Wednesday, May 20, 2020
Pride And Prejudice By Jane Austen - 1263 Words
Pride and Prejudiceââ¬â¢ is concerned with the equality of personhood between characters in the story. For instance, the marriage of Charlotte Lucas marriage to Mr. Collins which can be demonstrate the fact that marriage in the 19 century England, was ultimately seen as being an economic institution, dictated primarily by economic means. Miss Lucas, whom is a woman with small fortune, recognized her requirement for a wealthy husband to ensure that her social and cultural sustainment and thus, she marries Mr. Collins for whom she does not feel any loving emotion, ââ¬Å"it is impossible that every moment should be employed in conversing togetherâ⬠. Within this, Austen presents a more cynical view of marriage, that of happiness not as maritalâ⬠¦show more contentâ⬠¦Mr. and Mrs. Bennetââ¬â¢s relationship can be revealed to the reader within the first few paragraphs of chapter one You mistake me, my dear. I have a high respect for your nerves.ââ¬â¢Ã¢â¬â¢, their relationship is shown as being to be intricate and one-sided. Mr. Bennet and Mrs. Bennet are seen as being very different people as they do not share any similarities as married couples. Mr. Bennet is seen as being a multifarious man, as he has two main hobbies in life which is reading and teasing his wife ââ¬Å"high respect for your nervesâ⬠. Conversely, Mrs Bennet is seen as being an artless and injudicious character, as she seen as being unable to tell when she is being teased by her husband. Catherina and Edgar Lintonââ¬â¢s marriage is seen as being attraction of status as she is only attracted to him because of his lifestyle, as Edgar can provide Catharine social security whereas Healthcliff cannot. Their marriage is portrayed as in terms of power as Catherine can be seen as desiring Edgar because of the money and the position he offers hers, which she seen as thinking as a way to better the life of Heathcliff, it is suggested that their relationship Is seen as growing from abuse as she has power of him and Edgar willingness to give her everything ââ¬Å"Youââ¬â¢ve made me afraid and ashamed of youâ⬠, even though with the abuse that he is experiencing, he doesnââ¬â¢t not leave her although with the pain that she is causing him showing his loyalty to their marriage.
Monday, May 18, 2020
The Legalization Of Steroids Should Be Beneficial For The...
Steroids seem to to be having a negative view for much of history. Steroids are drugs used by athletes to become stronger and achieve a strong physique. Steroids are illegal and are strongly discouraged to be used and may be seen first expressed during high school with the introduction of organized sport teams. The perspective against the legalization of steroids believes in the many benefits of legalization. The perspective for the legalization of steroid expresses the harmful effects of steroids. My view of the subject is that I am against the legalization of steroids. The perspective for the legalization of steroids believes in benefits. The article ââ¬Å"Performance-Enhancing Drugs Should Be Legalized.â⬠by Stephen Wang focuses on the ideaâ⬠¦show more contentâ⬠¦though it s completely unrealistic at this point in time. Researchers have found a disadvantage for detection of performance-enhancing drugs. Performance-enhancing drug makers develop new undetectable drugs. The final point made by Wang is how legalized PEDs would work. Evidence used by Wang is that there needs to be medical supervision through legalizing performance-enhancing drugs. Much support for legalization is due to the fact that the drugs are unsafe because of the priority to make them undetectable instead of safe. The article ââ¬Å"Overhaul of global anti-doping system needed.â⬠by Sharmila Devi focuses on the idea that doping needs to be legalized in order to be used for study. There is the idea of reforming the system. Academics and scientists question how costly the global anti-doping framework is. Some even called for legalization. Many specialists would like to see the system innovated for medical research. However, specialists fear of condoning drugs if they speak publicly on their perspectives. WADA has representatives of public authorities and the Olympic movement. This agency has a list of 300 banned substances which include stimulants, anabolic steroids, and ot her drugs. Use of these drugs may result in health effects like risk of stroke, heart failure, and kidney damage. Harm may be reduced if some banned substances were allowed after after testing and regulation. Pitsiladis who has been on the committee believesShow MoreRelatedEssay Steroid Legalization Rebuttal811 Words à |à 4 PagesRebuttal Article ââ¬Å"Why itââ¬â¢s time to legalize steroids in professional sportsâ⬠written by Chris Smith of Forbes Magazine argues that to level the playing field of professional sports it would be beneficial to legalize the use of performance enhancing drugs. Mr. Smithââ¬â¢s ideals that professional sports would be a fairer, more entertaining version of itself if performance enhancing drugs were legal, is an incredibly irresponsible and impudent declaration. Mr. Smith states ââ¬Å"The primary reason why performanceRead MoreSteroid Hormones And Its Effects On The Body2137 Words à |à 9 PagesThe term