Acount of patient Essay Example for Free

Acount of patient Essay The experience of reflection as a implement for understanding in workplace education, can allow the student to problem solve in practice. By exploring the persons own unique circumstances and past experience they can, in order to learn, bear in mind past beliefs and recollections as a basis to accomplish a desired learning result. (Rolfe, 1998). Taylor (2000) suggests that, to reflect on action from an event, we must recollect our thoughts and memories. That is when we must use the faculty of contemplation, meditation and consideration, which permits us to realise the insight of our past experiences and thoughts, in order to adapt our behaviour, should we encounter similar related incidents in the future. Introduction This reflective case study has been written using the Gibbs (1998) model of reflective writing. Confidentiality has been preserved throughout in accordance with the Health Professions Council (HPC) Code of Professional Conduct (HPC, 2002) and I have chosen the pseudonym of Joyce Charles for my patient. Although this was the first week of my second placement in general practice this was the first time that we had met, therefore, I introduced myself and made clear at the practice and explaining that I was a Paramedic undergoing further training to become an Emergency Care Practitioner (ECP) (as described by Silverman et al 1999). Joyce gave me verbal consent (Department of Health 2001) to take part in her consultation and treatment. Description The rationale for reflection in relation in to this topic is to understand the difference in todays standards and how important the Health Care Professionals role will impact in providing care for patients suffering chronic disease. Joyce had returned to the surgery following a glucose tolerance test, for diabetes, she was a 43 year old clinically obese female. The previous week  she was seen by the Doctor as she had some sores that were not healing properly. Joyce was asked to return to see the diabetic nurse at the surgery clinic to obtain her results and ask any questions, that arose. I was invited to work along side Faith, who was one of the nurse practioners assigned to the Surgery and she would take the main lead in the consultation. Although part-time, one of her many roles, was to facilitate the diabetic clinic, with lots of experience, she was willing to share a considerable amount of her medical wisdom. Kadushin (1992) suggests that primary components of clinical supervision should be about education, support and management. Being a practice nurse in the village surgery she had implemented many of the National Service Frameworks (NSFs) and Integrated Care Pathways (ICPs) enabling the practice to initiate Government targets in promoting healthcare to the community. My role in this consultation was to obtain a full history (appendix 1) (Hatton and Blackwood) and to lead the health promotion conversation and to give general health information and diet and lifestyle. Feelings Joyce was going to be given the news that she had Type 2 diabetes and after a few minutes she asked a number of questions and as she did so, her voice started to waiver and she clearly was quite shocked at this news. She had tears welling up in her eyes, then burst into tears. This outburst of emotion overwhelmed and surprised me, however the nurse was also a trained counsellor and was very supportive and sympathetic in her manner. I was now quite worried that I would become too focused in this one area of her emotion. Benner (1984) indicates that one of the exceptional attributes of expert nurses is that they spend a great deal of their nursing time thinking about the future course of a patient, anticipating what obstacles might occur and what they would do about them. I always seem to lose my confidence and train of thought as a result of being watched, probably fear of being criticised in a non conducive manner. Dreyfus and Dreyfus (1977) note that as long as the beginner is following the rules, his/him performance will be halting, rigid and mediocre. Whist I was attending one of my first lectures, I was advised to use the acronym LEAPS which is a way of effectively conducting a consultation by listening, empathizing, asking questions, paraphrasing and summarising. Techniques like this enables practitioners who are at the beginning of their new roles, a foundation on which to build the consultation, leading to confidence, which I hoped would be communicated to Joyce. I did feel a degree of consternation when I started talking about diet, as Joyce had a body mass index of 39, which is just one below the morbid obese level (Simon et al 2002) and she appeared embarrassed and visibly upset. I managed to answer her questions concerning her condition, and how it would affect her daily life, such as could she still drive, would she have to have injections every day, and she has a holiday abroad, could she still go. Once she had the information, Joyce, seemed to relax and manage to retain some of this information, this assisted to make me more relaxed too, as I felt that at least this part of the consultation was being received well. Evaluation Even though Joyce was upset, I was very pleased to have the occasion to play an important function in the explanation to Joyce that she had a Long Term Condition (LTC) and that I was asked to provide the most significant features of managing the condition, diet and lifestyle information. The discussion was well planned and undertaken in way that was both sensitive and constructive and make sure that Joyce was given appropriate health and lifestyle information and had the chance to share in the decision-making processes regarding the long-term management of her condition. Sonkensen et al (1986) stated that unfortunately, most diabetic education is centred around the time of diagnosis. This is the time when