Therapeutic Communication Essay Example for Free

Therapeutic Communication Essay The medical dictionary describes a therapeutic communication as â€Å"A process in which the nurse consciously influences a client or helps the client to a better understanding through verbal or nonverbal communication†. This communication summary will describe an event which occurred on a work placement in practise. A reflective frame work will be used to evaluate the interaction; Gibb’s reflective model will be used within the essay. hilst on placement with the district nurse we received a call from a patient informing us that her leg was not â€Å"quite right†, as she has problems with her eye sight she wasn’t able to give us a description on what state her leg was in. I went out and discovered when observing that this patient had leg ulceration which was on both sides of her left leg. I questioned descriptively to see how long she was feeling uncomfortable, she reported that it was over two months; this enabled me to place the event in time and helped me to gain a visual picture of the circumstances. I encouraged description of events by asking the patient how it went on noticed as she has carers visiting her twice a day to apply creams. It happened as a result in the carers having communication issues as they did not report changes on the breakdown of the patient’s skin. Whilst focusing on the wound I decided the appropriate form of intervention would be compression bandages. The patient was reluctant to have a bandage applied to her leg although I empathised with the patient by informing them what would happen if the appropriate bandage was not applied and that it was the only possible way of getting it to heal properly. At the time I was thinking that the patient was not informing me properly and felt they were not telling me the full story of how the wound got to the stage it has. The fact that I got information from the patient was good as I was able to see how they felt and what appropriate measures had to be taken. The bad part of the experience was that the patient seemed reluctant to give me information as she didn’t want the wound to appear as bad and she was trying to avoid bandages being applied to her legs. I realised that the situation was not managed well, and that if there was no communication issues between the carers and the district nurse the situation would have been avoided. I could have asked a lot more closed questions and kept open questions to a minimal to gather specific information. I also could have reassured the patient a lot more by telling them that the decision of using compression bandages and explained the purpose of using compression, and explained how this would make a huge different to the wound in a short period of time. If the situation was to rise again I would approach it a lot more sensitively and I would try and gather more information by firstly gaining a better rapport with the patient, then asking open questions to gather a wider amount of information, then to gain specific information I would ask closed questions. This will allow me to get all the information I need and at the same time the patient will be more relaxed and comfortable with the decision and outcome.

Abortion Should Be Illegal Essay -- Persuasive Essay

Around the world many women are receiving abortions legally and illegally. I believe receiving abortions should be against the law, with the exception of rape and incest. Taking the life of an unborn human being is not only cruel but wrong. The decision of taking another human beings life should not lie in our hands. In every society whether it was legal or legal, abortions were used to control fertility. In the United States it was practiced legally until about 1880, by then most states had banned it except to save a woman's life. It was widely practiced through the entire period it was illegal. In the 1890’s there were an estimate of two million abortions per year and, one to two million annually during the 1920’s-30’s. Whether a woman could receive an abortion was based upon her economic situation, race, and where she lived. Women with money could leave the country and find pricey doctors but, poor women who had no money to leave and get one would preform self abortions. Either inserting knitting needles or coat hangers into the uterus and vagina, douching with dangerous solutions such as lye, or swallowing strong drugs and chemicals. Several hundred thousand women were treated for health complications due to botched, unsanitary, or self-induced abortions. The laws prohibi ting abortions took a heavy toll on women’s lives and health. Scholars estimated that approximately five thousand woman had died in the U.S because of unsafe abortions. World wide unintended, mistimed, and unwanted pregnancies are faced by all women in every country and all cultures. Some 20-30 million legal abortions are preformed each year, and another 10-20 million that are preformed illegally. Globally an estimate of 46 million abortions occur each y... ... minors seek parental consent or that a parent is notified in advanced of a minor having an abortion. As of 2015, 35 states require that there is some sort of parental involvement with a minor receiving an abortion. 22 states only require parental consent, eleven states only require parental notification, and only two states require parental consent and notification. There are mandatory periods that the woman wanting to get an abortion must receive specific information about the pregnancy and alternatives first. Works Cited http://www.ourbodiesourselves.org/book/excerpt.asp?id=27 http://www.ourbodiesourselves.org/book/companion.asp?id=20&compID=40 http://www.emedicinehealth.com/abortion/page2_em.htm http://www.friesian.com/abortion.htm http://www.abortionno.org/Resources/fastfacts.html http://health.nytimes.com/health/guides/surgery/abortion/overview.html

