Management skill Essay Example | Topics and Well Written Essays - 3000 words

Management skill - Essay Example A part of the preparation process would also include elements such as preparing refreshments, making child care arrangements, ensuring adequate supplies of stationary and water and similar aspects. The third element is the actual meeting Process. This would involve the need to strike a balance between the (a) task dimension, which means what needs to be done in order to go through the necessary business for the meeting and (b) the maintenance dimension, which involves paying attention to the needs of those who will be present at the meeting and the interrelationships between them. The last element is the actual Practical action that is taken and the recording and evaluation of the outcomes of the meeting, through the inclusion of the minutes of meetings. This would also involve evaluating how people feel about the meetings and whether group problems have been identified and solved appropriately by the group. The Johari window of self images is a square containing 4 windows. Out of th e four windows, the one titled â€Å"My secrets† is the area that only the person concerned knows, while the window marked â€Å"my unconscious self† is the area that can be seen by no one, but which nevertheless, influences the individual’s personality. The window marked â€Å"my areas of ignorance† are those which cannot be seen by the person but can only be seen by others. Since this is an area that can only be seen by others, it is important that other people tell us about them in order for us to improve. Since the window marked â€Å"my unconscious self† is not visible to anyone, self disclosure is very important in order to illuminate this area through psychometric testing in order to illuminate what may be present in this window. The Myers Briggs test is the best indicator of personality type and is based upon self assessment that is derived from the inner mental processes. The five major mental processes are perceiving, judging, sensing, fe eling, thinking and intuition. Although all of the mental processes are used, most people tend to use one or the other to a greater or lesser extent and the degree to which the mental processes are used would constitute the kind of personality that the person has. Disclosure is very important in order to arrive at an evaluation and assessment of one’s inner traits and personality and to illuminate those areas which are not easily visible or evident to others. Since these are extremely private areas of one’s personality, it is not easy to extract pertinent information in this regard and people may be especially reluctant to disclose such information to others within a team context. One of the ways in which this process of disclosure can be facilitated is through explaining the relevance and importance of the Johari window testing. Individuals can build trust between themselves through the process of disclosing information about themselves, which would help them to learn more about themselves and build more trusting relationships with each other. The difficulties inherent in self disclosure are that it is difficult for individuals to divulge personal and uncomfortable details about themselves to other people. Disclosure in team settings can be

Analysis essay Example | Topics and Well Written Essays - 750 words - 3

Analysis - Essay Example This environment exposes him to the knowledge of the scientists living within it. For example, Victor gains his knowledge of natural philosophy, â€Å"I chanced to find a volume of the works of Cornelius Agrippa. I opened it with apathy; the theory which he attempts to demonstrate and the wonderful facts which he relates soon changed this feeling into enthusiasm† (36).   Victor becomes fascinated by natural philosophy as described by the author, and thus desires to experiment with what the author says. This eventually leads Victor to create The Monster, causing Victor to have a miserable life. Also, because Victor believes that the knowledge he has gained can enable him to create the living thing that can be able to lead life just as human beings. When Victor meets with two professors, Krempe and Waldman, he learns from these two professors. He realizes that the knowledge he has is not sufficient to carry out his experiments. Professor Krempe scolds Victor for what he has studied: ‘Have you,’ he said, ‘really spent your time in studying such nonsense?’ (43). From here, it can be noted that Professor Waldman supports him, â€Å"‘I should advise you to apply to every branch of natural philosophy, including mathematics’† (46). With Professor Waldman’s support, he is able to pursue his desire to understand natural philosophy and continues to study it. He does not give up with his passion of creating a kind of a human being; it thus leads him to the creation of The Monster. In as much as sciences environment it affects Victor’s knowledge, his Monster also is greatly changed based on his surroundings. The Monster created by Victor Frankenstein show readers how he is shaped by the conditions surrounding him. For instance, The Monster learns about the world and nature from what he faces after his birth, â€Å"I saw, felt, heard, and smelt at the same time; and it was, indeed, a long time before I learned to distinguish between the

How Authentic And Religious Are Virtual Rituals Essay