steroids are defined as, One of a large group of chemical substances classified by a specific carbon structure. Steroids include drugs used to relieve swelling and inflammation, such as prednisone and cortisone; Vitamin D; and some sex hormones, such as testosterone and estradiol (medicine net, The Web). According to the medical source, Among them are male and female sex hormones, such as testosterone and estrogen. Vitamins of the D group are steroids involved in calcium metabolism. CholesterolRead MoreSteroids and Other Performance Enhancers Essay1191 Words à |à 5 PagesThe issue over steroids and other performance enhancer drugs has been a recent topic in the sports world. The debate over whether or not to punish those who have been caught using has been a major topic recently, as well as the legalization of these drugs. When arisi ng the question of whether or not to legalize steroids, many positive and negative factors are brought to the table, and in effect could change various aspects of our normal day lives. Anabolic steroids are a class of naturalRead MorePerformance Enhancing Drugs For Sports Essay1514 Words à |à 7 PagesPerformance-Enhancing Drugs in Sports A tremendously large problem in sports is whether or not athletes should be able to use performance enhancing drugs. To most people, it doesn t make any sense for athletes to be using them. They have to know what affect it has on their body not only physically, but also mentally. Around the early 2000ââ¬â¢s is when all this starting coming up and it has made a dramatic impact on the sports world. The few people who want performance-enhancing drugs in sports donââ¬â¢t worry aboutRead MorePerformance Enhancing Drugs : Helpful Or Detrimental?2373 Words à |à 10 Pageshas this impacted MLBâ⬠Barry Bonds, the man who broke Hank Aaronââ¬â¢s home run record in 2007 should be hailed as one of the greatest sluggers to ever swing a bat. So why isnââ¬â¢t he? With a career plagued with controversy over the use of steroids and other performance-enhancing drugs (PEDââ¬â¢s), Bondsââ¬â¢ historic records will be debated and held in controversy forever. The numbers Bonds put up during his career should earn him a first class seat headed to the Hall of Fame; however, even without an actual convictionRead MoreShould Steroids Be Illegal For Athletes?900 Words à |à 4 Pagesââ¬Å"If steroids are illegal for athletes, then why isnââ¬â¢t photoshop illegal for models?â⬠. Documented steroid usage has increased significantly over the past decade, however this paper contends that with the help of medical research, medical surveys and first hand experience, I will demonstrate steroids are not as hazardous as the general public perceives steroids to be. As steroid use cont inues to be identified in the news, a growing trend in America and all over the world right now seems to be askingRead MorePerformance Enhancing Drugs For Sports1227 Words à |à 5 PagesPerformance Enhancing Drugs Sport records are becoming harder à to break and seeing records are starting to become a thing of the past.. Players arenââ¬â¢t being able to hit these home runs or score long touchdownââ¬â¢s. Injured à players are getting kicked off the team or even quit because they canââ¬â¢t get to their peak performance that they were at before they got injured. à If more players were to use performance enhancing drugs they would be able to compete to the performance of past players. A performanceRead More The History of Steroids: The Legal and Illegal Usage of Steroids1466 Words à |à 6 PagesThe use of steroid by athletes has been a controversial issue for some time. One can argue that the usage is totally wrong and it is against the morals and the rules of the games. Although steroids boost up the process of muscle building and endurance, it also has complications in the long run. Those that cheat their way by using and or abusing such chemicals can have serious health defec ts. A real athlete should work his/her way with hard work and the correct training to build that endurance andRead More Use of Performance Enhancing Drugs in Sports Essay2025 Words à |à 9 Pagesperformance enhancing drugs in sports (doping) is done to improve athletic performance. Doping in sports has become a highly controversial topic among professional sporting venues and in the media. With the increased pressure to perform, high priced contracts, increased competition, and advanced training methods todayââ¬â¢s athletes will try to gain an edge by any means necessary. Performance enhancing drugs used by athletes today include Human Growth Hormone (HGH), anabolic steroids, peptide hormones, amphetaminesRead More_x000C_Introduction to Statistics and Data Analysis355457 Words à |à 1422 PagesBasic Properties of Probability 295 6.4 Conditional Probability 302 6.5 Independence 313 6.6 Some General Probability Rules 323 6.7 Estimating Probabilities Empirically Using Simulation 335 Activity 6.1 Kisses 347 Activity 6.2 A Crisis for European Sports Fans? 347 Activity 6.3 The ââ¬Å"Hot Handâ⬠in Basketball 347 Graphing Calculator Explorations 351 7 Random Variables and Probability Distributions 7.1 Random Variables 358 357 7.2 Probability Distributions for Discrete Random Variables 361 7
Wednesday, May 6, 2020
Victim Blaming By The Canadian Resource Center For Victims...