Foundation and Empire 8. To Trantor

Devers bent over the little dead globe, watching for a tiny sign of life. The directional control was slowly and thoroughly sieving space with its jabbing tight sheaf of signals. Barr watched patiently from his seat on the low cot in the comer, He asked, â€Å"No more signs of them?† â€Å"The Empire boys? No.† The trader growled the words with evident impatience. â€Å"We lost the scuppers long ago. Space! With the blind jumps we took through hyperspace, it's lucky we didn't land up in a sun's belly. They couldn't have followed us even if they outranged us, which they didn't.† He sat back and loosened his collar with a jerk. â€Å"I don't know what those Empire boys have done here. I think some of the gaps are out of alignment.† â€Å"I take it, then, you're trying to get to the Foundation.† â€Å"I'm calling the Association – or trying to.† â€Å"The Association? Who are they?† â€Å"Association of Independent Traders. Never heard of it, huh? Well, you're not alone. We haven't made our splash yet!† For a while there was a silence that centered about the unresponsive Reception Indicator, and Barr said, â€Å"Are you within range?† â€Å"I don't know. I haven't but a small notion where we are, going by dead reckoning. That's why I have to use directional control. It could take years, you know.† â€Å"Might it?† Barr pointed; and Devers jumped and adjusted his earphones. Within the little murky sphere there was a tiny glowing whiteness. For half an hour, Devers nursed the fragile, groping thread of communication that reached through hyperspace to connect two points that laggard light would take five hundred years to bind together. Then he sat back, hopelessly. He looked up, and shoved the earphones back. â€Å"Let's eat, doc. There's a needle-shower you can use if you want to, but go easy on the hot water.† He squatted before one of the cabinets that lined one wall and felt through the contents. â€Å"You're not a vegetarian, I hope?† Barr said, â€Å"I'm omnivorous. But what about the Association. Have you lost them?† â€Å"Looks so. It was extreme range, a little too extreme. Doesn't matter, though. I got all that counted.† He straightened, and placed the two metal containers upon the table. â€Å"Just give it five minutes, doc, then slit it open by pushing the contact. It'll be plate, food, and fork – sort of handy for when you're in a hurry, if you're not interested in such incidentals as napkins. I suppose you want to know what I got out of the Association.† â€Å"If it isn't a secret.† Devers shook his head. â€Å"Not to you. What Riose said was true.† â€Å"About the offer of tribute?† â€Å"Uh-huh. They offered it, and had it refused. Things are bad. There's fighting in the outer suns of Loris.† â€Å"Loris is close to the Foundation?† â€Å"Huh? Oh, you wouldn't know. It's one of the original Four Kingdoms. You might call it part of the inner line of defense. That's not the worst. They've been fighting large ships previously never encountered. Which means Riose wasn't giving us the works. He has received more ships. Brodrig has switched sides, and I have messed things up.† His eyes were bleak as he joined the food-container contact-points and watched it fall open neatly. The stewlike dish steamed its aroma through the room. Ducem Barr was already eating. â€Å"So much,† said Barr, â€Å"for improvisations, then. We can do nothing here; we can not cut through the Imperial lines to return to the Foundation; we can do nothing but that which is most sensible – to wait patiently. However, if Riose has reached the inner line I trust the wait will not be too long.† And Devers put down his fork. â€Å"Wait, is it?† he snarled, glowering. â€Å"That's all right for you. You've got nothing at stake.† â€Å"Haven't I?† Barr smiled thinly. â€Å"No. In fact, I'll tell you.† Devers' irritation skimmed the surface. â€Å"I'm tired of looking at this whole business as if it were an interesting something-or-other on a microscope slide. I've got friends somewhere out there, dying; and a whole world out there, my home, dying also. You're an outsider. You don't know.† â€Å"I have seen friends die.† The old man's hands were limp in his lap and his eyes were closed. â€Å"Are you married?† Devers said, â€Å"Traders don't marry.† â€Å"Well, I have two sons and a nephew. They have been warned, but – for reasons – they could take no action. Our escape means their death. My daughter and my two grandchildren have, I hope, left the planet safety before this, but even excluding them, I have already risked and lost more than you.† Devers was morosely savage. â€Å"I know. But that was a matter of choice. You might have played ball with Riose. I never asked you to-â€Å" Barr shook his head. â€Å"It was not a matter of choice, Devers. Make your conscience free, I didn't risk my sons for you. I co-operated with Riose as long as I dared. But there was the Psychic Probe.