the patient is least receptive and is unable to comprehend what is being said. Therefore, I asked Joyce to make a further appointment with the dietician, who would address any deeper problems. I had already gathered a small amount printed leaflets and provided some website addresses with appropriate information. This was to ensure that when Joyce left the surgery she would be able to  find information on her condition, when she felt that she would need it. The level of planning that had taken place before the consultation began was very good and met the patients needs of, honesty, attention, time allowed for questions and the use of clear language as described Mueller (2002) in his recent paper on this subject. These factors are essential in ensuring that the patient accepts their chronic condition early, this ensures that long-term management can begin, and the patient can begin the long process of learning to live with their condition. Analysis Two main areas emerged during the history taking, the psychological factors of obesity and the affects of obesity on diabetes, and the recognition that there was a history of depression. Depression is not generally listed as a complication of diabetes. However, it can be one of the most common and dangerous complications. The rate of depression in diabetics is much higher than in the general population. Diabetics with major depression have a very high rate of recurrent depressive episodes within the following five years. (Lustman et al 1977) A depressed person may not have the energy or motivation to maintain good diabetic management. Depression is frequently associated with unhealthy appetite changes. Before Joyces situation can be considered it is clear that the underlying depression as well as the diabetes needs are met in the her treatment plan. Failure to do so would prevent us from achieving our first goal of weight reduction. Obesity may be called the modern living disease and is an associated condition to many long term health conditions such as coronary heart disease, kidney failure, cancer and diabetes. Over the last 25 years, the level of obesity in the UK has grown by over 400 % (House of Commons Health Committee 2004). A huge amount of research is underway across the world to try to understand the causes of this obesity explosion. Most people who are obese are not aware of why they overeat, how much they eat, or how frequently they eat (Bellack, 2000). Joyce had been overweight since her teenage years and as a result, had been teased and bullied, this may have been a prelude to her initial depression too. Nutrition education is an  integral part of all behavioural approaches to weight control. Bellack (2000) also indicated that patients must have the relevant information to use in understanding and structuring their dietary practices and in assessing the potential effects of behaviour change. I had advised Joyce of the adverse effects of quick weight loss and fad diets, so it was important for her to seek further advice from the dietician. The Nurse Practitioner was an advocate of the Health Action Model (HAM) which was devised by Tones () and it emphasises the importance of self-esteem on behaviour. This model identifies a variety of physiological, social and environmental influences which research and practice have shown to be imperative. Using this model has help Faith to achieve desirable behaviour changes in all areas of LTC patients under her care, and Joyce would benefit from this experience, eventually when Joyce had settled into the realisation of her newly diagnosed condition. It is clear that to prevent an ever-increasing burden on an already stretched healthcare budget that primary care will play a vital role in the promotion of a healthy lifestyle. Diabetes is already costing the UK in excess of 9% of the entire healthcare budget and this is predicted to rise over the next 25 years to a level around 25% (House of Commons Health Committee 2004). The NHS is committed to developing a range or strategies to reduce the risks of type 2 diabetes developing in the population. This is enshrined in standard 1 of the National Service Framework: Diabetes (2001). This Standard looks at the key interventions increasing and promoting physical activity and by increasing the amount of training and education available to health professionals on the interventions that are effective in preventing and managing obesity. When analysing the entire case it is clear that Joyce was Identified as an at risk patient at an early stage and that the required diagnostic tests where carried out without any delay. Once a diagnosis was made, a planned and structured approach was used to convey this to Joyce in an honest, sensitive and understandable way. Information was made available to Joyce as well as providing addresses for her to source her own information. In consultation with Joyce, a follow up regime was designed that suitable for her needs as  well as adaptable for the future. On reflection, I feel that this case was dealt with in a highly successful manor. As with all chronic conditions it is imperative that Joyce understands her unique care pathway, that will, with her compliance support and aid her to lack of complications in her future years. Conclusion I can summarise my reflections on Joyces case as follows. Before breaking news about a chronic disease or life threatening illness careful thought should be given to planning. This should follow close as possible the SPIKES (Baile 2000) model of breaking bad news, which advocates that setting up the correct environment, being prepared to deal with the patients emotions and having a strategy and plan prepared to manage the patients condition are fundamentally essential. To prevent the healthcare costs of the nation spiralling out of control over the next few years, in conjunction with chronic disease health surveillance and health promotion