Review Of The Quilt - 1097 Words

Lauren Jackson Prompt #2 â€Å"The Quilt† TA: 15 February 2015 Role of Sexuality in â€Å"The Quilt† In my opinion, we are all born with natural sex. But gender is a socio-cultural and man-made classification. Symons that is coined with the gender â€Å"male† is â€Å"strength†, â€Å"power† and â€Å"domination†. Words that are representative of the gender â€Å"female† are â€Å"pretty†, â€Å"delicate† and â€Å"submissive†. Gender divides human beings based on sex. Gender creates restrictions on women in a socio-cultural manner, for example, in marriage. These gender restrictions make women subordinate and voiceless. â€Å"The Quilt† explores a discourse of self-awareness in women’s identity. Through her story, I believe that Chughtai frankly exposes secular discrimination in a way that exposes gender and sexual conflicts. These conflicts arise due to patriarchy that nurtures off the gender roles that create a hierarchy for men and for suppressing women. In â€Å"T he Quilt† sexuality marks the main theme of identity. Within the lines of the â€Å"The Quilt†, I believe that Chughtai exposes the disconnect between the sexuality’s of Begum Jan and Nawab because of their genders. Chugthai raises the questions of marriage as a social and economic enterprise by stating, â€Å"despite renewing the cotton filling in her quilt each year Begum Jan continued to shiver night after night† (Chughtai). Begum Jan â€Å"shivers† at the thought of her sexual fantasies as a form of frustration with the state of loneliness in her marriage to Nawab. 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Enternal nutrition in icu Essay Example For Students

Enternal nutrition in icu Essay Enteral and Parenteral Nutrition in the Critical Care Setting Management of patient nutrition has long been a topic of controversy. Questing of timing, route of administration and composition of feeding solution constituents are several variables that share a lack of consensus. There is a 50% rate of malnutrition cited in hospitalized patients. Many states associated with critical care admissions have altered metabolic rates. Some examples of increased catabolism are multiple injury trauma, sepsis, organ failure (CHF, ARF, RF), and ventilator dependent status. It is important to assess for a history of such hyper- or altered metabolic states like Diabetes Melitus, Alcoholism, Renal Failure, and COPD. Over feeding is associated with: immunosuppression, hyperglycemia, liver dysfunction and refeeding syndrome. EnteralNo associated immune suppression, no associated infection complications, easier to maintain electrolyte balance. ParenteralImmune suppression (the converse is also true- malnutrition also causes immune suppression), fatty liver, potential for pneumothorax, line infections, loss of gut barrier, hyperosmolality, refeeding syndrome Feeding tubes great option, if the gut works, use it. Prealbumin (2-3 day t1/2) Transferrin (8-10 day t1/2) Albumin (14-20 day t1/2) Nitrogen balance studies can aid in the clinical picture of nutrition status although there is not any clinical evidence of their effect on morbidity and mortality BMI = (weight in kg) / (height in meters) MEE (measured energy expenditure) 104.67 146. 54 kj/kg can be used to estimate the avg. daily caloric requirement Mifflin-St Jeor formula REE = 9.99 x weight + 6.25 x height 4.92 x age + 166 x sex (males, 1; females, 0) 161. Simplification of this formula REE (males) = 10 x weight (kg) + 6. 25 x height (cm) 5 x age (y) + 5; REE (females) = 10 x weight (kg) + 6.25 x height (cm) 5 x age (y) 161. Harris-Benedict equation Males BEE (kcal) = 66.5 + 13.8 x weight (kg) + 5 x height (cm) 6.8 x age (yrs) Females Males BEE (kcal) = 655. 1 + 9.6 x weight (kg) + 1.8 x height (cm) 4.7 x age (yrs) Indirect calorimetry (metabolic cart) measures the CO2 produced and the O2 consumed. Also gives the RQ (respiratory quotient) a value 1 suggests carbohydrate oxidation and overfeeding. Specific Requirements in TPN Protein In the ICU a stressed patient can tolerate 1-1. 5 g/kg of protein per day at 4 kcal/g Carbohydrates Allocate 40-55% of total calories as Dextrose in TPN solution 3.4 kcal/g Lipids 0.5-1 g/kg per day or 20-30% of total calories per day at 9 kcal/g Fluids An estimate of fluid needs in TPN solution is 30 ml/kg to begin Renal Failure Vitamin D Alcoholism Thiamine, Folate, Niacin, B12 Liver Failure A, E, K Although research has not shown evidence for the use of BCAA (Branched chain amino acids their use in liver failure, and other protein intolerant states can be justified. References: Mifflin MD, St. Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr. 1990; 51:241 -247 Ireton-Jones Carol, Robbyn Kindle, Effects of Home Parenteral Nutrition on Resting Metabolic Rate: A Case Study. Nutrition in Clinical Practice , Vol. 19, No. 6, 637-639 Stone Sue MD, Nutritional Support of the Critically Ill and Injured Patient, Crit Care Clin 01-JAN-2004; 20(1): 135-57 ASPEN Board of Directors. Guidelines for use of parenteral and enteral nutrition in adult and pediatric patients. J Parenter Enteral Nutr 2002;26(1 Suppl):1SA- 138SA .

