Discuss the impact of fear and anger when caring for clients in the Essay

Discuss the impact of fear and anger when caring for clients in the health care setting - Essay Example An important indicator of quality care is the presence of a healthy interpersonal relationship between a patient and health care provider, or a relationship that is free of fear and anger. Sadly, there are several instances in which patient-provider relationship is beset by unconstructive emotions such as fear and anger. These particular negative approaches in dealing with patients contribute to discrimination, abuse and marginalization in the heath care contexts. According to some studies, patients who belong to the lower class or are poor usually feel that they are being treated badly by health care providers (Yamashita et al., 2005, 64). Health care providers, on the other hand, are continuously confronted with difficult emotions such as fear and anger. They are at times overcome by fear of an indefinite future. Consequently, these fears become manifested; caregivers spend a great amount of time confronting their fears alone, believing that nobody could understand them. They also fear that they will be competent as caregivers, that they would not be able to cope with the nursing task physically. And they fear of their lack of ability in coping with emotional tension. However, these are only instances of internal fear (Mccabe, 2004, 6). There are health care providers who are fearful of their patients, especially if their patients are mentally disturbed or emotionally unstable. This fear makes the delivery of health care services inefficient. Fear cripples the capability of a health care provider to competently meet the health needs of his/her patient which then could result in conflict. Interpersonal communication between health care provider and a patient could lessen the fear that the former feels for the latter. Understanding directly and emphatically the personality, behavior and needs of a patient could dispel fear (Silverstein, 2006, 33). Suppressed fear and anger does not easily head off, it just accumulates and flares up in

Exercise the Mind, Body, and Soul Essay Example for Free

Exercise the Mind, Body, and Soul Essay Being in this class has helped me realize that my health, as well as others’ health, is very important. The past five weeks I have been recording my habits to see what was necessary to change. After the first three weeks, I had concluded that I really needed to increase my physical activity to do more than my average everyday walking. We were to go about our everyday lives and record exactly what we did on a regular basis. Before this, I would never have considered myself a person who exercises regularly. However, after this project I feel that I have earned the title of a person who exercises on the regular. Once I had picked my area I wanted to increase, I picked out to goals. My first goal was to exercise a minimum of 120 minutes a week. Two objectives I had to fulfill that goal were to complete my homework by four o’ clock each afternoon so that I had time to walk for twenty minutes in the evenings. Another objective I had was to park further away so I could wake an extra ten minutes to and from my car each day of school. My final goal was to lose three pounds by October 23, 2011. The first objective I had to fulfill that goal was to ask my friend/s Karlee, Sarah, and/or Samantha to exercise with me to help me stay motivated. My last objective to reach my weight loss goal was to do Zumba at least three times a week for 30 minutes minimum. Participating in daily physical activities such as walking or doing aerobic exercises is not only important for you physically, but it can also benefit you mentally and emotionally. A report shows that at least 60% of the global population fails to achieve the minimum recommendation of 30 minutes of moderate intensity physical activity daily (Saxena, Van Ommeren, Tang, Armstrong, 2005, p. 445). Walking is one of the most popular, easiest, and safest forms of physical activity (Sykes, 2009, p.40). Walking has many positive benefits to doing it. You have  less chance of getting/having heart problems, lower blood pressure, lose body weight, stress reducer are just few good things walking can do for you.  Studies have generally shown that exercise increases states of positive affect or energetic arousal, and reduces anxiety, tension, or negative affect. Research has also demonstrated that exercise may be similarly effective in the treatment of depression (Lutz, Lochbaum, Carson, Jackson, Greenwood, Byas, 2008, p.166). Exercise gives you something to do. It is an easy way to get your mind off negative things and makes you feel better not only physically, but also mentally. According to Sykes, et al (2009, p. 42), exercise can improve a person’s physical self-worth and other important self-perceptions such as body image. Having exercise goals that relate to personal performance and improvement is also associated with high positive emotion and improved mood. My last two weeks of recording was difficult to say the least. Some days seemed easier than others did. Walking a couple times, a week was easy for me to get in the habit of doing. Not only did I notice that I was having a bit more energy, my dogs, that I took walking with me, we willing to walk more around the house, instead of sleeping all day. As the days went by, I noticed I was finishing my homework earlier, which allowed me more time to increase my time to do activities. My friends were extremely helpful and supportive during this whole process. They were excited to come over and do Zumba with me. They would come at least once a week and work out for at least 30 minutes. I believe I have made a change for the better that will continue to grow. I have realized that I had just been lazy. I now have so much more energy in the days, which really helps me go to sleep earlier and longer. It was difficult at first to change my ways, but with the support of my friends, it made things a lot easier for me. With my increase in physical activity, as I mentioned,  my sleeping habits have gotten better, and well as my leisure time. Now all I need to do is work on my eating habits, which are not too bad, and I will be living a much healthier life than I have been.

