Consultation Skills In Relation To Non Medical Prescribing Nursing Essay

Consultation Skills In Relation To Non Medical Prescribing Nursing Essay To illustrate this I will utilise the model of reflection adapted from (Boud, Keogh and Walker 1985) as to focus on influences on prescribing, psychology of prescribing working through the consultation, decision-making and therapy, and referral. Being present in the consultation as a non-medical prescriber challenged me to ask questions about my own practice and the consultant psychiatrist, focussing on how we arrived at our decisions and occasionally resulting in contrasting views. According to (Butler et al 1998) many authorities advise that the prime skills associated with the prescribing process are: Adequate exploration of the patients worries Adequate provision of information to the patient regarding the natural processes of the disease being treated The advisability of self-medication in trivial illness The issue pertaining to poor communication has a negative impact with patient-practitioner relationship and was acknowledged in an informative paper by (Britten et al 2000). Ultimately, all of the failures of communication were linked with an absence of the patients involvement during the consultation process. There is evidence that failure to actively engage in, or even consider, the patients perspective is a common failing amongst prescribers. (Britten et al 2000). Very often there is a focus on the term compliance and it is only recently that nurses are focussing on the more apt term of concordance. The term compliance was viewed as being authority laden (Marinker 1997) where it was expected that patients complied implicitly and without question when a prescription was given. There was little acceptance that patients would actively participate in the decision making process that surrounded the generation of the prescription. (Cox et al. 2002) Objective recognition of the patients perspectives, requirements and beliefs need to be acknowledged and then the recognition of any major differences between these and the prescribers needs could be perceived when providing nursing care. It is not just the act of writing out the prescription that is important, but it is the understanding of the processes and dynamics of the interactions that are taking place between prescriber and patient that are the fundamental key to good prescribing practice (Kuhse et al 2001). The consultation I chose to focus on was carried out by a consultant psychiatrist who for the purposes of this work shall be known as DR S, with myself as an observer of the consultation. The patient to be seen was a 45 year old gentleman who will be known for the purposes of this work as Mr A, who had been referred by dermatology to the mental health out-patients clinic as a new patient. Dermatology had referred this gentleman after a 12 month history of attending their department where Mr A had complained of persistent generalised skin irritation, and despite receiving treatment with them it appeared he may have an underlying mental health issue. Dr S began the interview by thoroughly reading the referral from dermatology and establishing what had been the concern from their point of view. The patient was then seen and before Dr S had chance to ask the patient anything Mr A expressed that he was confused as to why he had been referred to the mental health department, and not dermatology, which he perceived his medical complaint to be related to. The British Medical Journal (2000) has recognised a common theme amongst studies of patients in that they have a tendency to prefer prescribers (doctors or nurses) who listen and provide time for the individual to express their concerns without feeling hurried Dr S asked Mr A why he had been attending Dermatology to which Mr A detailed a 12 month history of describing an itchy scalp, generalised skin irritation and said no treatment had so far helped him. Mr A then went on to express that he felt all of these symptoms may be due to a parasite, or a bug which was doing something to him, and described a feeling of the bug weaving something on his face which enveloped his eyes. Other symptoms he described was that this bug or parasite was all the time making him feel thirsty and taking moisture from his body, and could somehow transpose itself to other people, including his own GP and friends describing like a magnetic type effect. From this initial information it was evident that Mr A was suffering from a delusional disorder which was quite systemised and concrete and Mr A appeared not to display any other symptoms of mental health. A diagnosis of parasitosis delusional disorder was made. It was clear Mr A needed treatment but the main factor to consider was that Mr A did not believe he any form of mental disorder and therefore there was a real issue surrounding concordance with proposed treatment. Usually, it is difficult to obtain informed consent to treat patients with delusional parasitosis with antipsychotics. Therefore experienced clinicians tell their patients that the antipsychotics are effective `against the itch or the `problems with the pests in order not to have to lie. (Musalek, 1991; Driscoll et al, 1993; Winsten, 1997; Freudenmann, 2002). This is due to the patients level of insight hindering their decision to accept treatment, because they