Saturday, September 7, 2019

The issues facing duplicity in human nature in The Strange Case of Dr Essay

The issues facing duplicity in human nature in The Strange Case of Dr. Jekyll and Mr. Hyde by Robert Louis Stevenson - Essay Example â€Å"Dr Jekyll and Mr. Hyde perfectly captured some readers’ fears that their carefully built society was hypocritical.†4 Although the idea of man’s double nature—the good and the bad—has been a topic of countless discussions and debates for centuries, Stevenson presented it most vividly in a way that only fiction can.5 It can be said that it is even an allegory6 of a philosophical sense, illustrating what Stevenson might deem as the true nature of man. Some perceive it to be the epitome of Sigmund Freud’s concept of the subconscious—with Mr. Hyde being Dr. Jekyll’s â€Å"subconscious desire to be freed from his society’s restrictions.†7 While others view the novel as one of the first illustrations of the psychological illness that is termed split personality disorder, with the term alter ego (Mr, Hyde) popularized by Freud. Whatever the case, it cannot be denied that The Strange Case of Dr. Jekyll and Mr. Hyde sh ows, both then and now, the unquestionable duplicity of the nature of man manifested in the two sides of good and evil. For â€Å"the opposites embodied in the Jekyll/Hyde binary conform to late-Victorian ideas about the brain as a double organ,8† as it is still considered up to now. In this dark novel, Robert Louis Stevenson reveals the issues dealing with the duplicity of human nature. Through his mastery of syntax, constant change in point of view throughout the story, complex use of symbolism, supernatural writing style, and his usage of fear in the unknown, Stevenson shows what can happen if you let the evil inside take over. His example of this is the life of Dr. Henry Jekyll and his alter ego, Mr. Edward Hyde. This paper will discuss the aforementioned elements of the novel as it discusses the characteristic duplicity found in human nature. To further illustrate how Stevenson depicted the issues that come with the inherent characteristic of man’s duplicity, it is best to give a brief synopsis