What is Victim Blaming? Victim blaming is defined by the Canadian Resource Center for Victims of Crime as ââ¬Å"a devaluing act that occurs when the victim of a crime is held responsible â⬠¦ for the crimes that have been committed against themâ⬠(2). Victim blaming affects the lives of many, including both men and women. The act of victim blaming can be detrimental in many ways. It can affect the victimââ¬â¢s willingness to come forward and report a crime, it influences how the media and society portrays the victims, and it promotes rape culture; therefore, victims tend to blame themselves, and the offender is less likely to be held responsible. Victim Blaming can be dangerous because victims are less likely to come forward or even report a crime.This is more typical for male victims. According to the Southern Connecticut State University Sexual Assault Facts, ââ¬Å"Men face many of the same barriers as women that prevent them from reporting abuse, but also face a different kind of stigma since many do not believe that men can be victims of dating/domestic violenceâ⬠(3). Also it is reported that since men are not viewed as victims, that sexual assault against men is extremely under reported. Some forms of victim blaming can come in the form of physical harassment. As reported by the The Canadian Resource Center For Victims of Abuse, ââ¬Å"Victims who receive negative responses and blame tend to experience great distress and are less likely to report future abuseâ⬠(5) VictimsShow MoreRelatedIs Sexting Politically Common Among Hormones Driven Teenagers Who Are Becoming More Sexually Adults?1932 Words à |à 8 Pa gesvictimized. Victims of sexting scandals may be exploited and publicly humiliated if their messages are abused or misdirected. In the case where a minor is involved, the act of sexting may lead to serious criminal consequences. Both the minor and the recipient may be convicted of a felony and charged with the possession, distribution, or receipt of child pornography (Jaishankar, 2009). Additionally, those who fall victim to sexting scandals may also be at risk of victim-blaming and victim-shaming. BothRead MoreHunyango Sa Bato - Abdon Balde Jr.6135 Words à |à 25 Pagesmaintain controlà over the victim. Abusers use many tactics to exert power over their spouse or partner: dominance,à humiliation,à isolation,threats,à intimidation,à denialà andà blame.[38] Physical Physical abuseà is abuse involving contact intended to cause feelings of intimidation, pain, injury, or other physical suffering or bodily harm. Physical abuse includes hitting, slapping, punching, choking, pushing, burning and other types of contact that result in physical injury to the victim. Physical abuse canRead MoreThis Literature Review Examines Intimate Partner Violence2914 Words à |à 12 Pagesoccur. Accordingly to Statistics Canada IPV ââ¬Å"accounts for one of every four violent crimes reported to the police,â⬠in 2011 (Sinha, 2013) representing 95,000 victims; 49% representative of abuse by current or former spouse, of which 80% of the victims were female (44,800 persons). By Canadian standards the number of IPC incidences within the Unite States are staggering. Based on 2010 statistics compiled by the Center for Disease Control, ââ¬Å"35.6% of women in the United States have experienced rape,Read MoreBp 7s Analysis10010 Words à |à 41 Pagestheà Ottoman government. In 1923, Burmah employed future Prime Minister,à Winston Churchillà as a paid consultant; to lobby the British government to allow APOC have exclusive rights toà Persianà oil resources, which were successfully granted.[18]à In 1925, TPC received concession in theMesopotamian oil resourcesà from theà Iraqi governmentà under British mandate. TPC finally struck oil in Iraq on 14 October 1927. In 1928, the APOCs shareholding in TPC, which by now namedà Iraq Petroleum Companyà (IPC), wouldRead MoreBp 7s Analysis10000 Words à |à 40 Pagestheà Ottoman government. In 1923, Burmah employed future Prime Minister,à Winston Churchillà as a paid consultant; to lobby the British government to allow APOC have exclusive rights toà Persianà oil resources, which were successfully granted.