Do the ICU Nurses Experiences Help in Evolving Medical Futility Research Paper

Do the ICU Nurses Experiences Help in Evolving Medical Futility Guidelines - Research Paper Example Discoveries: - when the substance of the writing are seen through the glasses of the three separated perspectives, it is discovered that encounters of medical attendants structure an incredible volume of the database. Attendant's impression of clinical purposelessness isn't given due spot in dynamic by doctors. Naming the utility behind the clinical framework and its consideration situated exercises, as worthlessness is an ironic expression. Medicines that don't get results/objectives are considered as clinical uselessness. In the event that this can be taken when in doubt, at that point any phase of treatment towards the corrective objective can likewise be dismissed as clinical purposelessness, in light of the fact that the phases of treatment may not land promptly on the foreseen outcomes. The intelligent hole among specialists and patients or their families declines the circumstances in numerous dynamic points. Basic circumstances like withdrawal of life emotionally supportive networks and stoppage of insufficient clinical mediations are to be overseen in accord with the patients and families. To accomplish this accord in excess of five sittings of dealings are required now and again. Absence of ability in moving the exchanges in light of a legitimate concern for patients with respect t o specialists and doctors of passage level structures the essence of the issue. The term vanity is related with the objective missed. While keeping up the personal satisfaction of the patient is the objective, the clinical worthlessness has neither rhyme nor reason. Just when life-sparing is the issue, clinical worthlessness works; that too in light of the event of death, which is never in the possession of us. In this manner keeping a negative objective - that is demise - as a measure to pass judgment on the clinical mediations appears to be very unessential. During the most recent decade of the twentieth Century, clinical worthlessness rules started to rise at various levels in numerous foundations. The job of the nursing network in ICU and their view of clinical worthlessness were lamentably given less significance in advancing the guidelines.â â

Crossing the Frontier Essays

Intersection the Frontier Essays Intersection the Frontier Essay Intersection the Frontier Essay Katherine Meyer remained in the entryway of what used to be her excellent eighteenth century apartment. The hard battle of six years of war had diminished her home to minimal in excess of a skeleton of its previous self. Her ragged kitchen had no rooftop. The window outlines despite everything stood, except the glass had since a long time ago been smothered. The absence of warming made the house spooky cold, as though attempting to duplicate the air outside. She remained in the nook and reviewed the forsaken scene that used to be clamoring Berlin. She used to gripe about the measure of commotion and traffic that passed her home each morning; she used to hate the uproarious servers and performers that played in the caf㠯⠿â ½s on the pavement.That was so long back now, since quite a while ago supplanted by the dead, disintegrating city that lay before her. Demise was so obvious here, it hit Katherine in the face each time she watched out at her town. Forsaken structures lined eac h potholed road, numerous without rooftops or floors. Some of the time Katherine would unearth a house totally flawless by the disarray encompassing it, and it would help Katherine to remember a more joyful time. Be that as it may, when she glanced around again she would sink further into the downturn of war. She was unable to recall the last time she had rested for the duration of the night, as the tenacious beating of shells and relentless jabbering of gunfire resonated all through Berlin, entering even the thickest walls.Katherine Meyer had heard that the Soviets had shown up two days back, which was currently evident as the measure of shelling and gunfire had expanded ten times. Every last bit of her companions had left Berlin years prior to look for security in the open country, yet Katherines genuinely sick dad had kept her in Berlin. She had not heard any updates on her dad since the Soviets had caught that region of Berlin, and she dreaded the most exceedingly awful. She und erstood, remaining in the entryway of her home, that on the off chance that she planned to leave Berlin alive, at that point she should leave straight away. No report from her dad for this situation implied awful news, and she wasnt going to remain in Berlin to discover. Staying in the city implied unavoidable demise. She ran upstairs, and changed into her khaki garments that she had stowed away. She immediately filled a little pack with what remaining food and water she had left. As she ventured out onto the road, its surface scarred by long stretches of fighting, she understood that Berlin was encircled, and the main way she would get out was to go straight through the Soviet lines. She was either going to escape Berlin or kick the bucket trying.She strolled quickly, for she feared the sound of an approaching shell or the sound of a Soviet tank coming toward her. Sadly she knew considerably more than she ought to about how to keep off the beaten path of adversary fire. Her arrange ment was to attempt to cross the Soviet lines at its tightest