Case study for a client with schizophrenia

Case study for a client with schizophrenia and has had three admissions to hospital the last one five years ago ,her name hala ,at the age of 35 year old ,she live with her brother but tend to be a bit overprotective ,not allowed to take much responsibility in the home or to go out alone . The clinical picture of the client: It include the, signs symptoms for the client. Hala has moderately severe negative symptoms ,The negative symptoms of schizophrenia, defined as the absence or diminution of normal behaviors and functions , negative symptoms account for much of the long-term morbidity and poor functional outcome of patients with schizophrenia.. The signs and symptoms of schizophrenia are numerous and debilitating , these symptoms are the lack of important abilities . Some of these include: 1)Alogia: or poverty of speech, is the lessening of speech fluency and productivity, inability to carry a conversation ,thought to reflect slowing or blocked thoughts, and often manifested as short, empty replies to questions. 2) Affective flattening: is the reduction in the range and intensity of emotional expression, including facial expression, voice tone, eye contact (person seems to stare, doesnt maintain eye contact in a normal process), and is not able to interpret body language nor use appropriate body language. 3) Avolition: is the reduction, difficulty, or inability to initiate and persist in goal-directed behavior; it is often mistaken for apparent disinterest. ) Inappropriate social skills or lack of interest or ability to socialize with other people. (examples of avolition include: no longer interested in going out and meeting with friends, no longer interested in activities that the person used to show enthusiasm for, no longer interested in much of anything, sitting in the house for many hours a day doing nothing.) . 4) Catatonia: Apparent unawareness of the environment, near total absence of motion and speech, aimless body movements and bizarre postures, lack of self-care. 5) Social isolation : person spends most of the day alone or only with close family, and inability to make friends or keep friends, or not caring to have friends. 6) Low energy :the person tends to sit around and sleep much more than normal. The client is being worked upon with the following MDT: Psychiatrist: the psychiatrist works with the client using needed medication, such as Prozac. Psychologist: the psychologist works with the client using different approaches, in order to understand her, and her behaviors, through talking, observingà ¢Ã¢â€š ¬Ã‚ ¦ Social worker: the social worker works with the client in understanding difficulties that the client has, that affect her social lifeà ¢Ã¢â€š ¬Ã‚ ¦for example not going to work, the thing that affects her social relations and networks. Physician and nursing: the physician is a general doctor that follows up the clients medical status. On the other hand, the nursing team is available in the institution for the clients need to be supervised by a medical team, for if someone would have a relapse, an action would be done, such as giving injections. Finally, the MDT works together, by meetings and reports about each client. She is treated with medication and visits the out patient clinic at the hospital every three months to see her doctor. she reliable about raking her medication and keeping her outpatient appointments. treatment may include: behavioral therapy: patients with schizophrenia improve their social skills and put structure in their lives. Through social skills training, they may learn how to make requests, express feelings, and adjust their voices and facial expressions. The impact of the illness will have on the clients occupational functioning The impact of these symptoms on ADL, work, and liesure. Activities of daily living require the ability to start and repeat purposful task performance so that become habitual or routine and these tasks or activities include: bathing, grooming, and dressing, washing hands before a meal, eating with resonable table manners, then cleaning up. Persons who have schizophrenia may find routin task performance interrupted by symptoms, side effects of medication, and progression of schizophrenia. Auditory or visual hallucinations may interrupt attention, and tactile discomfort with texture of materials may limit occupational performance. Many ADL routines become challenging in the presence of motor problems produced by negative symptoms and the neurological side effects of medications. Incoordination, tremores, rigidity, or slow movement may interfere with tasks like replacing caps on bottles, shaving, and using eating utensils. In the psychological area, major barriers to ADL are pathy, avolition, or extreme withdrawal. Even persons who show inter est in social interaction may not complete the self-maintenance tasks that would increase social acceptance. They are unable to engage themselves in tasks and may depend on others to involve them. fainally, self-management difficulties in schizophrenia influenece