Quotation About Best Practice In Supervision Social Work Essay Essay Example

Quotation About Best Practice In Supervision Social Work Essay Essay Koster ( 2003 ) stated that supervising leads to a mental and emotional instruction that can steer practical work, frees fixed forms of experience and behavior and promotes the willingness every bit good as the ability to move appropriately, carefully and bravely ( p1 ) . This essay will research Koster s citation about best pattern in supervising, in relation to supervising in the country of reding. This essay will besides place the benefits and troubles of supervising, in respects to reding, that can originate in supervising. Examples from a personal position will be presented on how supervising throughout work experience enabled hard state of affairss to be handled. Furthermore, an analysis of how effectively supervising was conducted throughout work experience, every bit good as personal suggestions on betterments of supervising in that work scene. We will write a custom essay sample on Quotation About Best Practice In Supervision Social Work Essay specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Quotation About Best Practice In Supervision Social Work Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Quotation About Best Practice In Supervision Social Work Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Koster s quotation mark does talk truth as supervising can take to all kinds of positive and negative developments ( Pelling, Bowers A ; Armstrong, 2007 ) . In peculiar he claims that it can take to mental and emotional instruction that guides practical work, frees from fixed forms of experience and behavior. Supervision in guidance is really critical as it aims to increase self-awareness and enhances professional competency which will steer the supervisee throughout their work in a confident mode ( Pelling, Bowers A ; Armstrong, 2007 ) , which is similar to what Koster is seeking to province. The end of supervising is chiefly about the supervisee s developmental growing and professional consciousness ( Pelling, Bowers A ; Armstrong, 2007 ) . Which once more leads back to Koster s quotation mark about how supervision leads to development ; and that development of experience will steer the supervisee throughout their work in reding. Thorough supervising, the supervisee will turn, reflect and develop in their professional and personal accomplishments. It is through these developments that will change their behavior that will finally steer them through their work to move in a suited, careful and bravely ; throughout their calling in reding. Which in return, is critical for a counselor as his or her mental and emotional instruction demands to continually develop, and this can be accelerated through supervising. It can be said that a figure of persons and administrations can profit from quality clinical supervising. Quality supervising is about doing certain the client is non being harmed and is being assisted to carry through established ends in aptly appropriate ways, the receiving system of reding services is the first to profit ( Page A ; Wosket, 1994 ) . The bulk of the conversation in supervisory Sessionss Centres on intercessions being used for the client and progress to how the supervisee is stressed with assorted parts of the instance. While the supervisor is interacting, clear uping, explicating, educating, back uping and coming up with helpful professional intercessions, another individual is profiting from this piece interacting back to their supervisor the supervisee. As Pelling, Bowers, and Armstrong ( 2007 ) suggests: This is where the supervisee s range of pattern, expertness and penetration is being deliberately and incrementally expanded. Prosecuting supervisors in the battle for apprehension is valuable for deep acquisition to happen. In this sense it is the clinical stuff that is the instructor, non merely the supervisor themselves. Supervision can insulate the supervisee from work-related emphasis, diversely referred as burn-out. ( p. 126 ) In add-on, if the supervisee is an learner from an educational constitution, the administration itself benefits with the development of a more adept and safe practician ( Pelling, Bowers A ; Armstrong, 2007 ) . This gives the administration an first-class repute for back uping and suitably developing the people in their charge in a professional mode, hence supervising being provided by the administration benefits the administration with a good positive professional repute. Last of all, the clinical supervisor additions a great trade from offering supervising. While they support the supervisees, their apprehension of clinical work, cognition, experience, the