more glued to their phones than anything else. This in turn can affect their social lives, mental health, and overall outlook on life. With these criteria as a background, scholars are starting to spend more time focusing on phone use and its impact on personal relationships. Because of this, I agree that texting and phone use does not actually reduce people’s ability to maintain relationships and/or make it harder to develop bonds between others, which isRead MoreCell Phones As A Moderator For The Relationship Between Passive Cell Phone Interactions And Situation Awareness Essay1748 Words   |  7 PagesCell phone dependency as a moderator for the relationship between passive cell phone interaction and situation awareness INTRODUCTION Klauer et al. (2014) found a positive correlation between the use of cellular phones (hands free or handheld) and the rate of traffic accidents and distraction. These mobile phones, which are now capable of not only answering calls, but are also capable of playing games, text messaging, browsing the internet, etc. are now attainable for a vast number of individualsRead MoreTechnology On Romantic Relationships : The Internet, Cell Phones, And Social Media1964 Words   |  8 PagesKelsey Williams Bob Haas ENG 1103-13 15 November 2016 Technology in Romantic Relationships The internet, cell phones, and social media have become key actors in the life of many American couples. Of the 66 percent of adults who are married or in committed relationships use technology in the little and large moments. They negotiate over when to use it and when to abstain. A portion of them quarrel over its use and have had hurtful experiences caused by tech use. At the same time, some couples findRead MoreCell Phones Effects On Interpersonal Relationships, Driving Skills, And Individual Health967 Words   |  4 PagesCell Phones are a growing trend around the world, but we do not know much about the health risks associated with them. Many children, students, and adults use their phones frequently, and there could be many growing common risks developing that we are unaware of. Cell Phones are a recent invention that has brought people together all around the world and mostly beneficial but are associated to some dangers. Using cell phones has effects on interpersonal relat ionships, driving skills, and individualRead MoreImpact of Cell Phone Uasage on Students Acedemic Performance, Social Relationship Ans Safety2584 Words   |  11 PagesPERFORMACE, SOCIAL RELATIONSHIP AND SAFETY. INTRODUCTION:- Since the commercialization of cellular phones technology, the use of this communication device has rapidly increased. This technology was first introduced by Motorola in the early 1980’s (Harman, Brittney A., 2011). Today, the global cellular phone market now stands at approximately 1.8 billion subscribers, and is forecasted to reach 3 billion by the end of 2010 (Reid and Reid, 2007). The adoption of mobile phones by young generationRead MoreElectronically Mediated Communication: The use of cell phones, computers, internet, etc and how it affected our relationships. Contains graphs and percentages.3616 Words   |  15 Pageslovers, family members, acquaintances, co-workers and people in service positions. We do this routinely, usually without much thought, unless some problem occurs or the relationship starts to take a turn for the worse. Then we become painfully aware of the poor communication we have had with another. Weve probably all had relationships that slipped away b ecause we couldnt talk to each other or didnt bother to try. In this chapter we will look at the mundane, yet remarkable, process of dyadic (one-on-one)Read MoreThe Cell Phone Usage Between Partners1679 Words   |  7 Pagesspeaking, if there is an unbalance in cell phone usage between partners someone is bound to feel ignored. Engaging in technology separate to a partner encourages a disconnection rather than a connection. (Bilton, 2014) Also stated by Bilton, disconnection in relationships leads to feelings of dissatisfaction and compromises any sense of safety, attachment and control. Privacy, Trust, and Freedom seem to be essential terms revolving around the topic of relationship satisfaction. â€Å"Partners are more satisfiedRead MoreHow Cell Phones Affect Social Behavior1282 Words   |  6 PagesEffects of Mobile Phones on Social Skills Kelly Schriever, Matt Seeberger, Mary Sweet, Emily Putnam Elizabethtown College March 17, 2014 Today we live in a world where communication through modern technology is almost required. Everywhere people are texting, emailing, writing blogs, and tweeting. It’s