ADL performance to a great extent. Routines are abandoned when persons are unable to cope with environmental or internal stressors. Time management and self control become weak. Work Ofen persons with schizophrenia have difficulty finding satisfactory housing or keeping a job because of psychological, and self-management performance difficulties. Also, negative symptoms such as withdrawal, avolition, substance abuse, neurological impairment, medication side effects, and coexisting medical conditions make work performance impossible for many. The modelframe of reference I used to guide the assessment and intervention with the client: Frame of reference :MOHO model of human occupation I chose MOHO because it : 1)Furnishes a detailed framework of the occupational functioning of hala. 2)Enables precise measurement and useful description of hala occupational characteristics . 3)Give specific and detailed guidelines and tools for evaluating hala ,a specific language for describing the difficulties or challenges encountered ,and a framework for setting treatment goals and selecting the most appropriate strategy to achieve the desired level of change . 4)allows for a flexible approach to individualized therapy for hala and provides a comprehensive picture of the occupational functioning . 5)provides a conceptualization of the process and stages of change that was useful for guiding the sequence of therapy (including deciding when hala is ready to move from one level of change to another). how I assess the client I chose an activity during the assessment ,I chose washes plastic plates I chose ACIS assessment (( assessment of communication and interaction skills)). The ACIS is a formal observational tool ,to measure an individuals performance in an occupational form within a social group ,that allows occupational therapist to determine a clients strengths and weaknesses in interacting and communicating with others in the course of daily occupations. I chose ACIS assessment because ,it is most effectively used to generate a profile of strengths and weaknesses and qualitative details about my client ,this profile is the most important source of information for deciding what skills to target for change. ACIS is often helpful for understanding why is my client having difficulty with some interaction skills . The Canadian Occupational Performance Measure (COPM): to detect change in a clients self-perception of occupational performance over time. Follow the links below for further information about the COPM.   intervention process Assess clients level of disorientation to determine specific requirements for safety. Skill training interventions: Identify areas of skill deficit person is willing to work on. determine the goals for the client (shortlong terms goals) first I will establish the goals together with hala I will determine the goals from the deficit in her function ,from observation during the activity ,from the assessment ,and the client can ask me about some ability that she want to return it . Long term goal: to let her take much responsibility in the home ,allow her go out alone without any danger to her ,or her health or people .for example let her visit the hospital to see her doctor. Let her work for example secretary as she trained in the past ,or work in an office as she worked at age 21. Let her feeling more confident in social situations , can be operationalised by identifying performance indicators Short term: engaging in activity, increased motivation,improved judgment, increased energy, ability to experience pleasure and cognitive Function. factors that affect or important in assisting the client to reach the goals: important factor: the client :good response to the medication ,the acceptance of his situation, less number and the range of episodes, if she like the activity .her tolerance and endurance during the activity ,assessment and medication. Environment :good interaction with his environment ,feel some degree of safety in the therapy environment and in his living environment . Factors that might affect the clients program: Client :forget take the medication, she didnt like the activity or it is not suitable for her ,there is no therapeutic relationship., Family members may require support as clients in their own right.   They may also play a key role as an extension of the therapy team.   Where children are involved, a careful assessment of child safety is required, generally by someone specifically trained in this area such as a child protection worker

Test Taking Strategies