hold a non-reality based idea that it is a somatic illness. It is therefore found that the patient will normally have sought help from their G.P., dermatologists and will often be adverse to the idea of seeing a mental health professional A full medical history was taken, looking at any familial medical problems, family composition and looking at the social aspects of MR A to include areas of employment, relationships, and any drug/alcohol usage. There have been some criticisms of the education of nurse prescribing in relation to the communication skills of nurses, where it is felt that historically there has been too much of a focus on taking a history and coming to a diagnosis. It was apparent to me that Dr S had to use his skill as an experienced mental health clinician to challenge Mr As concept of his illness not being related to a problem with his mental health Dr A approached the issue of explaining Mr A symptoms, not referring to mental health or delusions, but explaining Mr As perceived   symptoms by informing him that although he believed that these experiences were real to MR A , that his brain was interpreting false signals resulting in these unusual thoughts. Dr A went on to use the analogy of an amputee who perceives that he can still feel is amputated leg, through false interpretations of the brain. Drew et al. (2001). found that prescribers would emphasise the positive benefits of the medication far more frequently than they would discuss the risks and precautions, despite the fact that the patients perception was that such a discussion is seen as essential. Therefore looking at this, this could lead to patient confusion, with patient anxieties, and a degree of ambivalence to medication being offered to them. It is transparent that if there is a degree of empathic display between that of the patient and the prescriber, there is a greater chance of concordance. This will hopefully lead to an increased level of compliance/concordance and patient satisfaction resulting in desired clinical results Here we face the issue surrounding honesty, integrity, consent and acting in the best interest of the patients in focussing on treatment The issue of treatment was then discussed by Dr A, who said to Mr S that he believed he could help him by prescribing some medication for him that would help relive the distressing symptoms he was experiencing. Mr A initially expressed some confusion once more why he was not seeing dermatology as he perceived the problem needed treating by them This indicates that Mr S was still not displaying any insight and the questions of concordance issues were reconsidered. The National Institute for Clinical Excellence (NICE 2002) recommends that a risk assessment should be performed by the mental health clinician responsible for treatment and the multidisciplinary team regarding concordance with medication, and depot preparations should be prescribed when appropriate. Mr A questioned the proposed medication and it was explained to him that he would be given a course of Neuroleptic medication of a new medication called Aripiprazole. Dr A said that although the medication leaflet would mention the medication was used for Schizophrenia, that Mr A should not be too worried about that as that was not the reason why he would be taking it. Dr A then went on to say that the leaflet would also explain possible side-effects and that although it listed quite a few they were quite rare. The paper by (Cox et al.2000) found that it was common practice for prescribers to initiate the discussions about just what medication they were going to prescribe, rarely refer to the medicine by name and equally rarely refer to how a newly prescribed medication is perceived to differ in either action or purpose, to those previously prescribed. Patient understanding is rarely checked as it is usually assumed after the prescriber has given the prescription. Even when invited to do so, patients seldom take the opportunity to ask questions. (Cox et al 2000) I felt it was the right thing to initiate pharmacological treatment, although on reading further research surrounding the best treatment for Parisitosis I would question the choice of medication Mr A was commenced on However, after spending many clinical hours with this particular Consultant Psychiatrist, I am aware that he has high tendency of prescribing Aripiprazole for the majority of his clients. On questioning Dr A about his decision for choice of medication, Dr A commented that it is the newest and most effective of the atypical medications with lesser incidence of side effect relative to other medications in its group.   