Friday, September 6, 2019

Christian Perspective on Counseling Essay Example for Free

Christian Perspective on Counseling Essay This is a personal theory paper which focuses on the Christian perspective; it involves the integration of faith and scripture into the personal counseling process. It discusses personality structures, individual differences and the motivations that guide and push the human person. Included is a contextual definition of health and the factors that cause illness. They are understood by using psychological techniques in concurrence with Biblical truths. Employing a theological worldview for counseling helps a therapist’s awareness of the innermost complexities of a client and enables them to be an effective guide towards the path of hope and healing. Introduction Counseling is centrally and critically a relationship between people who care (Crabb, 1977). It is essential that a psychotherapist develop a genuine desire for the well-being of a client. This is an ideal arrangement for which a Christian counselor can flourish, because â€Å"Every Christian is called to a ministry of encouraging and helping others (Crabb, 1977)†. Although an atmosphere of caring and encouragement is not limited to Christians it is ideal to integrate psychology and Christian spirituality to most effectively aid clients. Personality Personality structure and components There are many theories involving the structure of the human personality. One is the theory presented by Dr. Ron E. Hawkins (2006a). In this theory, Dr. Hawkins likens each individual to many concentric circles. Every circle is affected by the other circles but every one has its own distinctive characteristics. This structure can best elucidate the complexities that exist inside an individual. The boundaries between circles can help determine the source of each dilemma and each circle provides a different approach to problem-solving. The first circle is the innermost circle of a person and encapsulates the very essence of being human. It is in this most personal circle that the Holy Spirit inhabits within each believer, as supported by the biblical quote â€Å"The kingdom of God is within you† (Luke 17:21). Also included in this circle are the options of free-will and the concept of original sin. The original sin is common to all human beings as maintained by Paul when he writes his letter to the Romans and utters, â€Å"for all have sinned and fall short of the glory of God† (Romans 3:23). It must be noted that outside of issues involving deliverance, there is not much that can be dealt with in this circle by human intervention. Instead, if a problem really reverberates from this circle it must be surrendered in strong faith to the hands of God. The next circle encloses the soul, feeling, and cognitive aspects of the human being. For most clients looking for counseling, this is the circle that receives the most focus. It is in this circle that emotional and psychological troubles not originating from biological sources resonate. The next circle in this theory of personality makeup is the biological circle. This circle consists of the biological processes and focuses on the wellness of the physical human body. Problems in this circle include chemical imbalance which is the failure to normalize the chemicals in the brain, resulting in problems like obsession, anxiety, panic attacks, paranoia, and insomnia. Problems in this circle are more likely to have physical sources, like physical trauma or abuse. The next circle is another prevailing source of problems dealt with in counseling. The temporal circle, it is the beginning of external focused aspects. In this circle, external environmental structures like society and culture have a significant influence on the individual. Societal values and cultural expectations will always have an impact on personality development. Society, friends, family, and church are examples of the temporal systems that must be dealt with when counseling people. Learning who the client is responsible to and what he is responsible for is essential to developing personal responsibility (Cloud Townsend, 1992). Additionally, the influences of the client’s family system are dealt with in this circle. The Bible supports this, â€Å"fathers, do not exasperate your children; instead bring them up in the training and instruction of the Lord† (Ephesians 6:4). Many problems can be rooted from the effects of family and environment The final circle of the human personality structure is the circle of the supernatural. This includes the archetypal epic struggle between good and evil, demons and angels. Despite this concept it is important to keep in mind that â€Å"our struggle is not against flesh and blood, but against the rulers, against the authorities, against the powers of this dark world and against the spiritual forces of evil in the heavenly realms† (Ephesians 6:12). The Bible states that demonic power is a real and it would be imprudent to disregard its potential. Spiritual forces have a great impact on personality development and it cannot be excluded from the growth process Motivation There are five basic propositions about motivation: [1] human beings are all motivated to seek our needs, [2] motivational energy is channeled through the mind and results in specific behavior, [3] motivated behavior is always directed towards a goal, [4] when a goal is perceived to be impossible a state of disequilibrium exists, and finally, [5] all behavior is motivated and all behavior makes sense (Crabb, 1986). Motivation is a drive toward security and significance, with these