universe and themselves develops a great trade and the sense of fulfillment of being linear to so many is so rewarding and satisfying ( Pelling, Bowers A ; Armstrong, 2007 ) . Supervision can be a valuable constructive acquisition tool, but at times troubles in supervising can do it a negative experience. Moskowitz and Rupert ( 1983 ) found in their research, within USA, that supervisees reported that 38 % of those surveyed claimed that there had been troubles and struggle in their supervising that interfered with their acquisition. Their research further found that there are three major countries of troubles and struggle that arise in supervising: theoretical orientation, manner of supervising and personality issues ( Moskowitz A ; Rupert, 1983 ) . Differences in theoretical orientation may take to troubles and struggle in supervising ( Carroll A ; Gilbert, 2006 ) . In assorted administrations, supervisees may non hold a pick of a supervisor and may possibly stop up acquiring supervised by person who has a different theoretical to their ain. For illustration, a supervisor may be convinced of the rightness of their orientation and is non ready to accept intervention that arise from a different school of psychological science. These differences in theoretical orientation are a common job in supervising and it may take to rifts between the supervisor and supervisee, hence neglecting to negociate differences of this sort ( Holloway, 1995 ) . Second, troubles and struggles may originate in supervising when it comes to the manner of supervising. Some supervisors have a formal manner whilst others have an informal manner of attack ( Carroll A ; Gilbert, 2006 ) . There are four unsatisfactory manners of supervising that cause struggles and troubles: constricting supervising ; formless supervising ; unsupportive supervising ; and therapeutic supervising ( Abott, 1984 ) . In the constructive type, there is limited liberty. In the formless type, there is really small supervisory part and the supervisor may hold a slightly laissez faire mentality to the full procedure, where whatever happens goes . Unsupportive supervisors are unfriendly and distant and supervisees would non willingly near them with their troubles. Curative supervising transforms the supervisee into a patient while the supervisor takes on the place of the therapist frequently in a persistent and pushful mode that infantilizes the supervisee ( Carroll A ; Gilbert, 2006 ) . The last manner of supervising that causes struggle and troubles is known as personality issues. This is when there is a personality clang between the supervisor and supervisee which can ensue to a rupture in the supervisory confederation ( Carroll A ; Gilbert, 2006 ) . These ruptures are frequently caused by confusion in communicating, for illustration the supervisor may misinterpret something the supervisee has said in a negative manner. Furthermore, the ecstasy may be merely be caused by the supervisees ain defensiveness. An illustration would be that the supervisee may move defensively when the supervisor gives feedback, hence doing a strain in the supervising relationship. Supervision is a valuable tool for a supervisee when they are holding trouble covering with their client in an effectual professional mode. Whatever the job is, in respects to the wellbeing of the client, the supervisee can discourse these issues throughout supervising in order to bring out helpful intercessions in covering with the affair ( Wosket, 1999 ) . An illustration from work experience in which supervising enabled to cover efficaciously with a hard state of affairs, is when there was a client who brought up an issue that was hard to manage. The ground the issue was hard to manage is because there was limited cognition in that country and there was no assurance in covering with the affair. So in order to cover with this quandary, it was brought up to the attending to the supervisor throughout the supervising session. Throughout the supervising session the supervisor, listened to the quandary and asked exploratory inquiries, made encouraging statements and shared self- revelation. She besides in return, working the supervisee, came up with intercessions to set together in order for the supervisee to manage the fighting instance. The supervisor clarified the job to the supervisee and explored possible accounts and intercessions for the supervisee to see. The supervisee filled in the spreads of the cognition and asked the supervisee to reflect and research options on how he will set the explored intercessions in to action. The supervisor besides used modeling and role-plays to demo the supervisee on how they might be able to help their client. So