Application of Maslows Theory of Needs to Mobilize a Community free essay sample

This is done through advocacy, organizing communities and mobilizing resources. Other than theories of economics, development and politics, community development is also influenced by contributions from the field of psychology. Different branches of psychology help us to understand community needs, their cultural dispositions, and how communities form social cohesion and participate in community initiatives. The concept of psychological sense of community was initially propagated by the psychologist Seymour Sarason (1974). The Sense of Community describes the sentiment of belonging, trust and cooperation that people of a community feel toward each other. With this sense of community, members are able to feel empowered enough to participate in the communitys activities. This is important for community workers and organizers. By acknowledging the communitys contribution to development, understanding their values and opinions, community development workers are able to get more cooperation from an empowered community. Disempowering a community means disregarding peoples values and needs and thus making them feel disconnected from the larger community. We will write a custom essay sample on Application of Maslows Theory of Needs to Mobilize a Community or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Maslow’s theory of Hierarchy of needs is particularly useful in understanding how change agents mobilize communities into action and eventually get their all important buy-in, in developmental projects they propose and implement. Participation in community development is successfully attained when an analysis of the communitys needs is undertaken. Lack of support for community initiatives may be because community members are still striving to meet their primary needs and as such the community cannot be involved in meeting secondary needs. Overview of Maslows Hierarchy of Needs Abraham Maslow, an American professor of psychology, identified a hierarchy that represents the priorities that individuals and communities espouse in order to survive and reach their fullest potential. The basis of Maslows theory is that human beings are motivated by unsatisfied needs, and that certain lower needs need to be satisfied before higher needs can be satisfied. Maslow, position is that there are general needs (physiological, safety, love, and esteem) which have to be fulfilled before a person is able to act unselfishly. These needs were dubbed deficiency needs. While a person is motivated to fulfill these basal desires, they continue to move toward growth, and eventually self -actualization. The satisfaction of needs is quite healthy, while preventing their gratification most often than not will make people ill or engage in an anti-social behavior. As a result, for adequate motivation of the masses, it is important that project managers understand which needs are active for the community. In this regard, Abraham Maslows model indicates that basic, low-level needs such as physiological requirements and safety must be satisfied before higher-level needs such as self-fulfillment are pursued. As depicted in hierarchical figure 1 below, sometimes called Maslows Needs Pyramid, Figure 1: Maslow’s Needs Pyramid Relevance of the Maslow’s model to community development Maslow’s theory can be applied in mobilizing communities for purposes of implementing change/development programs. In order to appreciate how useful the theory is in mobilizing, this paper explores the various need levels as espoused by Maslow (1983), and seeks to discuss how such need levels could be exploited when mobilizing communities Physiological Needs: are the basic needs of feeding, accommodation, salaries/wages that are perceived by the community members to be sufficient for the purchase of the essentials of life. Human needs theorists offer a new dimension to conflict theory. Their approach provides an important conceptual tool that not only connects and addresses human needs on all levels. Furthermore, it recognizes the existence of negotiable and nonnegotiable issues. That is, needs theorists understand that needs, unlike interests, cannot be traded, suppressed, or bargained for. Human needs theorists further understand that although needs cannot be compromised, they can be addressed in a generally win-win or positive-sum way. People are motivated to work towards achieving a need that they feel they have. The more acutely they feel the need the more willing they are to work towards meeting that need. It is for this reason that communities should be exposed to experiences that could in a reasonable time earn the community a higher value than it currently has. A project manager’s ability to effectively appeal to one of these motivational drivers is a key determinant to the potential success of a project. A project manager should also beware that communities are at different levels of development. Different communities (or even members of the same community) will be at different levels of development and awareness at any one time and a community’s behavior is heavily influenced by its history and various forces around it. In such circumstances, we expect that a community will most likely behave differently not only from other communities, but, also within the same community. It is for such reasons then that it would be unreasonable to expect a community that is struggling with its basic survival to be enthusiastic about unselfish pursuits. Some services, BepaPay, for example, may be marketed successfully to those in the third or fourth level of Maslows hierarchy because those people are driven by the needs for increased self-esteem and need to belong to the middle class. The same marketing campaign is unlikely to appeal to those on the first level, as they are driven by the most basic of human needs: food, water and other elements of survival. Safety needs- Here, individuals are concerned with their economic/physical safety. People are concerned about their economic stability, presence of job/ employment opportunities and job security for those that are employed. As a Project manager, one need to really sell idea that with the new project, the local youth will get meaningfully engaged. That they’ll get employed and will not, therefore, partake in other social ills like crimes in the community. This will mean the society will be safe for all members to go about their businesses without fear. Also, the Project manager may need to stress the positivity of such a project in so far as production for the market is concerned. In this, people will be able to earn enough to be able to provide daily bread for their dependants. Social needs (belonging, love) People naturally have a motivation towards feeling accepted, belonging to some group/association. As a project manager, one need to group or encourage such targets to organize themselves into an association that will then be meeting as regularly as is reasonable to share