point, which she thought would be the eastern side of Berlin. She paced drawback avenues and rear entryways, following a guide she had painstakingly attracted her head. She transformed into the B㠯⠿â ½ckerstra㠯⠿â ½e, well known for being the road with the best bread shop in Berlin. She adjusted the corner and halted with sickening apprehension. What the previous night had been a flourishing, driven, family run business was presently a heap of rubble. The wooden sign that read B㠯⠿â ½ckerei lay among the slaughter, broken down the middle, helping passers by to remember what may have been. She realized very well what might have happened to the pastry specialist and his better half, and shivered with fear at the idea. The rubble itself was hindering the street, ascending around five feet noticeable all around, and was blocked. Katherine went to turn the other way, and encountered a Soviet soldier.Katherine s first intuition was to turn and run, endeavor to scramble over the remaining parts of the pastry kitchen. Notwithstanding, she saw that the Soviets left hand was immovably in his pocket, as though he was gripping onto something. A weapon, Katherine thought. She remained peacefully, confronting him, a thousand situations hustling inside her head, attempting to think about an exit plan. Similarly as she was going to state something, the Soviet officer went to talk. Katherine shut her eyes. To her sheer astonishment, he began to sing. He was more yelling than singing, and Katherine immediately acknowledged he was smashed. He was delicately influencing from side to side, as though he not, at this point had full order over his legs.He out of nowhere pulled his hand from his pocket, and Katherines heart halted. Flushed men could be entirely erratic. In a brief instant he had pulled an item from his pocket, and raised it to Katherine. Her heart skirted a beat. Her mouth went dry. She gam bled a look at the article being pointed at her and alleviation coursed through her veins. She saw it was a cup. He raised it to her and afterward to his lips. Katherine took advantage of the lucky break and pushed him, pushed him as hard as could be expected under the circumstances. He staggered in reverse, stumbled over a piece of concrete and lay unmoving on the floor. Taken out. Katherine immediately ventured over him and ran.She ran for an entire twenty minutes, over the fruitless boulevards of Berlin. She realized she was running east, and the gunfire was getting stronger. She thought she was not a long way from the Soviet lines. She proceeded a similar way for another couple of hundred meters, and afterward killed into a rear entryway in the expectation of staying away from a portion of the Soviet powers. Katherine saw a washing line hanging over the back street, dresses dribbling with water, insusceptible from the war that seethed so close. She saw a little youngster, nine o r ten years of age, motioning to her. He was wearing an old dim jumper, and blue pants that were very torn and filthy. His face, as well, had smears of mud on it, his light hair adhered to his temple. Katherine investigated his eyes, dark and languid, eyes that had seen things far more terrible than a ten-year-old should.He could see she was lost and shaken, and rapidly lead Katherine into a decrepit house. He ran up the steps and onto the rooftop, where Katherine was given an away from of what was left of Berlin. Her speculations had been right, for she was currently just a mile from the Soviet lines. The kid was distant from everyone else, and she could see that he, as well, was terrified. She understood that a young lady and her child would look far less dubious attempting to leave Berlin than a young lady alone. She would not draw in as much thoughtfulness regarding herself. Most importantly, she needed to help the powerless little fellow that was remaining before her. She got h is hand, grimy and hot, and advised him to lead her towards the Soviet lines. He comprehended the arrangement, and began to lead her down the steps and onto the streets.Katherine moved toward the mass of Soviet officers with extraordinary alert, holding her head down. She advised the little youngster to do likewise, and to keep away from eye to eye connection with any trooper. The further through the crowd of warriors they went, the more tight they grasped every others hand. They sifted through potholes, open air fires, tents and moving Soviet officers, huge numbers of whom, Katherine saw, were tanked. The smell of liquor was solid noticeable all around. Abruptly, the little fellow staggered, his drained legs vacillating for a solitary second. He fell at the feet of a Soviet, who immediately remembered him as a German. Katherine pulled him up, and cinched a turn in his shoulder. She gazed at the Soviet, and he gazed back. She saw graciousness in his eyes, and he grinned at her. He c leared out, and let them pass. She was everlastingly thankful to him, despite the fact that she could never observe the trooper again.They continued strolling for another three or four miles, until they went to an extension. Katherine chose to stop for a second, and dangle her legs into the refreshingly super cold water that streamed underneath. The little fellow left off under the scaffold, seeing something covered up in the tall grass. With all the quality he could assemble he pulled out a corroded bike, with two punctured tires and no seat. She grinned, and afterward she chuckled. She embraced the little fellow.