hard to go anywhere without seeing someone using a phone or the internet to connect with others. Most people would feel lost without the use of their phones. Of course theRead MoreCell Phones Vs. Society1251 Words   |  6 PagesCell Phones Vs. Society: Have you ever seen a car accident caused by texting and driving? Have you ever had a conversation with someone where they pulled out their phone and completely disconnected? If so, you have felt a few of the many negative effects cell phones have on society. Today, technology is constantly evolving, taking new forms, updating, and finding its way into more and more of users lives. Most people are comfortable with this, especially the youth of today, as they have been around

A Review of Emily Brontes Wuthering Heights - 749 Words

The opening of Wuthering Heights by Emily Brà ¸ £Ã  ¸â€"nte intrigues the reader immediately as we meet Heathcliff and learn about his lonely and misanthropic life at Wuthering Heights. Heathcliff, undoubtedly, is an intriguing character whom comes across as a sort of misfit as he is completely isolated from society. This character is completely the opposite of others in the novel and he seems to be symbolic of the uncivilized life. The moors, in general, is a symbol of this type of life as well and they seem to be a whole other character in the novel as important as the human beings who inhabit their surroundings. The moors are a lot like Heathcliff rough, dangerous, uncivilized and untamable. The ghost of Catherine appears early on in the novel and we come to understand the type of relationship Heathcliff had with her and that the relationships was a young type of immature love that they shared. It is interesting that Catherines ghost always appears in a childlike form, which impl ies that Brà ¸ £Ã  ¸â€"nte wanted to illustrate how important her early relationship with Heathcliff was. She and Heathcliff never grew out of the young love they shared and the sort of rebellion against those around them whom were older and perhaps stood in their way. Catherine comes back to her childhood environment as Heathcliff has kept it the same over all the years. In the first five chapters of the novel, the reader gets to know the relationship between Heathcliff and Catherine on quite an intimate levelShow MoreRelatedThe Uncanny And Emily Bronte s Wuthering Heights1746 Words   |  7 PagesAssessment 1: Critical Commentary Freud’s The Uncanny and Emily Brontà ©Ã¢â‚¬â„¢s Wuthering Heights The principal idea in Sigmund Freud’s interpretation of The Uncanny theory centres around the Heimlich, translating to ‘homely’ and thus, what is familiar, and the Unheimlich, which is often translated to what is ‘Uncanny’ defined as ‘what is [†¦] frightening precisely because it is not known and familiar’ (Freud, 1919) or later described as something that is ‘secretly familiar which has undergone repression’Read MoreWuthering Heights, by Emily Brontà «1865 Words   |  8 Pagesdevilish, preternatural passion that tamer beings can scarcely recognize as love.† (Duclaux) Wuthering Heights by Emily Brontà « is considered a masterpiece today, however when it was first published, it received negative criticism for its passionate nature. Critics have studied the novel from every analytical angle, yet it remains one of the most haunting love stories of all time. â€Å"Wuthering Heights is not a comfortable book; it invites admiration rather than love,† (Stoneman 1). The novel containsRead MoreAnalysis of Emily Bronte ´s Wuthering Heights623 Words   |  3 PagesBook Review: Wuthering Heights This book deals a lot with love and revenge as evidently exhibited through the characters Heathcliff and Catherine. The book depicts the journey of societys social class. Catherine learns to love Heathcliff even though he is inferior to her. The reader discovers deep and affectionate motives within the novel. In my view it is a well annotated version of Emily Brontes classic about denied love between central characters Heathcliff and Catherine. Not a pre dictableRead MoreThe Lives of Emily and Charlotte Brontà «2000 Words   |  8 PagesEmily and Charlotte Brontà « retained exceptional novels throughout history. Their stories captivate the minds of readers alike, taking them to a world of dark, eerie hatred, and overcoming the obstacle faced with love and devotion. However, both sisters have diverse styles of writing. Charlotte Brontà « tends to use more humor through her works, while Emily Brontà « uses more satire along with a sardonic tone. T hey both come together to have somewhat similar themes, making the moral of the story