I had to question myself that there may be other factors influencing in the prescribing decision which were not based on any of the NICE guidance or that of the British Journal of Psychiatry. In fact, Dr A replied to me with medical jargon relating to molecular structures of both the brain and chemical make-up of Aripiprazole which was hard to follow due to its complexity. I was conscious that as a consultant psychiatrist of many years experience, I was not sure of the honesty or consequences if I had challenged Dr A about his continued choice of Aripiprazole against other choices of medication any further. After researching treatment for this disorder, I felt that the initiation of a typical antipsychotic should have seriously been considered due to its proven faster working efficacy. However, it is known that typical antipsychotics have an increased prevalence of side-effects. Therefore I had considered the preliminary use of typical antipsychotics to establish a degree of insight into the beneficence of taking medication, and if it was felt that further pharmacological treatment is required then switch to a typical antipsychotic as recommended by the NICE guidelines. An article in the British Journal of Psychiatry (2007) highlighted that delusional parasitosis has shown significant treatment results with the use of typical antipsychotics. (Traberts 1995) found that the introduction of typical antipsychotics has substantially improved remission rates (Frithz 1979) described another important treatment in delusional parasitosis is to consider typical anti-psychotic depot medication. This was suggested, as was earlier highlighted that one of the main stumbling blocks is a lack of insight that causes patients t be reluctant to accept oral medication. However, the administration of medication in injection form might be viewed by the patient as the answer to their somatic perception of their illness. It would be hoped that the injection would lead to a degree of insight where the patient may be more open to accept regular medication At the end of the consultation the patient Mr A agreed to take the medication as prescribed and was offered a further out-patients appointment in 2 weeks time. Ultimately, I accept a clear indication for medication, and in conjunction with this at a later stage this could be combined with some cognitive behavioural therapy should symptoms persist. Clinical Governance plays an important part in relation to prescribing., and in particular for non-medical prescribers role .(Bradley E and Nolan P 2005) state that training courses must remain up-to-date and flexible and must change in response to changes in government policy on non-medical prescribing, with nurse prescribing leads being involved in any discussion about course development.

Ethical Dilemma in Hrm

A business can only be sustainable for long term, if it’s practicing ethically. Sustainable businesses are those businesses which are able to make profit for its share holder and provide good employment opportunities for its staff. Similarly sustainable businesses are ones which pay taxes to governments of countries in which it exist. Beside this sustainable businesses are also responsible to contribute to community in which operate. In a perfect world, businesses and their employees would always do the right thing. Unfortunately, in the real world, ethical dilemmas are a common occurrence in the workplace.According to the Merriam Webster Dictionary, dilemmas are situations or problems where a person has to make a difficult choice; an ethical dilemma is a problem where a person has to choose between a moral and an immoral act. Employees must deal with pressures to perform and help the company succeed as well as personal temptations to take the easy way out. In the end, workers will likely face many dilemmas in their careers; companies should provide training and information to assist them in making the right decision. Nike  has been accused of using  child labor  in the production of its soccer balls in  Pakistan. Read also â€Å"Glengarry Glen Ross†Ã‚   by David MametThis case study will examine the claims and describe the industry and its impact on laborers and their working conditions. While Pakistan has laws against child labor and slavery, the government has taken very little action to combat it. Only a boycott by the United States and other nations will have any impact on slavery and child-based industries. Futhermore the U. S constitution states that child labor is an illegal and inhumane practice and any U. S. company found guilty practicing and encouraging it will be prosecuted.GATT and WTO prohibits member nations, like the United States, from discriminating against the importation of goods made by children. Are dolphins becoming more important than children? A question making WTO to reconsider the children's appeal of the third world. akistan has a per-capita income of $1,900 per year -meaning that a typical person survives barely on $5 per day. And that's nonot all, Pakistan has a traditional culture where earning of one person goes on feeding 10 mouths; and with the high rate of inflation it becomes difficult for a low income population to survive.Child labor is spread all over Pakistan but has the greatest impact in the north-west of punjab province, that is Sialkot. Pakistan   has a population of approximately 1 million and is an important centre for the production of goods for export to international markets, particularly sporting goods. In 1994,   exports from Sialkot brought income of almost US$ 385 million into the Pakistan economy. Sialkot is thus one of the world’s most important centres for production of sporting goods. Child labor exists in Sialkot both in the export sector and the domestic sector.This fact has been well documented and reported by the international media for several years but nothing has been done about it. In Pakistan it is clearly documented that child labor is against the law, but the government carries lack of willingness to do anything about it. Provision for education is very limited, due to the