views/concerns and benchmark. By this association, people will be able to overcome/avoid the ever present susceptibility to feelings of loneliness, social anxiety and clinical depression which is often the consequence of absence of the belonging lement, especially, for retirees who find themselves alone after disengaging from work-based networks. Associations are made up persons who freely/voluntarily choose to join together to get something done for a common cause. Such organization could be churches, professional associations, self help groups, etc. People in these organizations get together around an issue, something recreational, or anything at all that draws them together, not beca use they are paid to be there but because they have a common interest. The time and energy that people put into associations is there to be tapped and exploited by the program manager. For example, in a rural community, women self help groups provide a useful forum to introduce maternal and neonatal health program/projects and will most certainly get a buy-in. Key people to these groups e. g. Chairman, secretary etc. should be chosen democratically by members as a participatory mechanism. The best way to find the appropriate individuals is to partner with a group that already has credibility in the community and already meets periodically. When such a community group has already assembled for a meeting, the project manager need to try conducting an assets inventory exercise (what is it in the society/community that the manager and the project can benefit from be it skills, competencies, existing power structures etc. ). This is not only an icebreaker but also a way of conveying the message that the resources that already exist (in the community) will be identified and tapped into. Once the project manager identifies individuals who can and want to help, he/she needs to prepare to work with them in project implementation. People who love to organize will stand out in the course of the group meetings and it’s the project manager’s role to ensure they are recruited as they are a valuable part of the community change structure. Esteem According to Maslow (1983), humans need to feel respected, including the need to have self esteem and self respect. Esteem presents typical human desire to be accepted and valued by others. They may feel the need to seek fame and glory. People may have a need for status, recognition, fame, prestige and attention. Someone driven by the need for self-esteem, in needs level four, is looking for recognition and validation. As a Project manager, one has to stress how such persons stand to gain by accepting and being part of the project. For instance, the project manager may need to allow those that seem to be motivated by recognition and status or fame to hold positions in the project e. g. as liaison persons. By doing this, the manager will help the community members who are at this point motivated by positions of leadership and recognition to fulfill their needs while helping the entire community realize its developmental agenda as proposed by the change agent, and ratified by the community members. Those who are thrilled and motivated by the need to be masters in what they do, the project manager need to support them strongly in order to realize their needs even as the project meets its goals. Human needs theorists posit that although needs cannot be compromised, they can be addressed in a generally win-win or positive-sum way. Self actualization Refers to what a person‘s full potential is and the realization of that potential. This level defines the desire to accomplish everything that one can, to become the most that one can be. In the case of project implementation, the project manager needs to study and understand his participants/the target population to map out those at this level. Upon identification of such, the project manager needs to bring them on board be the best farmers, in case of farming project. The project manager need to tap into their ability to perceive reality efficiently, democratic attitudes, spontaneity of thought and action, concern for community welfare, etc. to secure their buy-in and support. In this category, there could be those who have actualized and are now motivated by the need to help others. The project manager needs to identify such, at the level of stakeholder analysis and approach them with the view of bringing them on board as partners. In this sense, people will feel appreciated and will deploy their maximum effort and resources to ensuring the success of the project because they believe the ultimate successes of the project will be shared by them. However, Maslow posited that a journey- in whatever form it takes- can be rewarding than the actual destination. The project manager can, therefore, apply this to the practice of appreciating the worth of each of the individuals ‘travelling’ with them rather than focusing so intently on the end-game that they lose all sight of human emotions. Implications of need hierarchy for Empowerment and Development If Maslows theory holds, there are some important leadership implications to enhance a community’s motivation and eventual empowerment. †¢Physiological Needs: are the basic needs of feeding, accommodation, salaries/wages that are perceived by the community members to be sufficient for the purchase of the essentials of life. Safety Needs: are needs to for a safe environment to live in, freedom from threats, and relative security. †¢Social Needs: Create a feeling of acceptance, belonging, and community by reinforcing team dynamics. †¢Esteem Needs: Recognize achievements, assign important projects, and provide status to make people feel appreciated and valued. â € ¢Self-Actualization: Provide challenging and meaningful work which enables innovation, creativity, and progress according to long-term goals. However, not all people are driven by the same needs – at any given time different people in different social strata may be motivated by entirely different factors. It is important therefore to understand the needs of each set of people in different communities in order to be able to meet their peculiar needs and motivate them to commitment and more patriotic acts. Conclusion It is expedient to conclude that attainment of economic or social of empowerment (development) in any community, state or nation depends strongly on the extent to which the masses are psychologically empowered. For effectiveness of a project, a project manager needs to bear in mind the facts about the complexity of human nature as he/she interacts with the community. Failure to do so will result in his/her frustration and also most likely being a stumbling block to the community’s empowerment and own development. But we also know something more positive. With the appropriate support such as provision of enabling conditions and removal of hindering ones; and also provision of financial and technical support, the community is however not only willing, but also able to uplift itself.