† The Siwennian patrician opened his eyes and they were sharp with pain. â€Å"Riose came to me once; it was over a year ago. He spoke of a cult centering about the magicians, but missed the truth. It is not quite a cult. You see, it is forty years now that Siwenna has been gripped in the same unbearable vise that threatens your world. Five revolts have been ground out. Then I discovered the ancient records of Hari Seldon – and now this ‘cult' waits. â€Å"It waits for the coming of the ‘magicians' and for that day it is ready. My sons are leaders of those who wait. It is that secret which is in my mind and which the Probe must never touch. And so they must die as hostages; for the alternative is their death as rebels and half of Siwenna with them. You see, I had no choice! And I am no outsider.† Devers' eyes fell, and Barr continued softly, â€Å"It is on a Foundation victory that Siwenna's hopes depend. It is for a Foundation victory that my sons are sacrificed. And Hari Seldon does not pre-calculate the inevitable salvation of Siwenna as he does that of the Foundation. I have no certainty for my people – only hope.† â€Å"But you are still satisfied to wait. Even with the Imperial Navy at Loris.† â€Å"I would wait, in perfect confidence,† said Barr, simply, â€Å"if they had landed on the planet, Terminus, itself.† The trader frowned hopelessly. â€Å"I don't know. It can't really work like that; not just like magic. Psychohistory or not, they're terribly strong, and we're weak. What can Setdon do about it?† â€Å"There's nothing to do. It's all already done. It's proceeding now. Because you don't hear the wheels turning and the gongs beating doesn't mean it's any the less certain.† â€Å"Maybe; but I wish you had cracked Riose's skull for keeps. He's more the enemy than all his army.† â€Å"Cracked his skull? With Brodrig his second in command?† Barr's face sharpened with hate. â€Å"All Siwenna would have been my hostage. Brodrig has proven his worth long since. There exists a world which five years ago lost one male in every ten – and simply for failure to meet outstanding taxes. This same Brodrig was the tax-collector. No, Riose may live. His punishments are mercy in comparison.† â€Å"But six months, six months, in the enemy Base, with nothing to show for it.† Devers' strong hands clasped each other tautly, so that his knuckles cracked. â€Å"Nothing to show for it!† â€Å"Well, now, wait. You remind me-† Barr fumbled in his pouch. â€Å"You might want to count this.† And he tossed the small sphere of metal on the table. Devers snatched it. â€Å"What is it?† â€Å"The message capsule. The one that Riose received just before I jacked him. Does that count as something?† â€Å"I don't know. Depends on what's in it!† Devers sat down and turned it over carefully in his hand. When Barr stepped from his cold shower and, gratefully, into the mild warm current of the air dryer, he found Devers silent and absorbed at the workbench. The Siwennian slapped his body with a sharp rhythm and spoke above the punctuating sounds. â€Å"What are you doing?† Devers looked up. Droplets of perspiration glittered in his beard. â€Å"I'm going to open this capsule.† â€Å"Can you open it without Riose's personal characteristic?† There was mild surprise in the Siwennian's voice. â€Å"If I can't, I'll resign from the Association and never skipper a ship for what's left of my life. I've got a three-way electronic analysis of the interior now, and I've got little jiggers that the Empire never heard of, especially made for jimmying capsules. I've been a burglar before this, y'know. A trader has to be something of everything.† He bent low over the little sphere, and a small flat instrument probed delicately and sparked redly at each fleeting contact. He said, â€Å"This capsule is a crude job, anyway. These Imperial boys are no shakes at this small work. I can see that. Ever see a Foundation capsule? It's half the size and impervious to electronic analysis in the first place.† And then he was rigid, the shoulder muscles beneath his tunic tautening visibly. His tiny probe pressed slowly- It was noiseless when it came, but Devers; relaxed and sighed. In his hand was the shining sphere with its message unrolled like a parchment tongue. â€Å"It's from Brodrig,† he said. Then, with contempt, â€Å"The message medium is permanent. In a Foundation capsule, the message would be oxidized to gas within the minute.† But Ducem Barr waved him silent. He read the message quickly. FROM: AMMEL BRODRIG, ENVOY EXTRAORDINARY OF HIS IMPERIAL MAJESTY, PRIVY SECRETARY OF THE COUNCIL, AND PEER OF THE REALM. TO: BEL RIOSE, MILITARY GOVERNOR OF SIWENNA. GENERAL OF THE IMPERIAL FORCES, AND PEER OF THE REALM. I GREET YOU. PLANET #1120 NO LONGER RESISTS. THE PLANS OF OFFENSE AS OUTLINED CONTINUE SMOOTHLY. THE ENEMY WEAKENS VISIBLY AND THE ULTIMATE ENDS IN VIEW WILL SURELY BE GAINED. Barr raised his head from the almost microscopic print and cried bitterly, â€Å"The fool! The forsaken blasted fop! That a message?