Blog Archive Mission Admission Finishing Your Recommendations on Time

Blog Archive Mission Admission Finishing Your Recommendations on Time Mission Admission is a series of MBA admission tips; a new one is posted each Tuesday. As the second round of application deadlines approaches, many candidates find themselves immersed in stress, busy juggling multiple essays and constantly revising their resume. Often in the midst of all this, an alarming question suddenly springs to mind: “What if my supervisors don’t get their letters done by the deadline?” In our opinion, the easiest way to ensure that your recommenders complete their letters on time is to present them with your  own  deadlineâ€"one that is a bit  earlier  than the school’sâ€"when you first ask them to provide a recommendation for you. If the application to your school of choice is due on January 15, for example, tell your recommenders that you are submitting on January 8. (Incidentally, submitting your application early can be good for your sanity as well.) By setting this advanced deadline, you can put some additional pressure on your recommender on the 8th if he/she has not yet finished the letter, so you should still be able to submit on time (i.e., by the schools official deadline). Most people work to deadlines. Alleviate unnecessary stress by setting your recommenders’ deadlines one week early, and “enjoy” the application process a little bit more. For more information on properly selecting, communicating with and managing your recommenders, check out our  Letters of Recommendation Guide. Share ThisTweet Mission Admission Blog Archive Mission Admission Finishing Your Recommendations on Time Mission Admission is a series of MBA admission tips; a new one is posted each Tuesday. As Round 2 application deadlines approach, many candidates find themselves immersed in stress, busy juggling multiple essays and constantly revising their resume. Often in the midst of all this, an alarming question suddenly springs to mind: “What if my supervisors do not get their letters done by the deadline?” In our opinion, the easiest way to ensure that your recommenders complete their letters on time is to present them with your  own  deadlineâ€"one that is a bit  earlier  than the school’sâ€"when you first ask them to provide a recommendation for you. If the application to your school of choice is due on January 15, for example, tell your recommenders that you are submitting on January 8. (Incidentally, submitting your application early can be good for your sanity as well.) By setting this advanced deadline, you can put some additional pressure on your recommender on the 8th if he/she has not yet finished the letter, so you should still be able to submit on time (i.e., by the school’s official deadline). Most people work to deadlines. Alleviate unnecessary stress by setting your recommenders’ deadlines one week early, and “enjoy” the application process a little bit more. For more information on properly selecting, communicating with and managing your recommenders, check out our Letters of Recommendation Guide. Share ThisTweet Mission Admission

Oedipus Rex - 1350 Words

Greek Tragedy The Greek drama Oedipus Rex is clearly a tragedy. It definitely meets the five main criteria for a tragedy: a tragic hero of noble birth, a tragic flaw, a fall from grace, a moment of remorse, and catharsis. Interestingly, even though Oedipus the King came before Poetics, Sophocles’ play illustrates Aristotle’s rules for classical drama. Oedipus the King particularly displays a tragic emotion, a tragic character, and a tragic fall. Aristotle also writes that such a drama ought to have a change accompanied by a reversal, or by recognition, or by both. Aristotle also points out terms such as catharsis, which can be said that is the purification of one’s soul. He argues in his Poetics that catharsis is achieved through†¦show more content†¦The play offers a perfect illustration of the nature of the hamartia as â€Å"mistake† or error rather than flaw. Oedipus directly causes his own downfall not because he is evil, or proud, or weak, but simply becau se he does not know who he is. Chorus The Chorus attempts to position itself in the audience’s mind as the population of Thebes, and functions largely as petitioners, relatively indecisive to the plot. The play moves on, though, and by the middle third, the Chorus begins to act as a moderator, providing a sober perspective on the heated arguments that rage throughout, attempting to infuse the arguing parties with the spirit of reconciliation, or at least keep the tempers from taking control of the characters’ actions. As the end approaches, the Chorus does indeed render judgment upon Oedipus, condemning him, in the eyes of the audience and himself as the cause of the plague of Thebes. In the beginning, they have found themselves threatened by the plague that has descended on Thebes, and so open the play by petitioning for help. By the middle third, the Chorus plays a small role as mediator. It is when these truths begin to conflict, though, in the second third of the tale, which the Chorus first begins to fully blossom into what it was intended, as a third, unbiased perspective toShow MoreRelatedOedipus Rex900 Words   |  4 PagesThe philosopher Aristotle wrote his work Poetics as a deconstruction of aesthetics approximately 50 years after the death of Sophocles, the author of Oedipus Rex. Aristotle was a great admirer of the works of Sophocles and is said to have considered Oedipus Rex to be the perfect tragedy and the basis for his thoughts in Poetics. He defines tragedy as, â€Å"an imitation of an action that is serious, complete, and of a certain magnitude; in language