Great Expectations Essay Example for Free

Incredible Expectations Essay Dont realize that the police came to ask e own b acksm n to tix their solitary pair ot binds, and begin to pose inquiries, for example, how could they realize it was Pip that helped the convict? ) 2. Pips convict shows his thankfulness for Pips unwaveringness by professing to have taken the food and record himself, ensuring Pip. 3. The antagonistic vibe between the two convicts is obviously brought about by the principal convict attempting to get the second convict to the watchmen, demonstrating he was happy to come back to Jail and surrender his brief opportunity to do as such. The subsequent convict argued that he was staying out of other people's affairs when the principal convict assaulted, and would have been killed if the watchmen had not appeared. Section 6-He Climbed Down the Chimney. (Mr. Pumblechook claims that the main way that the convict could get inside was through the fireplace. Pip is the one in particular who realizes this is bogus, on the grounds that it was Pip who took the food and document to provide for the crook. ) 1 . Mr. Pumblechook is Joes uncle and, in this way, Pips brother by marriage. He gets Pip into Satis House by

Case Study Toyota

Toyota contextual investigation Task 1 a) Brief review of the basic significance of key activities the executives to a world class organization. What's more, b) Critical survey of Toyota’s vital tasks the board exercises from assembling, item/administration and organization points of view. a) Strategic activities the executives is vital to any organisation.The very presence of associations in the advanced serious world relies upon mass customization, Lean creation, deft assembling, client driven arrangement (Strategic Operations Management, Second release, Steve Brown, Richard Lamming, John Bessant and Peter Jones, etc †rely upon the capacity of the association to really do these things. Here vital choices assume a significant job. As I would see it Strategic tasks the executives is a comprehensive methodology, covering the entire association, contacting various parts of business.Further key activities the board can be fundamentally significant in accomplishing business o bjectives, and increasing upper hand. Now, I discover it is worth to characterize the phrasing †‘Strategic Operations management’. As indicated by Slack and Lewis, tasks methodology holds the accompanying definition: â€Å"Operations system is the all out example of choices which shape the drawn out abilities of a tasks and their commitment to the general technique, through the compromise of market prerequisites with activities resources†( Slack et al 2007, p69).Generally vital activities the executives exercises are basic to the consumer loyalty and advancement. There are four kinds of preferences for vital activities the executives in a given business (Slack et al 2007, p22); 1. Key tasks the executives can lessen the expense of delivering items and administrations, and increment the proficiency. At the point when we dissect the instance of Toyota Corporation, it is clear that cost is one of the basic serious variables for the enterprise, along these lines key activities the executives at Toyota will, help the organization to decrease the expense and addition effectiveness. . Vital activities the executives can expand the income by expanding the consumer loyalty through great quality and administration. As we break down the Toyota Corporation, we can discover the accentuation on client center and quality, this would expand the consumer loyalty and increment the income for the organization. 3. Vital tasks the board lessens the measure of speculation required by expanding the limit of the activity, and creative asset deployment.Automobile industry when all is said in done is portrayed by neck †to †neck rivalry, here any decrease in venture reflects in the expense, and inevitably in the cost to the client. Along these lines, it is unquestionably going to be significant for Toyota Corporation. 4. Vital activities the board gives the premise to future advancement, by building a strong base of tasks abilities and information insi de the business. This is additionally an indispensable point for Toyota, vital tasks the board would assist the organization with developing long haul capacities, which would assume a key job later on bearing of the company.While investigating the significance of Strategic Operations Management, it is similarly critical to examine the four viewpoints (Slack et al 2007 p, 69) as follows: Operations technique may be a top-down or a base up process while thinking about the business and corporate methodologies. Likewise, a tasks system may be created because of market prerequisites (I. e. advertise drove) or be founded on the abilities of its activities assets. Fig. 1. task 01 . SOURCE: The four points of view on tasks procedure, OPERATIONS STRATEGY, SLACK AND LEWIS, PEARSON EDUCATION LTD.When investigating the four viewpoints, it would turn out to be certain that the ‘Top †down perspective’ would assist us with understanding the pertinence of Strategic Operations the board. Top-down Perpective The top-down point of view is the one from where the activities procedure coming from. It is supporting the corporate procedure, business technique and the utilitarian methodologies of an association. Presently let us accept the instance of Toyota as an equivalent to the proposed world class association, so we will have the option to dissect the significance of vital tasks management.While examining the ‘Top †down Perspective’, we would go over with three degrees of vital choices in an association; At corporate level At business level At utilitarian level Let us draw nearer to the Toyota Corporation, as we investigate the key choices at corporate level , we discover it is identified with situating the Toyota Corporation in the