...Rape Trauma Syndrome is similar to other types of trauma. There is no set time for recovery as it may take several months or numerous years. Surviving a rape or sexual assault is an extraordinary traumatic event that changes how you see the world and how you see yourself. There are two stages to Rape Trauma Syndrome. The Acute Phase is the first stage and it happens quickly after the attack and as a rule of thumb keeps going from a couple of days to a few weeks. In this stage, people can have numerous responses, however they commonly fall into these two classes of responses: The first response is the expressed response. This is the point at which the survivor is openly emotional. They may appear agitated or manic and cannot stop...
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...Although all people die, everyone's dying process is unique. Many people think of dying as merely a physical process, but dying is an experience of the whole person and is influenced by a combination of physical, psychological, social, cultural, and spiritual factors. There are as many ways to die as there are to live, so in order to better understand how people who are dying experience the process, researchers and clinicians have developed different models or theories that attempt to account for how people cope with dying. THEORIES/MODELS OF DYING Elisabeth Kubler-Ross's Stage Theory of Dying The general public is most likely to be familiar with Kubler-Ross's theory of dying. In 1969, she published a book titled On Death and Dying, which was based on interviews collected from 200 dying patients. In the book, Kubler-Ross discerned five stages that dying people experience. The five stages, which reflect different reactions to dying, are denial, anger, bargaining, depression, and acceptance. Denial is the "No, not me!" stage where the person is in shock or denial and cannot believe that they are going to die. Denial is self-protective and gives the person time to adjust psychologically to the news that he or she is going to die. Anger is the "Why me?" stage and may involve, in addition to anger, resentment, rage, and envy at God, doctors, nurses, family members, or anyone who is not dying. Bargaining is the "Yes me, but. . ." stage and often involves bargaining with God...
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...DIGNITY IN END OF LIFE: THE ROLE OF NURSES BY (Student’s Name) Course Instructor Institution City, State Date Dignity in End of Life: The Role of Nurses LITERATURE REVIEW INTRODUCTION A literature review is a critical appraisal of researches that provides a comprehensive and up to date knowledge on a specific topic (Coughlan, Ryan and Cronin 2013). The purpose of literature review in nursing includes evaluating current practice and making recommendations for policy development and change. Thus, the purpose of this literature review is to establish the current perspectives of patients, family and nurses on the factors that improve dignity in the end of life. Resultantly, this literature review will explore the role of nurses’ based on the findings of the perspectives that patients, family and health professionals have concerning the issue of dignity in the end of life care. In that regard, the paper follows a systematic approach which involves an introduction that explains the concept of end of life and the types of end of life care available. The paper then proceeds to explore the concept of dignity as viewed from several perspectives through the use of literature on the models of dignity means of measuring dignity and the themes associated with this conception. Consequently, the factors that improve dignity are laid out and discussed at length. Eventually, the paper will achieve its secondary goal which is to determine and expound on the topic of the roles that a nurse...
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...American approaches to the disclosure of ‘bad news’ Dong Xue1, Jane L Wheeler 2, Amy P Abernethy 2 Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Integrated Traditional Chinese and Western Medicine, Peking University School of Oncology, Beijing Cancer Hospital, Beijing Institute for Cancer Research, Beijing, PR China, 2Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA A central challenge of the palliative care clinician, and of the oncologist who sees patients with advance disease, is that of ‘breaking bad news’. As this conversation requires that the clinician divulge extremely sensitive and personal information, and usually incurs an emotional response from the patient, truth-telling to advanced cancer patients is not only a challenging task but also one likely to be handled differently in cultures according to differing norms for interpersonal behavior and communication. China and the United States, with their deepset communitarian vs. individualistic ethics, respectively, typify divergent cultures. This paper discusses cross-cultural differences in norms of truth-telling to cancer patients, that is, the extent to which physicians inform patients themselves of their disease status when prognosis is poor; China and the US are used to illustrating potential differences in approach and consequent cross-cultural misunderstandings. In an increasingly mobile global community, in which...