embellished with each kind of artistic ornament, theRead MoreThe Tragedy Of Oedipus Oed ipus Rex 928 Words   |  4 Pagesbetween Oedipus’ irrevocable circumstances as well as his flawed character that makes Sophocles’ â€Å"Oedipus Rex† a quintessential example of Greek drama. His circumstances, which are set by the Gods, are profound and beyond anyone’s control; either he must be killed or there will be great consequences. His parent’s rejection of the oracle set by the gods, the degrees of separation from his origin, and his flawed sense of pride is the complexity of the plot as well as what makes Oedipus the complexRead Moreoedipus rex2234 Words   |  9 Pages In Sophocles’ play, Oedipus Rex, there are many themes that are woven through the life of King Oedipus, and revealed through the key points of the plot. One of the most important themes is the inevitability of ones’ fate. Although fate is considered the usual genre of the Greeks in playwriting there, are specifics that Oedipus conducts unusual to our own way of thinking of a king during the Ancient Greek times. For example: Oedipus’s ignorance of believing what is said from his wife, IocasteRead MoreOedipus Rex2527 Words   |  11 PagesEssay on Oedipus Rex 4-3-97 In Sophocles Oedipus Rex, the theme of irony plays an important part through the play. What Oedipus does, what he says, and even who he is can sometimes be ironic. This irony can help us to see the character of Oedipus as truly a blind man, or a wholly public man. A great irony is found in Oedipuss decree condemning the murderer. Oedipus says, To avenge the city and the citys god, / And not as though it were for some distant friend, / But for my own sake, to beRead MoreOedipus Rex By Oedipus The King1206 Words   |  5 PagesOedipus’ evolution throughout the Theban plays is one with fascinating twists and turns. Oedipus’ characterisation evolves and changes as he experiences the fall from being the great ruler of Thebes into a blind beggar who is tortured by what he did. As the stories progress, so does their protagonist to the point where the Oedipus of the second play is a completely different man. In Oedipus Rex, the main character is portrayed as a strong and clever yet arrogant king whose ignorance leads him toRead MoreThe Characterization Of Oedipus Oedipus Rex 1303 Words   |  6 PagesIn Sophocles tragic play, Oedipus Rex, there is often feedback when discussing the characterization of Oedipus. Key issues in this pla y are pointed towards in realm of a tragedy, because Oedipus suffers a few character flaws such as anger, pride and arrogance. Within those flaws, he fails to reflect upon his actions; causing blindness and later, result his honor to be under minded and seen at the forefront of Thebes. What makes this play more on the fringe than other tragic plays are Oedipus’sRead MoreThe Consequences Of Oedipus Rex808 Words   |  4 Pageslittle shrapnel of life that he can. Oedipus from Socrates’ great work Oedipus Rex knows this kind of feeling far too well, having the city of Thebes in which citizens worship him as king have their be under some sort of curse of unknown origin. The curse, sadly, had its origin in Oedipus himself and the parents which abandoned him, causing a string of events which include father murder, incest, self-doubt, suspicion, and a plethora of other events which sends Oedipus’ mind farther and farther down intoRead MoreReview Of Oedipus Rex 1342 Words   |  6 PagesJake Gilman Modern Mythology Period 8 Fusaro Oedipus Rex Reading Questions What appears to be the function of the Chorus? - The chorus in Greek tragedies has a similar function to the narrator in various books and plays. It is an outside source that describes the actions of the characters, as well as their thoughts or feelings. Just like a narrator, the chorus can be used to foreshadow an upcoming event and provide more detail than what is said on stage. However, theRead MoreOedipus The King, Or Oedipus Rex1249 Words   |  5 Pagesmost famous probably being Sophocles’ Oedipus the King, or Oedipus Rex. For a play to be considered a tragedy, it must have a tragic hero. According to Aristotle’s definition of a tragic hero, they must be a decent moral person, of high social standing who eventually meets with a tragic downfall, of their own doing, suffering more than deserved, and realizing their error too late. In the play Oedipus the King, Oedipus is the epitome of a tragic hero. Oedipus Rex was generally a â€Å"good† person; he wasRead MoreOedipus Rex Translations1020 Words   |  5 Pagesversions of Oedipus Rex, the first version translated by Fitts and Fitzgerald, and the second translated by Luci Berowitz and Theodore Brunner, the emotional appeal is quite different due to the different diction of each of the translation versions. The different diction in the two versions seems to give Oedipus two different characters. The diction that the four authors use in their translations of Oedipus Rex is very effective in conveying different emotional feelings about Oedipus and his thoughts

Evaluating Contractual Obligations and Legal Constraints Applicable to a Building Survey Free Essay Example, 2250 words