mentallyRead More The Double Characters in Wuthering Heights Essay example1530 Words   |  7 PagesThe Double Characters in Wuthering Heights      Ã‚   In Brontes novel, Wuthering Heights, a person has the capacity to attain happiness only if his external state of being is a true and accurate manifestation of his internal state of being. The double character which Catherine adopts in order to simultaneously maintain her relationship with the high brow Linton family and her low class friend, Heathcliff (66), is also manifested by most of the other main characters in the novel, thoughRead MoreHow Emily Bronte Introduces the Reader to the Themes of Enclosure and the Supernatural in Wuthering Heights1464 Words   |  6 PagesHow Emily Bronte Introduces the Reader to the Themes of Enclosure and the Supernatural in Wuthering Heights It took many attempts to get Wuthering Heights published and when it finally was it received a lot of negative reviews because the contemporary readers werent ready for Emilys style of realism. A Victorian critic July 1848 from Grahams Magazine reviewed Wuthering Heights as vulgar depravity and unnatural horrors and described the author as, a human being couldRead MoreThe Conflict Sparked By Irrational Thinking1602 Words   |  7 Pages In Emily Bronte’s Wuthering Heights, all of the above is seen with a topping of vengeance and selfishness. This interesting conflict is caused by the abusive actions of the characters. From relationship to relationship, one character abuses another to get to their way or to get back at another character for their own wrongdoing. Having this occur frequently throughout the novel creates a dumbfounded sort of tone and leaves the reader on the edge of their seat. Throughout the novel Wuthering heightsRead MoreEssay on Love, Hate and Cruelty in Wuthering Heights970 Words   |  4 PagesLove, Hate and Cruelty in Wuthering Heights      Ã‚   Wuthering Heights written by Emily Bronte, was a novel filled with many emotions and activity.   Her characters represent an on going conflict between love and hate. Upon the publication of the book articles and reviews were written regarding Brontes novel. Following her death some of these were recovered such as the following written January 15 1848:   In Wuthering Heights the reader is shocked, disgusted, almost sickenedRead MoreWuthering Heights By Emily Bronte1936 Words   |  8 PagesWuthering Heights, a novel by Emily Bronte is one of the most admired and favorable written works in English literature. When the novel was published in the year 1847, it sold very poorly and only received a minimum amount of reviews. Although the novel does not contain any sexual relations or bloodshed, it is considered to be inappropriate due to its portrayal of an unconstrained love and cruelty. Wuthering Heights is formed on the Gothic tradition in the late 18th century, which consists of supernaturalRead MoreEmily Brontà «Ã¢â‚¬â„¢s Wuthering Heights: An Important Literary Work Essay2506 Words   |  11 Pagesbeing broke may mean they don’t have the money for food, clothes, or shelter. However, Emily Bronte does affect her readers ‘precisely as she wishes’ in her novel, Wuthering Heights, and she affects her readers throug h the literary devices she employees: setting, theme, and mood. But first, before looking at her devices, one should have a brief overview of her novel (Bronte). Emily Brontà «Ã¢â‚¬â„¢s Wuthering Heights was published in December 1847. It is a story of unchecked desires, voracious love,

Frees on A Midsummer Nights Dream Theseu Essay Example For Students

Frees on A Midsummer Nights Dream: Theseu Essay s as Voice of Reason Midsummer Nights DreamA Midsummer Nights Dream: Theseus as the Voice of Reason In his play, A Midsummer Nights Dream, Shakespeare, clearly establishes the feelings of Theseus with respect to love. Theseus expresses his doubt in the verisimilitude of the lovers recount of their night in the forest. He says that he has no faith in the ravings of lovers- or poets-, as they are as likely as madmen are to be divorced from reason. Coming, as it does, after the resolution of the lovers dilemma, this monologue serves to dismiss most of the play a hallucinatory imaginings. Theseus is the voice of reason and authority but, he bows to the resulting change of affection brought about by the nights confused goings on, and allows Hermia, Lysander, Helena and Demetrius to marry where their hearts would have them. This place where the line between dream and reality blurs is an important theme of the play. Theseus is also a lover, but his affair with Hippolyta is based upon the cold reality of war, Hippolyta, I wooed thee with my sword, And won thy love doing thee injuries(I,i,16-17). He is eager to wed Hippolyta and marriage is the place where reason and judgment rule. He wins the hand of his bride through action not through flattery, kisses and sighs inspired by her beauty. In lines 4-6 of his monologue he dismisses the accounts of lovers and madmen on the grounds that they are both apt to imagine a false reality as being real. When, in I,i,56, Hermia tells Theseus, I would my father looked but with my eyes, Theseus responds, Rather your eyes must with his judgment look.