worldwide, financial, political and social condition ( Slack et al 2007, p63). It would assist Toyota with making choices on; ? The kinds of business that the association needs to be in ? The business sectors that t he association might want to work ?Allocation of money between various organizations/SBUs Secondly, the key choices at Business Level would help the individual specialty units to define crucial destinations. It would assist the association with formulating the business methodology pertinent to singular specialty units working under the corporate umbrella. Here, business technique helps the business towards its specific client, potential markets and contenders. For instance when we examine the Toyota Corporation, we locate the accompanying data; The Company works through three business segments.The Automobile fragment is occupied with the plan, assembling and offer of vehicle items, including cars, minivans, 2BOX vehicles, sport-utility vehicles and trucks, just as the related parts and frill. The Finance section is associated with the arrangement of money related administrations identified with the offer of the Company's items, just as the renting of vehicles and hardware. The other portion is engaged with the structure, production and offer of lodgings, just as the data and correspondence business. As of March 31, 2012, the Company had 507 auxiliaries and 212 related organizations (The New York times August 2, 2012).So the vital activities the board holds key for the individual specialty units in Toyota to stick to the corporate methodology, and create missions and targets concerning the individual specialty units. At long last, the vital choices at Functional level would support various offices or capacities at an association to sort out themselves to help the business system. For instance, on account of Toyota Corporation, the tasks division, promoting office, item/administration improvement office and others would be coordinated to hold fast to the business objectives.For model, on account of Toyota Corporation, the accentuation would be given to the administration of various offices in the business. Drawing nearer, we can take the case of Lexus portion of Toyota, where useful level key choices would help various offices in Lexus unit to sort out themselves to accomplish the business targets. At the point when we investigate the significance of vital activities the executives at Toyota, we can streamline the discoveries as follows; When considering the ‘Top †down perspective’: Toyota the board coordinates or defines the methodology as what business to do, it is the viewed as at corporate level.The organization chooses where it needs to be in 10 to 15 years at this stage. For instance Toyota at corporate level underlined the accompanying standards; Toyota Global Vision â€Å"Rewarded with a grin by surpassing your expectations† Toyota will lead the route to the eventual fate of portability, enhancing lives far and wide with the most secure and most dependable methods of moving individuals. Through our responsibility to quality, consistent development and regard for the planet, we intend to surpass desires and be remunerated with a grin. We will meet testing objectives by connecting with the ability and energy of individuals, who accept there is consistently a superior way. http://www. toyotaglobal. com/maintainability/csr_initiatives/csr_concepts/approach. html got to nineteenth September). Here we discover the models for the corporate level choices as follows; The accentuation is on the quality The accentuation on advancement The accentuation on building abilities (HR) Again, at business level we locate the accompanying realities at Toyota; the fitting inquiry at business level is â€Å"How would it be advisable for us to contend in the picked business or business? † Here Toyota figures the statements of purpose for the organization, and finds the key objectives.Here Toyota underlines the presentation goals, for example, Quality, reliability, adaptability, cost. At the utilitarian level in Toyota, the accentuation goes to arrangement of the specific capacity to the business targe ts, for instance the creation at Toyota Corporation; Here, the focal point of Toyota goes to quality, decrease of waste (JIT), constant improvement. Further, Hayes and Wheelwright’s four phases of tasks commitment would assist us with understanding how the vital activities the executives contributes. Concurring toHayes and Wheelwright there are four phases of activities commitment( Slack et al 2007, p37) as referenced underneath; 1. Inward lack of bias †at this stage the vital activity keeps the organization away from contending successfully, and center given to staying away from botches. 2. Outer nonpartisanship †at this stage the key activity underscores on actualizing the prescribed procedures in the market. 3. Inside strong †this stage is described by building tasks assets, and by picking up company’s serious or key goals.From Toyotas’ case, we can find that the company’s activity is endeavoring to assemble long haul capacities. 4. Remo tely strong †the emphasis on this stage goes to giving establishment to the long haul com

End of Life Care Essay