[18]à In 1925, TPC received concession in theMesopotamian oil resourcesà from theà Iraqi governmentà under British mandate. TPC finally struck oil in Iraq on 14 October 1927. In 1928, the APOCs shareholding in TPC, which by now namedà Iraq Petroleum Companyà (IPC), wouldRead MoreEffects and Implications of Coalition Governments on the Political Scnerio in India16277 Words à |à 66 PagesIndian politics is often described as chaotic. More than a fifth of parliament members face criminal charges and is not unheard of that most state assembly seats are held by convicted criminals. Corruption in India is common rather corruption and crime are the qualifications for being a politician in India. What is a collation Government? A coalition government is one in which several political parties must cooperate in order to run a country or region. A coalition government is often times consideredRead MoreFundamentals of Hrm263904 Words à |à 1056 Pagestextbook with the most effective instructor and student resources With WileyPLUS: Students achieve concept mastery in a rich, structured environment thatââ¬â¢s available 24/7 Instructors personalize and manage their course more effectively with assessment, assignments, grade tracking, and more manage time better study smarter save money From multiple study paths, to self-assessment, to a wealth of interactive visual and audio resources, WileyPLUS gives you everything you need to personalizeRead MoreInternational Management67196 Words à |à 269 Pagesmarket-leading international management text. Specifically, v vi Preface this edition has the following chapter distribution: environment (three chapters), culture (four chapters), strategy (four chapters), and organizational behavior/human resource management (three chapters). Because international management is such a dramatically changing field, all the chapters have been updated and improved. New real-world examples and research results are integrated throughout the book, accentuating theRead MoreProject Managment Case Studies214937 Words à |à 860 Pagesotherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 750-4470, or on the Web at www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley Sons, Inc., 111 River St reetRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words à |à 1573 PagesUnderstanding Work Teams 307 Communication 335 Leadership 367 Power and Politics 411 Conflict and Negotiation 445 Foundations of Organization Structure 479 v vi BRIEF CONTENTS 4 The Organization System 16 Organizational Culture 511 17 Human Resource Policies and Practices 543 18 Organizational Change and Stress Management 577 Appendix A Research in Organizational Behavior Comprehensive Cases Indexes Glindex 637 663 616 623 Contents Preface xxii 1 1 Introduction What
The Importance Of Security Doors - 1198 Words
As you approach the SM Entertainment building, you fumble with your wallet attempting to pull out your drivers license for identification purposes. Once the plastic card slides between for fingertips, you snap shut your wallet and shove it into your bag again. Your footsteps begin to increase in pace while you use your free hand to fidget with the glasses resting on the bridge of your nose. After reaching the main door, you yank off your sunglasses and press the intercom button. Hello. How may I assist you? Asks the secretary, Myung-Sook, behind the front desk. You tap the metal circle again to reply. Hi. Its Y/N Y/L/N. Im here to drop off lunch for Victoria again. Concluding your sentence, you hear the click of the lockâ⬠¦show more contentâ⬠¦Im fine thank you. I was just grabbing water for the girls. Did you bring food? Victoria eonni said you were bringing us food. Yes. You begin before stepping into the elevator that finally arrived. Amber trails behind you before selecting the correct floor and standing beside you. She sent me a very specific lunch list. I hope I got everything right. Amber laughs. At this point I think you should know that as long as its edible well eat it. Well wed all hope it is edible now wouldnt we Amber-ah. Hows the practice going? You say as you wait for the elevator to halt. Amber shrugs. It was okay nothing new happened other than us perfecting our choreography and taking turns heading down to the studio to record our next song. f(x) fighting! You smile as Amber slightly mimics your action attempting to not drop the water bottles. The elevator then dings to alert you two that you arrived on the correct floor. Amber leads the way to where the rest of her group resided while she retrieved the water bottles. As you and Amber entered the dance room, Luna and Krystal perked up. Food! They collectively screamed. Amber chuckled as the younger girls swarmed you two and collected your cargo. Thank you eonnis! They shouted loudly. They are all marked with your names on it! You