(57). Theseus has a firm belief that the eyes of lovers are not to be trusted. That the eye of the lover Sees Helens beauty in a brow of Egypt(11) is, to him, proof of this. It precisely by enchanting the eyes of the lovers that the faeries manage to create so much mayhem: Flower of this purple dye, hit with cupids archery, sink in apple of his eye! When his love he doth espy, let her shi ne as gloriously as the Venus of the sky.(III,ii,101-7) Puck doesnt change Helenas nature, nor does he change her features. When Lysander wakes, he beholds the same Helena that hes always despised and suddenly he is enthralled. For Theseus this is merely caprice and in no means grounded in reality. Theseus doubts even the existence of the faeries, believing the lovers have, at a loss to explain the inexplicable changes of heart theyve experienced, dreamed them up: And as imagination bodies forth the forms of things unknown, the poets pen turns them into shapes and gives to airy nothing a local habitation and a name.(14-17) A trick of the light, an abundance of shadows, lack of sleep, an overactive imagination or any one of these or million other causes are the most likely explanation. In equating lovers, poets and lunatics Theseus gets into interesting territory and serves to elevate lovers while he denounces them. The lunatic sees more devils than vast hell can hold.. while the poe ts eye Doth glance from heaven to earth, from earth to heaven(9-13); thus this same imagination is responsible for both mad ravings and great art. The concrete reality of earth co-exists with both heaven and hell as the Faerie world co-exists with the mortal world. A poet could, just as easily, be a lunatic depending on the nature of his visions. That lovers are often (bad) poets, is prime example of this interchangeability. Such tricks hath strong imagination, that, if it would but apprehend a joy, it comprehends some bringer of that joy; or in the night imagining some fear, how easy is a bush supposed a bear!(18-22) Theseus describes the faulty and incomplete reasoning employed by poets and lovers alike. Given evidence of some thing, conclusions are made as to the nature of that thing. This usually incorrect conclusion, having been reached, is followed by madcap mix-ups and hilarity- at least for the audience. While distrusting the nature of love and its effect on people, Theseus also recognizes .uc4e2ca7865dc8825270eaaa11d6683b1 , .uc4e2ca7865dc8825270eaaa11d6683b1 .postImageUrl , .uc4e2ca7865dc8825270eaaa11d6683b1 .centered-text-area { min-height: 80px; position: relative; } .uc4e2ca7865dc8825270eaaa11d6683b1 , .uc4e2ca7865dc8825270eaaa11d6683b1:hover , .uc4e2ca7865dc8825270eaaa11d6683b1:visited , .uc4e2ca7865dc8825270eaaa11d6683b1:active { border:0!important; } .uc4e2ca7865dc8825270eaaa11d6683b1 .clearfix:after { content: ""; display: table; clear: both; } .uc4e2ca7865dc8825270eaaa11d6683b1 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uc4e2ca7865dc8825270eaaa11d6683b1:active , .uc4e2ca7865dc8825270eaaa11d6683b1:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uc4e2ca7865dc8825270eaaa11d6683b1 .centered-text-area { width: 100%; position: relative ; } .uc4e2ca7865dc8825270eaaa11d6683b1 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uc4e2ca7865dc8825270eaaa11d6683b1 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uc4e2ca7865dc8825270eaaa11d6683b1 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uc4e2ca7865dc8825270eaaa11d6683b1:hover .ctaButton { background-color: #34495E!important; } .uc4e2ca7865dc8825270eaaa11d6683b1 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uc4e2ca7865dc8825270eaaa11d6683b1 .uc4e2ca7865dc8825270eaaa11d6683b1-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uc4e2ca7865dc8825270eaaa11d6683b1:after { content: ""; display: block; clear: both; } READ: Where My World Began Essay

Primary Healthcare Nursing for Ebola Virus Disease - myassignmenthelp