under the guidance of the NSFs and Nice guidelines will demonstrate a marked improvement in further As demonstrated in Joyces case it is important that the clinical team employ a holistic approach when dealing with patients, this becomes even more crucial when dealing with the complexities of a chronic illness. My final conclusion is that early detection and diagnosis of a chronic condition will need to become higher on the health care agenda. This will require more collaboration between health professionals and the greater sharing of patient information. Action Plan As I have previously mentioned the SPIKES model provides an excellent strategy for breaking bad news and is one that I shall be adopting into my clinical practice. This system asks you to plan the Setting. Think about the patients Perception. Invite the patient to give their permission to break the news. Provide adequate information and Knowledge, be prepared for the patient Emotions and ensure that there is a Strategy to provide on going support. I feel that this will be an excellent tool for my future as an  Emergency Care Practitioner. It is essential that in my role as a modern health professional that I have a responsibility to ensure that I continually upgrade my knowledge of where to obtain good quality health information. Patients have a right to information that is easy to understand and is available to them when they need rather than when the clinician decides that they should receive it. When in consultation with a patient it listening is an essential skill, I will continue to improve my listening skills which are of particular benefit when dealing with issues such as health promotion this is described as the listening process by Ewles and Simnett (2003). Finally, it is of absolute importance that all health care professionals and I continue to use evidence-based practice. The area of chronic disease management is one that will continue to grow over the next few years, during this time there will be many changes and adaptations to current guidance on diseases such as diabetes. I will need to ensure that I have access and adequate time to seek out these changes and update my clinical practice accordingly. Should I ever encounter a comparable experience in the future, I will try to revaluate this occurrence, Palmer et al. (1994) considered reflection to be the retrospective contemplation of practice, suggesting that a careful review had to take place of what had happened previously. LAiguille (1994), on the Other hand, implies that reflection also prevents the Practioner from becoming complacent with everyday aspects of work and to reflect and learn from a new experience everyday. The occurrence of education must be developed to facilitate the clinician to provide a sound basis enabling advancement that leads to advanced skills. References: Baile W.F. et al. (2000) SPIKES-A six-step protocol for delivering bad news:application to the patient with cancer. Oncologist. 5. (4):1597-1599 Benner, P. (1984) From Novice to Expert; excellence and power in clinical nursing practice/ Patricia Benner commemorative ed. (2001) Prentice Hall International (UK) Limited. London Bulman C., and Schutz S. (2004). Reflective Practice in Nursing. 3rd ed. Oxford. Blackwell Publishing Ltd. Department Of Health (2001) Good practice in consent implementation: consent to examination or treatment. London. Department Of Health Department Of Health (2001) National Service Framework: Diabetes. London. Department Of Health Dreyfus, H.L.; Dreyfus S.E. (1997) Uses and abuses of multi-attribute and multi-aspect model of decision making. Harper and Row. New York Gibbs (1988) Learning by Doing: A guide to teaching and learning methods. Further education unit. Oxford. Oxford Polytechnic Hatton C.and Blackwood R. (1991) Lecture notes on Clinical Skills. 4th ed. Oxford. Blackwell Publis Holloway, A Whyte, C. (1994) Mentoring: The definitive handbook. Development Processes (Publication) Ltd/Swansea College, Swansea House of Commons. (1995) Long-term care: NHS responsibilities for meeting continuing health care needs. First report, session 1005-1996, HC 19-1 Annexe 2. London HMSO Health Professions Council (2003). Standards of Conduct, Performance and Ethics. London. HPC. Kadushin, A. (1992) Supervision IN Social Work. 3rd edition. Columbia University Press. New York LAiguille Y (1994) Pushing back the boundaries of personal experience. Blackwell Science. Oxford Lustman, PJ, Griffith, LS, Freedland, KE, Clouse, RE; (1997) The course of Major Depression in Diabetics Gen Hosp Psychiatry New York 19(2) 138-143. McGlone F. (1992) Disability and dependency in old age: a demographic and social audit. Family Policy Studies Centre London Mueller P. (2002) Breaking bad news to patients. The SPIKES approach can make this difficult task easier. Postgraduate Medicine 112 (3) Palmer A, Burns S, Bulman C (eds)(1994) .Reflective Practice in Nursing. Blackwell Science. Oxford. Rolfe, G. (1998) Beyond expertise: reflective and reflexive nursing practice. In: Transforming Nursing Through Reflective Practice, (eds C. Johns D. Freshwater). Blackwell Science, Oxford Silverman J.,Kurtz S. and Draper J. (1999) Skills for Communicating with Patients. Abingdon. Radcliffe Medical Press. Simon C. et al (2003) Oxford Handbook Of General Practice. Oxford. Oxford University Press Tones B.K. (1987) Making a Change for the better. Healthlines. November p17 United Kingdom.House of Commons Health Committee (2004) Obesity, Third Report of Session 2003-04 volume 1. London. TSO. (Chairman D. Hinchcliffe MP)

Product analysis of maggi noodles in india