announced while playfully rolling your eyes at their childish antics before you glanced around the studio and noticedShow MoreRelatedThe Importance of Physical Security1548 Words à |à 7 Pages * * The Importance of Physical Security * Shontay Clark * University of Phoenix * CJA 585 * Bob Riley * May 2, 2011 The Importance of Physical Security Abstract Understanding the importance of physical security rest in acknowledging the two main elements of security; people, and technologyà ( Bitzer [Remove the space afterRead MoreImproving The Traffic Efficiency And Road Side Safety1506 Words à |à 7 Pages Vehicular Ad-hoc networks are used in order to improve the Traffic Efficiency and road side safety. Security Requirements of the VANETS: Confidentiality: The conversion between the sender and the receiver should be very confidential that means the messages need not to be shared by other users. Authentication: The messages that are sent from the sender to receiver are secured by authenticating the messages so that they are understood by the authenticated people. Availability: They must be able toRead MoreEnroll in a Closed Campus Essay993 Words à |à 4 Pagesgroup of cars and simply drive off campus, giving up their rare, close, parking spot. Students who leave campus can return if they wish too, so that they may visit the library, or grab a coffee from the book store with friends. Students who attend open door colleges, who live off campus, hold the right to go to their house for lunch or for a break and return to campus for their next class. The students of open campuses are given massive amounts of responsibility, as a result of being allowed to travelRead MoreWhat Is Physical Security?1642 Words à |à 7 Pagesquestion, ââ¬Å"What is security?â⬠the response of the majority of the population would likely be: alarm systems, guards in uniform, locks, and barred doors windows. While this is always a great place to start, these are not the only measures that need to be considered when making an effort to secure an information syst em. Because physical security is a pivotal component of all security plans and is key to all security efforts, it makes the initiation of access control, software security, information technologyRead MoreAccess Controls And Access Control Security Essay1346 Words à |à 6 Pagescomputers, databases, and technology in general, security has grown to be a powerful tool that has to be used. The threat of outside sources intruding and exploiting crucial information is a threat that is present on a daily basis. As a part of creating and implementing a security policy, a user must consider access control. Access Control is a security tool that is used to control who can use or gain access to the protected technology. Access control security includes two levels; logical and physical.Read MoreDeveloping A Strong Security Policy978 Words à |à 4 Pagesprocessing center is critical. In order to ensure the safety and security of clientââ¬â¢s information, data processing companies must h ave top-notch security in place from the locks on the door to the people they hire. One way to develop a strong security policy is to hire a security analyst who is in charge of overseeing every aspect of the companyââ¬â¢s security. The security analyst will help design, implement, and update security policies and procedures, as well as ensure that these policies andRead MoreDeon Mason. April 30, 2017. Principles/Practices/Courts.1066 Words à |à 5 Pagesignored as justice is handed out swiftly and mindlessly. The stories/cases that Bogira tells in Courtroom 302 are both fascinating and disturbing. Bogira strips away our sense of security in the justice system by showcasing the various factors that live within our justice system to undermine it. To understand the importance of ethics one must first understand what ethics mean. While ethics is a wide category there are several subcategories that fall underneath it. The subcategory that the book reallyRead MoreThe Invasion Of Privacy And Concern For Safety1624 Words à |à 7 Pagesthe United States and across the world. The main issue is how does the governmentââ¬â¢s actions change how people view their own security and even national security. Broader theories of this research question would be how the governmentââ¬â¢s interaction with technology and security influence how people think about their own personal privacy and safety as well as our national security. Some central questions that are critical to how to analyze