† â€Å"Huh?† said Devers. He was vaguely disappointed. â€Å"It says nothing,† ground out Barr. â€Å"Our lick-spittle courtier is playing at general now. With Riose away, he is the field commander and must sooth his paltry spirit by spewing out his pompous reports concerning military affairs he has nothing to do with. ‘So-and-so planet no longer resists.' ‘The offensive moves on.' ‘The enemy weakens.' The vacuum-headed peacock.† â€Å"Well, now, wait a minute. Hold on-â€Å" â€Å"Throw it away.† The old man turned away in mortification. â€Å"The Galaxy knows I never expected it to be world-shakingly important, but in wartime it is reasonable to assume that even the most routine order left undelivered might hamper military movements and lead to complications later. It's why I snatched it. But this! Better to have left it. It would have wasted a minute of Riose's time that will now be put to more constructive use.† But Devers had arisen. â€Å"Will you hold on and stop throwing your weight around? For Seldon's sake-â€Å" He held out the sliver of message before Barr's nose, â€Å"Now read that again. What does he mean by ‘ultimate ends in view'?† â€Å"The conquest of the Foundation. Well?† â€Å"Yes? And maybe he means the conquest of the Empire. You know he believes that to be the ultimate end.† â€Å"And if he does?† â€Å"If he does!† Devers' one-sided smile was lost in his beard. â€Å"Why, watch then, and I'll show you.† With one finger the lavishly monogrammed sheet of message-parchment was thrust back into its slot. With a soft twang, it disappeared and the globe was a smooth, unbroken whole again. Somewhere inside was the tiny oiled whir of the controls as they lost their setting by random movements. â€Å"Now there is no known way of opening this capsule without knowledge of Riose's personal characteristic, is there?† â€Å"To the Empire, no,† said Barr. â€Å"Then the evidence it contains is unknown to us and absolutely authentic.† â€Å"To the Empire, yes,† said Barr. â€Å"And the Emperor can open it, can't he? Personal Characteristics of Government officials must be on file. We keep records of our officials at the Foundation.† â€Å"At the Imperial capital as well,† agreed Barr. â€Å"Then when you, a Siwennian patrician and Peer of the Realm, tell this Cleon, this Emperor, that his favorite tame-parrot and his shiniest general are getting together to knock him over, and hand him the capsule as evidence, what will he think Brodrig's ‘ultimate ends' are?† Barr sat down weakly. â€Å"Wait, I don't follow you.† He stroked one thin cheek, and said, â€Å"You're not really serious, are you?† â€Å"I am.† Devers was angrily excited. â€Å"Listen, nine out of the last ten Emperors got their throats cut, or their gizzards blasted out by one or another of their generals with bigtime notions in their heads. You told me that yourself more than once. Old man Emperor would believe us so fast it would make Riose's head swim.† Barr muttered feebly, â€Å"He is serious, For the Galaxy's sake, man, you can't beat a Seldon crisis by a far-fetched, impractical, storybook scheme like that. Suppose you had never got hold of the capsule. Suppose Brodrig hadn't used the word ‘ultimate.' Seldon doesn't depend on wild luck.† â€Å"If wild luck comes our way, there's no law says Seldon can't take advantage of it.† â€Å"Certainly. But†¦ but,† Barr stopped, then spoke calmly but with visible restraint. â€Å"Look, in the first place, how will you get to the planet Trantor? You don't know its location in space, and I certainly don't remember the co-ordinates, to say nothing of the ephemerae. You don't even know your own position in space.† â€Å"You can't get lost in space,† grinned Devers. He was at the controls already. â€Å"Down we go to the nearest planet, and back we come with complete bearings and the best navigation charts Brodrig's hundred thousand smackers can buy.† â€Å"And a blaster in our belly. Our descriptions are probably in every planet in this quarter of the Empire.† â€Å"Doc,† said Devers, patiently, â€Å"don't be a hick tom the sticks. Riose said my ship surrendered too easily and, brother, he wasn't kidding. This ship has enough fire-power and enough juice in its shield to hold off anything we're Rely to meet this deep inside the frontier. And we have personal shields, too. The Empire boys never found them, you know, but they weren't meant to be found.† â€Å"All fight,† said Barr, â€Å"all right. Suppose yourself on Trantor. How do you see the Emperor then? You think he keeps office hours?† â€Å"Suppose we worry about that on Trantor,† said Devers. And Barr muttered helplessly, â€Å"All right again. I've wanted to see Trantor before I die for half a century now. Have your way.† The hypernuclear motor was cut in. The lights flickered and there was the slight internal wrench that marked the shift into hyperspace.