Product analysis of maggi noodles in india The Indian subsidiary of the global FMCG giant, Nestle SA Nestle India Limited introduced the brand Maggi in India in 1982. This launch of Maggi no0odles was the platform for an entirely new food category of instant noodles in India. It quickly gained popularity as a quick snack and was widely accepted in the Indian market. The company got the first mover advantage in this category and as a result, was able to retain its successful leader position in the category till the early 2000s. In order to target the health conscious consumers, in the year 2005, Nestle India Limited expanded by brand extension offering various healthy food products under the brand name Maggi. In an effort to extend its healthy foods concept, in May 2006, Nestle India Limited, launched a new variety of instant noodles product called Maggi Dal Atta Noodles (Dal Atta Noodles) under the popular Maggi brand. These Dal Atta Noodles, unlike the traditional Maggi noodles, were made of whole wheat and pulses, and were positioned as a healthy instant noodles. In addition to the instant noodles, Nestle India Limited also offeres a variety of other food products such as soups, sauces and ketchups, cooking aids (seasonings), etc., under the Maggi brand. Positioning [by product attribute] Maggi noodles by nestle comes under the food products category can be specifically placed under instant food category. Maggi was introduced in 1982 as a snack food and since then has been tweaked with a series of repositioning and brand extension strategies to feed the need of the time. Fast to Cook Good to Eat is the tagline for Maggi. Nestle India Limited (NIL) in the past years has aggressively promoted Maggi noodles via various methods like free sample distribution, distributing gifts in exchange of empty packs, etc. The company used its advertising strategically to create an effective impact on the communication of the benefits of the product to target consumers. Its advertisements projected magi as a fun snack for the kids which gave the mothers ease of preparation. Use of taglines like Mummy, bhookh lagi hai (Mom, Im hungry), Bas 2-Minute, (Only 2 minutes) and Fast to Cook Good to Eat effectively communicated the products benefits to target consumers. Maggi is positioned for consumption for the SEC A B consumption household. Its primary target audience is the children in the age group between 6-14 years. It has tried to cater to the low income householders by introducing the Rs. 5/- pack. It was designed to be consumed as a evening snack. The commercial designed for the same show kids of the fore-mentioned age group in the evening time consuming Maggi. Over the period of time with the need for healthy food (Vegetable Atta Noodles) gaining ground it repositioned itself by positioning it as healthy food. This was of paramount importance as the buyer in this case were mother who were going to feed there children who were in the growing age group. Given the special care that mother take of children in this age group Nestle has been trying to promote the healthy part more and more. It is packaged in bright yellow color given that this color is quite attractive to younger people. This color makes Maggi both easily distinguishable and also lively.It has a strong distribution and its availability is present in both traditional retail (kirana stores) and up-market posh supermarkets. It sells mostly in single size serving however it has innovatively changed the packaging allowing multiple serving inside the same packet. Through this it wants to increase brand loyalty. Typically the higher sizes are for regular consumption households and are available at slight discounts. Also from time to time it has been trying to leverage and rejuvenate the brand with interesting Brand extensions. Brand Extensions Maggi Soups 1988 Indian Ethnic Foods Pickles Sambhar Dosa Batter Vada Batter Macroni Maggi Coconut Milk Maggi Tamarind Sauce Maggie Chinese Noodles MAGGI CUPPA MANIA MAGGI Sauces MAGGI Pichkoo MAGGI Pizza Mazza MAGGI MAGIC Cubes MAGGI Bhuna Masala Market Analysis Nestle India Limited NIL operates in Four Segments in India: Prepared Dishes and Cooking Aids Segment Milk Products and Nutrition Segment Chocolate and Confectionery Segment Beverages Segment Prepared Dishes and Cooking Aids segment Maggi is the premium brand in this segment with the highest growth rate of 24.1 per cent in sales by value. The segment has also been a witness of a growth rate of 18.2 per cent in volume sales at 3.46 lakh tonnes during the period. Overall, Milk Products and Nutrition segment consisted of 47 per cent of the companys net sales during first quarter of 2008 (46.3 per cent in Q1 of 2008), followed by Prepared Dishes and Cooking Aids at 23.3 per cent (21.8 per cent), Beverages at 15.8 per cent (17.8 per cent) and Chocolate and Confectionery at 14.1 per cent (13.9 per cent) Maggi Sales The food processing business in India is at a nascent stage and is well poised to go into higher orbit. Presently, the share of the processed and packaged food consumption forms only 15% of the output. Penetration levels as well as per capita consumption in India is also low, as traditionally, Indians have been believers in consuming fresh stuff rather than packaged or frozen. However, the trend is changing and the new fast food generation is slowly altering its habits towards healthy food. The rise in income levels, urbanization, favorable demographics and changing lifestyle are the key drivers going forward. With around 200 Million people expected to shift to processed and packaged food by 2010, there lies a huge opportunity for makers of such products like Nestle India Limited to convert these potential consumers into loyal customers. Processed food market which was valued at Rs 4,600 billion in the year 2004, is expected to touch Rs 13,500 billion by 2015. With respect to Maggi Brand, the industry can be broadly classified into three sectors: Soups Sauces, Dressings and Condiments Noodles Soup The soup sector is rather small in India, but it is growing at a very rapid pace, registering a 16% CAGR in current value terms between 2003 and 2007 and increased by 20% in 2008-09, to