this growing p roblem are the following: What does the NSA reallyRead MoreInformation Classification Plan For Kingsley Media Enterprises1212 Words à |à 5 PagesExecutive Summary The report is introductory to an information classification plan related to Kingsley Media Enterprises This report explains the importance of information classification and introduces three labels that can define any information, and the countermeasure that aid to mitigate the risk and impacts of information being exposed. Proper security measures must be accompanied with information classification and practical workshops for employees to learn how to label information. Read MoreNetwork Security And The Security934 Words à |à 4 PagesHospital Network Security With a multitude of changes occurring in the technology field, it is critical that hospitals maintain the highest levels of security for their internal network as well as their public access network. Hospitals contain vital information about patients, treatment styles, employees and staff, as well as pharmaceuticals that are kept on the premises. The importance of protecting this information cannot be understated and a breach in security could cause a breakdown in
Financial Ratios and the Probabilistic Prediction of Bankruptcy
Question: Discuss about the Financial Ratios and the Probabilistic Prediction of Bankruptcy. Answer: Introduction: Auditors are responsible and have a fiduciary obligation to provide an opinion regarding going concern opinion to an entity. The going-concern is considered to be vital indication whether the company is in a position to provide continuing performance in the future years. For this aspect, there are various tools that can use by auditors for the assessment of going concern status of the company. In accordance with GAAP (generally accepted accounting principles), the assumption of the going concern is essential for the preparation of financial statements (Wang and Lin, 2013). Ohlson (1980) in the US, was the first research scholar to apply logistic regression analysis to analyse going concern status of the company which is still considered to be viable for auditing. Olson had made use of 105 bankrupt and 2058 non-bankrupt firms in his study during the period of 1970-1976. Ohlson (1980) had a number of the predictors for development of his model to ensure accurate results. These predicto rs were considered by refereeing to recurrently mentioned parameters in the literature. For deriving his bankruptcy prediction model, he had applied logical analysis by using nine measures of firms related to its size, liquidity, leverage, and performance. His model was Y = -1.3 - .4 Y1 + 6.0 Y2 - 1.4 Y3 + .1 Y4 -2.4 Y5 - 1.8 Y6 + .3Y7 -1.7 Y8 - .5Y9 (2) In this model: Y1 = log (Total assets / GNP price-level index); Y2 = Total liabilities / Total assets; Y3 = Working capital / Total assets; Y4 = Current liabilities / Current assets; Y5 = In case where total liabilities surpass total assets, else this value is considered to be 0 Y6 = Net income of financial year / Total assets; Y7 = Funds generated through operational activities / Total liabilities; Y8 = In case where net income is negative for past two years, else this value is considered to be 0 Y9 = Measure of variation in the net income; Y = overall index. The model developed by Ohlson (1980) shows that leverage has substantial ability forecasting towards the corporate financial distress. In the case where there are issues in capital dispatch, then there will the high probability of debt crash, thus higher delist possibility will exist. For evaluation of going concern, this model is viable as it considers all the negative trends through which auditor get well versed with the indications related to financial problems considering internal as well as external matters. With the applicability of this model, audit firm will provide opinion on the company by considering its overall position in order to provide a true and fair view to stakeholders so they can make their decisions rationally. In addition to this, auditing firm will be in position to point out material risk factors that can create threat to going concern in the near future. References Ohlson, J A., 1980. Financial Ratios and the Probabilistic Prediction of Bankruptcy, Journal of Accounting Research. Pp. 109-131. Wang, C. C., Y. J. Lin, Y. S. Hsu. 2013. The initial going-concern of delisting firms: An application of proportional hazard model. Journal of finance Accounting, 5, 139-158.