Duties of contactorsObligated to comply with regulations and corporate with the project supervisor to comply with the relevant statutory. Contractors must avail enough welfare facilities for their team and corporate as well as coordinating with other stakeholders for harmonious project execution. Convey to workers any information relating to a contractual obligation to their workforce Ensure that contractors appointed under his authority are in compliance with the permission requirement of the estate project manager and sensitize on the duration offered to them to start working. A contractor must hold safety awareness and skills certification before delegation any work to other contractors and workers under him. Appointing safety officerSection 18 of the Act requires that for more than 20 persons on-site or 30 persons, a constructor appoints in writing the safety Legal Constraints Applicable in Building SurveyLegal constraints are determined by RICS as outlined in APC requirements. These are mandatory core competency that a surveyor must meet in order to conduct a building surrey. Building Pathology (T006)Very vital requirement and calls for every surveyor to be conversant with defect analysis and recognize the possible building defects resulting from building fabric failures. We will write a custom essay sample on Evaluating Contractual Obligations and Legal Constraints Applicable to a Building Survey or any topic specifically for you Only $17.96 $11.86/page

Essay Systems and Multi Cultural Approaches p - 1042 Words

Systems and Multi-Cultural Approaches Darla K. Parido CJHS 400 November 17, 2014 Justina Smith Systems and Multi-Cultural Approaches Systems Theory Definition The systems theory of psychology uses multifaceted systems to discover behavioral pattern and the human experience. â€Å"The technique relies on identifying specific behavior patterns and how each member responds to anxiety within the dynamic. By doing this, the individual participants can begin to understand and transform their patterns to more adaptive, productive behaviors† (GoodTherapy.org, 2014 p. 1). Multicultural Approaches Definition The Multicultural Approach to psychology is a â€Å"systematic study of all aspects of human behavior as it occurs in settings where people of†¦show more content†¦Gay/Lesbian The Approach – David is a young man who has been quite successful as a personal trainer at a local gym. He recently ended a relationship with a man he met at work but is being emotionally blackmailed to stay in this relationship. His partner Jason has threatened to tell other people that David is gay. David worries that co-workers will look unlikely towards him if they were to find out that he is a homosexual. His other worry is a warrant for possession with intent to distribute narcotics and if he has to service jail time how other inmates would treat him if his homosexuality was found out. I believe that the best course of action for David would be Gay Affirmative Psychotherapy. Why use this approach - With this client I would use Gay Affirmative Psych otherapy. This therapy focuses on empowering the client to embrace their homosexuality and overcoming the stigma of being gay. Through this therapy we will discuss how to â€Å"cope with prejudice, discrimination, and violence in both their families and within the general society† (Jones-Smith, 2012, p. 387). In regards to the possible treatment while in jail, we would get in touch with the correctional multicultural therapist to see how David can acclimate to prison life and still be true to his identity without fear of retaliation from other prisoners. Religious The Approach – Layla is a middle aged female of the Muslim faith. She will be serving 30 days in jail for theft and is worried aboutShow MoreRelatedGlobalization and Education1373 Words   |  6 Pages The United Nations Educational, Scientific and Cultural Organization (UNESCO)’s Bureau of Strategic Planning (2004) reported that globalization has not only contributed to the greater exchanges of ideas and awareness of the uniqueness of individual cultures and societies, but has highlighted the fundamental differences that result from these unique characteristics. There are many advantages for societies and cultures as they become increasingly interconnected (Heimonen, 2012) through the processRead MoreDiversity Issues in Career Counseling Essay755 Words   |  4 Pagescareer counseling. Culture Counseling Counseling provides support, assistance and helps individuals to transition through developmental stages and life challenges. The study of human development, personality, psychopathology and multi-cultural issues in counseling has increased this writer’s awareness of the importance of counseling in the lives of human beings. According to Kluckhohn Strodtbeck, human beings share biological traits and characteristics that form the basis of theRead MoreIs Cancer A Second Biggest Killer Of Aboriginal And Torres Strait Islander Australians?1750 Words   |  7 PagesCancer is the second biggest killer of Aboriginal and Torres Strait Islander Australians (Newman, et al., 2012, p. 434). The mortality rate in Aboriginal communities is more than three times higher than in non-Aboriginal communities. â€Å"One Size Fits All? The discursive framing of cultural difference in the health professional accounts of providing cancer care to Aboriginal People† is the title of a Pe er-Reviewed journal article written by authors Newman et al.,. The main aim of this journal is toRead MoreStrategic Management : Strategic Managers939 Words   |  4 Pagesan organization. Facility Design Research found that the most effective facility strategy is a hybrid approach that facilitates collocated and dispersed environments (De Paoli Ropo, 2015; Ocker, Huang, Benbunan-Fich, Hiltz, 2011). Flexible approaches veer away from traditional offices but toward open-space or team-based facilities (De Paoli Ropo, 2015, pp. 68-69). Ocker referred to this combined approach as partially distributed teams (PDTs) (Ocker, Huang, Benbunan-Fich, Hiltz, 2011). Read MoreKarl Marx View on Shame as a Social Emotion1312 Words   |  5 Pagesidentity (Bhabha 2008: p. 37) proposes an empowering hybridity, in which cultural differences may operate. With this, he emphasises