reach a value of Rs942 million. Hindustan Unilever and Nestlà © India are the sectors leaders. Growth in soup sales in 2008-09 has been driven by wider options in soups, aggressive promotions and advertising activities by the main players and an increased reliance on instant foods, such as soups, by busy urban consumers. Soup players are trying to position their offerings as healthy snacks and meal solutions. Nestlà © India has positioned its Sanjeevani range of soups as wellness meal solutions due to the addition of healthy ingredients, such as almonds and amla, along with the addition of vegetables, no added colours or MSG, as well as being low in fat and cholesterol. Knorr and Maggi are the two premium soup brands in India, mainly due to their higher pricing, wide range of flavours and wellness positioning. Domestic soup brands such as MTR and Bambino are considered standard brands, due to their lower pricing. Canned soup brands are all positioned in the economy segment, with leading brands Chings Secret having lower prices. Major Brands and Companies in Soups sector are: Brand Company 2004- 05 2005-06 2006-07 2007-08 2008-09 Knorr Hindustan Unilever Group 56.6 57.2 56.9 58.6 57.1 Maggi Nestlà © SA 28.5 29.1 30.6 31.5 28 Chings Secret Capital Foods Ltd 0.9 0.9 0.9 0.8 8.6 MTR Orkla Group 1.9 1.2 SAUCES, DRESSINGS AND CONDIMENTS Retail value sales of sauces, dressings and condiments have grown by 11% in 2008-09 to Rs25.4 billion. This increase is mainly attributed to the increase in regional brands due to the entrance of number of local players into the organized sector from the unorganized sector. Ketchup has registered the fastest value growth in sauces, dressings and condiments in 2008-09, at 13%. The rapid growth in sales of ketchup was driven by a combination of factors, including aggressive promotion in retail outlets and advertising by Hindustan Unilever and Nestlà © India, and the launch of new variants, such as Kissan Chatakdaar and Maggi Pichkoo. With a wider range of flavours which go well with Indian snacks, and small pack sizes which can be used for a single serving, ketchup maintained its high level of growth in 2008-09. The sauces, dressings and condiments sector is highly fragmented, with a large number of regional players. There are a few national players in the herbs and spices and dry sauces subsector and Hindustan Unilever and Nestlà © India are the two notable multinational players, with shares of around 5% each. Major Brands and Companies in Sauces, Dressings and Condiments sector are: Brand Company 2004-05 2005-06 2006-07 2007-08 2008-09 Everest S Narendrakumar Co 17.9 18 17.6 17.6 17.4 MDH Mahashian Di Hatti Pvt Ltd 12.7 12.9 12.5 12.6 12.3 Priya Ushodaya Enterprises Ltd 8.8 8.3 8.7 9 8.4 Eastern Eastern Group 4.2 4.7 5.6 5.9 6.9 Mothers Recipe Desai Brothers Ltd 5.6 5.7 5.7 5.8 6 Hommade Dabur India Ltd 4.3 4.5 4.9 5.2 5.5 Maggi Nestlà © SA 4.4 4.6 4.8 4.8 5 Kissan Hindustan Unilever Group 4.7 4.9 4.9 5 4.9 Noodles Sales of Noodles have grown by 20% in 2008-09 to Rs 15.6 Billion. With Indian consumers leading increasingly busy lifestyles, less time is being devoted to cooking food at home, and urban consumers are opting for easy-to-cook solutions, such as noodles. As a result, instant noodles continue to dominate sales, accounting for almost 73% of retail value in 2008-09. While plain noodles, in the form of vermicelli, have traditionally been popular in South India to make full meals, more consumers are shifting to instant and plain noodles, which are easy to cook, for either full meals or snacks.

Themewriting is Writing Itself :: Writing Education Essays

Themewriting is Writing Itself In deciding as to what I would write my paper on, I ran through the various topics that were discussed in class. Being that the paper topics were left to our discretion, gave me a feeling of confusion and frustration. I have always been used to the typical format done by the majority of teachers in assigning exactly what we were supposed to write about, but this time "I" was in charge. Then it hit me. Why not write about the implantation of teaching students to write themewriting and the affect it has had on the skill of writing in general. What I believe about writing is that, writing has lost its' aesthetics and has become an art practiced by authors and not a skill practiced by the general public. I can recall countless assignments in which a writing assignment gave me great difficulty because I couldn't adapt to the general style practiced by my classmates. Plus if I didn't change my style of writing my grade would suffer. So then, I began to write like the populous and as I beca me a better themewriter my creativity and originality suffered. This might sound silly, but I believe that true original writings come out in misspellings and clutter. Only upon revision and a moment to really slow down, does the writer have a chance to look over what he/she has written. Thus making it good writing. I can honestly say that except for one teacher in my years of writing have I ever learned a damn thing about writing. His name was Mr. Youngberg and he taught creative writing. I loved his class. I was a chance for me to just write and not worry about adapting other writers styles. He did not tell his students what to write about nor did he refer to other books or poems that have been written. The thing that he did was spark our creative side and help us to find ourselves in what we wrote. Heck, we even did meditation exercises that when the music stopped we would be expected to write about something. Not anything in particular, just whatever we thought of while we were relaxing. Because of the appreciation for writing that I gain fro m his class it hard, at first, to write themewriting. I felt like I was just spitting out the same old shit that I have learned or heard in other classes, but this time I was just changing the title.