thoughts in mind, Dr. Crabb details that the definitive goal of counseling is to â€Å"free people to better worship and serve God by helping them become more like the Lord† (1977). Individual differences In counseling, the level of maturity of each client must be assessed. Individuals are in the process of ‘moving over’ and ‘moving up’, clients differ in as to where they are in the process of dealing with presenting problems in a manner consistent with scripture and developing a Christ-like character (Crabb, 1977). Perhaps the most important reason that accounts for individual differences is that God provided free will to His creation. This free will makes each person unique and not merely a puppet with predetermined actions. Alteration of procedure used in counseling is necessary when dealing with different types of people. Some clients should be approached in a feeling level while others should be led spiritually. Cognitive based personalities are best dealt with on the thinking level and those suffering from physical disabilities are helped first with their tangible needs (Hawkins, 2006). Health A contextual explanation of health All counselors should want their clients to become healthy. According to McMinn (1996), the three factors that determine health are: accurate awareness of self, accurate awareness of needs and involvement in healthy relationships. Basing self-worth on the word of God is an effective strategy; to be able to create a self-image based on the unconditional love of Christ is a helpful direction for people who are injured in the different psychological aspects of their lives. McGee (1992) states, â€Å"changing our beliefs from false beliefs to the truths of God’s Word will assist us in experiencing more appropriate emotions and thereby will change the way we respond†. Helping clients to become more Christ-like in seeking self-worth and happiness is the goal of Christian counseling. A contextual explanation of illness The sources of illness are biological, cognitive, emotional and spiritual. Biological are often the easiest to identify they have physical signs that can be studied. Biological illnesses include physical sickness, chemical imbalances, and traumatic abuse. Typically, biological problems can be treated with medications or removal of the source of problem. For instance, physical trauma caused by an abusive husband involves treatment wherein the first step is to remove the victim from the abusive relationship. The cognitive aspect is the area of focus for most counseling therapies. Many problems that counselors must contend with relate to cognitive disorders, including depression, anxiety, guilt, and fear. The illnesses with a cognitive source are of critical concern as they are often more difficult to treat than biological illnesses. Emotional causes must also be considered. Sandra Wilson’s (2001) mantra of Hurt People Hurt People explains how emotional damage begets more emotional damage. Out of wounded emotions, people repeat the same torture to those they are closest to. Finally, illnesses can also be of a spiritual character. In order to be successful and productive counselors â€Å"we have to learn to distinguish between organic or psychological mental illness and a spiritual battle for the mind,† (Anderson, 2000). Spiritual illnesses stem from sin, a lack of faith, and destructive influences. Anderson (2000) advises, â€Å"Don’t think Satan is no longer interested in manipulating your mind in order to accomplish his purposes. Satan’s perpetual aim is to infiltrate your thoughts with his thoughts and to promote his lie in the face of God’s truth. He knows that if he can control you thoughts, he can control your life† Therapeutic Involvement Techniques, methods The Bible provides excellent guidance in various aspects of life; it is an excellent source for every Christian counselor. Accordingly, â€Å"all Scripture is God-breathed and is useful for teaching, rebuking, correcting and training in righteousness† (2 Timothy 3:16-17). In a helping relationship, techniques are used to help the client reach the point of change. One approach that Christian counselors should not be without is prayer. Craigie and Tan (as cited in McMinn, 1996) write, â€Å"Indeed, praying with clients that they may be liberated from resistant misbeliefs, that they may be empowered to do the truth, and that they may come into a deeper relationship with the truth can sometimes be a most powerful experience†. The use of scripture in therapy sessions is useful in integrating God’s Truths to a client’s mindset. The use of the technique miracle question is helpful; this is a method of questioning which begins by helping the client imagine a situation wherein, overnight, a miracle happens that solves all their familial problems. The client has to define what differences they would observe to prove that a miracle had taken place. This is vital in making the client realize how vastly improved their relationships will be when the problems are resolved and defines the goal they aim to achieve. The method of Scaling questions is another tool used to rate the client’s current state, with zero/one being the most ideal and ten being the worst, this facilitates the therapist in identifying factors that prevents them from moving up the scale and recognizes what pushes them down. This is helpful in shifting the client’s focus from problems to solutions. The goal of therapy is promoting a high level of self-worth; the therapist must introduce genuineness into the environment by omitting shame from the process. This can be supplemented with compliments and positive