Question: Discuss about thePrimary Healthcare Nursing for Ebola Virus Disease. Answer: The recent outbreak of Ebola virus disease spread across countries and caused many fatalities. The speed of international travel and the risk of unknown transmission of the virus that could spread through human to human contact brought into focus the need to prevent outbreaks and the safety measures required to control the spread of the deadly infectious disease. The Ebola virus genome is a 19 kb strand of negative sense RNA and has 7 viral genes (Baron, 1996). Helically arranged viral nucleoproteins envelop the virus and a lipid bilayer coats the virion. Upon infection, the monocytes, macrophages and the dendritic cells are the sites where replication of the virus occurs. Infected cells move to the lymph nodes, spleen and liver and the infection disseminates. The virus can infect a variety of cells and it can modulate the gene expression of the host immune response cells. This leads to apoptosis of the lymphocytes and attenuation of the interferons. Expression of pro-inflammatory cytokines, reduction in number of platelets causes bleeding complications. Kidney injury, hepatitis and pancreatitis ensue (BMJ, 2017). Infection from the Ebolavirus first occurred in the year 1976 in what is now Nzara, South Sudan and in Yumbaku, a village near the Ebola river, in the Democratic Republic of Congo. 20 other outbreaks have occurred since then. In recent times, the virus affected a multitude of people in West Africa in a large outbreak from 2014 to 2016 in which several people lost their lives. The epidemic proved to be complex, it began in Guinea and spread to the neighbouring countries of Sierra Leone and Liberia. An illness which can often be fatal, it can kill up to 90% of the people infected (National Academies of Sciences, 2016). In the 2014 to 2016 outbreak 28,646 people were diagnosed with Ebola virus infection and 11,323 deaths were reported, in what was one of the most difficult pandemic to deal with, in recent times (WHO, 2017). Since it was transmitted to the humans through the fruit bat, a loacal delicacy in sub-Saharan Africa, the Ebola virus disease is a zoonosis and causes high mortality. It is a single strand RNA virus. Exposure to infection occurs through mucus or ruptured skin. The cause of the spread of disease are dietary habits, insufficient supply of disposable equipment in hospitals and funeral rites. The virus remains active in the dead body, so quick disposal of dead bodies with minimum contact and wearing protecting clothing is important to curb the transmission of the virus. The infection also spreads through blood, organs, secretions and body fluids of the infected people. Even the surfaces, clothing and materials contaminated with infected fluids can cause infection if adequate care while handling is not taken(WHO, 2017). The infection may occur through contact with body fluids of the patient through mucosal surface, needles contaminated with the virus or abrasions on the skin, putting hea lthcare workers at high risk (Lee Saphire, 2009). Healthcare workers from other countries who were working in Africa and had come from Spain, The United Kingdom and the USA were also infected with the virus(Arima Shimada, 2015). The infection begins abruptly after an incubation period that varies from 2 days to 21 days. Influenza like symptoms develop and patients may suffer from shock and multiple organ failure. Symptoms of the digestive system that cause diarrhoea and vomiting occur commonly. Standard disinfectants used in hospitals and healthcare facilities can kill the virus (Karwowska, 2015). It is suspected that morbidity and mortality could be higher because several cases remain unreported. The genus Ebola has five known species, Bundibugyo, Sudan, Reston, Zaire and Tai Forest. The Zaire ebolavirus, the Bundibugyo ebolavirus and the Sudan ebolavirus have caused large outbreaks on the African continent. The latest outbreak from 2014-2016 was caused by the Zaire virus (WHO, 2 017). The incubation period of Ebola virus after infection occurs and it takes 2 to 21 days for the first symptoms to appear. Only a person with symptoms can pass on the infection but someone who is infected but is not showing symptoms cannot pass on infection to others. Sudden fever accompanied with considerable fatigue is the first symptom to appear. Headache, muscle pain and sore throat may often be seen in patients. Vomiting and diarrhea follow occur and some patients may complain of skin rash. Impairment of the kidney and liver function are followed by internal and external bleeding. Bleeding of gums and blood in stools are