Test-Taking Strategies For 10 years, I was the one testing the students, teaching strategies and finding new ones to help students study. Suddenly, I found myself returning to school and the anxiety, stress, lack of time, and just all the unknowns seemed to overwhelm my life. The last couple of years I have learned to incorporate strategies that work best for me, but there is always room for improvement and strengthening. Learning, study and test taking skills are some of the most important things to have when furthering your education. Upon reading Strategies for Test Success by Linda Anne Silvestri, I was able to scrutinize some of my weaknesses, reevaluate my learning style, and look at some new test taking strategies while assessing my current strategies. Helpful Test Taking Strategies Tests usually have significant validity on your grade. The better you are prepared for different types of tests, the better grade you will receive. Meyers, 2000) Some helpful test strategies that I gathered from this assignment include: techniques for reducing test anxiety, avoid reading into the question, avoid changing answers, learning how to study in a manner that works best, and improving retention of information. Test anxiety is an unpleasant experience and can interfere with test performance. This is one area that I struggle with myself. Linda Anne Silvestri suggests incorporating some of the following techni ques in order to reduce anxiety while preparing for and taking an exam. First, evaluate yourself to determine what may be causing the anxiety. Is it stress, pressure to succeed, or negative thoughts? Second, figure out techniques that will help to reduce the anxiety such as: avoid procrastination, relaxation techniques before and during an exam, maintain a healthy lifestyle and diet, and maintain a positive attitude which will lead to success. (Silvestri, 2010) In that moment of despair, when my memory just seems to go blank, I often find myself digging from my own life experiences to find a rationale to the question being asked. Linda Anne Silvestri explains reading into a question as â€Å"One is considering issues beyond the information presented in the question. †(Silvestri, 2010) I am guilty of this on many occasions, and learning to identify the information the question contains and what it is asking will help improve my test scores. Changing answers is another area which I struggle. â€Å"You know the information; go with your first instinct, don’t second guess yourself! † I have said this to many students over the years, why does it seem so hard to incorporate into my own strategies now that I am a student? By reevaluating this area, hopefully I can become more confident in the answering of questions and learn to trust my instincts and knowledge. â€Å"One must also remember not change an answer unless you are absolutely sure you have made a mistake,† as stated in the book The Secret of Taking Any Test by Learning Express. (Meyers, 2000) In Kaplan’s How to Study vide o about learning to study in a manner that work best for you, suggests that you find a quiet room or area that you can use just for studying. I often find myself trying to study in the family room where it seems like the TV is shouting at me and my books are scattered all over the couch and floor. I am currently working on this by converting a spare room into my study space. It was recommended that in this area you are to consider good body position, such as using a chair and desk not sitting or lying on your bed. This area must also have good lighting and be free of distractions. In doing this I hope that I will be able to separate my school time and family time from each other. Visualize, organize, recite, repeat is suggested by Kaplan in order to retain information. The goal of most students is to retain what they are learning. Spending too much time studying is and major complaint of students. By making vivid associations of the content with a picture, group and organize topics together because items are best learned in groups, recite your knowledge out loud to figure out what you do not understand, and finally repeat it often. By using this strategy instead of trying to memorize text out of a book, one should have to spend less time studying and more information should be retained. (Kaplan Nursing: Lipponcott) Test Strategies Not so Helpful There are so many strategy recommendations for students. While each have good points, some are more helpful than others. Strategies that don’t seem as helpful to me are simulating actual test like circumstances when studying for the exam, study groups, note taking by using the fancy systems. These three strategies just seem to increase my stress level to the point I feel like I am not learning. Simulating actual test like circumstances has just never worked for me as I usually don’t pick the correct information to test myself on and the important information gets left behind. Study groups cause me too much pressure because I find that one or two people seem to be putting the study guides together. This is a pet peeve for me; I don’t mind sharing my ideas but don’t expect me to do all the work and then hand it to you. The final one that has never worked for me is taking notes by using one of the many note taking systems. I find myself spending too much time trying to remember what needs to be written where, organizing, how to fold the paper. I have developed my own crazy way of taking notes over the years. Note taking is an area that I feel is individualize for each person. Learning Style The VAK Learning Style Assessment