How Authentic And Religious Are Virtual Rituals - Essay Example The accessibility of information online has drawn more people to virtual religious places, thus pulling them further away from offline, real-life religion. Connelly attests to this observation when he states that the lack of Buddhist teachers and learning centers, among other factors, has facilitated the growth of an online Buddhist ritual â€Å"Second Life†. Helland views a ritual as an individual or communal engagement undertaken for sacred reasons, which allows a person to have contact with the supernatural. A ritual can also be performed as a form of expressing social cohesion and preserving culture. In terms of social cohesion, Connelly states that through Second Life, feel like they belong to a community in which there are expressive involvements. The problem with online rituals as Helland states is that a person may decide to develop individual religiosity and deviate from what their traditional religious authority prescribes. These cyber rituals allow for some form of religious freedom that some strict religions are not comfortable with. According to Helland this raises the question of authenticity and authority of the people carrying out the rituals and the rituals themselves. Judging by this form of evaluation, Second Life would seem legitimate because, as Connelly states, most of the facilitators are ordained priest in real-life, who lead meditation rituals at Buddha centers.7. That aside, many questions are asked about the authenticity of the symbols found online and the sacredness of online space. The seriousness or level of religiousness of these symbols and the rituals they are used in is what bothers many religious observers. Although many people who are involved in online rituals claim that these rituals are as valid as real-life physical rituals, this issue remains to be a subject of debate. According to Connelly the symbols used in Second Life include donation boxes, statue of Buddha, incense, and meditation cushions8. These symbols, a mong others are a representation of the actual artifacts found at the Buddha Center. Virtual pilgrimages according to Helland are one of the most common points of disagreement between participants and observers9. The fact that such pilgrimages are called â€Å"virtual pilgrimages† makes observers hold the view that they are unreal. Here, it appears that observers measure the authenticity of pilgrimages using physical presence. In essence, this argument holds that a pilgrimage could only be valid if a person went physically to a place that is recognized as sacred by their religion. On the other hand, believers and practitioners of online religion believe that a spiritual journey does not have to bet physical, it can be metaphorical. For example, in addressing silent meditation in Second Life, Connelly states that while participants are meditating online, they are represented by avatars10. These avatars sit cross-legged in a room and they form a semicircle facing the statue of Buddha. Participants in Second Life even prostrate three times before entering the temple, in addition to using such words as â€Å"Namaste† at the final chime, in order to thank the facilitator. Yet, the availability of exceptionally good images and sounds that allows someone to make an electronic pilgrimage inside their head is real to those who believe. Helland states that there are those web developers who take the virtual sacred travels more real by, for example, connect with the actual places. This way, these developers can place sacred words or prayer items that can be read to the online audience during the virtual pilgrimage. In silent meditation, according to Connell

Counseling African Americans Essay Example for Free

Counseling African Americans Essay Sue and Sue’s Chapter 14 Counseling African Americans spends a great deal of effort exploring cultural particulars and corresponding clinical implications while working with African Americans; factors such as family dynamics, educational orientation, spirituality, and the pressures and stress of racism and marginalization. This offered me perspective through a lens much broader than my own somewhat narrow, predominantly white, and fairly privileged way of relating to the world. Before understanding culturally appropriate interventions, one must have an understanding of the cultural context or the cultural word of an individual. For me, this first means that differences must be noted, either literally in relationship with the African American client or simply as a clinical observation I make on my own. Of course the difference in the two will depend on the client, context, and general relevancy in the moment. In my own experience, noting racial difference aloud with a client has been most helpful in that it gives permission for the potentially â€Å"taboo† topic of race and differences to be considered, brought into the space at a later time, and even into the forefront of consciousness. Apart from the explicit therapeutic relationship, noting difference is a personal reminder that I am no expert on anyone’s experience but my own, I may make mistakes (and probably will), I should steer clear of assumptions, it’s ok to be curious, and to do my homework. Once a general understanding of differences is established, then one can begin to consider appropriate therapeutic interventions. Let’s take the issue of racism and discrimination; the byproduct of these atrocities oftentimes manifests as defense and survival mechanisms in