encouragement by vocalizing admirable traits; it is a helpful exercise that generates an atmosphere of goodwill more conducive to problem solving. Hawkins (2006b) identifies the first in counseling step as own having an understanding of the real problem. Then, he goes on to reality testing. From there, a plan of action is formulated and the client is occupied with taking tenure to this plan of action and accepting accountability for its conclusion. Lastly, the counselor helps in building support and responsibility into the process of transformation concerning the client. A good cognitive counseling approach is to focus on the inner-voice and truth. The inner-voice is often constructed as a direct result of the temporal and supernatural circles in which an individual develops. In destructive or less-than-ideal relationships, the individual can develop spiteful and untruthful concepts about themselves which are constantly conveyed by the inner-voice. An understanding of truthful reality, often combating the untrue inner-voice, is critical for change. As Dr. Backus and Dr. Chapian explain, â€Å"locating and identifying pain-causing fabrications plus learning the factual reality-based truth† is therapeutic and critical for healing (2000). Expectations in success Counselors can measure success of counseling by evaluating the client’s progress in the accurate awareness of self or needs and by determining if they are participating in healing relationships (McMinn, 1996). McMinn’s affirms that, â€Å"A more careful look suggests that spiritual and psychological health require a confident sense of self, an awareness of human need, and limitations, and confiding interpersonal relationships with God and others† (1996). Real success in psychotherapy is measured by advancement not perfection. Worldview Dimensions Every individual possesses a worldview whether or not they recognize it. For example, the temporal system an individual develops in will have significant impacts on the individual’s worldview. Someone who was raised in a war torn environment with rampant violence and lawlessness will have a different set of moral code than a person is raised in a secure and peaceable community. These worldviews affect the progress in counseling; worldviews differ from person to person and may include science, perception or the Bible. It is imperative for the Christian counselor to have a broad perception of what his/her worldview consists of. The Biblical worldview filters pertinent information through the sieve of God’s Word. Since all issues are not addressed in Scripture, to sift means to see if the issue lines up with God’s Word (Collins, 2001). Uniting psychology, spirituality, and theology encompasses all the components of human behavior necessary to assess functioning (McMinn, 1996). Conclusion The integration of spirituality and theological scriptures to counseling provides a panoramic view of how psychotherapy can progress. The Bible must be used as a reference in choosing ideologies, techniques or processes to integrate in a personal theory. The use of solutions-based therapy, also referred to as solution focused therapy or brief therapy, is a type of talking therapy that is based upon social constructionist philosophy. It includes miracle and scaling questions. It focuses on what clients want to achieve through therapy. The approach focuses on the present and hopes for future, because as Dr. Worthington explains, â€Å"hope provides the motivation to work† (1999). Cognitive therapy can be used most effectively in Christian counseling because the cognitive approach is imperative in changing the client’s self-awareness by challenging negative thoughts and untruths. Cognitive therapy helps unchain the client from unrealistic expectations by perceiving and revising the pointless difficulties they place on themselves. Understanding the components of human personality through the theory of concentric circles is important in developing a complete strategy for helping individuals change. Recognition of an integrated model that considers the scripture of Christian teachings is a potent tool in wrestling against the dysfunction residing in a client’s life. Resources Anderson, N. (2000). The bondage breaker. Eugene, OR: Harvest House Publishers. Backus, William and Chapian, Marie. (2000). Telling yourself the truth. Bloomington, MN: Bethany House Publishers Cloud, H. Townsend, J. (1992). Boundaries: When to say yes when to say no to take control of your life. Grand Rapids, MI: Zondervan. Collins, G. (2001). The Biblical basis of Christian counseling for people helpers. Colorado Springs, CO: NavPress Publishing Group. Crabb, Larry. (1977). Effective biblical counseling: A model for helping caring Christians become capable counselors. Grand Rapids, MI: Zondervan. Hawkins, Ron E. (Speaker). (2006). Model for guiding the counseling process. Lynchburg, VA: Liberty University. Hawkins, R. E. (Producer). (2006b). Grid for tracking process [Motion picture]. (Available from Liberty university, 1971 University Boulevard, Lynchburg, VA 24502) Worthington, Everett L. (1999). Hope-focussed marriage counseling. Downer’s Grove, IL: InterVarsity Press Greece. McGee, R. (1992). Search for significance: Build your self worth on the forgiveness and unconditional love of Jesus Christ. Nashville, TN: LifeWay Press. McMinn, M. (1996). Psychology, theology and spirituality in Christian counseling. Wheaton, IL: Tyndale House Publishers, Inc. Wilson, S. (2001). Hurt people hurt people: Hope and healing for yourself and your relationships. Grand Rapids, MI: Discovery House Publishers.