indicates that I learn visually followed closely by being a kinesthetic learner. I feel this is a very accurate assessment of my learning style. I am the person who likes to observe how things are done either by reading the instructions or watching someone perform the task. I also learn by holding, touching, and feeling. The whole hands-on experience works well for me. Auditory learning is sometime difficult for me. I find using the auditory portion of an E-book is not beneficial to me because my mind seems to wander and I have a hard time concentrating on the information. I am someone who likes to have the textbook in hand to touch and feel. Diagnosis of Test Taking Weakness My personal diagnoses of test taking weakness would be: Anxiety related to taking examinations as evidenced by sympathetic stimulation including increased respiratory rate, heart rate, apprehension and facial flushing. I will display decreased test anxiety before and after each exam for the next twelve months. I will learn how to control sympathetic stimulations during exams for the next year. Interventions will include getting enough sleep before exams, practicing relaxation techniques such as deep breathing by inhaling deeply through nose and exhaling slowly, thinking positive thoughts, avoiding reading extra information into the question, and changing answers on the exam. Interventions will be confirmed effective if vital signs reflect baseline, there is decreased sympathetic stimulation, and able to control test anxiety by using stated techniques. Risk for impaired emory related to inability to retain sufficient knowledge and information. I will retain sufficient knowledge and information from the ADRN program to pass all exams for the next year. I will demonstrate use of techniques to help reduce memory loss for twelve months. I will utilize anxiety reducing techniques, non-distracting study areas, visualize, organize, recite, and repeat techniques into current study and test taking p ractices . Intervention will be confirmed effective if I pass all exams and the NCLEX. References Ackley, B. & Ladwig, G. (2008). Nursing diagnosis handbook: An evidence-based guide to planning care, (8th ed. ). St. Louis, MO: Mosby, Inc. , an affiliate of Elsevier Inc. Kaplan Nursing: Lipponcott, W. a. (n. d. ) Kaplan Nursing. Retrieved September 1, 2011, from Kaplan nursing: How to study, Nursing school success http://www. nursing. kaplan. com/student/User_Home. aspx# Meyers, J. N. (2000). The secret of taking any test. Learning Express Silvestri, L. A. (2010). Saunders strategies for success for test success: Passing nursing school and the NCLEX exam. Philadelphia, PA: Elsevier Saunders an imprint of Elsevier.

The Fourteenth Amendment and Equality Under the Law Essay

The Fourteenth Amendment and Equality Under the Law The Fourteenth Amendment was adopted in 1868 as one of the longest amendments to the Constitution with five parts in total. The most significant part is section one. In the very first sentence of section one, ? All persons born or naturalized in the United States and subject to the jurisdiction thereof, as citizens of the United States and of the state where in they reside? citizenship was universalized. The Amendment was designed to prohibit state governments from curtailing the rights of former slaves after the Civil War, however it has been used to grant all of the personal liberties and rights conveyed in the Bill of Rights. The Amendment gives definition to citizenship,†¦show more content†¦The purpose of the Fourteenth Amendment was to make citizenship of black individual permanent and secure. The amendment did not entirely universalize citizenship because it left out the right to vote, hence the need for the Fifteenth and Nineteenth Amendments granting the right to vote to blacks and then to women, respectively. The Supreme Court under Justice Miller rejected that the ?amendment?s privileges and immunity clause incorporated the Bill of Rights, holding that the only rights protected were access to Washington D.C., and coastal seaports; the right to protection the high seas; the right to use navigable waters of the United States; the right to assembly and petition; and the privilege of Habeas Corpus.? It wasn?t until the 1960?s that this amendment really came into play. The amendment is used to protect our civil rights and liberties as Americans. The Supreme court recognized in 1925 with Gitlow v. New York that the Bill of Rights was meant for all people, not just rich, white males. The court held that freedom of speech and of the press were basic personal rights that were protected by the due process clause of the Fourteenth Amendment, ?No?State shall deprive any person of life, liberty or property with out due process of law; nor deny to any person..equal protection of the law.? In the 1960?s the court then applied that clause to those accused of crimes. They more thoroughly interpreted the Eighth Amendment,Show MoreRelated 14th Amendment -EQUAL PROTECTION UNDER THE LAW Essay939 Words   |  4 Pages EQUAL PROTECTION UNDER THE LAW In