Diagnosing and Treating Mental Diorders â⬠Free Samples to Students
Question: Discuss about the Diagnosing and Treating Mental Diorders. Answer: Introduction: Interpersonal skills are the life skills we utilize each day when we impart and associate with other individuals, both separately and in gatherings. In connection to Andrew the most vital aptitudes that are required would be communication and listening abilities (May, 2013). As a matter of importance for communication to happen there must be no less than two individuals. Correspondence expertise can additionally be separated into verbal and nonverbal communication. Verbal communication regularly requires simply slowing down when addressing someone, this is because people might have the urge to quickly react to questions, while the smart thing to do is staying silent and digesting what the other person has to say, thus helping one answer back better. No one anticipates, or desires, a harsh attitude in important conversations this is because being mindful of others is better and is considered more respectful. A person who is considerate is normally taken more sincerely, This is because he has skills that a person well conversant with mannerism of verbal communication ought to have such as, staying calm, being attentive, courteous, attentive and being able to know what emotions a person is going through thus adjusting his or her voice to significantly match his body language. Non-verbal communication are actions or things people do subconsciously with or without their knowledge and most of the times this is the communication that others read and make sense out of such as, Facial expression, tone of voice, gestures and even the way you position yourself physically in a room or among partners is continually uncovering your actual demeanor, for better or in negative ways. In many instances people are not aware that they tend to say more with nonverbal gestures like eye contact, gestures and facial expressions. Overall, adopting effective communication skills is essential when dealing with patients in order to make them understand what causes the symptoms, how to ease the symptoms, and why they are taking certain medication (Clearly, Hunt Horsfall, 2015) The other skill that would come in handy would be the listening skill which likewise is vital on the grounds that it helps in enhancing the analysis of the patient issues and help in understanding what and how the patient is influenced by his condition. It is critical to note that hearing and listening are two different things in this case listening well enables one to ask good questions, make better choices and impart all the more obviously on the grounds that you understand other people perspective. Symptoms and Management of Psychosis Psychosis is a mental disorder usually characterized by an impaired relationship between a persons thoughts or perceptions and the reality (McEvoy, Freter, Merritt Apperson, 2013). Some of the major signs and symptoms of psychosis include hallucinations, delusions, suspiciousness and disorganized speech. With both hallucinations and delusions, they appear to be real to a person experiencing them yet they are not (Phelan McCormack, 2016). Delusions are false impressions, thoughts or beliefs strongly held by a person despite the fact that they are contrary to reality or actual evidence (Garety, Kuipers, Fowler, Freeman Bebbington, 2014). In this case, the patient was experiencing a delusion of paranoia. A paranoid delusion is one whereby a person shows persecutory delusions by claiming that people are plotting or conspiring against them yet they are not (May, 2013). In this case, the patient says that transmitter chips have been implanted in his brain so that people can monitor his thoughts. He also claims that there are electrical supplies that are being moved in his house and that the lights outside his apartment are being operated so that they can interfere with his thinking. Additionally, he is suspicious as he says that students are talking about his activities with the lecturer so that he can get him into trouble. He also claims that there are different individuals in the university who are ASIO spies. Clearly, all these false impressions exhibit a case of paranoid delusion and suspiciousness whereby he believes that people are conspiring against him. Further, the patient is experiencing hallucinations. A hallucination is a false sensory experience that happens in the absence of an actual outside stimuli. In other words, a person sees, hears, feels or smells things that are not really present. When someone is hallucinating, they see things that do not exist or hear other people talking yet; this is not the case in actual reality (Fischer, 2016). In this case, the patient said that he could hear other people talking about him, yet there was nobody else in the room. Therefore, he was experiencing auditory hallucination by hearing non-existent people talk ing. Besides this, the patient showed impaired verbal communication whereby he relates some loosely connected and questionable narrations of certain people in the university being ASIO spies. He also showed lack of emotion as he maintained a flat and consistent monotone voice as he calmly sat in his seat throughout the entire interview (Clearly, Hunt Horsfall, 2015). How to respond to the issue of prescription Due to the nature of Andrews illness, good communication skills geared toward helping him cope with the challenge of mental health is crucial and necessary for any health care giver, hence it is my duty to explain to Andrew the nature of his illness in which in this case he has symptoms of psychosis and how this symptoms are affecting his mental state and thus not allowing him to perform well in his studies. In reference to verbal and nonverbal