Thursday, September 5, 2019

Loan Application for Water Desalination Plant

Loan Application for Water Desalination Plant Kelly Crossen Committee: The World Bank Country: Japan on behalf of Yemen Total Amount: US$50,000,000 Type of Loan: IBRD 1. Total Amount of Loan: US$50,000,000 2. Proposed Project- The purpose of this loan is for the constructing of a water desalination plant in the coastal city of Mokha, 54 miles west of the water scarce city of Taiz. At full capacity the plant would be able to pump a total of 100,000 cubic meters of water per day, more than enough to meet the daily needs of Taiz city, which they estimated to be 55,000 meter. Located along the Mokha coastline, the plant would be connected to a pipeline running from Mokha to Taiz and then later to Ibb and Sanaa cities, serving all small towns and villages located along the way. The Japanese government is presenting this loan to the World Bank to strengthen the economy through increase production of Yemen nature resources, such as the coffee, corn, and wheat coming from the Haraz Mountain, which would reduce the dependency on the yearly humanitarian aid received from the UN and other foreign countries. Today, Yemen receives nearly 200 million in foreign aid per year. In addition, the lack of clean water had increase the spread of water-borne disease on a scale not seen in decades. Cholera, diarrhea and dengue fever have spread at shocking rates in rural areas where access to clean water is limited. 3. Background According to Yemen Water and Environment Minister, Abdulsalam Razzaz Yemen suffers with the most water shortages in the Arab region. He pointed to Yemens increasing population growth rates and limited rainfall for the exacerbation of the country water crisis, noting that at its current state Yemen would soon be unable to sustain its supplies. Today about 25 million Yemenis which is around 70% of the population, struggle daily to find or buy enough clean water to drink or grow food. As a result 14.7 million Yemenis currently depend on humanitarian aid. A senior expert at Yemens water and environment ministry states ordinary Yemenis now pay more than 30 % of their income just to get water in their houses. Prices have more than tripled since March, reaching 10,000 Yemen rials ($47) for a four cubic meter tank of water. According to a report by the U.N. Development Programme (UNDP), Yemen is withdrawing almost 169 % of its renewable water resources, meaning that it is using water far faster than it can replenish its supplies. According to the reports conducted by the UNDP the gap between the countrys demand for and supply of water has widened to 1.4 billion cubic meter per year as a result of one of the highest population growth rates in the world and peoples extensive use of water. Only a tiny proportion of Yemeni household are connected to the municipal supply. The state run municipal company only supplies some household in the city while 70% of Yemeni lives in rural area. In the capital of Sanaa only 40% of houses are connected. The pipe network is old and an estimated 60% of water is lost through leaks. 4. Rationale- Without this loan, the water crisis in Yemen has the potential to cause great destruction to the nation. Access to clean water and sanitation is one of the most cost-effective development interventions and critical for reducing poverty which is one of the World Bank decisive goal. With clean water readily available, women no longer have to spend hours every day collecting water, agricultural production can increase, the cost of services and goods could go down and the reduction of water-borne diseases. Studies have shown with proper management, not only would construction of the plant help fill the ever widening gap in the citys dwindling water supply, but that it would also be able to provide consumers with high purity water at cheaper rates than consumers were currently spending. The project will be managed by the Ministry of Planning and the International Cooperation Secretariat. The timeline for the project will be 5 years from planning to implementation. There will be quarterly report made to the World Bank on all phases of the project. The project will be broken down in four phases. The first phase will be the project planning in which a project scope will be put in writing. Next will be project execution where resources are tasks and teams are formed with responsible. Next will be project performance and control where project managers will compare project status and progress to actual plan. Finally, project close after all tasks are completed and the project is up and running. 5. Allocation- US$100 million for construction of the pipeline leading from Mokhta to Sanaa US$150 million for construction of the desalination plant. US$50 million for construction of pipe network to the rural communities. US$25 million each will come from Japan and EU; UNDP will provide US $200 million and IDA will provide US$50 million.   6. Environmental Impact This project will have a positive impact to the environment by helping to reduce climate change in the region. The increase water supply will aid in the increase of the natural resources and the reduction of humanitarian aid to the country. 7. Credibility Japan became a member of the World Bank in 1952; the World Bank has provided more than 30 loans totaling US$850 million to the country, which all were paid back on time. The last loan taken by Japan was issued in 1966 by the 1970s they transition from borrower to now a source of finance. Japan became the second-largest shareholder of the World Bank in 1984, gaining a greater voice as one of the most important partners. Over the last forty years, approximately US$150 billion of World Bank bonds have been sold to Japanese institutional and individual investors. Japan holds an 8.90% voting shares in the International Bank for Reconstruction and Development. 8. Co-Financing Government of Japan.US$25 mil EU.. US$25 mil UNDP. US$200 mil IDA.. US$50 mil 9. Maturity The terms are as follows:Amount: $50,000.00 from IDAGrace Period : 3-5 years Fixed RateInterest Rate: 1.15% Maturity : 5 years