school especially, as well as throughout our daily lives, we learn in America to live by the idea of freedom and equality for all. We do not allow race, class, or creed to determine a person’s stature in the community. It may seem as if this is the standard of society, but these ideas of equality have been fought over since the beginning of written history, and even in America today, prejudice still exists. To address these and similar problems, the founding fathersRead MoreThe Case Plessy V Ferguson Essay1726 Words   |  7 Pagesonly† car and was subsequently arrested despite being only a eighth black. In the case Plessy v. Ferguson, 1896 took place during the era of Jim Crow laws which advocated for separate but equal laws. Plessy was presumed colored due to the one-eighth black factor under the Louisiana law. It was held that Plessy was guilty since the race-based Jim Crow laws, which were applied in his conviction, were not in violation of the Constitution as long as the State of Louisiana proffered the separate but equalRead MoreThe Road Brown V. Board Of Education Of Topeka ( 347 U.s.1455 Words   |  6 PagesHistorical Setting The road to Brown v. Board of Education of Topeka (347 U.S. 74 (1954)), is littered with many Supreme Court cases that have battled for equality in education. 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Religions Place in Education Essay - 1325 Words

Abstract There have been many lawsuits that involve the issues between religion and government state laws and regulations. As of today religion is still a very emotional issue between Christian churches and schools. Issues such as prayer in school, reciting the pledge of allegiance (under God), teaching the Ten Commandments or evolution, are prohibited in public schools today. Educational administrators must be aware of these issues and the laws that must be adherent to. Religious Issues The Constitution made no reference to religious liberties of United States citizens during ratification of states; the Bill of Rights does address religious freedom but over the past decade the conflict between church and state has increased†¦show more content†¦Because of the decision made in the Cantwell case, the Fourteenth Amendment makes the First Amendment applicable to state action, which makes the establishment clause significant for the administration of public schools (Essex, 2002). One of the most highly debated issues in schools today is prohibiting of school-sponsored prayer. Before the issues with prayer in schools, prayer was offered in public places before an event of at the start of a day. The problems that arise from having prayer in school was that because of the many cultures in schools some students were being force to deny their own belief and religious freedom. Congress, state legislatures, and citizens tried to find an alternative to this situation by adopting a prayer that was school-sponsored, non-denominational, voluntarily, and to be recited by each class in the presence of the classroom teacher which was composed by the New York Board of Regents in 1962. The prayer read â€Å"Almighty God, we acknowledge our independence upon thee and we beg thy blessing upon us, our parents, our teachers and our country† (Essex, 2002, p 17). 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By allowing Religion to be practiced in school, an atmosphere of tension and group versus group would be fostered. Religion has caused wars in a multitude of areas. Though all had their own specific reasons for violence, they all centered on â€Å"the achievement of a religious goal† (British Broadcasting Corporation). That includes going against other religion’s views, and spreading the religion. HowRead MoreWhy Is Personal Meaning So Important For Individuals? How Can Religion Help One Find A Sense Of Meaning850 Words   |  4 PagesThe accessibility of such a view is often promoted through doctrinal teaching and creeds, religious education, and sometimes even rules of acceptable and unacceptable behavioral practices. Often done in the name of developing a system of values compatible with the religious tradition. Religion by its very nature for many, involves a sense of transcendence, and that is the third reason for religion’s success as meaning provider. 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The Miracle Worker Essay - 1327 Words