Mccarthyism by A Myan.

Mccarthyism by A Myan. McCarthyism is a term named for Joseph McCarthy, a republican senator from Wisconsin from 1946 to 1957. McCarthyism began, as it is know today, with Senator McCarthy's accusations in February 1950 that Communists had infiltrated the Department of State. He continued to accuse high-ranking officials of treasonous activities for the next three years even though his accusations were never substantiated. McCarthyism is simply the practice of making accusations of political disloyalty with insufficient evidence. The McCarthy Era refers to the wave of political repression in the late 1940's and early 1950's, which targeted the communist party.McCarthyism itself had begun years before Senator Joseph McCarthy had even come to national attention. The House Committee of Un-American Activities (HUAC), established in 1945 is best known for anti-Communist investigations, called witch-hunts by those who opposed them because of their similarities with the Salem Witch Trials. Blacklisting in the fil m industry began in 1947 when people were refused jobs because they had been accused of being members of the American Communist Party or having some connection to Communism.English: Sen. Joseph McCarthy chats with his attor...People working in film, television, radio, and theater were fired as a result of the blacklist. The blacklist developed after the HUAC, held public hearings to investigate the influence of Communists in the motion picture industry. Some of the people the committee called to testify as witnesses told HUAC the names of other people who they believed to have Communist connections. Ten of the men called to testify, a group of writers, directors, and producers, refused to tell the committee whether or not they belonged to the Communist Party. They insisted that the committee's questions violated their constitutional rights. The committee decided that they were in contempt of Congress the people who became known as the Hollywood Ten went to prison.Other well-known ex amples...

Writing As Assignment Example | Topics and Well Written Essays - 250 words

Writing As - Assignment Example His theory is based on the simple premise that population growth is more exponential than food growth. As a result, it is necessary to adopt checks that will regulate population control by aligning it with food growth. The similarity between Malthus’ and Smith’s rationales lies in a belief that population regulates itself naturally. Consequently, it is not necessary to employ man-made measures to control population growth. In this regard, Smith reasons that the liberal reward of labor naturally limits population growth while Malthus rejects his proposal of a preventive check and leans towards a positive check (natural population-reducing disasters like famine, poor living and working conditions, conflict, and disease (Ness & Ciment, 2014). In conclusion, it is safe to say that Smith and Malthus subscribe to the Darwinian concept of survival for the fittest and natural population control methods. It is also logical to infer that both authors’ objectives in making their arguments concerning population are the same. What both scholars are insinuating is that population growth is a self-regulating phenomenon that is better left to nature than manipulated using human