that the concepts of self and other are never complete opposites but instead deeply connected and interdependent, and that they offer possibility for change and empowerment. In her introduction to the book â€Å"The Undercommons†, Jack Halberstam writes, â€Å"†¦we cannot be satisfied with the recognition and acknowledgement generated by the very system that denies a) that anythingRead MoreReading Work : In The New Workplace Centers Around Five Adult Educators1584 Words   |  7 Pagestheory and research associated with social practice, sociocultural or ‘the new literacy studies’ approaches to defining literacies† (pg. 4) to define this research. Throughout the book, literacies are compared to multiple threads that are interlaced to constitute one workplace tapestry, symbolizing how literacies are affected by complex contexts and relationships. Triple Z Triple Z is part of a multi-national company in the U.S., located in Canada that produces pickle and relish products. BelfioreRead MoreOrganizational Management Approach Analysis : Organization1550 Words   |  7 PagesSantin December 01, 2015 ORGANIZATIONAL MANAGEMENT APPROACH ANALYSIS 2 Organizational Management Approach Analysis The following analysis examines the organizational approach to management that I work for. Since many of the approaches to management are based on historical approaches to management, this article will analyze the differences and similarities between this approach and the historical ones. In addition, I will also talk about the efficiencies and inefficiencies of the approach contemplatingRead MoreCultural Studies As A Discipline1269 Words   |  6 PagesIntroduction Cultural Studies as a discipline is still in its infancy. Although it is struggling to become its own discipline, the difficulty lies in defining precisely what cultural studies is, whether it has any practical use or is just another academic area of research, or whether or not it should just be considered a sub category related to other, already established disciplines such as philosophy, sociology, anthropology, and other humanities disciplines. According to Ang (1999), cultural studiesRead MoreEducating Multicultural Curriculum Reform : School Curriculums Are Largely Biased Towards The Views Of Americans With European Heritage Essay1135 Words   |  5 PagesAccording to James A. Banks in â€Å"Approaches to Multicultural Curriculum Reform†, school curriculums are largely biased towards the views of Americans with European heritage, which is distorting the worldviews of American students and severely under representing minorities. A multi-cultural approach to instruction i s needed to help decrease, and eliminate the justification of, the feeling of superiority felt among many white Americans. First, Banks supports his opinion by discussing the negativeRead MoreThe Politics Of The Global Essay998 Words   |  4 Pagesof the Global† gives us a narration of how development of international political economy happens and an understanding of globalization. Globalization is frequently analyzed independently and the author shows how globalization plays out in two multi-cultural democracies; India and USA. It portrays different political possibilities like colonial coercion, post-colonial ambivalence and post-colonial co-option that are opened by global relays of meanings, identities and power from historically different

Labor Mobility and Chinass Economic Geography

Question: Describe about the Core Periphery Regions Of The Asian-Pacific Rim? Answer: Introduction Through help of this particular report, the aim is to identify the concepts of Core-periphery model, which has lead several threats and opportunities for China during the execution of its international agreement and international trade operations. Through help of this report particular aims to identify how China has developed its economic, political and social structure by establishment international relations with its periphery such as Japan, Korea, Mainland, Insular and Taiwan among others (Friedmann, 1966). Moreover, this report will also highlight the strengths and weaknesses of China within the Asia Pacific regional international market. Again, the core-periphery model will be utilized for showing the boundaries in economic and business strengths. The dependency of periphery regions on the core zones of China is demonstrated with equivalent assets, resources, intermediate materials as energy resources, minerals, and power plants. Map Observation In order to identify the periphery areas of China, it is viewed that China has established its core position within the global market place due to its strong economic position within the globe. In this regard, based on the viewpoint of Tickner (2013), it is viewed that amid the East Asian countries Japan, Korea and Taiwan are being considered as Chinas periphery. Apart from that, it is also identified that Southeast Asian countries such as Mainland and Insular are also being considered as Chinas periphery. At the same time, it can be also stated that South Asian countries such as Indonesia and Myanmar are also can be regarded as a Chinas periphery. According to the viewpoint of Bosker et al., (2012), Chinese resources have helped China to gain periphery position through extending its geographical locations in around the country. In this context, it can be also asserted that China has gained popularity within its periphery due to sovereignty characteristics. In relation to this, it can be also asserted that diplomatic perception of the government and economic stable position within the globe has helped China to develop its peripheral region in around the boundaries of the nation. In order to highlight the causes of