The basic communication concepts can be utilized in everyday conversation and can be seen in different forms of media, such as television and film. In this paper, the 1962 version of The Miracle Worker is discussed and analyzed in terms of these communication topics and I will discuss how our communications class made me see this movie differently. In the movie, the concepts regarding conflict, perception, non-verbal communication, and paralanguage make up the majority of the film’s plotline. Each one of these principles will be discussed in a paragraph and I will discuss how the concept was represented in the film. The most prominent communication topic represented by the movie was conflict. Throughout the course of the film, there were various conflicts that took place between the main characters, Anne Sullivan and Helen, and between the supporting characters, Kate, Captain Keller, and James. The conflicts mainly occur between Anne and Helen and between Kate and Captain Keller. Most of the time, the conflicts are because of Helen’s inability to communicate and their overall frustration trying to communicate with her. Conflicts can arise because of many different factors but these conflicts arise because of Helen’s disabilities. In class, we discussed the different factors that can create a conflict in a family (such as money, death, etc.), and illness was one of the first topics on the list. Helen’s illnesses (or disabilities) basically tore her family apart. The illnessShow MoreRelatedThe Miracle Worker Is A Movie Based On Real Life Events About A Child With Multiple Disa bilities1066 Words   |  5 PagesThe Miracle Worker is about a child with multiple disabilities. In this film review I looked for the support from the family and community in regards to Helen Killer’s environmental development. †¨Ã¢â‚¬ ¨Ã¢â‚¬ ¨Ã¢â‚¬ ¨Ã¢â‚¬ ¨Ã¢â‚¬ ¨Ã¢â‚¬ ¨Ã¢â‚¬ ¨ The Miracle Worker The film The Miracle Worker is a movie based on real life events about a young girl who was born with multiple disabilities. Helen Keller was born deaf, blind and mute; she lived in a big house with her family. She had a loving family, her family who were supportive and tried toRead MoreThe Miracle Worker by William Gibson, Essay with quotes describing Annies battle with the Keller family (page numbers are from my literature book)1530 Words   |  7 PagesWilliam Gibsons play, The Miracle Worker, illustrates how people who triumph over hardships can succeed in achieving their goals. The play follows Annie Sullivan, a half-blind northern young woman, as she travels to Post-Civil War Tuscumbia, Alabama in order to teach Helen Keller, a blind and deaf little girl. When she arrives in Alabama, Annie meets Helens family members; her father, Captain Keller, is a stubborn, commanding former Civil War captain and her mother, Kate Keller, is a young, overlyRead MoreThe Miracle Worker Essay12 91 Words   |  6 PagesReasons to watch and read â€Å"The Miracle Worker† The book and movie of â€Å"The Miracle Worker† is a story in which a blind-deaf child with the name of Helen Keller learns to see and hear through words. From the story shown in both movie and book, this movie deserves a 4.5 rating for the fact that they show both the struggles of being blind and deaf, and how difficult teaching them is. The book and the movie are also good because they show how a woman known as Annie Sullivan, gets to meet and teach blindRead MoreThe Miracle Worker ( 1962 ) Essay1418 Words   |  6 PagesCommunication in The Miracle Worker (1962) The basic communication concepts can be utilized to evaluate analyze the plotlines and character relationships of many classic movies. In this paper, the 1962 version of The Miracle Worker is discussed and analyzed in terms of these communication concepts. The movie revolves around the story of Helen Keller, a seven year old girl who became deaf and blind after contracting an infection during her infancy. In order to teach Helen how to communicate, herRead MoreThe Looming Of A Miracle Worker Essay1251 Words   |  6 PagesThe Looming Shadow If life could be solved on â€Å"good† intentions alone then the government would be revered as a miracle worker, unfortunately in reality good intentions are often followed by those who would seek to profit from them Across American history this trait is a pattern that has repeated itself numerous of times, from the past century alone good intentions created the great depression and the savings and Loans collapse. Most recently the new good intention became low-income families, andRead MoreEssay On Helen Keller1214 Words   |  5 Pagesabout a special lady who was born in Tuscumbia Alabama. The special lady I was referring too was Helen Keller, I didn’t really know much about her except for the fact that she was blind and deaf. I have also heard about the play and the movie â€Å"Miracle Worker† that was based off of her life. Little did I know I was in for a treat, learning about this magnificent woman’s life and the influence she had on the deaf commu nity. Helen Keller’s early life started in Tuscumbia Alabama where she was bornRead MoreHelen Keller Study Journal Essays812 Words   |  4 PagesJournal The questions in this assignment cover all the reading of William Gibson’s The Miracle Worker. You will be prompted to answer these questions as you work on the lessons. You will need to turn in this assignment after you complete the lessons covering the entire play. Your answers should be written in complete sentences and include examples from the text. 1. Consider the differences between reading a play and seeing one performed. What are some of the advantages of reading a playRead MoreThe Pardoned Parent Essay670 Words   |  3 Pagesuseful member of society. They learned to set boundaries for Helen and to expect more from her. As