Free Essays on Picture of Dorian Gray: A Quick Analysis :: The Picture of Dorian Gray Essays

A Quick Analysis of Dorian Gray The story begins as Basil Hallward, a painter, is working on a portrait depicting a young man named Dorian Gray. His friend, Lord Henry Wotton, is visiting and tells him that he thinks it is the best work Basil has ever done. He wants to know who the young man is in the painting, as his good looks are apparently very striking, but Basil is reluctant to talk about it. Lord Henry insists upon meeting Dorian, and eventually Basil introduces them, after warning Lord Henry not to try to "influence" Dorian, because he is a bad influence. Dorian instantly takes to Lord Henry, fascinated by the way he talks and his unique view of the world, which is pretty annoying, to me anyway. Lord Henry takes Dorian outside and makes a speech about how he thinks beauty is everything and that Dorian should not waste his youth because it is the "most important" thing in the world. Well, at least he's not shallow or anything like that. When Basil finishes that painting, Dorian throws a hissy fit because he realizes that while he grows old and ugly, the painting will remain forever young. He wishes that the painting would age and he would remain beautiful forever. Way to go, Dorian. The next day, Lord Henry visits his uncle, Lord Fermor, and finds out more about Dorian's past and his parentage. He finds himself utterly obsessed with Dorian and the power he feels he has over him. Later, he visits his aunt, Lady Agatha, and Dorian is there. We get to hear more of his controversial opinions on several topics. Everybody seems appalled at the way he thinks, but I guess he is so charming that they eat it right up. Afterward, Dorian ditches Basil to go out with Lord Henry, which is pretty cold. Anyway, a month later, Dorian tells Lord Henry that he has fallen in love with an actress named Sybil Vane. They have a dialogue in which Dorian explains how he met Sybil (inspired by Lord Henry and wanting to know "everything about life," he went to a "playhouse" in a bad part of town, saw her in a Shakespearean play, and was so smitten that he returned to see her every night since) and Lord Henry offers even MORE of his views, which mainly consist of (more) uppity, self-center ed generalizations, not to mention the constant objectifying of women. Free Essays on Picture of Dorian Gray: A Quick Analysis :: The Picture of Dorian Gray Essays A Quick Analysis of Dorian Gray The story begins as Basil Hallward, a painter, is working on a portrait depicting a young man named Dorian Gray. His friend, Lord Henry Wotton, is visiting and tells him that he thinks it is the best work Basil has ever done. He wants to know who the young man is in the painting, as his good looks are apparently very striking, but Basil is reluctant to talk about it. Lord Henry insists upon meeting Dorian, and eventually Basil introduces them, after warning Lord Henry not to try to "influence" Dorian, because he is a bad influence. Dorian instantly takes to Lord Henry, fascinated by the way he talks and his unique view of the world, which is pretty annoying, to me anyway. Lord Henry takes Dorian outside and makes a speech about how he thinks beauty is everything and that Dorian should not waste his youth because it is the "most important" thing in the world. Well, at least he's not shallow or anything like that. When Basil finishes that painting, Dorian throws a hissy fit because he realizes that while he grows old and ugly, the painting will remain forever young. He wishes that the painting would age and he would remain beautiful forever. Way to go, Dorian. The next day, Lord Henry visits his uncle, Lord Fermor, and finds out more about Dorian's past and his parentage. He finds himself utterly obsessed with Dorian and the power he feels he has over him. Later, he visits his aunt, Lady Agatha, and Dorian is there. We get to hear more of his controversial opinions on several topics. Everybody seems appalled at the way he thinks, but I guess he is so charming that they eat it right up. Afterward, Dorian ditches Basil to go out with Lord Henry, which is pretty cold. Anyway, a month later, Dorian tells Lord Henry that he has fallen in love with an actress named Sybil Vane. They have a dialogue in which Dorian explains how he met Sybil (inspired by Lord Henry and wanting to know "everything about life," he went to a "playhouse" in a bad part of town, saw her in a Shakespearean play, and was so smitten that he returned to see her every night since) and Lord Henry offers even MORE of his views, which mainly consist of (more) uppity, self-center ed generalizations, not to mention the constant objectifying of women.

Solitude/Isolation in The Birthmark and in Hawthorne’s Life Essay

Solitude/Isolation in â€Å"The Birthmark† and in Hawthorne’s Life  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚        Ã‚   In the Nathaniel Hawthorne tale, â€Å"The Birthmark,† we see and feel the solitude/isolation of the scientist, Aylmer, in his laboratory; also of Georgiana in the totally separated lab apartment; also of Aminadab, who lives by himself in a room off of the laboratory. Are these examples of solitude not a reflection of the very life of the author?    According to A.N. Kaul in his Introduction to   Hawthorne – A Collection of Critical Essays, the themes of isolation and alienation were ones which Hawthorne was â€Å"deeply preoccupied with† in his writings (2). Hawthorne’s personal isolation from people from 1825 to 1837 was probably due to his lifelong shyness among people. This reluctance to freely socialize may have been a result of a foot injury: â€Å"an injury to his foot at the age of nine reduced his physical activity for almost two years† (Martin 16). Wagenknecht says in Nathaniel   Hawthorne – The Man, His Tales and Romances, that this accident â€Å"reduced him for over two years to a state of invalidism that probably contributed toward developing his taste for reading† (2). Or Nathaniel Hawthorne’s shyness was perhaps due to the death of his father when he was but four years old. Regarding the impact of this death upon Hawthorne, Edmund Fuller and B. Jo Kinnick in â €Å"Stories Derived from New England Living,† say:    When the news came of his father’s death, Hawthorne’s mother withdrew into her upstairs bedroom, coming out only rarely during the remaining forty years of her life. The boy and his two sisters lived in almost complete isolation from her and from each other (29).    