gaining Chinas core peripheral position within the neighbor countries, it can be asserted that physical environment has helped China to develop its natural and artificial resources within the globe, which has helped China to gain core position amid its peripheral neighbor. At the same time, it can be also asserted that population and domestic culture of China has assisted the nation to develop its economic position and social structure within the globe. In relation to this, it can be asserted that through improving the standards of political geography, political sociology and labor-market the government of China has helped the nation to gain core position amid its peripheral locations (Robinson et al., 2013). Simultaneously, it can be also mentioned that agricultural development and infrastructural development has encouraged peripheral areas of China to get dependent on the nation. Chinese Core and Periphery Maps Figure: 1. Chinese Core and Periphery Maps (Source: Harvard University, 2016) Justification for Core and Periphery Areas in Chinese Maps Based on the viewpoint of Prithwiraj et al. (2012), it is identified that Japan, Korea, Taiwan, Mainland and Insular are being considered as a periphery of China. Moreover, it is also viewed that all these above mentioned nations are recognized as a dependent of China due to its core positions within the globe. In this regard, in order to highlight the causes, which has lead China to gain core positions amid the periphery areas, it can be asserted that the net migration per province is high in case of China, where other neighbor nations are situated such as Hong Kong, South Korea and Mainland and Insular among others. At the same time, it is also viewed that natural cities of China are mainly situated nearby sea areas, which can be regarded as a prime causes that lead China to gain core positions amid its periphery areas. In this context, it is also viewed that in case of China large numbers of LNG ports and natural gas pipelines have been developed in around the borders of the nation with an aim of performing trade functions in a more diligent manner. Moreover, it is also viewed that Chinas economic performance is comparatively better in around the sea border areas as large numbers of economic functions are performed by the country through the help of Sea of Japan, Yellow Sea, East China Sea and South China Sea among others (Li Wei, 2014). Evaluation of Threats and Opportunities of Core Periphery Areas In order to highlight the threats and opportunities of core and periphery areas in China, it can be asserted that Chinas periphery areas have gained greater benefits from the nation as it has helped neighbor nations to get economic support from the China. At the same time, it can be also mentioned that sound economic conditions also may benefited peripheral areas of China to get benefited as it help other nations to establish international relationships with China. As an effect, both China and its peripheral nations may enhance their opportunities within the international context (Lu et al., 2013). At the same time, in order to highlight the opportunities of core and peripheral model, it can be asserted that Chinas Inside Ring consist of 14 nations, which share their borders with China. In this context, it can be stated that through the assistance of political strength and economical strength China may help its peripheral areas to get economic benefits. On the other hand, it is also viewed that foreign policy and regional policies of China has helped the nation to gain core position within the Asia Pacific Zone, which can be regarded as a one of the prime strengths of China (Weightman, 2011). On the other hand, in order to highlight the threats of periphery areas, it can be asserted that periphery areas may lead security related threats for a core nation. In relation to this, it can be also asserted that China has witnessed greater threats from its periphery areas in terms of terrorism, extremism and separation among others. In this regard, it can be also asserted that peripheral threats also may hamper economic growth of a nation through affecting trade relations and transportation opportunities for a nation (Yu et al., 2012). In addition, it can be also stated that peripheral areas also may initiated challenges for a nation through affecting the natural resources of the core nation. In this case, it is viewed that China has faced significant threats from periphery areas in terms of thirst of natural resource. In this regard, with an aim of meeting the needs as well as expectations of peripheral nations, China has developed peripheral policies, which may help the nation to mitigate such kinds of risk and threats in a more diligent manner (Faber, 2014). Conclusion In order to conclude the topic, it can be asserted that core and periphery model are being considered as one of the diplomatic strategies, which is applied by the nations with an aim of enhancing economic performance and it also may lead positive vive towards political clout. As an effect, China has experienced better international trade opportunity within Asia Pacific Zone and it also has help China to establish business relations with its peripheral nations. On other hand, it can be also mentioned that certain factors such as terrorism, extremism and separation also has lead certain challenges for China within the Asia Pacific Zone and it also has affected economic growth opportunities and natural resources of China. References Bosker, M., Brakman, S., Garretsen, H., Schramm, M. (2012). Relaxing Hukou: Increased labor mobility and Chinas economic geography. Journal of Urban Economics, 72(2), 252-266. Faber, B. (2014). Trade integration, market