fact that very low priority is given to education in the national budgets. Education receives around 3% of the total gross domestic product when compared to over ten times of this amount spent on military.Gender and other forms of discrmination plus adding to the lack of political will, gives the clear picture of the existence of child labor in Pakistan. ecently if you go to a shop to buy your child a new soccer ball. There is a good possibility that the ball has been made by someone your child's age or even younger. About half of the world's soccer ball are made in Pakistan, and each one of them passes through a process of production where child labor is involved. This problem not only pertains to Pakistan but is worldwide. More than 200 children, some as young as 4 and 5 years of age, are involved in the production line.Majority of these children work in Asia, e. g in the nations of India, Pa kistan, Bangladesh and Indonesia. Nike is characterized of making its equipments   in countries which are in the developing phase, having very cheap labor, authoritarian government and lack of human rights appeal and union movement. In doing this it has made greater margins on the cost of mere cents to its workers. So Nike success story is not based on good name and advertising alone but also attached to it is the tears of tortured workers and child labor.A columnist ‘Stephen Chapman'   from Libertarian newspaper argues that â€Å"But why is it unconscionable for a poor country to allow child labor? Pakistan has a per-capita income of $1,900 per year – meaning that the typical person subsists on barely $5 per day. Is it a a revelation – or a crime – that some parents willingly send their children off to work in a factory to survive? Is it cruel for Nike to give them the chance? †Ã‚   (source: http://www. raincity. com/~williamf/words96. html) St ephen argues that the best way to end child-labor is to buy more of the products that children produce.This would increase their demand, and as they will produce more, they will earn more, hence giving themselves chane to rise above poverty level and thus also benefiting the families of the children and as well as the nation. However, the issue is not that simple. Increasing the demand of the products produced by child labor means encouraging more child labor, encouraging more birth rates, more slavery, increasing sweatshops and discouraging education – as parents of the children working in factories would want them to work more and earn more.If this happened to be the case, then more and more children will be bought and sold on the black market, leading no end to this problem. By encouraging more child labor, you are not only taking away those innocent years from them but also the right to be educated and the right to be free. Nike – a good chess player As a good ches s player Nike always thinks ahead of its movement. It does not launch its production directly in to the developing country, such as Pakistan, but instead it subcontracts it to them by selecting a local firm.When doing this, the local firm, in this case SAGA sports,   has to abide by the Nike's international rules and regulations when producing its goods. And it is the duty of the international firm (NIKE) to monitor its subcontracted production units and hold   it to tight scrutuny. But this is not what really happens. Both Nike and the local production company aims to minimize cost and earn the highest amounts of profit   thus involving themselves in illegal practices, such as child labor, a practice which is not so highlighted by the government of the host developing country.So what happens when you question Nike about its labor practices? An answer comes that it is not they who are involved in this illegal labor practices but   it is the local subcontracter who is doing s o. This is wrong to say as Nike and SAGA sports both benefits with access to cheap child labor in Pakistan. And if Nike cannot control its subcontracted plants, it means they have not implemented their rules and regulations effectively and is not abiding by the international standards which they have set for themselves. Nike's entrance in to the Pakistani markets was the part of its long term strategic planning.It is false to explain that Nike didn't knew that child labor is an ages-old practice in Pakistan. Nike went into Pakistan, having full knowledge of the favorable conditions prevailing in terms of child labor and has taken no precautions whatsoever to prevent the use of child labor in the production of its soccer balls. Instead Nike has made a profit from its Pakistani contractors who inturn has used bonded child labor in the production process. Critically analyzing the situation, â€Å"Why Nike always land up in places having cheap or bonded labors or in places where it can easily get away with illegal labor practices? Examples incude: Vietnam, China, Indonesia, Pakistan, Bangladesh and India. Nike simply bases its operations on finding the lowest-cost labor to make its products. Twelve-year-old girls work in Indonesian sweatshops 70 hours a week making Nike shoes in unhealthy plants. According to a Foulball campaign report, Nike has refused twice to have a check in their Saga-managed center in Pakistan while on the other hand Nike's rival Reebok readily granted access to its Moltex-managed center in Pakistan. Nike has the habit