Consider the accuracy of Lear?s claim that he is ?a man / More sinned a

King Lear is throught the whole play a man who is a sinner and the victim of the evil deeds of those who surround him, those he keeps most close mostly are the worst sinners against him. He thinks he does the right good things but has to find out that almost everything he did out of meaning well by the people he considered as the good ones at the time he did it were the wrong moves. When Lear realizes that his moves seem to have been wrong he tells Kent and the Fool during a storm that he is â€Å"a man / More sinned against than sinning†, knowing that he also made mistakes, not only the others. But is King Lear really more of a victim than a guilty one? The most shocking and maybe also the most fatal sin of King Lear is the disinheriting and chasing out of Cordelia by her own father right at the beginning of the play. When Cordelia is asked by Lear to tell him how much she loves him she answers in a way Lear did not expect by not telling him sweet words he liked so much when they were told to him by Goneril and Regan before. She tells him that she loves him like a daughter loves her father and nothing more. Lear gets mad at her and calls for France and Burgundy, to give her to one of them as his wife. Lear disinherits Cordelia and she has to leave her home to become the wife of France. When King Lear sends away Cordelia he also sends away his most loyal man, Kent. Kent tries to warn Lear about making a big mistake by sending away Cordelia and only listening to what Goneril and Regan say, not thinking about the consequences the disinheriting of Cordelia might have. King Lear banishes Kent and says that he will have Kent executed if he dares to ever come back again. King Lear can’t realize that Kent is one of the true loyal men around him. Kent is even after that horrible treatment still loyal to his king so he comes back and serves him again in disguise. King Lear’s rage doesn’t allow him to see that Kent’s advise is only ment to protect and help his king, not to show and kind of disrespect to him. The King is obviously not able to see that Goneril and Regan both are lying to him and that they both are only trying to blind him even more to reach their goals. Both daughters use the knowlegde they have about their father to take advantage of him. His personality helps them a lot because the king seems to be a man that enjoys and loves to be blinded by sweet words... ...ze her death in the end and dies believing Cordelia, who he now knows was the only true loving daughter of the three, is still alive. After all I come to the conclusion that the statement of King Lear about himself is not really accurate. My opinion is that Lear’s sins weight stronger and the sins against him are the pure results of his own doings. His rage and temper and pride have made him send away Cordelia and so is he responsible fore her fate and death in the end. I also think that Lear’s bad personality had a very bad influence on both of his elder daughters and that his bad way of treating people have shown both Goneril and Regan in what ways you can behave when you are the one in power. Of course Goneril and Regan both already might have had their own weaknesses but King Kear’s behaviour in front of them might also have done a lot of damage. So I believe that if Lear had not commited so many sins himself he would never have fallen like this. And it is also because of his sin of pride that to him the sins of the others against him seem so bad while his own sins are not that strong in his eyes. This is why I think King Lear is not a man more sinnes against than sinning.