Black Americans. Which can lead to a general mistrust or as it’s stated (by Sue and Sue) a â€Å"healthy cultural paranoia†, as a way of coping. This mistrust can be of individuals, entire races of people, the government, social service providers†¦ With this in mind, it’s important to determine what the client’s feelings and understandings about therapy are. To touch base and explain what kind of therapy I engage in, how it can be helpful to them, and what can be expected of our time together. Hopefully this will help to assuage uneasy feelings of fear of the unknown or mistrust, as well as set up a foundation for a healthy therapeutic alliance. Although Sue and Sue’s Afrocentric perspective can be helpful it can also simultaneously be viewed as reductive. It’s important not to discount individual differences by universalizing traits of African Americans. Self cannot be defined as a unitary concept evolving from a single defining variable, such as race or gender (Williams, 1999). For instance, not all women are nurturing, caring, and relational. Similarly, not all African Americans possess an African ethos of communalism or spirituality. Race, class, sexual orientation, and gender are all complex interactive components that make up the self. To approach a client through the lens of only one of these variables, means potentially silencing a central component of their identity. Additionally, it is also necessary to consider an internal state without regard to the social demands of each variable. Collectively, these considerations can aide to a more holistic view when working with African American clients. Part Two After spending a year in practicum at the SF county jail, I feel as though I’ve had a fairly decent introduction to working with African American females. When I began practicum I had had very little training in diversity or cross-cultural counseling. Turns out that a year in the jail was one large training in diversity and cross-cultural counseling! Now I’m able to pin my personal experience against the readings and gauge my success as a culturally competent therapist. When assessing my strengths, I find that I possess a keen and tremendously empathic understanding of how the stress of racism, sexism, and oppression can manifest in African American women. Oftentimes the byproduct of this stress is what brings the individual to jail. As a clinician, I can confidently say that I am able to enter the therapeutic relationship with a greater capacity for empathy because of this understanding and build a strong alliance as an ally as well as a therapist. I’m not afraid to make mistakes and have no attachment to being â€Å"right†; these qualities will only support me as a clinician. In addition, my upfront demeanor and willingness to self-disclose have had a remarkable impact on the therapeutic relationship. My empathy is strongly with women and their plight of identifying and addressing all the â€Å"isms† that stand between them and equality, wholeness, and health. Frequently, those â€Å"isms† are at the hands of men and I certainly have a bias towards this, and towards men in general. It’s no accident that I spent an entire year of practicum working solely with women; although it wasn’t a conscious choice, I believe on some level I chose not to work with men. I have incredible biases towards men as perpetrators and oppressors and men and their privilege, African American men as well as Caucasian. These biases keep me terrified at the thought of working with male clients. I imagine heaps and heaps of countertransference between male clients and myself; countertransference that is full of pain and rage. I’m not sure that I have much to offer men inside the therapeutic space. I don’t believe this to be my â€Å"final answer†, I just know that I have some work to do around my relationship with men before I make the leap of working with them in such sacred space. Essentially, it all comes down to two core qualities- and they are humility and flexibility; humility in all that I think I know and the flexibility to shift or discard that knowledge. My experience of working with, knowing, and reading about African American culture, difference, and oppression may or may not serve me as a therapist at any given moment. What works for and makes sense in the context of Client A, may not be so for Client B, and vise versa. Although it is crucial to have fundamental knowledge of the legacy of oppression against African American people and to consider factors such as interdependence, collectivism, and emotional vitality as presumed long- standing black personality traits, I must also be able to draw connections between those factors and the individual experience- much like the womanist techniques mentioned in Carmen Braun Williams’ article African American Women, Afrocentrism and Feminism: Implications for Therapy. As a therapist, I am responsible for guiding and supporting the client in making the shift from object to subject; transferring ownership of self from one whose self is externally determined to one who is self- determining (Freire, 1990). And practice practice practice, with an open heart, ears, and mind. References Braun Williams, C. (1999). African American women, afrocentrism and feminism: Implications for therapy. Women Therapy, Vol. 22(4) 1999. Freire, P. (1990). Pedagogy of the oppressed. New York: Continuum. Sue, D. Sue, D. (2008). Counseling the culturally diverse: Theory and practice, Chapter 14.