At the point when a friend or family member is kicking the bucket, discussions about the finish of life can be awkward and troublesome. In any case, examining end-of-life care is significant. Contingent upon the conditions, you may have the option to help your adored one settle on significant finish of-life choices â€, for example, regardless of whether to stay at home, move to a nursing home or other office, or look for hospice care. Likewise, you can work with your adored one’s medicinal services group to ensure your cherished one stays agreeable toward the finish of life. Torment, uneasiness and opposite finish of-life side effects can frequently be dealt with. Indeed, even toward the finish of life, you can proceed to help and support your relationship with your cherished one. Essentially being there can be a significant wellspring of solidarity and solace for everybody. Distress At the point when a friend or family member kicks the bucket, despondency can feel like a blade in your heart. Frequently, misery triggers crude, extreme feelings. You may think about how you’ll ever get the pieces and recuperate your injuries †yet not feel as though you’re double-crossing your adored one’s memory. There are no handy solutions for the pain and anguish that follow a cherished one’s passing. As you face your anguish, recognize the torment and realize that it’s part of the mending procedure. Take great consideration of yourself, and look for help from companions and friends and family. In spite of the fact that your life will never be an incredible same, the burning torment of misery will in the long run become less serious. Tolerating your new â€Å"normal† can assist you with accommodating your misfortunes and proceed onward with your life. Hospice Care Additionally called: End-of-life care Hospice care is end-of-life care gave by wellbeing experts and volunteers. They give clinical, mental and profound help. The objective of the consideration is to help individuals who are passing on have tranquility, solace and poise. The parental figures attempt to control torment and different side effects so an individual can stay as alarm and agreeable as could reasonably be expected. Hospice programs likewise offer types of assistance to help a patient’s family. Typically, a hospice quiet is relied upon to live a half year or less. Hospice care can occur * At home * At a hospice place * In an emergency clinic * In a talented nursing office â€â€â€â€â€â€â€â€â€â€â€â€â€â€â€â€- What is the job of the family? Relatives frequently make penances to think about family members. Families give care, torment the board, and ensure the patient. In spite of the fact that they may need information, parental figures gain fulfillment and pride from giving consideration, but on the other hand are in danger for wretchedness and medical issues identified with guardian stress (Haley and Bailey, 1999: Haley et al., 2001; Weitzner, Haley, and Chen, 2000). A few societies may think caring is the community’s obligation and commitment. Guardians profit by social help, keeping up social exercises and jobs, and mental mediations that show adapting abilities. A great many people need their family to be given decisions about treatment and hardly any needed the doctor to choose alone (Bradley, 1998). End of life: Caring for a perishing adored one Regardless of whether you bring a perishing adored one home or keep vigil at the emergency clinic, you can take measures to give solace and help toward the finish of life. Thinking about a withering adored one isn’t simple. In any event, when you know the finish of life is drawing nearer, you probably won't feel arranged. Understanding what's in store †and what you can do to expand your cherished one’s solace †can help. * Choosing where to bite the dust Your cherished one may have different options for end-of-life care. Choices may include: * Home consideration. Numerous individuals decide to bite the dust at home or in the home of a relative. You can expect the job of parental figure or recruit home consideration administrations for help. Hospice care †administrations that help guarantee the highest caliber of life for whatever time remains †can be given at home too. * Inpatient care. A few people may lean toward nonstop consideration at a nursing home, medical clinic or devoted inpatient hospice office. Hospice and palliative consideration †an all encompassing treatment approach expected to ease side effects, mitigate agony, and address otherworldly and mental concerns †can be given in any of these conditions. At the point when you talk about the alternatives with your adored one, consider their inclinations just as exceptional physical, enthusiastic and psychosocial needs. Assess how much help can be given by relatives and companions. For help deciding the best choice, talk with your cherished one’s medicinal services group or a social specialist. You may request a referral to palliative or hospice care authorities †social insurance suppliers prepared in explicit consideration for individuals approaching the finish of life. * Spirituality toward the finish of life As your adored one methodologies the finish of life, the person may discuss otherworldliness or the importance of life. Don’t power the subject †however in the event that it comes up, urge your cherished one to investigate and address their emotions. You may ask your adored one open-finished inquiries about their convictions and encounters or most significant minutes. You might need to welcome an otherworldly pioneer to visit your adored one also. * Saying farewell You can enable your cherished one to convey their last wishes for loved ones. Urge your adored one to share their emotions, including thanks or absolution, and allow others to bid farewell. This may animate conversation about significant, inferred musings, which can be important for everybody. Your adored one may likewise think that its ameliorating to leave an inheritance â€, for example, making a chronicle about their life or composing letters to friends and family, particularly concerning significant future occasions. * Recognizing when demise is close It’s hard to anticipate precisely when somebody will kick the bucket. As death draws near, in any case, your adored one may give different indications and side effects showing that the finish of life is close. Search for: * Restlessness and fomentation. Your cherished one may often change positions. * Withdrawal. Your cherished one may no longer need to take part in get-togethers or other most loved exercises. * Drowsiness. Your cherished one may burn through a large portion of their time sleeping. * Loss