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...Psychological Review 2005, Vol. 112, No. 3, 629 – 649 Copyright 2005 by the American Psychological Association 0033-295X/05/$12.00 DOI: 10.1037/0033-295X.112.3.629 Toward a More Pragmatic Approach to Morality: A Critical Evaluation of Kohlberg’s Model Dennis L. Krebs and Kathy Denton Simon Fraser University In this article, the authors evaluate L. Kohlberg’s (1984) cognitive– developmental approach to morality, find it wanting, and introduce a more pragmatic approach. They review research designed to evaluate Kohlberg’s model, describe how they revised the model to accommodate discrepant findings, and explain why they concluded that it is poorly equipped to account for the ways in which people make moral decisions in their everyday lives. The authors outline in 11 propositions a framework for a new approach that is more attentive to the purposes that people use morality to achieve. People make moral judgments and engage in moral behaviors to induce themselves and others to uphold systems of cooperative exchange that help them achieve their goals and advance their interests. Keywords: moral development, cognitive development, cooperation, moral judgment After two decades of research on Kohlberg’s (1984) cognitive– developmental model of morality, we abandoned it in favor of a more pragmatic approach. In this article, we explain why. We identify problems with Kohlberg’s model, describe revisions aimed at solving them, and offer reasons why a new approach is necessary...
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...Motivation Maslows Hierarchy of Needs Maslow's hierarchy of needs is a theory in psychology, proposed by Abraham Maslow in his 1943 paper A Theory of Human Motivation.[2] Maslow subsequently extended the idea to include his observations of humans' innate curiosity. His theories parallel many other theories of human developmental psychology, all of which focus on describing the stages of growth in humans. [pic] Physiological needs For the most part, physiological needs are obvious — they are the literal requirements for human survival. If these requirements are not met, the human body simply cannot continue to function. Air, water, and food are metabolic requirements for survival in all animals, including humans. Clothing and shelter provide necessary protection from the elements. Safety needs With their physical needs relatively satisfied, the individual's safety needs take precedence and dominate behavior. These safety needs manifest themselves in such things as a preference for job security, grievance procedures for protecting the individual from unilateral authority, savings accounts, insurance policies, reasonable disability accommodations, and the like. Social needs After physiological and safety needs are fulfilled, the third layer of human needs are social and involve feelings of belongingness. Humans need to feel a sense of belonging and acceptance, whether it comes from a large social group, such as clubs, office culture, religious groups, professional...
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...of his contemporaries reacted with hostility. In fact, throughout his career, Freud faced enormous opposition to many of his ideas. Those especially controversial included notions about the role of the unconscious in behavior, childhood sexuality, and how the mind was governed (id, ego, and superego). But despite the opposition, Freud eventually attracted a group of followers that included well-known theorists 1856–1939 AUSTRIAN PHYSICIAN, PSYCHIATRIST VIENNA UNIVERSITY, M.D., 1881 1 4 5 S i g m u n d S c h l o m o F r e u d social relationships are patterned after his or her early family relationships. BIOGRAPHY Early years Sigmund Schlomo Freud was born on May 6, 1856, in a small town in Freiberg, Moravia, located in what is now the Czech Republic. Freud’s father Jacob was 40 when...
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...teleological and deontological. From the first category we enumerate the Aristotelian perspective or the one developed by J. St. Mill, while the Kantian perspective is exemplary for deontological ethics. According to the teleological perspective, a form of human behavior is described as moral or non-moral according to the goals explicitly set. The mere achievement of these goals is a necessary and sufficient condition to qualify as moral people’s actions or deeds without taking into account the “intermediate stages” of the actions performed to achieve those goals. Deontology, as a general horizon of articulating the ethical theories, believes on the contrary that in every moment of our existence, every action or deed that we accomplish can be described as moral or non-moral according to the ethical principles underlying our behavior. The very important consequences arising from the two general theoretical horizons concern two different perspectives on “human nature”, or what we call the essence of the human being. Starting from this horizon we will have the consequentialist and deontological dimensions related to euthanasia. The bioethical dimension in which we will discuss the issue of euthanasia involves both dimensions or horizons. The arguments against euthanasia seem to rely rather on the Kantian deontological horizon, while euthanasia pros seem to rely on the consequentialist horizon. This text is intended as an open debate between the two horizons which cannot yet...