A Yellow Raft in Blue Water Essay

Answer: Discuss the three female protagonists and the men in their lives. How are their lives determined by the circumstances of their birth and subsequently by the men they â€Å"chose.† Michael Dorris divides the novel A Yellow Raft in Blue Water into three sections narrated by three different Native American women: Rayona, Christine, and Ida. First introduced is teen-aged Rayona, whose mother Christine is dying of too much drinking and high living. Rayona was abandoned by her mother and had to fend for herself around the environment of Seattle and the Montana reservation of her birth. She is searching for a stability of affection she never quite finds. Rayona often looks down on herself based on the way people look at her. They either say she is â€Å"too big, too smart, not Black, not Indian, not friendly.† Rayona longs to be normal and fit in. With her mother Christine, it’s been another story: affection came to her almost too much and nearly buried beneath it, she self-destructs in her illness finally returning to the reservation. She is very protective of her brother Lee and always concerned for his welfare. Christine does not have the skills to translate her feelings into actions and this is her main problem in relationships with others, especially with her daughter. This weakness naturally causes problems between Christine and Rayona, as Rayona begins to judge others based solely on their actions. Aunt Ida is often bitter and attempts to distance herself from others, as she fears becoming too attached to or dependent upon anyone. She tells the last part of the book and is the best at telling it. A story of how a young Indian girl Ida assumed the child born of an aunt, who’d come to nurse her sister through illness and stayed to bear her brother-in-law’s child: Christine. It’s only here that Dorris’ narrative decision to telescope the story, unfold family secrets. Since Aunt Ida was so secretive of their family genes, Christine is left fatherless and has no ancestors who she knows about. Consequently she has trouble understanding her identity and it causes her a great deal of pain and disappointment. Though the one constant man in her life was her brother Lee. Christine and Lee have a very close sister-brother bond, each relying on each other for emotional support. After her brother’s death, she gets married to an African American solider named Elgin. Throughout her part of the book, she faces difficulties with Elgin that reflects a lot on Rayona. During Rayona’s whole life, her father Elgin is barely there, pooping in and out whenever convenient for him. Rayona Feels like she is not good enough and has trouble trying to find her place and identity in the world. These characters experience loneliness, they yearn to be loved and accepted. This results in the evident theme of belonging and abandonment. The chance to interview Michael Dorris. . What is your favorite and least favorite books of all the books you have written? Where do you get your ideas for your books? What is your favorite type of book to read that you enjoy and do any of them help you to make your decisions to write your books?   From research you have mentioned growing up in a household filled with women. Did you get any actual editorial help from women in your household? For example, did you show it to your wife and asked if you got something right?