through supervising, the supervisor s challenges and confrontations facilitated the supervisee s critical contemplation and acquisition, hence this gave assurance to the supervisee to manage and cover with their hard state of affairs. A concise dislocation will presently be offered on how efficiently supervising was carried right through work experience. Supervision was conducted efficaciously because the supervisor followed a important procedure in order for supervising to map at its best. The initial supervising session is when the supervisor clarified what the supervisee has done in the yesteryear in respects to pattern and supervising, and asks where they would wish aid. When it came to the day-to-day supervising Sessionss, it was noted at times that the supervisor would follow a procedure right from get downing to stop. When the supervisee had an issue, it would be looked exhaustively. Issues discussed in supervising included: intercession schemes and future programs ; counsellor professional development ; supervisee client confederation and boundaries ; client issues and end scene ; supervisor supervisee relationship ; ethical and legal issues ; and so on. Once the issue were discussed, the supervisor would inquire a series of structured inquiries in order to derive elucidation, every bit good as leting the supervisee to reflect and offload. Such helpful inquiries included: What are you experiencing and positions about the issue? ; Where do you experience most confused? ; what sort of aid would you like? ; and what are the key inside informations I need to cognize about the instance? . Furthermore, during supervising the supervisor and supervisee took notes during Sessionss to hold an on-going record of programs, subjects, battles, clients discussed, larning and advancement. Once the issue was discussed and the supervisor asked her inquiries, the supervisor would so promote the supervisee to: understand the job ; happen links among the information ; develop a intervention program to set into pattern ; and make a on the job proposition ( Carroll A ; Gilbert, 2006 ) . Towards the terminal of every supervising session, the supervisor would give provender back every bit good as ask for verbal feedback back from the supervisee. The supervisor would inquire something every bit simple as How was our session for you today? or Was this session valuable or unbeneficial to you today? Summarizing up, supervising was conducted efficaciously because the supervisor followed a valuable procedure throughout the Sessionss. Apart from following an effectual procedure, the supervisor herself was encouraging, respectful, echt, empathic, and self-disclosed, which as a consequence added further to the effectivity of supervising. From personal experience, the supervising that took topographic point during work arrangement can non be faulted. However, there is deficiency of cognition of how the other supervisors function in their function, as during arrangement merely one supervisor was given to work closely with. Concentrating strictly on the supervisor provided with, her name being Amy, she was nil but professional, educated and friendly. One could propose that Amy is the ideal supervisor as throughout work arrangement she ever showed regard, genuineness, empathy and was ever encouraging. She was besides concrete and showed a great trade self-disclosure throughout supervising. As stated, Amy would be the ideal supervisor as her supervising qualities match what Carifo and Hess found in their research in what makes an ideal supervisor. Carifo and Hess ( 1987 ) found that the ideal supervisor is a individual who shows regard, empathy, genuineness, concreteness and self-disclosure in his or her traffics with su pervisees ( p.247 ) . So as one can see, supervising can non be faulted as it was nil other but a positive acquisition experience, with the aid of a true professional supervisor who knew how to work in her function. Therefore, it is excessively complex to come up with suggestions for betterments for supervising in the work scene because it merely worked to good in order to propose any alterations. Supervision may hold its benefits and troubles, but it is those experiences a supervisee needs to see in order to develop their mental and emotional experience. It is these developments and experiences that allow the person to be able to larn and manage future challenges in their country of reding. With the right supervisor, every bit good as holding regular supervising Sessionss that are conducted efficaciously, it will accordingly transform the supervisee into a stronger counselor who is willing to larn, act appropriately, carefully and bravely ; throughout their guidance calling.