605 GCP BIRD STRIKE Essay Example | Topics and Well Written Essays - 11250 words

605 GCP BIRD STRIKE - Essay Example I would like to thank her for teaching me how to navigate through the ocean of knowledge. I am equally overwhelmed by the unflinching support of all my other professors, lecturers and administrative staff and the library staff at the _____________ University and thank them profusely. Their slightest disarrangement would have distracted my focus from the research. At the end, I pray the almighty whose invisible hands have guided me to successfully undertake this project. I sincerely hope that the project is useful to the society and help prosperity in its own way. Accidents caused due to bird strike with aircraft are a congenital issue in the aviation industry and has been a cause of worry for the aviation fraternity due to the risk of life and property at stake. Though all the stakeholders have been contributing their might for solving it, yet the problem persists and even is seen to be on the rise. This paper examines the actors and factors responsible for bird-aircraft strike, the species vulnerable to such strikes, their pattern and seasonality. It also critically examines the efforts underway to minimize bird-aircraft strike hazard and the results achieved therein. Ultimately, it tries to establish the reason why bird-aircraft strikes are still on the rise despite rapid progress made in the aviation industry. Bird-aircraft strike hazard (BASH) as it is called as, is a worldwide phenomena. Each year substantial loss of life and property is reported throughout the world due to bird-aircraft strike. An indication of the nature of the problem and the resulting loss of life and property can be understood by the fact that over 219 people have been killed world-wide due to bird-airstrike in the past 21 years. Worldwide, the annual damages caused by bird-airstrike have been estimated to be at 1.2 billion USD (Wikipedia, 2010). From 1990-2004, USA airlines reported 31 incidents in which

FINANCIAL REPORTING Assignment Example | Topics and Well Written Essays - 3500 words

FINANCIAL REPORTING - Assignment Example The paper presents the financial evaluation of the company and for this particular purpose, the most effective tool of ratio analysis has been utilized. The financial ratios are usually divided into various sub categories such as profitability, gearing and liquidity, each put emphasis on a different area of the financial outlook of the organization. These analyses form an integral part of the financial statement analysis, especially from the investor’s point of view, which are always looking for avenues to invest in countries having strengthened and stabilized financial ratios and representing an upward trend. In addition to the financial evaluation, for the purpose of risk assessment, several risks has been identified and assessed such as firm related risks, currency risks, capital structure risks and market risks. The Kerry Group PLC actively follows the corporate governance directives issued by the government for the corporation registered in the Ireland. Being a premium co mpany listed on the stock exchange, the company is required to follow the directives of the corporate governance requirements. ... Market and Industry Risk and competitor analysis The company operates in a highly competitive market where its competitors are continuously devising methods through which their profitability and market share can be increased. The company is exposed to a risk where its competitors can introduce a major change in their production process through introducing a state of the art technology. This can not only enhance the efficiency of their production, but it can significantly provide them with the cost leadership as well. In order to analyze market competitive forces, Porter gave a five forces model which analyzes the competitive forces acting in the market which a corporation has to manage in order for it to obtain competitive advantage. 3.2 Porter Five Forces Model Analysis Porter’s five forces model is an effective tool in exploring the competitive forces of the environment in which the organization operates. It allows the business to critically analyze its current business stra tegy and formulate one which can allow it to achieve a competitive position in the market. With the advancement in Information Technology, it has been prominently observed that the businesses are now focusing more and more on implementing information system in order to make the best use of their resources. In the mentioned case, KERRY GROUP PLC has several functional units carrying out activities related to the manufacturing and delivering of food merchandise. By integrating these units using information system, KERRY GROUP PLC can gain competitive advantage in the market which can by analyzed in the light of Porter’s five forces model. The first competitive force according to the model is the entry of new competitors