of hiding behind its good public image and its effective means of promotions and advertising.Nike attempts to create a good public image by offering charity, donating equipments and never passing an opportunity to remind the public that it has set up stitching centers in places such as Sialkot, Pakistan. How it all started – Consumer awareness 1996 When the June, 1996 issue of Life magazine carried an article about chil d labor in Pakistan, Nike knew that it was   in trouble. The article's lead photograph showed 12-year-old Tariq surrounded by the pieces of a Nike soccer ball   which he would spend most of a day stitching together for the grand sum of 60 cents.In a matter of weeks, activists all across   Canada and the United States were standing in front of Nike outlets, holding up Tariq's photo. And yet, Nike has not done an especially good job of scrutinizing the subcontractors with which it's working. Nor has it been open about its labor practices in the way public companies should be expected to be. Cameramen have been pushed out of factory floors. Supervisors at a plant in Vietnam apparently beat workers being paid 20 cents an hour and refused to allow them to leave their work posts. Indonesian labor organizers has been put behind bars.And, most troubling, nearly all the soccer balls made in Pakistan have been revealed to be made by young children getting paid just cents a day. Nike cha irman Phil Knight also acknowledged that a shipment of soccer balls Nike purchased in Pakistan in the year 1996 was made by a subcontractor using child labor in â€Å"horrible conditions. † Although 1996 was the first year in which real public attention was focused on Nike's labor practices abroad, it's important to recognize that manufacturing shoes in low-wage countries was, from the start, a crucial part of Phil Knight's plan for his company.In other words,   American jobs have not been shipped abroad. On the contrary, Nike has never made shoes in the United States. Its first factories, built in the 1960s, were in Japan, when that country was still a part of the Third World. And since thirty years Nike have migrating from nation to nation, arriving as countries install the necessary mechanisms for orderly business operations and leaving as living standards become too high to make manufacturing profitable. Nike â€Å"not  Just do it  but  Do it right. â€Å"This i s the first time that Nike has had to face real questions about its labor practices abroad, the first time that it has felt a public-relations impact. At this point, that impact does not seem at all devastating. While in the short run Americans are generally horrified by the issue of child labor and has expressed concern over the working conditions in foreign factories, Nike should take immediate actions in order to provide remedy to all the activism it faces, otherwise it can prove devastating for the company's image in the long run. The basic truth about Nike is that its only real strength is its good name.Nike rules because of all the good things people associate with the company: sharp ads, Michael Jordan, Tiger Woods, little Penny, and Michael Jordan again. If â€Å"beaten workers† and â€Å"child labor† get added to that list, then Nike's greatest asset will be lost. Now the burden is on the company both to do a better job of   implementing company-wide global standards of conduct and also to improve its openness to the media. The more you hide, after all, the more people think you have something to hide. Every hand that goes up, hurts Nike in the public eye. And when you're a consumer company, that's the only eye that matters.Consumers — â€Å"Just don't do it. † dership by example: The CEO of Nike and the senior managers of the company need to be openly and strong committed to the social responsibility and ethical conduct. They must give constant leadership in renewing the ethical values and the social responsibility of the company. The management must be active in communicating about the company’s commitment in the speeches, directives, company publications and especially in actions too. The CEO along with the company’s managers is the ones that set the tone of the organization most clearly by their behavior.Code of ethics: Code of ethics state that the values or behaviors that are expected and those that wi ll not be tolerated backed up by management’s actions. (Schuler & Jackson,   2007)       Ethical structures: ethical structure actually represents the various systems, positions and programs that a company can undertake to implement a social effort and ethical behavior. An ethics committee is a group of executives under the CEO to oversee the company’s ethics and CSR efforts, for example, the Nike committee that conducts corporate social responsibility efforts.Whistle blowing: employee disclosure of illegal, immoral or illegitimate practices on the employer’s part is called whistle blowing. No organization like Nike can rely only on codes of conduct to prevent such kinds of behavior. When there are no effective protective measures, whistle blowers suffer and the company may continue its unethical or illegal activities. The CEO and the management of Nike should make sure that the managers are trained well so that they view whistle blowing as a benefit and n ot a threat. (Schuler & Jackson,   2007)

Imprisoned by Society in The Yellow Wallpaper by...