Personal & Professional Healthcare Communication Paper Essay Example for Free

Personal Professional Healthcare Communication Paper Essay Communication, according to the Free Dictionary, is â€Å"the exchange of thoughts, messages, or information, as by speech, signals, writing or behaviors†. It is vital in the development and maintenance of personal and professional relationships. It is important to understand communication also includes non-verbal as well as verbal acts. According to Rane (2010), 93% of communication is nonverbal and body language is an effective nonverbal communication tool. There are two essential components in communication, which are a sender and receiver of a message. In the personal and professional health care communication paper, I will discuss the definition of healthcare communication, the relevancy of effective personal healthcare communication to health outcomes, how the lack of effective personal and professional healthcare communications contributes to poor health outcomes, and the theories and principles of therapeutic communication in health care settings for the healthcare pro fessional (UOP, 2012). Healthcare communication definition In the healthcare field communication is vital to provide optimal care for the patient and enhancing the ability to make informed decisions. Healthcare communication relates to communication between people in health care organization, according to Northouse, 1998. This communication allows for questions and answers to who, what, where, how and when about health-related information in the patient-healthcare professional relationship. When used correctly communication enhances patient outcomes and results from patient surveys. Relevancy of effective personal healthcare communication with other healthcare professionals, clients, and patients (UOP,2012) Communication with the healthcare team including the patient, their family, medical professionals such as the doctor, nurse, and ancillary services such as X-ray department, pharmacy is vital in achieving the best outcomes as a result of evaluation, intervention, and the overall status of the patient. In order to give high-quality health care, it requires effective communication between the team and the patient. In cases of Non-English speaking patients or individuals with hearing impairments, they require other resources for effective communication such as interpreters, picture board or other devices. The healthcare professional must explain procedures or management of care to the patient or family to ensure optimal goals. It is through effective communication that the healthcare professional empowers the consumer with knowledge related to their illness, its ’ schedule of care by increasing patient compliance. It is when the patient does not understand what is happening in the health care system they need the professional to be understanding and sensitive by taking time to explain. This aids the patient by meeting their need to understand according to Northouse, 1998. Relevancy of effective professional healthcare communication to health outcomes (UOP, 2012) Effective professional healthcare communication is relevant to desired health outcomes. Successful communication is essential between team members because it allows for the development of specific objectives to accomplish. The health care team strives as one but individually they ensure the patient reaches the desired outcomes. If all team members are not â€Å"on board† to assure the patient reaches the goals set forth causes an uphill battle which produces conflict. This conflict could be productive by encouraging the team to review a difference in opinion that can be beneficial for the patient. How the lack of effective personal and professional healthcare communications contributes to poor health outcomes (UOP, 2012)   The lack of effective personal and professional healthcare communication affects teamwork, patient satisfaction, patient safety, patient management, compliance with treatment, level of anxiety, job satisfaction efficiency, which potentially leads to poor patient health outcomes (www.health.vic.gov.au/qualitycouncil/safetymodul/page22.htm). The purpose of effective communication in healthcare is to provide first-class medical care, minimal to no medical errors and have precision; and without it there is room for medical errors, poor patient care and an ineffective team that produces undesired outcome. In the professional and patient relationship, the lack of good communication causes the patient to be apprehensive in asking questions, to worry about being bothersome because they feel other patients are sicker, and there is an assumption that the patient doe s not have any concerns. There are barriers to communication that include only one between the sender and receiver of the message understands the message, cultural differences, and lack of education. In sending the message it is essential that the message is received with clarity, it is concise and complete. If the patient has a language barrier, it can be masked by the patient not responding to information and it is detected as a result of poor or no compliance. In literacy concerns, all information should be presented on a 5th grade level to aid in the comprehension of the information. The care of the patient should be patient/family centered which helps in detecting any language, cultural or literacy barriers (Schyve, 2007). For example, a 46 year old single male patient that is functionally literate is admitted with a diagnosis of acute angina. During the admission process it is disclosed he completed the 7th grade which renders him functionally literate and there is no language barrier. The cardiologist (heart doctor) comes in and discusses his plan of care that includes a stress test. The nurse asks the patient if he has any questions and he reports he cannot do