advanced symptoms and may be observed after a few days. A low white blood cell count and low platelet count are the usual results of laboratory diagnosis of blood samples. Liver enzymes remain elevated also (WHO, 2017). Patients are given supportive care and rehydration with oral or intravenous fluids is often effective. Treatment is given for specific symptoms that have been observed in the patient. A proven treatment or drug for the Ebola virus disease is yet to become available. Several therapies, drugs, blood products and immune therapies are currently being tested and evaluated for clinical use. An experimental Ebola vaccine has shown promise and has been found to offer protection from the virus in Guinea. The vaccine known as rVSV-ZEBOV was tested in a trial involving 11841 people in 2015. 5837 people of those who received the vaccine, did not return with an Ebola infection for 10 days after the vaccine was administered whereas, 23 cases were reported from among those who had not received a vaccine. Guinea's ministry of health, Norwegian Institute of Public Health, Medecins sans Frontieres collaborated with WHO and other international partners in conducting the trials of the vaccine. The vacci nation protocol adopted was of the ring type and the vaccine was the viral vector type of vaccine. Some rings were vaccinated after the detection of a case while other rings received a vaccination after a period of three weeks after detection. In a study on the rVSV?G-ZEBOV-GP vaccine, which is a recombinant, vaccine that is also replication competent the antibody titres persisted upto 360 days. The vaccine is based on vesicular stomatitis virus glycoprotein which has been replaced by the Zaire Ebola virus surface glycoprotein, which has been used as the main antigen for vaccine development against Ebola. The most important take away from this trial has been the longevity of the neutralizing antibody response until long after the vaccination was administered to the participants of the trial. A range of vaccine doses were examined during the study for immunogenicity. The lower doses of the vaccine also developed neutralising antibody titres but the response was rather slow and took longer than the higher doses of vaccine. In an outbreak setting, it would be important to develop immunity from the vaccine in a rapid manner, so only higher doses were then tested (Clarke Bradfute, 2017). Even at higher doses the incidence of a rthritis as a side effect of the vaccine was reported at a much lower rate than with some other Ebola vaccines that were tested earlier. This vaccine was developed by NewLink Genetics, Merck Vaccines and the Public Health Agency of Canada (WHO, 2015). Several other vaccines are in various stages of clinical trials. A 2-dose vaccine has been developed by Johnson Johnson and Bavarian Nordic. They have used an approach called heterologous prime-boost. The candidate vaccine that are being tested are Ad26EBOV and MVA-EBOV. The vaccine had undergone the Phase-I trials in 2015. Anothe r biotechnology company from the US, Novavax, has developed a recombinant vaccine based on the Guinea strain of the Ebola virus. The Phase I trials of this vaccine were done in Australia. A recombinant influenza vaccine candidate against Ebola was developed by the Russian Federal Ministry of Health. An oral adenovirus platform based vaccine, a vaccine based on the vesicular stomatitis virus is being tested by the company Profectus Biosciences. Protein Sciences, has developed an alternative recombinant protein based vaccine. Inovia,a company workin in the area of vaccine development has developed a DNA vaccine and the Jefferson University is working on a re combinant rabies vaccine. Other approaches for treatment that are being tried include transfusion of convalescent whole blood and plasma as a largely investigational therapy. This therapy has been used in several patients with Ebola virus disease. Trials were conducted in Liberia and Guinea. An antiviral drug Favipiravir from Fujifilm/Toyama in Japan has been tried on patients with low to moderate levels of virus under a Phase II trial. The antiviral drug has been found to be effective in treatment of patients who are suffering from early stage Ebola virus disease. The case fatality has been estimated to have decreased to 15% from an earlier 30%, but since the trial does not have concurrent controls the WHO is treading with caution when deciding about its efficacy (WHO, 2015). Another drug under Phase II trials is TKM-100802 (siRNA) by Tekmira, Canada at Kerry Town, Sierra Leone. siRNAis a short sequence of