of craving. Your adored one may eat and drink not exactly regular. * Pauses or different changes in relaxing. This may happen when your adored one is snoozing or alert. Giving solace The dynamic period of biting the dust generally starts a few days before death. Despite the fact that you can’t change what’s happening to your adored one, you can support the person in question feel as great as conceivable †in a perfect world with the help of palliative or hospice care pros. Your cherished one likewise may encounter a short, last flood of vitality. Despite the fact that it tends to be confounding to see your cherished one with restored imperativeness, recollect this is a typical piece of kicking the bucket. On the off chance that it occurs, make the most of the chance to make the most of your adored one and state your last farewells. * Keeping vigil For some, families, keeping vigil close to a perishing adored one’s bed is an approach to show backing and love. On the off chance that you choose to keep vigil, keep conversing with your adored one. On the off chance that you figure your cherished one would need to impart this opportunity to other people, welcome relatives or dear companions to show their help too. Express your affection, yet in addition let your cherished one realize that it’s OK to give up. What is working? Emotional wellness suppliers with palliative mastery can improve correspondence and assets. Psychological well-being specialists assist suppliers with comprehension the patient’s concerns and culture. They clarify confounding clinical terms and explain CPR, torment the board, and different medications and empower joint effort. Psychological wellness suppliers likewise help assuage the normal passionate misery and sorrow coming about because of a terminal ailment or care giving. Adapting To BEREAVEMENT â€Å"IN OUR HEARTS, WE ALL KNOW THAT DEATH IS A PART OF LIFE. IN FACT, DEATH GIVES MEANING TO OUR EXISTENCE BECAUSE IT REMINDS US HOW PRECIOUS LIFE IS.† * Coping With Loss The departure of a friend or family member is life’s most distressing occasion and can cause a significant passionate emergency. After the passing of somebody you love, you experience mourning, which truly implies â€Å"to be denied by death.† Remember †It sets aside some effort to completely assimilate the effect of a significant misfortune. You miss constantly your adored one, yet the agony facilitates after time and permits you to go on with your life. * Knowing What to Expect At the point when a demise happens, you may encounter a wide scope of feelings, in any event, when the passing is normal. Numerous individuals report feeling an underlying phase of deadness after first learning of a demise, however there is no genuine request to the lamenting procedure. A few feelings you may encounter include: * Denial * Disbelief * Confusion * Shock * Sadness * Yearning * Anger * Humiliation * Despair * Guilt These emotions are ordinary and basic responses to misfortune. You may not be set up for the power and length of your feelings or how quickly your states of mind may change. You may even start to question the dependability of your emotional well-being. However, be guaranteed that these sentiments are sound and suitable and will assist you with dealing with your misfortune. * Mourning A Loved One It is difficult to adapt after a friend or family member bites the dust. You will grieve and lament. Grieving is the normal procedure you experience to acknowledge a significant misfortune. Grieving may incorporate strict conventions respecting the dead or get-together with loved ones to share your misfortune. Grieving is close to home and may a months ago or years. Lamenting is the outward articulation of your misfortune. Your sadness is probably going to be communicated truly, inwardly, and mentally. For example, crying is a physical articulation, while sadness is a mental articulation. It is essential to permit yourself to communicate these emotions. Regularly, passing is a subject that is stayed away from, overlooked or denied. From the outset it might appear to be useful to isolate yourself from the agony,

Shout out to High School Counselors! - UGA Undergraduate Admissions

Shout out to High School Counselors! - UGA Undergraduate Admissions Shout out to High School Counselors! Over the last 3 years, our office has made it so that high school counselors and teachers can submit their evaluation/recommendation forms online. As you would probably guess, it started off slow the first year, but it has been gaining traction ever since, with great growth this year! Having these forms come into our office online helps in matching up the materials to the students (it happens overnight in a large batch job), eliminates the delay of the mail, means fewer issues with illegible writing, and lessens the items we must open, scan and match up with applicants. In addition, it allows schools to save general academic information for the school in the UGA database (and not write it out again and again), cuts down on postage, and lessens the phone calls from panicked families. So far this year, we have received over 10,000 online school evaluations (this includes Early Action and Regular Decision applicants, along with a few who have not applied yet but the form is in)! If you get a chance and your counselor (or teacher) did their recommendation online, give them a big thank you from UGA. Here is a list of the top 15 high schools based upon the number of online school evaluations submitted. Northview HS 246 Milton HS 166 G. Walton Comp. HS 148 Brookwood HS 141 Alpharetta HS 135 Collins Hill HS 121 Roswell HS 110 Chattahoochee HS 109 Lassiter HS 107 The Westminster Schools 104 Alan C. Pope HS 96 Peachtree Ridge HS 94 North Gwinnett HS 94 Starrs Mill HS 92 Marist School 84 Just so you know, there are already 50 schools with 40 or more online school evaluations! Way to go high school counselors!!!