. . There is something strange about the house-I can feel it; she also relates how everything she does exhausts her.nbsp; These symptoms, as well as the numerous referrals by the narrator to the baby, indicate post-partum depression.nbsp; When speaking of the baby the narrator says, for example, I cannot be with him, it makes me so nervous. nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; In order to treat this temporary nervous depression, John isolates her from society and orders her to do nothing but rest.nbsp; He even becomes upset when she wishes to write, causing this story to be composed of writings she manages to do in secret.nbsp; John places her in the attic of the mansion, like a dirty secret, in what she believes to be a former nursery.nbsp; There is, however, strong evidence that the narrator is not the first mental patient to occupy the room.nbsp; There are bars on the windows, gouges in the floor and walls, and rings fastened to the walls; the bed is bolted down and has been gnawed on, and the wallpaper has been torn off in patches.Show MoreRelated Essay on The Yellow Wallpaper: Imprisoned785 Words   |  4 PagesImprisoned in  The Yellow Wallpaper    As man developed more complex social systems, society placed more emphasis of childbearing. Over time, motherhood was raised to the status of â€Å"saintly†. This was certainly true in western cultures during the late 19th/early 20th century.   Charlotte Perkins Gilman did not agree with the image of motherhood that society proposed to its members at the time. â€Å"Arguably ‘The Yellow Wallpaper’ reveals women’s frustration in a culture that seemingly glorifies motherhoodRead MoreThe Way of Women‚Äà ´s Resistances to Patriarchy in ‚Äà ºthe Yellow Wallpaper‚Äà ¹1669 Words   |  7 PagesThe way of women’s resistances to patriarchy in â€Å"The Yellow Wallpaper† Charlotte Perkins Gilman’s â€Å"The Yellow Wallpaper† is on the surface a mysterious story about a woman suffering from depression to mad, but actually, it reveals the oppression of women from their patriarchal families. In the late 19th century, women couldn’t enjoy the freedom they do today, and most of them suffered from hysteria. The narrator of â€Å"The Yellow Wallpaper† is a typical example of those women who live with low socialRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman999 Words   |  4 Pages â€Å"The Yellow Wallpaper† is a story of a woman s psychological breakdown, which is shown through an imaginative conversation with the wallpaper. The relationship between the female narrator and the wallpaper reveals the inner condition of the narrator and also symbolically shows how women are oppressed in society. The story, read through a feminist lens, reflects a woman s struggle against the patriarchal power structure. In the â€Å"The Yellow Wallpaper†, Charlotte Perkins Gilman uses the wallpaperRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman846 Words   |  4 PagesThe dignified journey of the admirable story â€Å"The Yellow Wallpaper† created by Charlotte Perkins Gilman’s, gave the thought whether or not the outcome was influenced by female oppression and feminism. Female oppression and feminist encouraged a series of women to have the freedom to oppose for their equal rights. Signified events in the story â€Å"The Yellow Wallpaper † resulted of inequality justice for women. Charlotte Perkins Gilman gave the reader different literary analysis to join the unjustifiableRead More A Woman Indefinitely Plagued: The Truth Behind The Yellow Wallpaper1318 Words   |  6 Pages A Woman Indefinitely Plagued: The Truth Behind The Yellow Wallpaper In The Yellow Wallpaper, a young woman and her husband rent out a country house so the woman can get over her â€Å"temporary nervous depression.† She ends up staying in a large upstairs room, once used as a â€Å"playroom and gymnasium, [†¦] for the windows are barred for little children, and there are rings and things in the walls.† A â€Å"smoldering unclean yellow† wallpaper, â€Å"strangely faded by the slow-turning sunlight,† lines the walls,Read More Madness in The Yellow Wallpaper and The Tell-Tale Heart1679 Words   |  7 PagesMadness in The Yellow Wallpaper and The Tell-Tale Heart Compare the portrayal and use of madness in The Yellow Wallpaper by Charlotte Perkins Gilman and The Tell-Tale Heart by Edgar Allan Poe. Which story did you prefer and why? The Yellow Wallpaper by Charlotte Perkins Gilman and the Tell-Tale Heart by Edgar Allen Poe both describe characters who in the opinion of other people are insane. The characters hysterical behaviour due to their insanity is depicted as the stories progress. TheRead MoreSymbolism of the Setting of The Yellow Wallpaper1198 Words   |  5 PagesVolpe 1 Marissa Volpe Prof. Baker ENC 1102 4/10/14 Symbolism In The Gothic Setting of â€Å"The Yellow Wallpaper† Gothic literature is incredibly distinct. There is a sort of formula involved with writing in the Gothic style, and one of the most important aspects of this is the setting, which can include anything from the architecture of the buildings to the color of the leaves on the trees. The setting of a story is a vital element, as it would seem to be that the most effective way of drawing Read MoreThe Yellow Wallpaper By Charlotte Perkins Gilman Essay1208 Words   |  5 Pagesthat wallpaper as I did?