Practice IA IB History

This investigation evaluates whether or not the dropping of the two atomic bombs on Hiroshima and Nagasaki was necessary to make Japan surrender unconditionally. To assess the extent to which the deployment of nuclear weapons affected the Japanese decision to surrender unconditionally and if Japan was already prepared to do this prior to the use of the atomic bombs. The details and motivations of the United States to drop the bombs are explored as well as Japan’s peace negotiations with the United States and their progress prior to the U. S. choosing to use the bombs. Actions of the United States and Japan not related to the end of World War 2 are not assessed in this investigation. The two sources selected for evaluation, Code-Name Downfall: The Secret Plan to Invade Japan-And Why Truman Dropped the Bomb by Thomas B. Allen and Norman Polmar and Downfall: The End of the Imperial Japanese Empire by Richard B. Frank are evaluated for their origins, purposes, limitations, and values. B. Summary of Evidence On the 15th of June 1944 535 ships landed 128,000 U. S. Army personal on the island of Saipan. From Saipan B-29 bombers were in range of Tokyo. Imperative that they not allow this to happen the Japanese Vice Admiral attacked the U. S. Navy with about nine-tenths of Japan’s fighting fleet in the Battle of the Philippine Sea. Once the battle concluded the U. S. had lost 130 planes and 76 aircrew. Japan lost 450 planes, three carriers’, and 445 aircrew. The Japanese Navy’s carrier force was effectively destroyed. The U. S. took control of the island a short time later. More than 29,000 Japanese soldiers died defending the island. (Hoyt 297-312) On the 23rd of October 1944 the Battle of Leyte Gulf, the largest naval battle in world history began. With the goal of cutting Japan off from South East Asia and its oil supplies the U. S. Navy fought against the last remains of the Imperial Navy. By the battle’s end on October 26th Japan had lost 10,500 seamen, a fleet carrier, 3 light carriers, 3 battleships, 10 cruisers, 11 destroyers, and 500 planes. Japan’s once mighty Navy was no more. After this the Japanese were not able to carry out another significant Naval action for the remainder of the war. (Pape 123-168) Shortly afterwards the allies launched their invasion of the Philippines. On the 17th of April 1945 Mindanao, the last major island of the Philippines, was taken by the allies. In total 336,000 Japanese soldiers died defending The Philippines. (Hoyt 421-427) Within a few months of the fall of The Philippines Japan lost control of Burma and Borneo to the Allies. In total the Japanese military lost more than 41,000 soldiers defending the islands. After this the Japanese were effectively cut off from all of their major oil supplies. (Hoyt 437-449) With Japan’s foreign empire nearly decimated by the U. S. and its allies the U. S. turned to the Japanese Home Islands themselves. The Battle for the island of Iwo Jima ended on March 26th with total Japanese defeat. Of the approximately 21,000 Japanese defenders only 216 survived. On June 21st the Allies defeated Japan in the Battle of Okinawa (Feifer 145-163). 75,545 Japanese people lost their lives defending the island. This was to be the last major battle of World War Two. (Hoyt 478-487) While in Europe the USAAF had only used precision bombing to limit civilian casualties the Air Force abandoned this policy while bombing Japan. The first raid using low-flying B-29 bombers carrying incendiary bombs to drop on Tokyo was on the night of February 24-25 1945 when 174 B-29s destroyed around 1 square mile of the city. Changing their tactics, on the night of March 9-10, 1945, a wave of 300 American bombers struck Tokyo. In the ensuing firestorm more than 100,000 Japanese civilians were killed and roughly a million were injured. Dropping nearly 1,700 tons of bombs more than 16 square miles were completely burned and more than a quarter of million structures were destroyed. Before the dropping of the Atomic bombs more than 50% of Tokyo was completely destroyed. (Hoyt, 560-598) Nihei, a young Japanese school girl at the time, recalled that, â€Å"†Those images in my mind†¦ an never be erased†¦ I can see myself there, the flames all around me. And I'm running for my life. Hell could be no hotter. † By July about a quarter of all the houses in Japan had been destroyed, leaving more than 15 million Japanese civilians homeless. Its transportation system was near collapse with almost all the strategic railways destroyed. American forces had sowed aquatic mines in the shipping lanes f rom the air effectively stopping all Japanese naval movement. Food had become so scarce that most Japanese were subsisting on a sub-starvation diet. On Monday, August 6th, 1945 by executive order of President Harry S. Truman the U. S. dropped the nuclear weapon â€Å"Little Boy† on the city of Hiroshima. Truman said that, â€Å"The world will note that the first atomic bomb was dropped on Hiroshima, a military base. That was because we wished in this first attack to avoid, insofar as possible, the killing of civilians. † 90,000 to 166,000 civilians were killed by the blast. Only 3 days later on August 9th the â€Å"Fat Man† nuclear weapon was detonated over Nagasaki. 60,000 to 80,000 civilians were killed. Gosling, Fehner 28) Yoshitaka Kawamoto, just thirteen years old at the time, was in a classroom less than a kilometer away from the hypocenter, â€Å"One of my classmates, I think his name is Fujimoto, he muttered something and pointed outside the window, saying, â€Å"A B-29 is coming. † He pointed outside with his finger. So I began to get up from my chair and asked him, â€Å"Where is it? † Looking in the direction that he was pointing towards, I got up on my feet, but I was not yet in an upright position when it happened. All I can remember was a pale lightening flash for two or three seconds. Then, I collapsed. I don’t know much time passed before I came to. It was awful, awful. The smoke was coming in from somewhere above the debris. Sandy dust was flying around. I was trapped under the debris and I was in terrible pain and that’s probably why I came to. I couldn’t move, not even an inch. Then, I heard about ten of my surviving classmates singing our school song. I remember that. I could hear sobs. Someone was