The Norton Anthology: American Literature states that as a coll... ... Diego, CA: Greenhaven Press, 1996.    Hawthorne, Nathaniel . The Birthmark Electronic Text Center, University of Virginia Library http://etext.lib.virginia.edu/etcbin/toccer-new2?id=HawBirt.sgm&images=images/modeng&data=/texts/english/modeng/parsed&tag=public&part=1&division=div1    James, Henry. Hawthorne. Ithaca, NY: Cornell University Press, 1997.    Kaul, A.N. â€Å"Introduction.† In Hawthorne – A Collection of Critical Essays, edited by A.N. Kaul. Englewood Cliffs, NJ: Prentice-Hall, Inc., 1966.    Martin, Terence. Nathaniel Hawthorne. New York: Twayne Publishers Inc., 1965.      Ã¢â‚¬Å"Nathaniel Hawthorne.† The Norton Anthology: American Literature, edited by Baym et al.   New York: W.W. Norton and Co., 1995.    Wagenknecht, Edward. Nathaniel Hawthorne – The Man, His Tales and Romances. New York: Continuum Publishing Co., 1989. Solitude/Isolation in The Birthmark and in Hawthorne’s Life Essay Solitude/Isolation in â€Å"The Birthmark† and in Hawthorne’s Life  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚        Ã‚   In the Nathaniel Hawthorne tale, â€Å"The Birthmark,† we see and feel the solitude/isolation of the scientist, Aylmer, in his laboratory; also of Georgiana in the totally separated lab apartment; also of Aminadab, who lives by himself in a room off of the laboratory. Are these examples of solitude not a reflection of the very life of the author?    According to A.N. Kaul in his Introduction to   Hawthorne – A Collection of Critical Essays, the themes of isolation and alienation were ones which Hawthorne was â€Å"deeply preoccupied with† in his writings (2). Hawthorne’s personal isolation from people from 1825 to 1837 was probably due to his lifelong shyness among people. This reluctance to freely socialize may have been a result of a foot injury: â€Å"an injury to his foot at the age of nine reduced his physical activity for almost two years† (Martin 16). Wagenknecht says in Nathaniel   Hawthorne – The Man, His Tales and Romances, that this accident â€Å"reduced him for over two years to a state of invalidism that probably contributed toward developing his taste for reading† (2). Or Nathaniel Hawthorne’s shyness was perhaps due to the death of his father when he was but four years old. Regarding the impact of this death upon Hawthorne, Edmund Fuller and B. Jo Kinnick in â €Å"Stories Derived from New England Living,† say:    When the news came of his father’s death, Hawthorne’s mother withdrew into her upstairs bedroom, coming out only rarely during the remaining forty years of her life. The boy and his two sisters lived in almost complete isolation from her and from each other (29).    The Norton Anthology: American Literature states that as a coll... ... Diego, CA: Greenhaven Press, 1996.    Hawthorne, Nathaniel . The Birthmark Electronic Text Center, University of Virginia Library http://etext.lib.virginia.edu/etcbin/toccer-new2?id=HawBirt.sgm&images=images/modeng&data=/texts/english/modeng/parsed&tag=public&part=1&division=div1    James, Henry. Hawthorne. Ithaca, NY: Cornell University Press, 1997.    Kaul, A.N. â€Å"Introduction.† In Hawthorne – A Collection of Critical Essays, edited by A.N. Kaul. Englewood Cliffs, NJ: Prentice-Hall, Inc., 1966.    Martin, Terence. Nathaniel Hawthorne. New York: Twayne Publishers Inc., 1965.      Ã¢â‚¬Å"Nathaniel Hawthorne.† The Norton Anthology: American Literature, edited by Baym et al.   New York: W.W. Norton and Co., 1995.    Wagenknecht, Edward. Nathaniel Hawthorne – The Man, His Tales and Romances. New York: Continuum Publishing Co., 1989.

Uses and abuse of drugs

â€Å"Last year alone, 37,000 people died from drug related overdoses.† Many people do not understand why or how other people become addicted to drugs. Substance abuse is a growing problem that not only affects the person who is abusing alcohol or drugs but also affects the lives of those who are close to the abuser. Substance abuse is the abuse of any substance.A drug is a substance that modifies one or more of the body’s functions when it is consumed. It is often mistakenly assumed that drug abusers lack moral principles or willpower and that they could stop using drugs simply by choosing to change their behavior. In reality, drug addiction is a disease and quitting takes a lot more than just changing your behavior. Drug Abuse is generally defined as the use of a drug with such frequency that the user has a physical or mental harm or it impairs social abilities. The substances that are discussed in this report are called psychoactive drugs; those drugs that influence or alter the workings of the mind, affect moods, emotions, feelings, and thinking processes.Substances drugs affect the brain, heart, liver, lungs and also the people around you. When drugs get into the bloodstream they are carried to all parts of the body and some reach the brain. In fact, drugs change the brain in ways that foster compulsive drug abuse, quitting is more difficult than it appears. The quicker the drug reaches the brain, the more intense the effects. The quickest way to get a drug into the brain, and also the most dangerous way of using any drug is to injecting into the vein. Injecting into the vein is almost as quick as smoking a drug, followed by sniffing or snorting and then by mouth. Eating or drinking a drug is the slowest route, because the drug has to pass through the stomach first.Drugs are generally categorized into two groups, stimulants and depressants. Stimulants are drugs that speed up signals through the nervous system. They produce alertness, arousal and excitability. They also inhibit fatigue and sleep. Everything from over-the-counter pain medication, prescriptions