Vivian’s Relationships in W;t and How They Shape Her Illness Experience - Literature Essay Samples

In Margaret Edson’s play W;t, a variety of characters with complex, unique personalities are brought to life. Edson uses vivid imagery and poignant monologues in order to highlight and simultaneously criticize the social structure, doctor-patient relationship, and implicit stigmas associated with terminal cancer. Many themes, such as the ones aforementioned, are displayed within the elaborate rhetoric Edson uses to construct both the outer appearances and the inner thoughts of the characters, which often contradict with one another. Edson’s intricate blending of each character’s juxtaposed identities gives readers a deep connection to the personal struggles of each character’s past and present. The main protagonist in the book, Vivian Bearing, experiences an immense shift in mentality when she is diagnosed with stage 4 ovarian cancer. Although Vivian understands the seriousness of her diagnosis, her thoughts remain consumed with maintaining her image as an accomplished and world-renowned literature professor. Through the reader’s journey with Vivian Bearing, we encounter several of her relationships that each serve to propagate Vivian’s spiritual awakening and acceptance of her diagnosis. Through her relationship with herself, Dr. Jason Posner, and Sally, we see that her â€Å"sick experience† is the product of ongoing social interactions and relationships encountered throughout the play, rather than a defined, concrete set of principles. Before delving into Vivian’s relationships and their impact on her â€Å"sick experience,† her character must first be analyzed from the point of view of how Vivian views herself. Ever since a young age, Vivian was exposed to reading literature. Mr. Bearing, Vivian’s father, encouraged her to continue reading more books, to which she replied, â€Å"I think I’ll readThe Tale of the Flopsy Bunnies† (Edson, 41.) While she read the book, her father would help her sound out the words that she had trouble reading. He said, â€Å"now use it in a sentence. What has a soporific effect on you?† (Edson, 42.) This scenario of significance because it illustrates the deep learning that Vivian was exposed to from an early age and most likely provoked her interest in deciphering the meaning of words. Vivian goes on to become one of the top professors in her field and when she gets admitted to the hospital, she boasts about her accomplishments to the technici ans. She says, â€Å"I have made an immeasurable contribution to the discipline..I am a force† (Edson, 17.) It appears that concentrating on her achievements took her mind off of the harsh reality of her diagnosis. It may be that constantly reiterating her accomplishments made her feel stronger, propelling her to further accept the fate of her diagnosis and subsequent treatment. The power of language is explored extensively in this play, giving readers a glimpse into how Vivians understanding of the sonnets of Donne helps her to make sense of her extremely gruesome and terminal diagnosis. Vivian uses her exposure to Donnes sonnets as a means to transcend the boundaries and understand her diagnosis in a deep way. In fact, she relies very heavily on her knowledge and education when she is first diagnosed. Vivian’s positive mentality toward herself and her accomplishments funneled into a unique relationship with her doctor, Jason Posner. Upon their first interaction, we learn that Jason was in her class as an undergraduate student. He says, â€Å"You can’t get into medical school unless you’re well-roundedI made a bet with myself that I could get an A in the three hardest courses on campus† (Edson, 21.) When Jason reveals to Vivian that he got an A- in her course, it further clarifies the notion that Vivian was an extremely harsh and demanding professor. Vivian and Jason continue to have an interesting relationship throughout the play as we learn that Vivian is part of an extensive clinical trial that Jason is leading with his team. In essence, Vivian and Jason can be seen as each other’s opposites, at the same time as each other’s doubles. As discussed earlier, Vivian is an extremely ambitious professor who is strict and dismissive with her st udents. This is exemplified during a flashback scene, when Vivian refuses to grant a student’s extension request after their grandparent has passed away. She says, â€Å"Do what you will, but the paper is due when it is due† (Edson, 63.) We can see that Vivian believes in the rigidity of deadlines and in what she sees as the integrity of education. Similarly, Jason is completely engrossed with his clinical trial, and throughout their relationship in the play, we are exposed to an almost inhuman side of Jason. He says, â€Å"It [cancer] is awesome. How does it do it? The intercellular regulatory mechanisms†¦Ã¢â‚¬  (Edson, 56.) We can see that Jason is passionate about cancer research, however, the fact that he describes cancer as â€Å"awesome† to his patient, while she is slowly withering away from the illness, is