a result of the changes in the way Helen was raised after Miss Sullivan arrived, Helen grew up to become a world-famous speaker and author (The Miracle Worker). Just because an illness or condition has only recently been named does not mean that it did not exist before it was named. Asperger’s Syndrome was not known as a disease until 1992, but this does not mean that it suddenly appeared on the planetRead MoreThe Miracle Worker By William Gibson909 Words   |  4 Pages The Miracle Worker The play The Miracle Worker by William Gibson shows us not giving up anything can be done. It really is all about hard work and never quitting, that is really how anyone achieves there goals. Annie knew the hard work that was going to have to be put in. It was team work that got Hellen Keller so far. If either one of them quit neither one would have been able to achieve there goals. Heller Keller is this young blind, death, and mute child. The Kellers, Kate and Captain KellerRead MoreThe Miracle Worker The Good Teacher993 Words   |  4 PagesIn the film, The Miracle Worker the good teacher was Annie Sullivan Helen’s new teacher. In the middle of the movie, Helen parents start to see the benefits of having a teacher come to their house because of their daughter disability. For instance In act 3, the family is excited over the progress Helen has made in that one week she was with Annie.†¯ When Annie arrives at the Keller home, they are surprised by her young age and that she has a visual disability. Annie is partially blind, but as

Not Always Right Free Essays

Brooke is a stunning, red-haired, fair-skinned, girl with dazzling blue-green eyes. On her skinny figure she wore light distressed Jeans and a long-sleeve grey sweater? she rocked It. I had never talked to her In my life and I had never heard anything bad about her; I Just made assumptions of my own. We will write a custom essay sample on Not Always Right or any similar topic only for you Order Now Before asking her anything, I told her that she could tell me anything and that it would be safe with me and I meant it. She has good grades, likes photography, and says that she doesn’t typically have issues with her friends. Then, I asked her if she was self-conscious and she said yes; she also said yes when I asked her if she considered herself to be depressed. She told me that she had family issues and that her and her parents do not get along?to this I relate In so many ways. We talked about family problems for the entire first half of our conversation. When this topic came to an end I asked a question that I’m sure she saw coming. I asked her is she cut and she said, â€Å"l used to but things have gotten better for me. She started cutting in 7th grade because of self-hatred, depression, ND family issues. I wasn’t surprised because too many freshman girls do this as well, including me. The main things I learned about her were that I was wrong and that we have a lot In common. To be honest, I learned more from this experience about myself than I learned about Brooke. When I asked Brooke to speak with me, I had an Idea that the assumptions about her in my head were no doubt, correct. Bec ause I had judged her so roughly, I did not think she would be able to change my mind?call me stubborn. Also, I came to realize that Brooke and I have a lot in common: the way we deal with problems, being self-conscious, and being required to adjust to family issues. This made me realize that I tend to Judge people who I share similarities with; I also found other relationships where I did or do this. I do this because I try so hard to be myself and be original, but being completely unique is hard to do in a world of 6,973,738,433 people. She is a gorgeous girl and I am insanely jealous of her; I know for a fact that I edge people am jealous of. When we were talking, I found my original idea of her completely deteriorating. The more I think about my colonization with Brooke, the more I realize that I am wrong. Now, I realize that I enjoy talking to her. I hope we keep talking and maybe even one day become friends. I hope that eventually she will see me as someone she can talk to about her problems instead of cutting herself. When I spoke with her, I felt like I could be honest and be myself and I rarely feel this way with anybody. I’m surprised y my slight ability to open up more than I usually do during that conversation because I always hold everything in. For example, when she asked me if I cut, my good friends. I’m thankful for the change to begin getting to know Brooke, and I hope that we continue getting to know each other. I will not say that I am going to stop Judging people because Vie tried to do so before?it doesn’t work, but from now on I will try my best to get to know a person to a fuller extent before Judging them. I’m glad I got this chance to figure out that I was wrong about Brooke. How to cite Not Always Right, Papers

Provide Reception Services free essay sample