any exercise. The nurse provides information related to the procedure that includes using medications to mimic the manual exercise. The theories and principles of therapeutic communication in health care settings for the healthcare professional (UOP, 2012) Therapeutic communication is a process in which the nurse consciously influences or helps the client to better understanding through verbal or nonverbal communication (The Free Dictionary). There are detailed approaches that promote the expression of feelings and ideas that convey approval and respect in a non judgmental manner. Therapeutic communication encourages the patient to participate in the plan of care. The patient would not be receptive to engaging in communication if the nurse runs in and out of the room hurriedly or promises to perform a task and not complete it. It is important that the patient views the care professional as one that is cari ng and willing to go the extra mile for the patient. The patient can be appreciative of any act of kindness displayed by the professional in as they promote Jean Watson’s Theory of Human Caring. Most nurses chose this career because of a genuine caring attitude toward all mankind therefore using the Watson’s caring theory will enhance the caring system. The information found in Watson’s caring theory helps the nurse revisit the place of traditional values, which is the foundation of becoming a nurse The following are Watson’s clinical caritas process (es): †¢Ã¢â‚¬Å"Practice of loving-kindness and equanimity with context of caring-consciousness† (Alligood Tomey, 2006 p.116); †¢Ã¢â‚¬Å"Being authentically present and enabling and sustaining the deep belief system and subjective life world of self and the on-being-cared-for† (Alligood Tomey, 2006 p.116); †¢Ã¢â‚¬Å"Cultivation of one’s own spiritual practices and transpersonal self, going beyond ego self. Being sensitive to self and other† (Alligood Tomey, 2006 p.116); †¢Ã¢â‚¬Å"Developing and sustaining a helping-trusting, authentic caring relationship† (Alligood Tomey, 2006 p.116); †¢Ã¢â‚¬Å"Being present to and supportive of the expression of positive and negative feelings as a connection with deeper spirit of self and the on-being-cared-for† (Alligood Tomey, 2006 p. 116); †¢Ã¢â‚¬Å"Creative use of self and all ways of knowing as part of the caring process and engagement in artistry of caring-healing practices† (Alligood Tomey, 2006 p. 117); †¢Ã¢â‚¬Å"Engaging in genuine teaching-learning experience that attends to unity of being and meaning and attempts to stay within other’s frame of reference† (Alligood Tomey, 2006 p. 117); †¢Ã¢â‚¬Å"Creating healing environment at all levels (physical as well as nonphysical) whereby wholeness, beauty, comfort, dignity, and peace are potentiated† (Alligood Tomey, 2006 p. 117); †¢Ã¢â‚¬Å"Assisting with basic needs, with an intentional caring consciousness; administering human care essentials, which potentiate alignment of mind-body-spirit, wholeness, and unity of being in all aspects of care; attending to both embodied spirit and evolving emergence†, (Alligood Tomey, 2006 p. 118) and †¢Ã¢â‚¬ËœOpening and attending to spiritual-mysterious and existential dimensio ns of one’s own life-death; soul care for self and the one-being-cared-for† (Alligood Tomey, 2006 p. 118). The Caring Theory facilitates therapeutic communication because it addresses all aspects of the patient’s being which encourages the patient to be more open and receptive to the treatment and procedures needed to promote desired outcomes. â€Å"Give to everyone who asks of you, and from the one who takes what is yours do not demand it back. Do to others as you would have them do to you† (King James Bible, Luke 6:30-31). In conclusion, effective communication is understood by the patient and healthcare team and if there is a misunderstanding the communication is nonexistent, the terms of health care cease or continues with poor quality and high risks to patient safety (Schyve, 2007). Effective communication enhances the potential to provide error-free care of the patient. When there is an error it is viewed as the inability to provide optimal patient care (O’Daniel Rosenstein, date unknown). In order to provide premium quality patient care effective communication is a requirement; therefore it is an important role of communication and teamwork to reduce errors in the medical field thus increasing patient safety and promoting desired outcomes (Grover, 2005). I believe in providing therapeutic effective communication the health care professional should utilize professional skills learned especially those the endorse a caring and nurturing nurse-client/patient or professional-professional relationship. References Alligood, M. R. Tomey, A. M. (2006). Nursing theory: Utilization application (3rd ed.). St. Louis, MO: Mosby Elsevier Grover, S. M. (2005). Shaping Effective Communication Skills and Therapeutic Relationships at Work. AAOHN Journal, 53(4), 177. King James Version. (1976). The Holy Bible. Nashville, Tennessee: Thomas Nelson, Inc Northouse, L. Northouse, P. (1998) Health communication: Strategies for health professionals (3rd ed.) Upper Saddle River, NJ: Prentice Hall O’Daniel, M. Rosenstein, A. ( ). Chapter 33. Profession Communication and Team Collaboration www.ahrq.gov/qual/nurseshdbk/docs/O’DanielM_TWC.pdf Rane, D. B. (2010). Effective Body Language for Organizational Success. IUP Journal Of Soft Skills, 4(4), 17-26. Schyve, P. (2007). Language Differences as a Barrier to Quality and Safety in Health Care: The Joint Commission Perspective. Society of General Internal Medicine The free dictionary. http://medical-dictionary.thefreedictionary.com/therapeutic+communicationcommunication The free dictionary. http://medical-dictionary.thefreedictionary.com/therapeutic+communicationtherapeutic communication University of Phoenix, 2012. HCS/350-Health Care Communication www.uop.edu Why is communication important in health care? http://www.health.vic.gov.au/qualitycouncil/safety_module/page22.htm