drugs such as, Oxycontin, alcohol, cocaine, heroin, and even coffee can abused in one way or another. The two main substances being abused in our nation are nicotine and alcohol.How does nicotine addiction work? Basically, when you smoke your first cigarettes, when you aren’t addicted yet, you get a head-rush which is caused by the nicotine. In your brain there are nicotine receptors which aren’t used to the nicotine in a cigarette. Over time, the nicotine  receptors get used to the amount of nicotine so they can cope with the nicotine. So when this nicotine stops being given to the receptors (when you give up smoking) they panic and cause you to feel unhappy and angry. When you smoke, the nicotine receptors send out messages to other parts of the brain which release a drug called dopamine which makes you feel happy, satisfied, relaxed.When you try t o quit, or when you ‘fancy a cigarette’ your dopamine levels are going down and you start to feel unhappy, aggressive, unsatisfied. Most smokers don’t know that they are addicted to nicotine until they try to stop smoking completely they just think that they like smoking. The answer to your question is that you will have a moderate nicotine addiction, and quitting won’t be that hard. The signs of a severe nicotine addiction are needing to smoke a cigarette every 2 hours, having one as soon as you wake in the morning (or in even more extreme cases, waking up to smoke in the middle of the night).Nicotine increases the levels of the neurotransmitter dopamine in the brain, activating the pleasure pathways in the same way other addictive drugs do. After the effects (calmness, sense of well-being) disappear, the smoker craves more. Why is alcohol addictive? Basically because alcohol, like nicotine and heroin and other substances stimulates the reward response in your brain. You have a drink, the brain rewards itself with a surge of chemicals and hormones that it really likes, and therefore the more you stimulate it, the more it wants.Some people are more susceptible than others in that their reward responses are stronger which is why some people will get addicted to things more easily than other people will. If you add to that a troubled background of some sort, then when the brain offers its reward response though making that person feels calmer and happier or more in control, they are more likely than someone who is pretty happy.Alcohol is made of ethanol, it is a depressant, your body becomes addictive to the depressant effects and you eventually need it to stop the shakes (delirium tremors) and the withdrawals of the depressant effects on the brain and body. For example, caffeine is a stimulant, and people become addicted to that and when having caffeine withdrawals one has headaches and other neurological effects. However, alcohol is a lot more dangerous because if you are a hardcore not only can you die from drinking, if you stop cold turkey you can have convulsions and die from withdrawals. The â€Å"addictive substance† is  ethanol.When you are pregnant, it is important that you watch what you put into your body. Consumption of illegal drugs is not safe for the unborn baby or for the mother. Studies have shown that consumption of illegal drugs during pregnancy can result in miscarriage, low birth weight, premature labor, placental abruption, fetal death, and even maternal death. If its suspected that woman whose pregnant is using drugs they will test the baby to see if its born addicted, yes it is possible to see if the baby is addicted even before he/she is born.

Notes on Religion

Cremation is more important than burial in which religion? a. Buddhism b. chrlstlanltyc. Hinduism d. Islamoc 2 The dominant branch of Islam is a. Druze b. Eastern Orthodox c. Shiited. Sunni00 3. From the Russian Revolution to the tall ot the communist government, what was the policy of the government towards religion? all churches were closed b, the old church was replaced by Eastern Orthodoxc. churches remained open but played a limited role d. youth were encouraged to attend so that the could be Indoctrinated Into 4.Animists believe that a, people should complete God's creation of the Earthb. Inanimate objects and atural events have spirits c. people should make complete use of the Earth's resources natural disasters are preventableO[7 5, The world's largest ethnic religion is a. Buddhism b. Christianityc. Hinduism d. IslamC0 The world's largest universalizing religion Is a, Buddhismb. Christianity c. Hinduism d, IslamC? 7. Which is not an ethnic Asian religion? a. Buddhism b. Conf ucianism c. Shintoism d. DaolsmL]L] 8.Lutheranism Is an example of a Christian branchb_ denomination c. religion d. sectnn 9. What policy did the British follow in India? a. they divided India into two countries they forced all of the Hindus to migrate c. hey turned the problem over to the united Nationsd. they encouraged the abolishment ot the caste system00 10. Worship in Hinduism is most likely to take place a, In a holy shrine b. as part ofa pilgrimage'c. at home d. In a pagodaClD 11, The belief in the existence of only one god is a. anlmlsm b. osmogonyc. monotheism d. solstlceoc 12 Roman Catholics are clustered In the LJ_S_ southwest primarily because of migration ofa. Roman Catholics from Latin America b. Roman Catholics from the northeast U. S. c. Roman Catholics trom Ireland d. Protestants to the northCC 13. Hinduism's caste systema_ assigns everyone to a distinct class decrees the ilgrimages which should be taken c. is a substitute for the lack of a holy book d. identifies a family's important deities0C 14. A universalizing religion a.Is based on the physical characterlstlcs of a particular location on Earthb. appeals to people living In a wide variety of locations c. Is rarely transmitted through missionaries d. is intentionally developed to be a world religion0L] 15 What Is the holiest book In Hinduism? a. the Bible b. the Old Testament c. the Qurand. none of the above?0 16. The goal of the majority ot people living in Northern Ireland is toa. remain part ot the United Ireland d. Join the Irish Republican Army00