Provide Reception Services The purpose of the receptionist role is to represent the trust and give the patients the first impression of the NHS as they are the first point of contact between the patient and the organization. It is vital to present a positive self-image and a good representation of the trust because we want people to come back and use the services again and give the trust a good name. We can display a positive self-image by being attentive, well dressed, having good body language, a friendly attitude, being helpful and always being polite. The structure and lines of communication in an organization starts with the board of directors, then line managers and heads of departments then the other workers. The structure in an organization affects lines of communication because we need people to take more responsibility of the organization and the line managers need to be in subjection to someone which is what the board of directors is for. We will write a custom essay sample on Provide Reception Services or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Everybody who works for the trust is responsible for security in some way. We should never allow anyone to go through a secure area if they do not have a badge, we should always question who they are and if they do not have a staff badge we should make them use an intercom to pass through secure areas. Receptionists at times can issue visitor badges for people who are staying for a long period of time which will allow all other members of staff to know who they are and that they are there for an intended purpose. As well as security, confidentiality is one of the most important things within the organization. It is vital to build up trust between the organization and the patients, so we would never unnecessarily discuss a patients records or ever leave there confidential information out where anyone would see it. We also use confidential waste bags to get rid of confidential information, and all our pc’s are password protected so only specific users can access them. The purpose of health and safety procedures is to reduce the amount of risks and hazards in a reception area and to keep the patients and staff safe. To carry out health and safety procedures in a reception area we need to make sure that no fire exits are blocked and all members of staff need to know where the fire exits are and know the procedure in case there is a fire. The procedure if the fire alarm goes off is firstly check the panel to see where the fire is, check the room to confirm, ring 333 to confirm which room the fire is in, evacuate the building and then close the doors. If the fire is iscovered but there is no alarm sounding we should shout, then break the alarm glass, try to put the fire out and then try to contain the fire in the room by closing the doors. The receptionist’s role within these procedures is to calmly evacuate all the patients and report the fire, the patients should be our first priority. It is also our responsibility to report any hazards such as lights not working, any faulty equipment, and dangerous wires running across floors or anything at all that someone could trip over to estates. There can be many types of problems with aggressive visitors. Because of security we have to be careful as to who we are letting on the wards, therefore we might not allow a certain visitor to have access to the wards which could lead to them becoming abusive towards the receptionist. The visitors are much more likely to get aggressive if they have relatives who are staying in the hospital, and they could be very emotional about this especially if they think there relative is not getting the attention, or care that they need. In this kind of situation the receptionist should always remain calm, because getting angry or shouting at the visitor is only going to make them more aggressive. We need to make sure that we know what they are upset about and do our best to explain to them what is going on. If the visitor is in danger of becoming physically abusive the receptionist should make sure to keep at least an arms distance away from the person, or make sure there is some kind of barrier between them. If you are alone with the visitor, and they are becoming violent that is the appropriate time to alert security, or make sure you have another member of staff with you. We should always suggest appropriate ideas for improving the reception areas because it is the first place that the patients see. By improving the reception area the patients will have a positive view of the trust and are more likely to tell other people that we are a great organization and will choose to come back to this hospital. By carrying out additional duties that may not be in our job specification can benefit the trust greatly and add to our good image. For example if a patient’s appointment is delayed and they have been waiting for a while we could offer them a drink. Or if we see a visitor that looks lost we can ask them if they need any help, these types of extra duties are what the clients will remember the organization for. We will promote a friendly and helpful attitude and represent the organization highly.