Patient Case Studies for Accurate Nursing Assessments

Patient Case Studies for Accurate Nursing Assessments Jon Teegardin Performing accurate nursing assessments on patients establishes a baseline of information regarding a patient’s complaint and history of present illness. The patients represented in this paper are not real, instead they are created to allow for examples of basic nursing assessments. This paper will assess two patients, one with chronic lower back pain and one with psychiatric and substance abuse complaints. Patient one The first patient is a 45 year old female who presents to the emergency room after arriving by private vehicle with a complaint of lower back pain with radiation down the right leg to the foot. My assessment of the patient begins when I go to the lobby and call the patients name. The patient ambulates with an even steady gait to the examination room. The patient does not require assistance ambulating. Once in the examination room, privacy is provided and an interview and full assessment are conducted. After introducing myself, the patient is identified using two identifiers, name and birthdate. The information provided by the patient is verified against the chart and an identifying wristband is applied. The chief complaint is then verified using an open ended question: Can you tell me why you are visiting the emergency room today? The patient’s response is â€Å"Back in 20012 I injured my back when my boyfriend was drunk and he slammed me against a wall. The doctor told me I had several ruptured discs in my back and it hurts so bad tonight I can’t stand it. The pain started about three days ago and has gotten progressively worse. I reassure the patient that she will be treated as soon as we can get the doctor in the room (Jarvis, 2012). The patient then asks for an emesis bag and states â€Å"I’m hurting so bad I think I’m going to throw up†. An emesis bag is provided. The patient retches several times and spits into the bag. No vomitus is noted . I continue with my interview by asking about the patients’ health history (Jarvis, 2012). I ask the patient about medication allergies. The patient states she is allergic to penicillin’s. Next I ask the patient about any medications she currently takes. The patient reports she takes the following medications: Xanax, 1 milligram 3 times per day, Gabapentin, 400 milligrams 3 times per day, Vicodin 10mg-325mg every 4 hours for pain, Lisinopril 20 milligrams, every day, Simvastatin 40 milligrams every day, Cyclobenzaprine, 20 milligrams every 6 hours, Ultram, 50 milligrams every 8 hours as needed for pain. When asked for a primary care physician, the patient states â€Å"I have recently switched doctors and I have an appointment on Wednesday with my new doctor. The patient presents an appointment card for a local physician. The patient is next asked about her medical history. The patient reports a history of hypertension, high cholesterol, anxiety, and ruptured discs in her lower back. The patient reports a surgical history of bilateral breast augmentation, bilateral tubal ligation, appendectomy, total hysterectomy, and tonsillectomy/adenoidectomy. When questioned about any surgical interventions for her back, the patient states â€Å"I don’t have insurance so I can’t afford to get any surgery on my back†. The patient reports a family history of hypertension, anxiety, and depression on her mother’s side. She also reports smoking 1 pack of cigarettes per day for 10 years but quit smoking 15 years ago. With my initial interview complete, the physical assessment begins (Jarvis, 2012). The patient is placed in a hospital gown for the examination. Vital signs are obtained. The blood pressure is 168/109 in the left arm, 166/106 in the right arm, heart rate is 79, oral temperature is 98.5, respirations are 16 per minute, oxygen saturation is 97% on room air, and the patient rates her pain on a numeric scale as a 10 out of 10 in her lower back. She describes the pain as a sharp, constant pain that is aggravated with movement, and helped with medication. She also relates radiation of the pain to her right leg as a burning sensation. The patient has shoulder length hair that is clean and well groomed. She denies any hearing problems, visual problems, congestion or cough. No drainage is noted from her ears, the eyes are clear with no redness or conjunctiva. Pupils are equal and reactive to light. Nares are clear bilaterally without swelling. The patient has good dentition with evidence of d ental intervention with fillings visible in three teeth. The lips, tongue, oral mucosa, and uvula are unremarkable. Facial symmetry is good with no drooping. The patient’s neck is supple with full range of motion and the trachea is midline. Respirations are clear and even bilaterally. The heart is auscultated and is strong and even at 78 beats per minute. Normal S1 and S2 are present. The patient denies any pain or mass in the breasts and reports that she self-examines monthly and her last mammogram was two years ago. Hand grips are strong and equal, radial pulses are strong and equal bilaterally. The abdomen is soft and non-tender to palpation. Bowel sounds are present in all four quadrants. A healed surgical scar is noted in the lower right quadrant. The patient denies any incontinence of bladder or bowel, and reports nausea and vomiting related to her back pain. The back is grossly unremarkable, and is tender to palpation in the area from L1 to L5. The patient denies any b urning or pain on urination, and denies flank pain. The patient reports a burning sensation down the right leg to the foot. Foot strength equal bilaterally, with strong bilateral pedal pulses. A scar is noted on the anterior right lower extremity distal to the patella. The patient reports that she accidently cut herself there as a child and required stitches to close the laceration. The patient’s mood and affect are appropriate for her age and the current situation. Her speech is clear. The patient is reassured that the physician will see her and the bed is verified to be in its lowest position with the wheels locked. The call light button is explained to the patient and placed within easy reach. The patient is reminded to request assistance prior to ambulating. Summary of findings My summary of finding is that the patient appears to be suffering from chronic back pain related to a traumatic injury in her past, and has uncontrolled hypertension related to noncompliance with her medication regimen. SOAP note S: Patient reports excruciating back pain radiating to the right leg, with