Wednesday, September 4, 2019

Us Vs Japans Education Essay -- Education

Us Vs Japan's Education Education is the foundation of a strong and productive individual as well as being the foundation for a strong and productive country. Any country that keeps its' people uneducated or does not help to educate them cannot hold them entirely responsible for their actions that result from their lack of education. The United States and Japan both feel very strongly about education and that they need to have well educated people. Both of these countries have educational systems that are similar in some ways and yet very different in other ways. Both the similarities and the differences of these two systems give light to how each of these countries go about educating its' people and how much each of these countries value education. The educational system in Japan has not always been the way it is today. In fact it went through the very drastic changes in the end of the eighteen hundreds and then again in middle of the nineteen hundreds; right after World War II. The Meiji government was the first imperial government and it came into power in 1868. This government had a relatively nonrestrictive textbook policy. Then in 1872 it passed the School System Law, but it still did not include a Textbook Compilation Bureau. In the 1880's, there was a surging of nationalistic sentiment among Confucian scholars and this group was led by Motoda (1818-91). Due to this feeling sweeping the country, Mori Arinori (1847-89) became Education Minister and under his leadership state control on what was taught and what was in textbooks tightened. Then there was the Imperial Rescript on Education of 1890. This document had three themes: that the foundation of the nation is Confucian Values, that the role of education is perfect... ...rent ways; ways that pander to the results they want. Bibliography: A. Education in Japan: A Century of Modern Development Ronald A. Anderson, U.S. Government Printing Office, Washington, 1975 I think that this is a very good source because it was put out by the U.S. Government. B. Education in Japan: A Source Book Edward R. Beauchamp and Richard Rubinger, Garland Publishing, Inc. New York & London, 1989 This was an excellent source because it was very unbiased and factual C. Dimensions of contemporary Japan: Education and Schooling in Japan Since 1945 Edward R Beauchamp Garland Publishing, Inc. New York & London, 1998 This source is also very good and it is very new, which is always a good thing D. The American School 1642-1993 Joel Spring McGraw-Hill Inc., 1994 This was very strait forward and factual, meaning it is a good source.

Tuesday, September 3, 2019

Hackers :: social issues

Hackers â€Å"...they are still hardly criminal in nature. The intention of most of these individuals is not to destroy or exploit systems but to learn in minute detail how they are used and what they are used for. The quest is purely intellectual, but the drive to learn is so overwhelming that any obstacle blocking its course will be circumvented. Unfortunately the obstacles are usually state and federal laws on unauthorized computer access...† This is a quote from Chris Goggans who was once a member of the hacker Legion of Doom club. On-line he was known as â€Å"Erik Bloodaxe†.1 The term â€Å"hacker† was first used in the nineteen sixties to describe college students at the Massachusetts Institute of Technology. The students were given this title because of their obsession with computers. They couldn’t get enough of computers. â€Å"Hacker† was a label of pride to these students. These first hackers did things such as probe systems to find out how they worked and how to make it give out secrets just as hackers do today. They believed computer time and software should be free and freely shared and resented those who protected ownership. A surprising aspect of hackers is that they actually had rules of their own of what they could do to others files and what they could not do. These rules said no one was to erase, damage, or change anyone’s files. One last rule that they had was no using any one system for personal gain. Surprisingly, most of the hackers followed these guidelines.. Now over the years, â€Å"hacker† is a label stating competence and knowledge to meaning someone who breaks into computers. With this information we now have the knowledge that hackers are older and do not have ethics and morals as they used to. The old rules have been forgotten and the FBI has made it’s own definition of a typical hacker: 1. Eighteen to thirty-five years old. 2. Usually male. 3. Bright and highly motivated. 4. The first workers on the job in the morning. 5. The most trusted employees on the job. There is an operation known as â€Å"salami slicing†. This is a form of data diddling that occurs when an employee steals small amounts from a large number of sources through the electronic changing of data. Just like slicing thin pieces from a roll of salami. Some hackers fall upon their information on accident.