Teacher Who Influential Your Life

The person who influential me to become a better writer was my sixth grade English teacher Ms. Campbell. Ms. Campbell was not a normal English teacher. She taught us many writing technique that I still use today. I remember this one day in English class; Ms. Campbell was teaching us the fan boys out of no where she started rapping the fan boys. Still to this day I can remember the rap that she taught us. Ms Campbell had different ways of each us. Ms. Campbell would suck your right in she made us think out of the box. Also, Ms. Campbell had this way to make writing exciting, and that you cannot live without writing. There never was a day that was not interesting in English class. Ms. Campbell was the one who inspired me to write everyday. She would always tell her students â€Å"when you have bad days write about it. † Ms. Campbell was one of the reasons why I wanted to become a writer. She had a way of make me feel that I can become anything. Ms. Campbell would teach us how to write complete sentence. Everything Ms. Campbell taught us she made it into a rap song. We would help her put the rap together. I remember Ms. Campbell was in front of the class we were learning about the writing process. Ms. Campbell went to her desk, and said whoever the first person to say what the steps of the writing process are would get this big chocolate candy bar. I never had seen so many hands go up so fast. Even through no one know the step of the writing process Ms. Campbell gave everyone candy. Ms Campbell never gave up on her students she always pushes us to finish what we started. There were so many things that I learned from Ms. Campbell, but this lesson I will never forget. The lesson was an essay question was what do you want to be when you get older? Ms. Campbell made us write whole paper about the topic, and then made us share with the class. After, that Ms. Campbell hangs them all over the class to see how other students write. Another lesson Ms. Campbell taught me was remember that everyone have different writing from each other all writes have different stories. Ms. Campbell had these little riddles fro example, sticks, and stone might break my bones, but words do hurt. Ms. Campbell had all these different sang for every problem. One of my favorite lessons that Ms. Campbell taught me was independent clause. We would sing it to Aretha Franklin song RESPECT. Another, favorite lesson that she taught me was run-on sentence and fragments. When Ms. Campbell taught us run on sentences her example was talking with out stopping. Then her other example with fragments she would write a fragment on the board and ask us is this complete sentence. Another, lesson that Ms. Campbell taught us was about transition words she had a rap for transition words too. Ms. Campbell is not normal English teacher she had this spark about teaching us about writing process, fanboys, run on sentence, fragments, independents clauses, dependent clause, and transition words. Everyday I could not wait for the bell to ring to go to Ms. Campbell English class room 106. Ms. Campbell never lost faith in her students she always had faith in her students. She always gives us good feed back. Ms. Campbell made writing exciting. Ms. Campbell lesson stayed with me. For example, fanboys rap, writing process, independent clause song, and last but not least comma rules. Ms. Campbell was an amazing English teacher she taught me so much. That I’ll never forget what an amazing teacher Ms. Campbell was.