† the woman behind the pattern was an image of herself. She has been the one â€Å"stooping and creeping.† The Yellow Wallpaper was written by Charlotte Perkins Gilman. In the story, three characters are introduced, Jane (the narrator), John, and Jennie. The Yellow Wallpaper is an ironic story that takes us inside the mind and emotions of a woman suffering a slow mental breakdown. The narrator begins to think that another woman is creeping around the room behind the wallpaper, attemptingRead MoreThemes, Symbols, and Feelings in The Yellow Wallpaper by Charlotte Perkins Gilman763 Words   |  4 PagesIn The Yellow Wallpaper, by Charlotte Perkins Gilman, the protagonist symbolizes the effect of the oppression of women in society in the Nineteenth Century. In The Yello w Wallpaper, the author reveals the narrator is torn between hate and love, but emotion is difficult to determine. The effects are produced by the use of complex themes used in the story, which assisted her oppression and reflected on her self-expression. The yellow wallpaper is a symbol of oppression in a woman who felt herRead More Comparing Charlotte Perkins Gilmans The Yellow Wallpaper; and Kate Chopins The Story of an Hour1097 Words   |  5 PagesComparing Charlotte Perkins Gilmans The Yellow Wallpaper and Kate Chopins The Story of an Hour The Yellow Wallpaper;, by Charlotte Perkins Gilman, and The Story of an Hour;, by Kate Chopin, are alike in that both of the women in the stories were controlled by their husbands which caused them to feel an intense desire for freedom. Both stories were also written from a feminist point of view. However, the women in the stories had different life changes and different responses to their

Childhood Reflection - 735 Words

Reflection Hello, my name is Christina and I’m glad you can make it out today. Many of you are new parents that are trying to learn more about their child so, this why I am here. In this one-hour class I will be discussing the stages in early development and the key points of each early development stage. If you have any questions, please feel free to raise your hand during or after the lecture. During this time I want to make sure new parents gain understanding of the content and walk away knowing more than you did when you walked in. Content The stages of early development start with infancy, toddler period, preschool period, school years, adolescence and transitioning to adulthood (Parritz, R. H. Troy, M. F. 2017). In this first†¦show more content†¦H. Troy, M. F. 2017). This content is important because as new parents you want to know the importance of early development. Most people in this class are new parents of a newborn and I hope I was able to provide you with key points of each stage physical, social and emotional that will affect overall development with a young children and adults. If you have further questions on the stages that I talked about please feel free to email or meet with me after this class. I will be more than happy to answer your questions or concerns. If you know of any family members or friends that are new parents or expecting a newborn please feel free to tell them about this class and what you learned from this class so, they can be educated or encourage them to sign- up for a cla ss about the stages in early development and the key points of each early development stage. Biblical Worldview I want to express how the class is consistent with a biblical worldview. Proverbs 22:6 says, â€Å"Direct your children onto the right path, and when they are older, they will not leave it.† In the process of helping our children choose the right path, we must use discernment to find different paths for each child. It is natural to want to bring up all our children alike or train the same way but, thisShow MoreRelated Middle Childhood Reflection Essay1989 Words   |  8 PagesMiddle childhood Reflection My son BOB BOB is currently experiencing his middle childhood. He is smart, funny, competitive, full of energy, and independent. I have observed him trying out new things, He has become Mr. Social with peers and he appears to value their relationships. My wife recently got him a cell phone and his texts message his friends constantly, which speak to his enhanced fine motor skills. He also appears to take seriously his academic studies. He has participatedRead MoreReflections on Childhood Development Essay1924 Words   |  8 Pageswhen reunited with the caregiver, the infant deliberately looks away and appears emotionless and depressed. In early and middle childhood development, children develop and master spoken and written