violence in the media essays

violence in the media essays This project is to look at violence in the media and to find out whether it influences people and there actions. There have been a lot cases in which people have committed crimes and then said they done this actions because of films. Im going to look in detail about some of theses and ask people for there opinions about violence in the media. I have got my research from many places. I have included a Video CD with clips from violent films. These films are Swordfish, Bad Boys 2, Blade 2, X men 2, Black hawk down, Snatch and Malibus most wanted Violence has always been in the media even since the birth of film. But violence is not only in one visual medium it is also in audio such as the radio and CDs. Over the past 50 years there has been a rapid increase in violence but not only in fictional violence but also in non-fiction such as the news. Could theses two things be related? Looking back through history there has always been violent films. In fact one of the first films ever made in the early 1900s showed a woman losing her head. This film left audiences believing that a woman had actually died to make this film or though obviously this is not so. With technology growing and C.G.I. (Computer generated images) films have become more violence and this has enabled more directors who use violent images in there films. A few directors who are known for their violent films are Quentin Tarantino, Guy Ritchie and Michael Bay. The first film clip on the Video CD which I mentioned in my introduction is of a Michael Bay film ca lled Bad Boys2. As real life violence has increased with the level of violence shown in films is this to say that violent directors such as Michael Bay are responsible for Violence that happens in real life or if someone imitates something they see in film? But do not be miss lead; it is not only film and TV tha...

Nintendo Case Study Example | Topics and Well Written Essays - 500 words

Nintendo - Case Study Example Apart from this, the ease with which customers can adapt to the games is also a driving force and making the competition more intense within the industry. 4. Nintendo is focusing on delivering products which are unique and are not being used in the industry by others. As such, it is focusing on the differentiation strategy by producing gaming consoles which are radically different from the competitors. Nintendo has been using differentiation strategy however, it is using it relatively defensive manner. 6. One of the key strengths of the firm is its ability to manufacture technologically simple gaming consoles and other products. However this not guarantees the competitive position for the firm as big giants like Sony and Microsoft. Though it has a competitive advantage in producing handheld gaming consoles however, its advantage is not sustainable as it requires consistent improvements in technology to dominate the market. 8. It needs to further develop its existing markets by diversifying into other and related products in the existing markets. It needs to improve its existing markets by launching new products in the same markets it is serving

IB English A1 Higher Level Essay Example | Topics and Well Written Essays - 1500 words

IB English A1 Higher Level - Essay Example The phrase appears in a speech from Creon, the King of the play and the man that wields the most power. He is attempting, by one means or another, to win over his son Haemon to his point of view regarding the burial of the corpse. Essentially, he also wishes him to accept a very straight-forward, but, as shall be seen, rather contradictory view of the nature of political authority. Creon states that â€Å"I must keep my kin in line, Otherwise folks outside the family will run wild.† Creon is the titular head of his family and so appeals to the fact that he must keep in his family in order for the city as a whole to follow suit. He then states that he will give â€Å"nothing but contempt† from someone who breaks the law and/or tells his masters what to do. But we soon he states an all-important â€Å"but†: Morality and virtue, the â€Å"right† and the â€Å"wrong† are less important to Creon than the absolute obedience to legitimate political authority. Indeed, political authority seems to trump any other concerns. He does not just state this opinion in isolation, he goes on to give an explanation for why this system is good not only for the ruler, but for the city as a whole: Creon’s rather tenuous theory of political authority argues that first, a ruler’s orders should be obeyed without question. Second, that if those orders are obeyed without question he will willingly give up power to another and then be â€Å"cheerfully ruled† and third that the whole city will essentially be one of order and discipline. Absolute rulers do not tend to give up authority without a fight or, in a hereditary type of system, before their deaths. The old adage that power corrupts and that absolute power corrupts absolutely seems to be conveniently avoided by Creon who, with his experience of power, and knowledge of his family history, should know better. Creon essentially sets up a Cartesian world in which a leader is either obeyed (leading to a perfect society) or