Proper Parallel Construction of Sentences with Not, Neither, and No Longer

Proper Parallel Construction of Sentences with Not, Neither, and No Longer Proper Parallel Construction of Sentences with Not, Neither, and No Longer Proper Parallel Construction of Sentences with Not, Neither, and No Longer By Mark Nichol When writing sentences in which a comparison is made with not, neither, or â€Å"no longer† as the focus of the contrast, be vigilant about achieving logical parallel structure, as discussed and demonstrated in the explanations about and revisions to the following examples. 1. Becoming a better parent is not about becoming a different person, but doing what it takes to do less of the behavior that is not true to who you are. When the contrasting word or phrase (in this case, not) is associated with the preposition about, which is often the case, if not precedes about at the beginning of a point, about must be repeated at the beginning of the counterpoint: â€Å"Becoming a better parent is not about becoming a different person but about doing what it takes to do less of the behavior that is not true to who you are† (a â€Å"not about [this] but about [that]† construction). Alternatively, precede not with about for a â€Å"about not (this) but (that)† construction: â€Å"Becoming a better parent is about not becoming a different person, but doing what it takes to do less of the behavior that is not true to who you are.† 2. This publication is neither intended to be a legal analysis nor a detailed cookbook of steps to take in every situation. In a neither/nor construction such as this one, when the key verb (here, intended) applies to nor as well as to neither, the word must precede the first word as well as the second: â€Å"This publication is intended to be neither a legal analysis nor a detailed cookbook of steps to take in every situation.† Alternatively, revise the sentence to hinge on not and or rather than neither and nor: â€Å"This publication is not intended to be a legal analysis or a detailed cookbook of steps to take in every situation.† 3. Compliance is no longer viewed primarily as a legal risk to be avoided, but rather an operational one to be monitored. Similarly, when employing â€Å"no longer† to compare a previous state with a current one, make sure that the verb or verb phrase before â€Å"no longer† is located so that the verb applies both to that phrase and to the concluding part of the sentence describing the current state: â€Å"Compliance is primarily viewed no longer as a legal risk to be avoided, but rather as an operational one to be monitored.† Alternatively, convert the second half of the sentence to an independent clause by inserting a verb: â€Å"Compliance is no longer viewed primarily as a legal risk to be avoided; rather, it is an operational one to be monitored.† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Style category, check our popular posts, or choose a related post below:12 Signs and Symbols You Should KnowSocial vs. SocietalComma After Introductory Phrases

Valentines Cards by Types of Girlfriends

Valentines Cards by Types of Girlfriends Valentines Day is coming up and you dont know what to say to your girlfriend. Shes special, shes unique, but how do you tell her that? Here are some ideas for how to express your love to a girl who has any of the following interests. Image credit: Marvel

The Main Selling Point of Globalization and E-Commerce Research Paper

The Main Selling Point of Globalization and E-Commerce - Research Paper Example Among all the developments today in globalization, it is the explosion of retail channels that are fueling the most excitement. The idea of being able to sell to the whole world is the main selling point of globalization and e-commerce however retailers are now realizing the constraints of these expanded channels. With the deluge of buyers and the stress on the company’s selling infrastructure, there is a need to evaluate and redevelop retail management policies. Fashion retailing whether online or not and whether selling globally or not are among the industries that need to asses its position and strategies. Since the industry usually entails actual perusal of the product, sellers need to communicate on a personal level with its buyers. Since the selling strategy targets this level of appeal, companies need to realize that they need to understand better who they are selling to culturally and psychologically stay competitive (Johansson, 2001). According to Perner (2004), "A le arned, shared, compelling, interrelated set of orientations for members of society". Culture influences goals, beliefs, attitudes and values and ultimately buying behaviour. In the development of the essential strategies for competing effectively in today’s globalized retail markets, it can be concluded that several factors are essential to success. Among them are extensive and relevant market research, responsive and sensitive marketing strategies, focus and creativity to execute plans and strategies, attentiveness changes in society and the social and political environment, flexibility to cope with the critical situation effectively and efficiently.