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...of view) * Ethical objectivism (notion that ethics is objective in nature). Meta-Ethical Positions Ethical Non-cognitivism The basis of ethical non-cognitivism is that ethical disagreement can be a highly emotional affair where no amount of reasoning is likely to convince the other party. * Example: “Let’s just agree to disagree” Ethical Relativism * Ethical relativism says that while ethical statements are cognitively meaningful, they do not hold in any objective sense because they depend on our point of view. * If we accept ethical relativism, then ethical disagreement among people who do not share the same perspective becomes impossible. * It assumes that if people agree on something, then it must be true. * Ethical relativism is suspect for a pragmatic reason: it is fundamentally at variance with our social practice. * Example: “To each his own”, or the belief that what’s right for one group isn’t necessarily right for another Ethical Objectivism * Ethical objectivism holds that right and wrong are objective phenomena. * Example: “I’m right and you’re wrong” What is Ethics? * As a discipline, ethics is a branch of philosophy. * It deals with questions of right and wrong conduct, and with what we ought to do and what we ought to refrain from doing. * It considers issues of rights and obligations and how these are related to the social setting. * Ethics is normative or prescriptive in nature. * It deals with persons...
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...I'm so happy that finally I got a copy of Mitch Albom's book, Tuesdays with Morrie. I have been wanting to have it. This is the best book I've ever read. I've shed a lot of tears, laughed out loud and pondered about the reality and wisdom shared by an intelligent, compassionate, loving and very kind old man. I love you Morrie Schwartz. Forever I will cherish your words. The movie as well as the book inspired me a lot. This was the 3rd time i read an inspirational book. Just like other people i had no interests reading books before but as i read the 3 books namely living, loving, learning; the secret and this tuesdays with morrie it change the way i live my life. The three books have their similarities but this one focus more about dying. It indeed reminded us to spend our lives meaningful and worthwhile. the greatest book i read. lots of...
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...U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL FORT SAM HOUSTON, TEXAS 78234 NURSING FUNDAMENTALS I SUBCOURSE MD0905 EDITION 100 TABLE OF CONTENTS Lesson Paragraphs INTRODUCTION UNIVERSAL BODY SUBSTANCE PRECAUTIONS 1 2 PATIENT RELATIONS Section I. Basic Human Needs and Principles of Health Section II. Communication Skills Section III. Reaction to Stress and Hospitalization Section IV. Transcultural Factors Influencing Nursing Care Exercises THE ADULT PATIENT CARE UNIT Exercises 3 BODY MECHANICS Section I. Techniques of Body Mechanics Section II. Positioning and Ambulating the Adult Patient Exercises ACTIVE AND PASSIVE RANGE OF MOTION EXERCISES Exercises 2-1--2-7 ADVANCED PRINCIPLES OF PATIENT HYGIENE Exercises 4 1-1--1-9 1-10--1-20 1-21--1-26 1-27--1-31 5 6 ENVIRONMENTAL HEALTH AND THE PRACTICAL NURSE Exercises MD0905 i 3-1--3-15 . . 4-1--4-7 4-8--4-21 5-1--5-9 6-1--6-5 CORRESPONDENCE COURSE OF THE U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL SUBCOURSE MED905 NURSING FUNDAMENTALS I INTRODUCTION Never before has there been a greater need for nurses. Never before has health care delivery challenged the nurse's commitment, knowledge, or technical competence more. Issues influencing current health-care delivery focus on promoting wellness, preventing illness, and rehabilitation to increase the patient's independence. This subcourse will present theory and concepts the person...
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...Courtship and Marriage Things You Must Consider Before You Marry By Pastor Ken Raggio Starting Out Alone We all begin as a solo act. We stand alone in the social scheme of things. We have birth relationships - father, mother, sisters, brothers. But in the course of maturing, we generally desire the companionship of additional people. We develop casual relationships through contacts we have in the various segments of society - our neighborhood, our school, our workplace, our church - to name a few. We often carry our casual relationships further as we experience positive and desirable interactions with others. Acquaintances become friendships. We endear ourselves to others with whom we find meaningful compatibilities. "Qualifying" Friendships Every person faces a vastly different challenge when it comes to forming meaningful relationships with others. Some people are extroverted, which means they are socially interactive. They are able to express themselves to others, or make conversation easily, which, over a period of time, creates a large pool of acquaintances from which friendships can be formed. As a rule, an extrovert is likely to have a larger number of prospects from which to choose a friend. On the other hand, an introvert generally lives a more isolated lifestyle, communicating with fewer people. It would stand to reason that the introvert might have fewer choices when it comes to selecting a friend. These personality differences do not...