Rama in Ramayana Essay Example for Free

Rama in Ramayana Essay In the epic story of Ramayana, one of the cornerstones of the story is the part where Rama attempts to rescue Sita. In the story, Rama is considered the most heroic among all the characters precisely because of his devotion to the rules of dharma. Even during the times when still he was small, Rama was considered to be the perfect son, up to the point when he married Sita thereby considering him further as the perfect husband. More importantly, Rama gladly and willingly accepted the order of his father, king Dasharatha, to abandon the kingdom and be banished, hence removing him from the position as heir to the throne.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The poignant part of the story where Rama’s knowledge and perception are further enriched is the part where he encountered Ravana who followed him in the forest. Ravana is the younger brother of Rama who was enthroned as the king of Ayodhya after Rama was banished from the kingdom. The encounter highlighted the capacity of Rama to understand the human situation that swirled around him and his family by understanding the sentiment of Ravana. Ravana very well understood that Rama is the rightful ruler as king of Ayodhya, and after following Rama to the forest, Ravana told Rama that until the day Rama returns, Ravana will instead place the sandals of Rama on the throne as a sign of respect and as a sign that Rama is the actual ruler of the kingdom. That was one way for Ravana to signify that he is simply the ‘caretaker’ of the throne while Rama, the rightful ruler, is away.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Rama’s encounter with Ravana in the forest signifies that even though he willingly accepted the banishment that was imposed upon him by his father, he was still willing to face the larger responsibility of serving his people as their king. That goes to show that Rama was willing to face both ends of the situation, or that he was willing to face any situation that he is confronted with. That is so because, having lived with the rules of dharma, Rama very well knows the consequences that awaited his every decision. This time around, his decision to return as the king of Ayodhya can be said as part of his responsibility as the eldest son of the king, hence the rightful ruler, and part of his realization that the kindness of Ravana begets his kindness to accept not only the fact that he is the rightful king but also the willingness of Ravana to bequeath Rama his rightful position in the kingdom.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Eventually, Rama willingly accepted the offer of Ravana which is not only a sign of respect to an offer which is rightfully his but is also a sign of accepting the propensity of having to rule an entire kingdom under his watch. Quite apart from the fact that accepting such a huge responsibility requires determination and the capacity to lead, it also requires the ability to follow. That ability to follow has been undoubtedly manifested by Rama not only during the time when he accepted his fate to be banished but also during the time when Ravana met with him. That occasion is the time when Ravana made Rama the offer which he followed with all his heart. Rama’s decision best exemplified his capacity to follow without hesitation and confusion on his part precisely because of the wisdom that he possesses due to his strict adherence to the rules of dharma.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In essence, the encounter of Rama with Ravana in the forest is one of the many scenes in the story which shows the enrichment of the knowledge of Rama as well as the formation of his character throughout the story. It brings into mind his capacity to lead by example and to follow the things which he indeed should rightfully follow. It drives home the point that Rama is all the more worthy of being adored by his people because of the virtues which he possesses and of being exalted as a ruler who very well understands the rules and teachings of the dharma. Reference Pollock, S. (1993). Ramayana and Political Imagination in India. The Journal of Asian Studies, 52(2), 262.