calling his mother. But those who were still alive were singing the school song for as long as they could. I think I joined the chorus. We thought that someone would come and help us out. That’s why we were singing a school song so loud. But nobody came to help, and we stopped singing one by one. In the end, I was singing alone. † On August 9th the USSR entered the war invading Manchuria. With a force of nearly 1,700,000 soldiers the Soviets quickly claimed total victory driving the Japanese out and killing 20,000 to 80,000 Japanese soldiers and capturing about 650,000. (Glantz 54-72) On August 15th in a radio address to the nation Emperor Hirohito announced the surrender of Japan. (Pape 87) The largest war in the history of mankind was over. C. Evaluation of Sources Code-Name Downfall: The Secret Plan to Invade Japan-And Why Truman Dropped the Bomb by Thomas B. Allen and Norman Polmar was published by Simon & Schuster in 1995. Allen is an American writer who went to college in Bridgeport, Conn. He worked for The New York Daily and then became part of the National Geographic Book Division. Most of his work deals with military history. His book is an excellent source of information because it is based upon hundr eds of sources, was written well after the events described so that more evidence is available, and is written by a fairly objective military historian who has less bias because he was not attached to the war. Downfall: The End of the Imperial Japanese Empire by Richard B. Frank was published by Penguin in 2001. Frank is an expert on World War 2 history. He specializes on the Pacific part of WWII. He fought in the 101st Airborne Division during the Vietnam. This could possibly make him more bias towards U. S. military actions but his book uses hundreds of reputable sources so that his opinion is less biased. His book is a very definitive and exhaustive account of Japanese defeat. It’s an excellent and useful source. D. Analysis â€Å"The fact is that as far as the Japanese militarists were concerned, the atomic bomb was just another weapon. The two atomic bombs at Hiroshima and Nagasaki were icing on the cake, and did not do as much damage as the fire bombings of Japanese cities. The B-29 firebombing campaign had brought the destruction of 3,100,000 homes, leaving 15 million people homeless, and killing about a million of them. It was the ruthless firebombing, and Hirohito's realiz ation that if necessary the Allies would completely destroy Japan and kill every Japanese to achieve â€Å"unconditional surrender† that persuaded him to the decision to end the war. The atomic bomb is indeed a fearsome weapon, but it was not the cause of Japan's surrender, even though the myth persists even to this day. † Said by Edwin P. Hoyt in 1986. According to the UK embassy in Washington the Americans regarded the Japanese as â€Å"a nameless mass of vermin†. A 1944 opinion poll that asked what should be done with Japan found that 13% of the U. S. public was in favor of the extermination of all Japanese people: men, women, and children. Hixson 239) The dropping of the two bombs had little to do with defeating the defeated Japan. Even before World War 2 had ended the cold war began. Stalin and the Soviets had taken control of nearly all of Eastern Europe and made it clear that they weren’t going to leave. (Glantz 152-167) The Soviet Union had emerged World War 2 as a superpower and as the only legitimate challenger to American hegemony. Militaristic and organized with massive amounts of natural resources the Soviets under Stalin had proven that they were willing to expend unimaginable amounts of human life to win. Glantz 172-184) With this massive looming on the horizon the terrified United States had to demonstrate its military supremacy. Japan presented a unique opportunity for the U. S. to demonstrate its new destructive power to the Soviets and the Japanese people paid the price. The Japanese were already defeated and seeking peace. (Butow 111-121) â€Å"It is my opinion that the use of the barbarous weapon at Hiroshima and Nagasaki was of no material assistance in our war against Japan. The Japanese were already defeated and ready to surrender†¦. My own feeling is that in being the first to use it, we had adopted an ethical standard common to barbarians of the Dark Ages. I was not taught to make war in that fashion, and wars cannot be won by destroying women and children. † Chairman of the wartime Joint Chiefs of Staff, Admiral William D. Leahy. Shortly after the conclusion of the war General Douglas MacArthur confirmed what many Military analysts and historians theorized by saying, â€Å"My staff was unanimous in believing that Japan was on the point of collapse and surrender. In 1963 President Eisenhower said, â€Å"The Japanese were ready to surrender and it wasn't necessary to hit them with that awful thing †¦ I hated to see our country be the first to use such a weapon. † E. Conclusion While the dropping of the two atomic bombs on Hiroshima and Nagasaki certainly contributed to the Japanese becoming even more desperately willing to unconditionally surrender the atomic bombs, despite their unimaginable destructive power, were just another weapon the Japanese had to endure. More than a million Japanese people had been killed by bombing raids. In reality the entrance of the Soviet Union into the war and their invasion of Japanese controlled Manchuria more likely contributed to Japan being more willing to unconditionally surrender. Japan had controlled Manchuria far longer than any pacific island the U. S. fought on and had more than 1,200,000 men there. Their total defeat in a very short amount of time made Japan realize that they no longer were able to defend themselves. In conclusion to use the words of General Curtis LeMay, â€Å"The atomic bomb had nothing to do with the end of the war. † â€Å"We are the inheritors to the mantle of Genghis Khan,† wrote New York Times editorial writer Hanson Baldwin, â€Å"and of all those in history who have justified the use of utter ruthlessness in war. † The dropping of the two atomic bombs on Hiroshima and Nagasaki was in no way militarily justified. The use of the atomic bombs was an act of brutality the likes of which this world has never seen and for the continued survival of the human race I hope never has to see again.