Communication Skills in Assessment of Service User

Communication Skills in Assessment of Service User An Evaluation of the communication skills demonstrated in the assessment of a service user This assignment will analyse the communication skills of a physical skill that has been observed by a member of staff whilst in practice. Furthermore relevant literature will be explored to interpret if the communication skills that were used were the most effective including that of both verbal and non-verbal communication skills. All names have been changed for patient confidentiality in accordance with the NMC guidelines (NMC, 2008). The name will be changed to Mr. Smith. Any form of interaction is done through communication as a skill. To human interaction it is pivotal. Communication is a process which enables people to relate with those around them and to make concerns and needs know very well indeed. Communication can be verbal and non- verbal.Peate (2005) states that non- verbal communication reinforces a verbally communicated message. Non-judgemental interactions are focused on therapeutic communication, helps settle emotional conflicts and supports heart to heart talks allowing a patient to feel safe and free to share their true feelings, fears, values, hopes and ideas. This assignment is going to be discussed about a physical observed assessment which was observed during practice at placement. Mr. Smith was a gentleman who admitted to the ward with a viral infection. This infection caused his stomach and his intestines to become inflamed. At the same time Mr. Smith suffers learning disability were he could brutally impairs both verbal communication and cognition. Due to Mr. .Smith’s condition he lives in a care home .he had lived at this care home for ten years. Mr. Smith had been eating pureed diet food and his drinks used to be thickened however he begun to vomit. The patient’s bloods were done and showed that his renal function was becoming severely damaged followed by dehydration. Therefore Mr. Smith immediately required a cannula to administer IV fluids intravenously. My mentor went to cannulate Mr. Smith. My mentor was instructed of Mr. Smith’s fragile and was also informed that his level of thoughtful was impaired and he would not be capable of verbal consent due to his condition. My mentor went to Mr. Smith’s bed side as he was in a bay not in side room. She drew the curtains first for the dignity of the patient. She explained to him as to what she was going to do, she took his left arm which was closer to her and began to look for a clear vein, she could see so that she will be able to administer the cannula. The patient became distressed and started to shout and shows that he was in pain. After the cannula was in position my mentor left the bay and informed the person who was in charge that Mr. Smith can now have IV access and IV fluids could now be started. My mentor who cannulated Mr. Smith failed to introduce herself which is important when conducting nursing skills. First impressions last, by identifying yourself as well as your role provides patients with the feeling that you are genuine and that they are being respected (Henderson, 2004). Kate Granger, a medical registrar who is terminally ill found that many staff failed to introduce themselves during her stay in hospital. This revelation brought in the â€Å"hello my name is† campaign in order to prompt staff to introduce themselves to all patients (NHS England, 2014). However (Parahoo 2006) stated that â€Å"The process of agreeing to take part in a study based on access to all relevant and easily digestible information about what participation means, in particular, in terms of harms and benefits†. Although Mr. Smith suffered with severe learning difficulties he still should have been addressed the same as any other patient on the ward. Nurses should always maintain a therapeutic nurse-client relationship by establishing and maintaining nursing knowledge and skills as well as applying caring attitudes and behaviors (Forchuk etal, 2000). Therapeutic nursing services based on trust, respect, empathy and professional intimacy contribute highly to the patients’ health and wellbeing (Hupcey etal, 2001). Mr Smith was given a verbal informative account of the cannulation process and the reason for doing this by the mentor. Verbal language is one of the principal ways in which we communicate and is a successful method in both gathering and informing patients of their condition (Berry, 2007). It is usually a two way process where a message is sent, understood and feedback is given (Apker, 2001). It also successful for a patient to describe their level of pain (Stevenson, 2004). Ensuring a patient has understood what has been said is vital (Grover, 2005). This process normally involves both open and closed questions and often have the ability to ascertain a vast amount of factual information. The nurse who cannulated Mr. Smith did verbally tell Mr. Smith what she was going to do however this method alone failed to ensure that Mr. Smith had understood what was happening to him. She was aware of his condition but failed to ensure that he understood the process. There are grouped together into two categories which is Open questions and closed questions. Open questions are used when you want to help someone to ‘open up’ about themselves, or to give you some insights into how they feeling or to explore a situation in more depth. Open questions do not allow a straightforward ‘yes’ or ‘no’ response, but it will invite the patients to talk about the topic like what Mr. Smith did to my mentor. Not everyone will feel able to open up’ easily and share their deep thoughts and feelings. Some people needs to go step by step and to