RNA that has the potential to cleave the Ebola RNA in cells of infected persons and can prevent the virus from multiplying. A 100% rate of treatment has been achieved when it was tested on monkeys. A human trial has been halted after a clinical endpoint was met. ZMapp from MappBio in US is a cocktail of three monoclonal antibodies was used to treat the Ebola virus disease at a rate of 100% among non human primates. This product has been used on patients on compassionate grounds. But its efficacy is yet to be proven. MIL-77 MabWorks, developed by a company in China is under Phase I trials is also based on monoclonal antibodies and is as effective as Zmapp. BCX-4430 Biocryst, USA is a broad spectrum nucleoside analogue and its safety data is being collected. Interferons that have been approved for treatment of Hepatitis B and C and multiple sclerosis have been tested as a therapy on a few Ebola patients (WHO, 2015). There are several control of outbreak measures that have been suggested by the WHO. Raising awareness of the risks for Ebola infection, taking protective measures, such as vaccination can reduce transmission of the disease. Surveillance and contact tracing, good laboratory services for prompt diagnosis, safety during burials and mobilisation of social resources is a good strategy for controlling the spread and preventing an outbreak if infection occurs. Risk reduction measures include reducing the risk of wildlife to human transmission that can occur due to consumption of raw meat of fruit bat or monkeys/apes. Handling should be done with gloves on and any consumption should be preceded with thorough cooking. Reducing risk of human to human transmission can be done by avoiding contact with body fluids. Gloves and protective gear and clothing should be used when caring for patients at home or in hospitals. Hand washing can prevent the spread of infection to a large extent. Risk of tra nsmission through sexual contact can be avoided by practice of safe sex by male patients for one year after the infection occurrence or until two successive semen specimens test negative for the virus. Outbreaks can be prevented by ensurinf a safe and prompt burial of the dead. Health of people who were in contct with patients should be monitored for up to 21 days and they should be checked for symptoms. The healthy should maintain a safe distance from the infected. Maintenance of good hygiene and a clean environment are necessary for prevention. The WHO supports countries at risk for prevention of Ebola virus disease and has developed plans for preparedness. Whenever an outbreak is reported the WHO responds by supporting surveillance, providing laboratory services, engaging the community, infection control mechanisms, logistical support provision, training and supporting safe burials. In conclusion, it is important to understand that if an outbreak caused by the Ebola virus occurs, the safety measures can reduce the spread of the infection among people of the community and health workers. Awareness among the community members, better diagnosis, prevention through vaccination, more research on treatment through drugs and control measures can be adopted to prevent an outbreak and reduce fatalities among patients. References Arima, Y. Shimada, T., 2015. Epidemiological situation of Ebola virus disease in West Africa.. Uirusu, pp. 65(1):47-54.. Baron, S., 1996. Medical Microbiology.. 4th ed. s.l.:Galveston (TX): University of Texas Medical Branch at Galveston. BMJ, 2017. /pathophysiology.html. [Online] Available at: https://bestpractice.bmj.com/best-practice/monograph/1210/basics/pathophysiology.html [Accessed 27 August 2017]. Clarke, E. Bradfute, S., 2017. Advances in Ebola virus vaccination. The Lancet Infectious Diseases, 17(8), p. 787788. Karwowska, K., 2015. Ebola virus disease. Pol Merkur Lekarski. , 38(223), pp. 42-45. Lee, J. E. Saphire, E. O., 2009. Ebolavirus glycoprotein structure and mechanism of entry. Future Virology, pp. 4(6), 621635. https://doi.org/10.2217/fvl.09.56. National Academies of Sciences, E. a. M., Division, H. a. M., Health, B. o. G. Threats., F. o. M., 2016. The Ebola Epidemic in West Africa: Proceedings of a Workshop.. s.l.: National Academies Press (US). WHO, 2015. emp_ebola_q_as/en/. [Online] Available at: https://www.who.int/medicines/emp_ebola_q_as/en/ [Accessed 27 August 2017]. WHO, 2017. ebola-situation-reports. [Online] Available at: https://apps.who.int/ebola/ebola-situation-reports [Accessed 27 August 2017]. WHO, 2017. factsheets/fs103/en/. [Online] Available at: https://www.who.int/mediacentre/factsheets/fs103/en/