language, along with many other important developmental processes such as emotional, social, cognitive, and physical development. In language development during early childhood, infants begin cooing in their second and third months of age and by the time they reach six months, infants begin babbling, theRead MoreReflection On Early Childhood Education1198 Words   |  5 Pageson the past eight weeks, my insights on Early Childhood Education have given me a better understanding of issues and trends in Early Childhood Education. As I mastered this course, I have also become more knowledgeable and understanding of the needs of children and families in my community. Another way that I have been strengthened was through discussions and sharing blogs with my colleagues. On the other hand, researching professional early childhood education topics and viewing multimedia presentationsRead MoreEarly Ch ildhood Education: Kindergarten Reflection Essay1530 Words   |  7 PagesKindergarten Reflection Entering my kindergarten teaching experience in the last quarter of school year I had to quickly become familiar with kindergarten content standards and the school’s curriculum. To do this I observed my mentor teachers instructional time with the children and gained as much information as I could about the children’s educational standing by developing a professional relationship with the my mentor teacher and the children. I learned that the majority of my kindergarten childrenRead MoreChildhood Reflection Paper1067 Words   |  5 PagesI wish I was told what I was going through physically and emotionally throughout my childhood. This is a paper about my life and I will incorporate the course material throughout this assignment. I remember when I was around 5 years old when my brother accidentally cut off his finger with a small saw. We were doing yard work and were all helping and I turn around to see my little brother with a small saw. He pressed the button which tur ned on the machine and there his finger was on the grass. I wasRead MoreReflection Paper On Childhood748 Words   |  3 PagesChildhood Memory Everyone in their lives has learned something from their childhood that stayed with them until adulthood. It could be a good experience or not that great experience. Personally my lesson wasn’t so great and has caused me to get in trouble with my parents. In first grade at Anthony Elementary School, I was compelled by a friend to steal. Because of this experience, I learned to listen to what my â€Å"gut† tells me about people, that some people might not be good to have as a friendRead More Discuss the poems Death of a Naturalist and Personal Helicon by1249 Words   |  5 Pagespoems the reader is told about Heaneys memories as a child and his progressing memories as he grows up and understands his surroundings more from an adults perspective. This essay will look at and evaluate how the adult has been moulded from his childhood experiences, Discuss and explain Seamus Heaneys use of language and tone to portray his personal feelings, as well as events that led him to the stage of life he was at and foreseeing from his child perspective and at the stage he was at whenRead MoreThe Importance Of Lifelong Learning ( Lll ) And Continuing Professional Development2000 Words   |  8 Pagesit is participated throughout life. It is important to discuss LLL, as it has many benefits within the healthcare system, as well as everyday life. This essay will explore reflection as a skill important to adult nurses, as this is vital in order to evaluate their own learning, which can encourage improvement of LLL. Reflection in action and on action can also influence the successful outcome of LLL. The attribute chosen to discuss will be self-motivation, due to the fact that this can lead to moreRead MorePersonal Reflection In Early Childhood Education1907 Words   |  8 PagesAlthough I have worked with children for the past six years in a childcare setting and gained a diploma in early childhood education and care, I learnt so much from being in a school based environment. I feel though that my previous experience did aid me in this practicum howe ver. I already knew that play is an integral part of a young child’s learning and how those children need to feel safe, secure, and cared for as well as being educated. Knowing that the bond between a teacher and child is aRead MoreMy Reflection Of A Personal Early Childhood Education Philosophy878 Words   |  4 PagesIn this paper, I have developed a personal early childhood education philosophy statement. I will reflect and discuss my personal learning philosophy through topics such as: the purpose of education, how children learn best, what should be included in the curriculum, what environment children learn best in, what needs must be met for children to grow and learn, and how I can meet those needs. Every interaction with a child is important, and helps them to grow and develop. I want to create positive