Monday, September 2, 2019

Macbeth, A Spy For Macduff At The Banquet Hall :: essays research papers

Dear Macduff, A short while back you hired me to complete a task for you. This was to spy and collect information about Macbeth. I have now completed this and have some quite shocking news as you will soon be aware of as you read on. It all started at Macbeth’s banqueting hall which I was subsequently invited to. We all sat round a wooden table in the main hall waiting for Macbeth’s feast he had prepared for us. Macbeth and his queen wife, Lady Macbeth, They were both upon their thrones which were raised from the ground. Macbeth stepped down and soon the low hum of mumbling grew to a halt. He told us to sit and welcomed us to his feast. What happened next I found unusual, he announced he was going to join us at our table instead of sitting with his wife at the throne. Lady Macbeth kept her place as the banquet went on. From the corner of my eye I then noticed someone entered the room. At first glanced I presumed it to be Banquo as he had not arrived yet, but then I took a closer look and found it to be no one I knew. Macbeth also had seen this strange man at the doorway and arose and proclaimed that he would be away for a few minutes. It interested me why Macbeth left so abruptly and why it was of such importance. I glanced around and saw my fellow lords deep in conversation so I used the chance to slip away from the table. I leant against the wall so I was just out of Macbeth’s sight. I joined them mid conversation and attempted to settle into their quiet chat. As I joined them my astonishment rose as I heard Macbeth mutter the words ‘ There is blood upon thy face’. I was extremely startled to hear the disturbing news which followed. ‘Tis Banquo’s then’. I was absolutely amazed to hear what was being said. I stayed close to the wall listening in on what was said. Macbeth utterly stunned me by saying ‘Is he dispatched?’. These words could incriminate Macbeth and he would be lynched for having this carried out. I was totally confused, because as far as I knew, Macbeth and Banquo had been friends longer than anyone could remember. They had shared all sorts of experiences together. This sickened me to hear that Macbeth had carried out such a terrible deed.

Sunday, September 1, 2019

Emergency Department Essay

I am a senior staff nurse working in the Emergency Department in an Acute General Hospital in Singapore. I have been assigned by my senior nurse manage to mentor Susan, a third year student nurse. As Susan was observed to be underachieving, I aim to use the Gibbs reflective cycle (1988) to guide me to identify the issues that have arisen during the placement and plan strategies to help Susan achieve her expected competencies at this stage of her clinical placement. Upon completion of the reflective cycle, mentor should be able to come up with methods that can help to resolve the student’s identified problems. It is important that windows of learning opportunities are created for reflection to be done and thus help both the mentor and mentee for future progression. Stage 1: Description Susan, a third year student nurse, is in her penultimate clinical placement of her three years training course. She had just reached the end of her second week of placement and has another four weeks to completion. The ward staff had observed that she was not entering patient’s vital signs, at times, into the system. The hospital uses the electronic system of entering patients’ charts. In addition, it appears that Susan did not inform any staff when there were abnormal readings, for example: there were two occasions where a raised temperature in a patient receiving blood transfusion and a head injury patient with an altered level of consciousness. Whilst having a weekly debriefing session as agreed during the first day of Susan’s clinical posting, the mentor was aware that Susan did fail to achieve the basic competency, which was required of her. The mentor had to stress to Susan on the importance of recording vital signs as it determines the patient’s prognosis. Thus, the mentor decided to develop an action plan (SMART) template (Kerry, 2012, & Appendix 3), to aid Susan’s progression. Stage 2: Feelings Given a mentor’s role, it was a concern to me that I did not pick up Susan’s problem until my colleagues’ feedback. As Susan was proceeding to her third week of posting, it was crucial to speak to Susan and find out more in depth what might have led her to the behavior seen. I felt that Susan may not have the theoretical knowledge regarding what were the implications if fever occurs during