nausea and vomiting prior to arrival. She also reports being out of her prescription medications which include a blood pressure medication. O: the patients’ blood pressure is elevated at 168/109, the lower back is tender to palpation. The patient ambulates without assistance but appears to be in mild distress. A: Nontoxic appearing white female that appears consistent with her stated age of 45 years old. EENT within normal limits. PERRLA at 3mm. Facial symmetry equal with no facial droop noted. The neck is supple and trachea is midline. Regular apical rate with S1 and S2. No S3 or S4 noted. Hand grips strong and equal bilaterally. Radial pulses strong and equal bilaterally. Respirations are even and unlabored. Lungs clear to auscultation bilaterally. The abdomen is soft and non-tender. Bowel sounds present in all four quadrants. Tender in the lower back region from L1 to L5 with radiation of pain to the right leg. No vomiting noted during assessment. Denies diarrhea. Denies urinary symptoms. Leg strength strong and equal bilaterally. Ambulates without difficulty or assistance. Pedal pulses present with no edema noted in lower extremities. P: Patient placed on non-invasive blood pressure monitoring and positioned for comfort. Expect MD orders for oral anti-hypertensive to reduce blood pressure and intramuscular injection of narcotic pain medication with antiemetic to control nausea and vomiting. Prepare patient for X-ray of lumbar spine region, and possible CT of the same area. A urine pregnancy test is contraindicated because of history of hysterectomy. Potential for admission to hospital for consult with orthopedist and surgical intervention. Patient two The second patient is a 62 year old female who has a chief complaint of alcohol dependence, benzodiazepine dependence, and depression. This patient is called from the lobby and ambulates to the exam room with an even, steady gait. Once in the examination room, privacy is provided and an interview and full assessment are conducted. I identify myself and the patient is identified using two identifiers and an identification band is placed on her wrist. I begin by obtaining a social history of the patient (Jarvis, 2012). She states she has never seen a psychiatrist and has been treated for depression by her primary healthcare provider. The patient is currently employed as a nurse practitioner/midwife with a county health department. She thoroughly enjoys her job and is fearful of losing her position due to chronic absenteeism related to her alcohol abuse. She reports consuming approximately one half gallon of liquor daily and has smoked one pack of cigarettes per day for twenty years. In her spare time she says that she enjoys sewing and gardening. The patient describes childhood as â€Å"normal†, had a â€Å"great relationship† with her father, but states â€Å"my mother loved my brother more than me, and nothing I did was good enough for her, even though I got straight a grades in school, and was active in church and band†. She further states â€Å"my mother used to beat me for waking up in the morning, becau se she said that I would eventually get into some kind of trouble†. †My brother is gay, but very successful working in Atlanta. I don’t see him enough, and I don’t hold what my mother did against him. I wish we saw more of each other. I got divorced over my drinking, so that was that, I could deal with all of it, up until my daughter died. Any other night I would have watched TV with her, but I was so tired that night. I went straight to bed and she decided to drive down to her brothers, 2 miles away. She made it about halfway, and was killed when she went off the road and hit a culvert, causing her car to roll several times. She died instantly†. Having obtained a social history, I begin obtaining medical history from the patient. The patient reports that she is allergic to codeine, Demerol, sulfa drugs, and Zithromax. She reports having a hysterectomy, cholecystectomy, and left foot ORIF. She is currently taking clonazepam, Lexapro, singular, and Xanax. She reports her mother and father had a history of alcohol abuse and are both deceased. My next assessment is a mental status examination. Having built a therapeutic relationship with the patient, I ask the patient if she has considered harming herself or had any command hallucinations (Jarvis, 2012). The patient denies any suicidal ideation or any hallucinations of any sort. The patient is well dressed, clean, pleasant, and cooperative. Her thought process is coherent with no ambivalence. The patients affect is calm and her appropriateness of mood to thought is normal. There is no depersonalization. The patient does not appear to be delusional, obsessive, or display ideas of reference. She is oriented to person, place, time, and situation. Vital signs are obtained and are all within normal limits. The patient denies any pain. Summary of finding My summary of finding is that this patient is suffering from depression, related to her divorce and the death of her daughter. Her needs include counseling, detox, and peer support. The patient’s education is an asset to her treatment. She has the support system of two sons. Stressors include her divorce due to her alcoholism and the sudden death of her daughter. Her coping methods include alcohol abuse, benzodiazepine abuse, and social isolation. SOAP note S: The patient reports feeling depressed and abusing alcohol and benzodiazepines. She denies suicidal ideation. O: The patient is well dressed, clean, pleasant, and cooperative. Her thought process is coherent with no ambivalence. The patients affect is calm and her appropriateness of mood to thought is normal. There is no depersonalization. The patient does not appear to be delusional, obsessive, or display ideas of reference. She is oriented to person, place, time, and situation. Vital signs are obtained and are all within normal limits. The patient denies any pain. A: The patient is suffering from depression related to her divorce and the death of her daughter. She could benefit from an inpatient rehab program. P: Prepare patient for lab draws to obtain baseline values, presence of drugs of abuse, and medical clearance. A call to the Georgia Crisis Access Line is anticipated for placement of the patient in an inpatient detoxification/rehabilitation program. Referral to grief counselor is also a possibility. References Jarvis, C. (2012). Physical Examination and Health Assessment [VitalSouce bookshelf version]. Retrieved from http://digitalbookshelf.southuniversity.edu/books/978-1-4377-0151-7/outline/5