be led by interviewer until they gain confidence to go deeper. This is why closed questions also have an important role to play. Closed questions invite a straightforward ‘yes’ or ‘no’ answer, they are necessary in gathering factual information in as straightforward a way as possible. Poor listening skills and conducting skills without the patient fully understanding can affect the therapeutic relationship and often form a barrier to communication (Andrews Smith, 2001). Environmental barriers such as a busy ward or a stressed nurse can often reduce the level of empathy and influence effective communication (Endacott Cooper, 2009). However nurses should always remain compassionate towards patients regardless of stress levels and workload (Von Dietze Orb, 2000). My mentor’s technique did not comply with the NMC guidelines in regards to consent as she failed to inform the patient of the process therefore Mr. Smith would not have known what he was consenting too. Consent in respect of people with learning disabilities is compound and can carry a step of risk for both patients and healthcare professionals. In this situation Mr. Smith was unable to provide consent and the cannula that he acquired was in his best interest. However, nevertheless of the patients understanding the offer of consent should still be attempted (Green, 1999). Timby, (2005) stresses that a patient’s right to autonomy should be upheld and respected regardless of gender, race, religion, culture and disability. Communication is vital in all aspects of nursing. However well practiced communication techniques are ineffectual if the central notion of the interpersonal connection goes unacknowledged (Arnold Boggs, 2007). Charlton etal (2008) argue that there are two different communication styles, biomedical and biopsychosocial. The biomedical style concentrates on specific information concerning the patient’s condition that is information focused. The biopsychosocial style is a patient centered approach which is conducted by determining patients’ needs to provide the most effective communication method. My mentor ideally should have formed an action plan to determine the most effective way of communicating with Mr. Smith in order to carry out the cannulation process. As every patient is different their needs must be assessed prior to carrying out any invasive procedures. A patient centered approach is said to have a more positive impact on patient outcomes. However there is little research that discusses interpersonal skills in contrast to a vast amount of rich research that discusses basic communication skills despite evidence suggesting that patient centered care is the most effective method (Jones, 2007). Patients with learning difficulties who have difficulties with both verbalising and thoughtful often have barriers in relation to communication. This leads to a breakdown in communication and in turn can lead to their health needs not being met (Turnbull Chapman, 2010). Kacperek, (1997) defines nonverbal communication as the term used to use to describe all forms of communication not controlled by speech. Argyle, (1988) suggests that the nonverbal component of communication is five times more influential than the verbal aspect. When Mr. Smith was cannulated my mentor lacked the use of nonverbal communication. Studies have often indicated that language has no real occurrence when communicating with patients (Foley, 2010). Nonverbal action such as body language, touch, posture, facial expressions and eye contact show many emotions without having to verbalise (Foley, 2010). Furthermore Crawford et al (2006) states that sometimes patients just need you to be there, quiet and listening and this can also be achieved using the acronym SOLER. Consequently, a good listener will always pay attention to non-verbal cues too and this encourages the patients to open up giving more information and expressing their concerns. (Albert’s et al 2012) suggest that from this it can be deducted that respect is given to a patient’s contribution best when they are listened too. The Soler acronym is also an aid to identify and remember the behaviors that should be implemented in order to achieve effective communication (Burnard, 1992). This tool comprises of position of seat, open posture, leaning towards the patient, eye contact and relaxation. If these techniques of non-verbal communication were used Mr. Smith may have felt less anxious and more reassured (Mason, 2010). Dougherty Lister, (2008) is in agreement with this theory as he argues that remaining eye contact, lowering stance to the patient’s level and gently touching the patients hand whilst verbally communicating has a great effect at reducing symptoms of anxiety. Although touch is seen to be an effective form of nonverbal communication which can help put a patient at ease if they are feeling anxious or upset. It is important to note that this technique is not appropriate for all patients as not all patients will feel comfortable with closeness can interpret this as invasion of personal space (Heidt, 1981). Cooperating with people with learning disabilities appears to contemporary difficulties for health care providers (Thornton, 1999). According to Angermeyer, (2005) a significant stigma exists in regards to learning disability patients as it tends to carry the label of â€Å"different† (Angermeyer, 2005). Schafer etal, (2011) says that this negative stigma is due to a range of factors such as ignorance and misinformation stemming from lack of knowledge. However, the NMC, (2015) competency standard instill that all nurses are to deliver high quality compassionate care encompassing ethical and cultural issues as well as disability. Jormfeldt, (2010) has shown that a high level of nursing education in both theoretical and practical settings can positively influence attitudes of nurse’s perceptions towards