communication the use of friendly tone should come in handy in showing empathy towards Andrew, who must understand that his medication which in this case is risperidone 1mg nocte is important and is the one suitable in improving his well-being, which include improved grades and his ability to socialize well without thinking that other students and teachers are out against him. In this case I must assert the importance of taking medication and also explain to him the consequences of not taking his medication; Andrew needs to understand that instructions I give are a guidance and reassurance in order to teach him on how to cope with his mental state. Moreover he needs to know that not taking his medication has severe consequences, since research has made it clear that reduced observance with antipsychotic medications escalates the danger of setback. Patients that dont take their medication as required have an average risk of relapse that is greater than that of patients that take their medication. Andrew therefore must be in agreement with me should he not take his medication, he might relapse and this may be more critical and life threatening to him and those around him, since one of the major consequences of not taking his medication is an increased potential for assault and dangerous behavior, especially during periods of psychosis. In this case, Andrews needs to understand that relapse in psychotic case is common and many young men deal with the issue, thus follow up meetings are encouraged by the health care giver and incase he has any question he should not hesitate to ask any health care personnel. In this case, I will advise him to use the drugs as prescribed in order to ease symptoms of psychosis (Clearly, Hunt Horsfall, 2015) Care Plan As the general practitioner directed that the patient should be informed and monitored, I would establish a care plan. First, I would address the patient directly and clearly with a professional but simple approach as I explain the GPs diagnosis, treatments and medications. I would explain this in a manner that helps the patient be fully aware of any intervention method I will be carrying out so that they cannot feel that they are being tricked. Additionally, teaching the patient how to engage in distraction techniques and reality-based activities that will help bring them to reality would help reduce the hallucinations and delusions (Randle, 2016). I will monitor the patient for various signs and symptoms that would suggest that they are experiencing a hallucination. This could be seen by them talking to themselves or looking around (Hutchinson Jackson, 2013). I will encourage them to speak about their delusions and hallucinations and engage them during the episodes while refrainin g from counseling them until they are over. It is imperative that I help the patient to identify and deal with various feelings and triggers that cause illusions and hallucinations. Also, it is important to avoid arguing with the patient about the reality of their delusions or hallucinations. Instead, one should explain to them that others do not share in their sensory perceptions or beliefs (Clearly, Hunt Horsfall, 2015). To deal with the impaired verbal communication, I would set aside some time for consistent face-to-face interaction with them. During the interaction, it would be important that the patient is informed where one does not comprehend whatever they are attempting to convey (Olson, 2015). Where the patient shows lack of emotions to sensitive matters, I will try to verbalize feelings and model various expressions of feelings. Talking about the patients favorite activities, hobbies and personal interests would also help (Norman, Gibb, Dyer, Prentice, Yelland, Cheng, Edwards, 2016). Moreover, it would be important to identify areas of open communication on matters of importance to the patient (Tait, Birshwood Tower, 2015). Lastly, I will encourage the patient to engage in healthy habits that will optimize functioning and keep them in remission. This includes maintaining medication regimen, regular sleep patterns and self-care (Vickers Linde, 2014). References Clearly, M., Hunt, G. E., Horsfall, J., (2015). Diagnosing psychosis. Issues in mental health and nursing, 31(5), 331-335. Fischer, S. A. (2016). Diagnosing and treating mental diorders: a concept analysis. Journal of advanced nursing, 72(11), 2644-2653. Garety, P. A., Kuipers, E., Fowler, D., Freeman, D., Bebbington, P. E. (2014). A cognitive model of the symptoms of psychosis. Psychological medicine, 31(2), 189-195. Hutchinson, M, M., Jackson, D. (2013). Signs and symptoms of psychosis: towards a more critical interpretation. Nursing inquiry, 20(1), 11-22. May, S. (2013). Mental disorders. In Handbook of mental care (pp. 231-245). Springer New York. McEvoy, J. P., Freter, S., Merritt, M., Apperson, L. J. (2013). Insight about psychosis among outpatients. Hospital and community psychiatry. Norman, R. E., Gibb, M., Dyer, A., Prentice, J., Yelland, S., Cheng, Q., Edwards, H. (2016). Improved psychiatry care for patients with psychosis in Australia. International psychiatry journal, 13(3), 303-316. Olson, M. H. (2015). An introduction to mental disorders. Psychology Press. Phelan, A., McCormack, B. (2016). Exploring nursing expertise in caring for mental patients: a mixed method study. Journal of advanced nursing, 72(10), 2524-2535. Randle, J., (2016). Nursing care plan for psychosis. Journal of advanced nursing, 43(4), 395-401. Tait, L., Birshwood, M., Tower, P. (2015). Predicting engagement with services for psychosis: insight, symptoms and recovery style. The Journal of Psychiatry, 182(2), 123-128. Vickers, A. J., Linde, K. (2014). Intervention for acute psychosis. Jama, 311(9), 955-956.
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