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...More Praise for the Second Edition of Beyond Change Management “Once again, Dean and Linda have nailed it! Beyond Change Management is an extraordinary book examining the shifts in change management that have occurred over the years. This book offers real, practical solutions for change practitioners to become extraordinary conscious change leaders.” —Darlene Meister, director, Unified Change Management, United States House of Representatives “Entering the offices recently of a highly respected Fortune 500 company, I was stunned by the enormity of change they were facing and at the same time how ill-equipped they were to deal with the challenges that lay ahead of them. They had little capacity to lead and manage the change required. And, of course, consulting firms were swarming all over them. Th ey needed this book by the Andersons to help them. In fact, Chapter Five alone on building organizational capability is worth the price of the book.” —W. Warner Burke, Ph.D., Edward Lee Thorndike Professor of Psychology and Education; chair, Department of Organization and Leadership; program coordinator, Graduate Programs in Social-Organizational Psychology, Teachers College, Columbia University “Beyond Change Management is a must-read for today’s C-Suite executives and those who lead organizational change. Change is a fact of life in all successful businesses. Based on this breakthrough construct, we now view our approach to transformational change as a strategic advantage. It is a way...
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...Acknowledgments Introduction 1 BRAIN POWER Myth #1 Most People Use Only 10% of Their Brain Power Myth #2 Some People Are Left-Brained, Others Are Right-Brained Myth #3 Extrasensory Perception (ESP) Is a Well-Established Scientific Phenomenon Myth #4 Visual Perceptions Are Accompanied by Tiny Emissions from the Eyes Myth #5 Subliminal Messages Can Persuade People to Purchase Products 2 FROM WOMB TO TOMB Myth #6 Playing Mozart’s Music to Infants Boosts Their Intelligence Myth #7 Adolescence Is Inevitably a Time of Psychological Turmoil Myth #8 Most People Experience a Midlife Crisis in | 8 Their 40s or Early 50s Myth #9 Old Age Is Typically Associated with Increased Dissatisfaction and Senility Myth #10 When Dying, People Pass through a Universal Series of Psychological Stages 3 A REMEMBRANCE OF THINGS PAST Myth #11 Human Memory Works like a Tape Recorder or Video Camera, and Accurate Events We’ve Experienced Myth #12 Hypnosis Is Useful for Retrieving Memories of Forgotten Events Myth #13 Individuals Commonly Repress the Memories of Traumatic Experiences Myth #14 Most People with Amnesia Forget All Details of Their Earlier Lives 4 TEACHING OLD DOGS NEW TRICKS Myth #15 Intelligence (IQ) Tests Are Biased against Certain Groups of People My th #16 If You’re Unsure of Your Answer When Taking a Test, It’s Best to Stick with Your Initial Hunch Myth #17 The Defining Feature of Dyslexia Is Reversing Letters Myth #18 Students Learn Best When Teaching Styles Are Matched to Their Learning Styles...
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...A CLINICIAN’S HANDBOOK Talking With Your Older Patient NAT I O NA L INS TITU TE O N AGING NATIONAL I NS TI TUTES OF HEA LTH DEPARTM EN T OF HEA LTH A ND HUMA N S ERV I CES Contents Foreword 1 1. Considering Health Care Perceptions “I’m 30 . . . until I look in the mirror.” 3 2. Understanding Older Patients “Tell me more about how you spend your days.” 6 3. Obtaining the Medical History “What brings you here today?” 13 4. Encouraging Wellness “I’d like you to try this exercise routine.” 19 5. Talking About Sensitive Subjects “Many people your age experience similar problems.” 23 6. Supporting Patients With Chronic Conditions “Let’s discuss living with . . .” 36 7. Breaking Bad News “I wish I had better news.” 40 8. Working With Diverse Older Patients “Cultural differences, not divides.” 44 9. Including Families and Caregivers “What would you like your family to know?” 48 10. Talking With Patients About Cognitive Problems “You mentioned having trouble with your memory.” 51 11. Keeping the Door Open “Effective Communication” 58 Publications At-a-Glance 60 Services At-a-Glance Tear-Off Card Foreword Good communication is an important part of the healing process. Studies find that effective physician-patient communication has specific benefits: patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Research also shows that...
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