learning disability. In addition, reflection is seen as a vital component of coping in these environments as it offers a process where student nurses can challenge, compare and critique their value systems and embrace the process of change to a positive attitude towards patients with disabilities. Dodd Brunker, (1999) argue that by forming collaborative partnerships with both carer’s and professionals who are involved in the patients care can enable you to assess the patient’s communication skills and their preferred method of communication. Furthermore, in accordance with the NMC (2015) guidelines it is essential that all nurses must treat all patients with respect and dignity and not discriminate in any way regardless of their age, gender, race and or disability. To improve the situation the nurse who cannulated Mr. Smith could have liaised with the nursing home where Mr. Smith resided. This could have given the nurse vital information regarding Mr. Smiths likes and dislikes and could have provided her with the most effective way to carry out the procedure. Carers or family members could have been asked to accompany the nurse which could have put Mr. Smith at ease. Passports are becoming increasing popular which accompany patients who suffer with learning disabilities into the hospital environment. These documents are customised to each individual and summarise the patient and can often aid in providing the best patient centered care. Health care professionals are legally able to access essential information which carers possess in relation to communication with an individual with special needs or challenging behavior (Michael, 2008). Nurses should always put patients individual needs first and understand what is best for the patient ethically rather than that of a professional opinion alone (Mencap, 2007). In conclusion, this assignment has explored the communication skills that were observed during the cannulation process. It is evident that communication is important in nursing care and that assessments of patients are paramount in providing patient centered care. However, communication is certainly a principle commanding for the real caring. Performance and communication of caring and capability at this time have a main effect on the ability of patients and relations to adjust the update, reflect choices, and adjust to anything deceptions forward. Lack of awareness in regards to the best way of communicating with patients can pose a high risk to patients as many people working within the healthcare sector may not have a clear understanding of learning disabilities unless they are specialised. Further training may be needed to ensure that all health care workers are able to provide compassionate care to patients with learning disabilities. Individuals with learning disabilities have the right to be treated the same way as others, regardless of the severity of their disability as all patients should be entitled to a professional and effective service during their experience within the healthcare environment. REFERENCES Andrews, C., Smith, J. (2001). Medical nursing. London, United Kingdom: Harcourt publishers. 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The Biography of Bob Marley Essay example -- Bob Marley Music Biograph

"I love the development of our music, that's what I really dig about the whole thing. How we've tried to develop, y'know? It grows. That's why every day people come forward with new songs. Music goes on forever." --Bob Marley, August 1979 We remember the brilliant and evocative music Bob Marley gave the world; music that stretches back over nearly two decades and still remains timeless and universal. Marley has been called "the first Third World superstar," "Rasta Prophet," "visionary," and" "revolutionary artist." These accolades were not mere hyperbole. Marley was one of the most charismatic and challenging performers of our time. Bob Marley's career stretched back over twenty years. During that time Marley's growing style encompassed every aspect in the rise of Jamaican music, from ska to contemporary reggae. That growth was well reflected in the maturity of the Wailers' music. Bob's first recording attempts came at the beginning of the Sixties. His first two tunes, cut as a solo artist, meant nothing in commercial terms and it wasn't until 1964, as a founding member of a group called the Wailing Wailers, that Bob first hit the Jamaican charts. The record was "Simmer Down," and over the next few years the Wailing Wailers -- Bob, Peter Mclntosh and Bunny Livingston, the nucleus of the group -- put out some 30 sides that properly established them as one of the hottest groups in Jamaica. Mclntosh later shortened his surname to Tosh while Livingston is now called Bunny Wailer. Despite their popularity, the economics of keeping the group together proved too much and the two other members, Junior Braithwaite and Beverley Kelso, left the group. At the same time Bob joined his mother in the United States. This marked the en... ...der for the following winter. At the end of the European tour, Bob Marley & The Wailers went to America. Bob played two shows at Madison Square Garden but, immediately afterwards he was seriously ill. Cancer was diagnosed. Marley fought the disease for eight months. The battle, however, proved to be too much. He died in a Miami Hospital on May 11,1981. A month before the end Bob was awarded Jamaica's Order of Merit, the nations' third highest honor, in recognition of his outstanding contribution to the country's culture. On Thursday, May 23,1981, the Honorable Robert Nesta Marley was given an official funeral by the people of Jamaica. Following the funeral -- attended by both the Prime Minister and the Leader of the Opposition -- Bob's body was taken to his birthplace where it now rests in a mausoleum. Bob Marley was 36 years old. His legend lives on.