size, and industrialization: evidence from China's National Trunk Highway System. The Review of Economic Studies, 81(3), 1046-1070. Friedmann, J. (1966). Regional Development Policy: A Case Study of Venezuela. Cambridge, MA, and London: The M.I.T. Press. Harvard University, (2016). China map. Retrieved from https://worldmap.harvard.edu/chinamap/ Li, Y., Wei, Y. D. (2014). Multidimensional inequalities in health care distribution in provincial China: A case study of Henan Province. Tijdschrift voor economische en sociale geografie, 105(1), 91-106. Lu, C., Wu, Y., Shen, Q., Wang, H. (2013). Driving force of urban growth and regional planning: A case study of China's Guangdong Province. Habitat international, 40, 35-41. Prithwiraj, C., James, A., Tarun, K. (2012). A coreà ¢Ã¢â€š ¬Ã‚ peripheryframework to navigate emerging market governmentsqualitative evidence from a biotechnology multinational. Global Strategy Journal, 2(1), 71-87. Robinson, R. N., Ritchie, B. W., Kralj, A., Solnet, D. J., Baum, T., Ford, R. C. (2013). An Asia-Pacific coreperiphery futures paradox: Divergent worker and tourist mobilities. Journal of Travel Research, 0047287513513164. Tickner, A. B. (2013). Core, periphery and (neo) imperialist International Relations. European Journal of International Relations, 19(3), 627-646. Weightman, B.A. 2011. Dragons and Tigers: A Geography of South, East, and Southeast Asia (3rd ed.). Hoboken, NJ: John Wiley Sons. Yu, N., De Jong, M., Storm, S., Mi, J. (2012). The growth impact of transport infrastructure investment: A regional analysis for China (19782008). Policy and Society, 31(1), 25-38.

Reflective Account - nursing free essay sample

This essay demonstrates the significant learning that resulted as a consequence of using critical reflection on my practice. The reflective process helped me to realise how my practice needed to change after I experienced a personal and practice-related issue during and after my clinical placement. Reflective practice is an important component of all nurse education programmes. The Nursing and Midwifery Councils (NMC) The Code: Standards of Conduct, Performance and Ethics for nurses and Midwives (NMC, 2008), states that nurses must continue to keep knowledge and skills up to date during their professional careers. Reflection can improve a nurses repertoire of skills (Matthews, 2004). Reflection is a term much talked about yet there is no single, universally agreed definition (Chirema, 2007). However, there are many prominent thinkers and writers in the area who have made considerable contributions to the ongoing dialogue. As a learning process, reflecting on practice and turning experience into learning requires a framework or model in which to understand the experience and make sense of it. We will write a custom essay sample on Reflective Account nursing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This may include other people with whom to interact and share experiences with. Indeed, much of the literature enthusiastically encourages reflection on experiences in nursing. It expects that by doing so, it will improve the professionalism of the practitioner by automatically transferring the new knowledge, skills and expertise into practice (Wallace, 2010). After trialling a few models of reflection, I eventually settled on Gibbs (1988) model (refer to figure 1). I find this a simple and easy to use model and it suited my personal style of learning. However, reflection often reveals shortcomings and it has potential to leave the practitioner feeling insecure and demotivated. Yet OCallaghans (2005) reflective writing described how a student managed to break down ritualistic practice in wound dressings and improve the patient’s recovery with evidence-based practice. Mooney and Nolan (2006) claim that reflection helps nurses to better understand and build on a body of nursing knowledge, which benefits the profession. Figure 1 Gibbs’ (1988) Reflection Cycle Reflection of any sort is difficult: it requires the learning of new skills that may lead to positive outcomes. It demands effort, ongoing commitment and motivation in order to prioritise an additional work activity in an already demanding role as a children’s nurse (Schutz et al, 2004; Schon, 1991; Argyris, 1999; Marcos et al, 2009). There has been a growing concern among many employers of registered nurses that new recruits lack the ability to think critically and broadly about their work (Castledine, 2010). This could be due to the difficulties mentioned and the personal nature of reflection and so may be a barrier to truthfully accounting the story (Schutz et al, 2004). As a previously experienced nurse, this was a major dilemma in my own reflective writing. I was, in effect, exposing my failings to a total stranger. However, I decided to be as truthful as possible in order for the process to work. What happened (my story)? The focus for my reflection was post-appendectomy care. In my placement, I nursed a female teenager through an appendectomy. Within a month I had to undergo the same procedure myself. Appendectomy is a common treatment performed on the children’s ward where I undertook my placement. This is usually carried out by laparoscopic surgery. Advice that I gave pre- and post-operatively to the child and parents/carers are included in the care plans, pre-operative care and post-operative care which can be found in appendices one, two and three. For the first stage of the cycle, Gibbs encourages a description of the events. What was I thinking and feeling? When I gave the pre- and post-operative advice to the teenager and her mother I felt as though I was doing a good job. I was following the plans and procedures. My