inconsiderate. Many of Jason’s monologues and lines are full of mindless tone and lack of emotion. He asks Vivian blanket, routine questions in a manner that his mentor has taught him and he fails to see the humans that he is harming through his work. When Vivian is taking her final breath, Jason desperately tries to resuscitate His relationship with Vivian is purely clinical in the same way that Vivian’s relationship with her students had been comprised of distant, dismissive, and disparag ing connections. The relationship between Vivian and Jason, along with the overlap between how they both view their work, is a critical component in the play because it gives Vivian a platform to reevaluate how she conducted herself as a scholar and a professor throughout her career. Another important relationship in the play is the strong connection formed between Vivian and her nurse, Susie Monahan. As discussed earlier, Vivian’s primary view of herself and Jason’s view of Vivian is purely transactional: Vivian sees herself as a worthy individual solely based on her accomplishments in life and nothing deeper than that, and Jason views Vivian as a research specimen. This makes Vivian’s relationship with Sally an inherently special relationship, one in which the readers finally see Vivian being treated like a human. Sally says, â€Å"There’s something we need to talk about, you need to think about† (Edson, 66.) Susie then proceeds to tell Vivian that although her tumor got smaller, the tests indicated that cancer had been found in other parts of her body. With this full disclosure, which Vivian didn’t receive in the play until this point, Susie begins to discuss how she would like to proceed when her predicted death occur s (DNR vs. full code.) Susie says, â€Å"†¦they should have explained this†¦Ã¢â‚¬  (Edson, 67.) In the code scene, Susie defends Vivian’s choice of being DNR and fights with Jason when he tries to revive her despite her wishes. Her endless dedication to Vivian, despite the circumstances of the clinical trial, shows Sally’s genuineness towards Vivian and her dedication to preserving Vivian’s integrity. Susie’s directness, combined with her deep disapproval of Jason’s decisions, displays how Sally was one of the only people in the play who was straightforward with Vivian and respectful of her as a human being. Sally’s relationship with Vivian had a profound impact on Vivian’s spiritual awakening at the end of the play. The juxtaposition of Sally’s character with Jason’s character directly affected Vivian’s illness experience. Vivian says, â€Å"At the same time the senior scholar, in her pathetic state as a simpering victim, wishes the young doctor would take more interest in personal contact† (Edson, 58). After witnessing the kindness of Sally along with Jason’s impersonal behaviors, she was able to relate to both the senior scholar role and to the amateur student role. She realized how much a little bit of kindness could make the greatest difference in somebody’s life. She began to reflect on the type of professor she was to her students. Because she was such a dismissive professor and spent her entire life advancing her career, Vivian had no friends or family appear until the very end of her life. When Vivian has already signed the DNR and is in her final moments of life, her friend Professor E.M. Ashford comes into the hospital room and recites Vivian excerpts of a poem before she passes. As Vivian reflected, she began to understand that a life of scholarly pursuits can ruin a person’s social and personal life. Through her experience with Sally and Professor Ashford, Vivian realized that she should have been kinder to her students as she finally took the time to understand the value of kindness during her debilitating treatments. Edson’s elaborate rhetoric and stream-of-consciousness writing in W;t serves as a powerful indicator that the illness experience is a byproduct of intrapersonal relationships within the play. The enchanting use of interior monologues gives readers an unparalleled view into the complexities surrounding a cancer patient’s journey from diagnosis through treatment and, in the case of Vivian, death. From Vivian’s very first monologue, we can see how interesting her relationship with herself is. On the outside, Vivian portrays an extreme sense of self-fulfillment and accomplishment, even after hearing her diagnosis. However, her internal monologues give us a unique insight into the damage that her intense pursuit of scholarly research has infringed on her. By including Dr. Jason Posner as a character who indirectly challenges the nurse, Sally, W;t provides a stark contrast between the human side of medicine and the robotic side of medicine. The contrast between Jason a nd Sally serves as a direct platform for Vivian to evaluate her past, present, and future as a cancer patient. Edson’s way of illustrating the complexities of the illness experience in Vivian’s life, while managing to shatter Vivian’s preconceived notions of self and society, is masterful its understanding of modern society and human nature.