Does Dickens create a rrealistic figure in the character of Scrooge? :: English Literature

Does Dickens create a rrealistic figure in the character of Scrooge? A Christmas Carol When people read or watch a ghost story, they have certain expectations of it. People would usually expect the story to be scary, have an eerie feel, and have appropriate, creepy settings such as a graveyard or derelict house. Most ghost stories use darkness to create the right atmosphere. There is usually a wide range of characters such as a hero/heroin, a damsel in distress or someone in danger, a victim, horrible and creepy characters that maybe outcasts and most obviously a ghost. People expect the story to have a scary opening, that draws them in into the story making them want to read on, but that doesn't give anything away. The opening often gives some background information on the characters. There is quite often a murder or disappearance to be investigated. Most ghost stories have a closed ending where the mystery is solved or the ghost is disposed of. Fear, suspense and foreshadowing are important features in the plot of a ghost story. All of these factors usually crop up in a typical ghost story. Older ghost stories tend to be text based where as newer ones can be found in other media, such as films. Many films and television series of ghost stories have been produced. The more recent ones tend to drift away from the criteria of a typical ghost story by combining with other genres; where as the older stories seem to follow the expected features of a ghost story much more closely. The more modern ghost story films have mixed with the horror genre because it adds to the atmosphere of the story and makes it scarier. Ghost story films and TV programmers usually drift away from the typical ghost story line because they don't stick just to the ghost story genre; they tend to mix in other genre such as romance, murder mystery and especially horror! This is because the aspect of horror in the ghost story creates a scarier atmosphere that keeps the viewer interested. Films and TV mix other genres such as romance and mystery to keep the viewer interested and to make the storyline different, unique, so it's not similar to other films and programmers. It also enables the ghost story to have a twist in the storyline making it much less predictable there for drawing the viewer into the story and making them want to keep watching. Some examples of these are 'What lies beneath' and 'The Sixth Sense'. Both these ghost stories have a major twist in the plot very near the end and both keep the viewer in