supervisor was happy. However, once I had undergone the whole experience of having a retrograde appendix removed myself, I discovered that the pre-operative preparation and post-operative care that was given to me, and I myself would have given something similar, inadequate. Although my experience as an adult on an adult ward would have been slightly different to the teenager that I cared for, the principles of care are similar. Differences in care may have been due to staff-patient ratios and policies around visiting and family-centred care. In my experience I suffered an inability to cough, anorexia, changes in taste and diet, being limited in walking and mobilising and general and mental malaise. I even surprised myself by worrying about my body image due to the size of the scar on my abdomen. Although these experiences were personal to me, I assumed that many of these conditions and thoughts are typical and would have been equally suffered by the teenager that I cared for. Nothing was mentioned at any time to me pre- or post-operatively about any of these experiences. I never saw any leaflets at the time of my appendectomy but I discovered a patient information leaflet for the Gloucestershire Health Community regarding coughing after surgery. It states that it is important that you can cough post-operatively so that you can clear any phlegm that has accumulated whilst being intubated during surgery. It gives you guidance on how to get rid of phlegm comfortably. I can honestly state that I have never been instructed to talk to a patient about this in the two hospitals that I have worked in and therefore I have never considered it has a significant problem. I have observed it in patients but it has been brushed aside has a minor nuisance due to the tubing used in the anaesthetic. I have in the past encouraged a teenager to cough holding a pillow to their wound but that was pretty much it. To my embarrassment, I took the lead from my colleagues. However, I now know from my own personal experience, that the process of being able to cough and clear phlegm is a bigger problem than most nurses’ think. It used to be that a child would not be able to commence food and fluids for a few days in order to enable the bowel to regain normal function. However, now there are no dietary restrictions but children are recommended to eat lightly for the first day or two and if nausea or vomiting occurs, they are encouraged to stick with clear liquids until it passes. I suffered with dreadful nausea (I believe this was due to the antibiotics) and this was not helped with being positioned in a bay with other patients that were eating or one patient in particular that had a bowel condition that meant that he had to sit on a commode for lengthy periods. What was also less appreciated by me is that the body appears to go through a detoxification process. After one week of eating very little and losing about 8lbs due to the ongoing nausea, my palate had adjusted and I couldn’t bear to eat the foods that I was used to. A favourite curry tasted that someone had literally poured a tablespoon of salt onto it! I couldn’t bear anything other than ice cream and water. This second stage of the Gibbs cycle provides a section to explore how I felt and the thoughts I had. This section was the most important part of my exploration and learning process. My comments were not directly restricted to my thinking and feeling. It felt natural to analyse my incident and evaluate it, supported by evidenced-based research. What were the thoughts and feelings of others involved? How do you know? The teenager that underwent the appendectomy was clearly in pain, despite analgesia following examination, and was clearly concerned about the forthcoming operation. It was clear because of the questions that they were asking and their body language. Preventing distress for children, young people and their carers when they are admitted to hospital is a fundamental goal of childrens nursing. Glasper and Richardson (2005) state that children, young people and their families need to know what is going to happen and how it is going to happen. Vague and unclear information is far more upsetting than what is known and understood. Surgery is a planned procedure which aids itself very well to good preparation. This helps children to cope, reducing anxiety and allowing them to know exactly what to expect, such as what will happen post-appendectomy. Thus, at the time, I followed this advice. I felt that I adequately prepared the teenager that underwent the appendectomy and her mother for this procedure. My supervisor was alongside me and appeared happy with everything that I had done in my caring for the teenager and her mother. I had given detailed information about what was going to happen and answered all of their questions comprehensively. The third section of the Gibbs process required me to look into what others thought. As such it demanded that I put myself in their shoes. This stage is incredibly useful because it allowed me to reflect on what I observed e. g. body language, the things that were said, and the way I might have viewed things if I was in their situation. I was able to analyse how I perceived the motives and reactions of others. What other options were open to me? I do not feel that many other options were open to me when caring for the teenager at that time. I had nursed many, many teenagers through appendectomies and despite being supervised through this caring situation, nothing much had changed since I was nursing full-time. What would I do if the situation arose again? I feel I need to re-learn and understand more about the dilemmas of children and their families/carers when going through any period of hospitalisation. Clearly, dealing properly with the aftermath of abdominal surgery is important; it has significant implications, not only for physiological reasons, but also from a psychological perspective e. g. considering the wound. The nursing process was the first move towards a systematic way of assessing the patient’s nursing problems, their priorities, reasons for nursing interventions and care. This was closely followed by the process of setting standards and carrying out quality assurance measures to see if the quality of nursing care had been achieved. Although all these attempts have tried to encourage more critical thinking in nursing, there is still a problem in getting nurses to break away from the comforts of routine and become more assertive in their contribution to the health team’s decisions (Castledine, 2010). A lot is written about ‘nursing rituals’. The term ‘ritual’ is often used in a derogatory sense in nursing literature to refer to unthinking, routine actions by nurses, which lacks any empirical foundation. For example, Walsh and Ford (1989): â€Å"The nurse does something because this is the way it has always been done. † I believe that nursing care plans are an example of this routine behaviour. I believe that I have been following the same nursing plan for pre- and post-appendectomy care for many years. They have changed recently but the change is minimal and only includes appendectomies carried out via keyhole operations or the insertion of a three-fibre optic camera through the stomach (laparoscopy). Therefore, my first step would be to re-look at the nursing care plans on the ward. I have included the care plan used on the ward that I was placed on in appendix 1. As you can see, this is a generic form used and nursing staff are able to add plans to suit different types of general surgery. I believe that it would be more efficient to include specific care plans for the more common types of surgeries seen on the ward, appendectomies included. A letter published in a popular nursing journal: â€Å"Nurses who believe that nursing care is all about managing drips and administering medicines are nothing more than technicians†¦It is inexcusable to concentrate on the technical and give care without empathy, touch or time to talk† (Bolger,  2007). The nurses that ‘cared’ for me were guilty of being ‘technicians’. I believe that empathy, touch and time to talk should be emphasised more and clearly written in the care plans. I personally tried to look at the teenager as an individual and not as a condition. I feel that the care plans should reflect this. For example, a discussion about the wound should be more in depth and the female teenagers response noted for future intervention. Evidence-based practice encourages observable and measurable assessment and evaluation through quantitative means (Taylor, 2006). It requires that decisions based about health care are based on the best available and most up-to-date evidence. Nurses must also be able to scrutinise research findings to evaluate their clinical applicability, and use clinical practice guidelines to disseminate proven and therapeutic knowledge (Timmermans and Berg, 2003). It is my intention that the care of children undergoing any form of treatment, appendectomies included, is based on current evidence and experiences that includes those of the children nursed. In the fifth and final stage of the Gibbs reflective process, I was able to explore the implications of following nursing rituals and inadequate nursing plans and care. I hope to apply what I have learnt from my own personal experience to future situations through redesigning leaflets, care plans and considering the environment that the children are nursed in.

article on ru 486 essays

article on ru 486 essays Contraceptive Research*Picture: Feminist Majority Foundation* In addition to its use in terminating unwanted pregnancies, MIFEPRISTONE (formerly known as RU-486) also may be effective in treating a range of serious diseases and medical conditions, many of which particularly affect women. Yet American clinical trials for most of these uses have come to a standstill due to anti-abortion politics. A B O R T I O N Available to women in many countries (but currently not in the U.S.), mifepristone (formerly known as RU-486) is the first in a new generation of fertility control agents that can terminate an early pregnancy. Mifepristone works by blocking the action of progesterone, which is necessary to sustain a pregnancy. Mifepristone, taken along with a prostaglandin, has been used by over half a million women worldwide and has found to be safe and effective as an early abortion method during the first nine weeks of a pregnancy. A woman can take mifepristone as soon as she knows she is pregnant. Mifepristone is administered orally, is non-invasive, requires no anesthesia, and bears less risk of infection. Many women prefer mifepristone because the procedure is more private and allows them greater psychological control in ending a pregnancy. Administered with a single dose of a misoprostol (a prostaglandin given as orally or as a vaginal suppository), mifepristone has been proven to be highly effective in successfully terminating pregnancy.[1] Studies also show that mifepristone is a safe, effective post-coital contraceptive.[2] [3] Preliminary shows show, as well, that mifepristone can act as both a male and female contraceptive. [1] Spitz IM, et al. Early pregnancy termination with mifepristone and misoprostol in the United States. New England J of Medicine, 4/30/98. [2] Baird DT, Dewar M, Glasier A et al. Mifepristone (RU486) compared with high-dose estrogen and progesto...