Tea Industry in Bangladesh free essay sample

Though our tea industry suffered a serious setback in 1971 but we could succeed in reversing with the help of the government, foreign assistance and hard work of our planters. It is hoping to increase our production to an average of over 1500 Kg per hal in a few years time. We have undertaken measures to improve our quality of tea by extending the area with new varieties of hybrid clone, modernizing factories and improving infrastructure. We now annually produce 60 million Kg of Tea and we hope to increase our production to 90 million Kg in the next 15 years.This paper attempts to devise a strategy to promote effective social dialogues between the tea plantation workers and their employers. It also attempts to determine the practicality of providing social protection to women workers through their own organizations and thereby enhances their labor productivity. Systematic training for the members of the workers organization has proved to be a breakthrough in terms of skill development, consciousness rising, and blossoming of self -confidence. We will write a custom essay sample on Tea Industry in Bangladesh or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Hence, the possibility of providing skill training to the workers, particularly women workers through their organization, has also been explored in this paper. The art of tea cultivation in Bangladesh began over a century and a half ago in the 1840s near the Chittagong Club. The first tea garden to be established was Malnicherra in Sylhet in 1854. Its commercial production began shortly thereafter in 1857. Today, the main tea-growing areas lie to the east of the Ganga-Jumma flood plain in the hill areas bordering Indias Cachar tea-growing district.Most of Bangladesh tea grows at only 80-300 ft. above sea level northeast of Sylhet in the country. During its initial stage, plantation in Bangladesh faced acute shortage of labor. No local workers were willing to do this job since it is very hard and labor intensive. The colonial British Government deployed indentured immigrants to meet this shortage. Tea plantation workers in Bangladesh came mostly from the backward class and tribal areas of central India and regions of Bengal, Bihar, Orissa and Madhya Pradesh.The present work force in the tea plantation sector of Bangladesh is the fourth generation of those indentured immigrants. Indentured immigrants were in fact new forms of bonded labor. Their bonded nature revealed in their geographical confinement within the boundary of the tea estate. For more than a century they were confined within the same geographical boundary; most still are. Tea industry Tea industry is one of the most mature industries in Bangladesh and till today it is bearing its heritage.In Bangladesh tea cultivation began in 1857 and Malnicherra is the first tea garden in Bangladesh. Though globalization and economic liberalization contributed greatly to set up new industries in Bangladesh, a large portion of our national income comes from this industry. In our country huge amount of human resources are involved in the Garments industry and Tea industry. In Sylhet there is large number of T. E. that is why we select T. E. for our study and in this report we will try to cover one T. E from Moulavibazer, and two from Sylhet district and one from the sreemangle.In this report we give emphasis on the present practices of human resources in the some selected T. E of greater Sylhet and through this research we will make us acquainted with the real Human Resource Management operations in the tea garden of Sylhet, Moulavibazer. Some organizations are violating the human rights. Usually violation occurs at the bottom level- labors do not get sufficient wages, compensation, training facility, good working condition, and other facilities. As a result output or productions are not increasing according to expectation and the overall development is being sluggish.The owner, authority, and stakeholder should realize that neglecting the human resources in the work place a sustainable development is not possible. Tea Plantation in Bangladesh Bangladesh produces and exports a large quantity of high quality tea. Most of the tea plantations are situated in the northeastern areas of the country, around Sylhet and Srimongal. Sylhet is situated close to Bangladesh’s border with the Indian states of Meghalaya and Assam. This part of the country is covered by hillocks rising to moderate heights.The rainfall is higher than average, a fact which British tea planters realised in the 18th century to the advantage of tea cultivation. These conditions have provided rich tropical forests with many species of wildlife, scented orange groves and pineapple plantations. It is also the home of Khashia and Monipuri tribals. The waterfalls of Madhab Kunda are another very picturesque place to visit. Jafflong, where the river runs along the border between Bangladesh and India is especially beautiful. On the way there are number of haors or marshy wetlands, which are natural, depressed swamps holding water almost the whole year round.They are home to many fish and thousands of local and migratory birds. Srimongal is about 70 km south of Sylhet. It is ‘the capital of tea. Most of the tea plantations are centered here, which is the main attraction of the region. There is also a Tea Research Institute, which is open to visitors. A high percentage of tribal people add to this areas attraction. The other main attraction is the †Lawachara† forest, only few kilometers away from Srimongal, where you can see Hornbills, White-Browed Gibbons and many other animals. Tea Gardens in Bangladesh The area around Sylhet is traditional tea growing area.The picturesque Surma Valley is covered with terraces of tea gardens and lush green tropical forests. Srimangal is known as the tea capital of Bangladesh and for miles around one can see the green carpet of tea gardens on the hill slopes. The area has over 150 tea gardens including three of the largest tea gardens in the world both in area and production. Nearly 300,000 workers are employed on the tea estates of which over 75% are women. Employers prefer to engage women for plucking tea leaves since they do a better job and are paid less than the men.A visit to the tea plantation in Sylhet is a memorable experience. The gardens are relics from the days of the British Raj. The plantations were started by the British and the manager still live in white timber homes as they did in those days. The bungalows stand on huge beautifully maintained lawns and the service and lifestyle is pretty much unchanged. A relatively new area that has come under tea cultivation is the sub-Himalayan terrain of Panchagarh. The soil and climate is highly favorable for growing tea here. In fact this area is contiguous with Assam nd Bengal in India where tea has been grown for decades. Beginning with only 300 acres of land in 2000, the cash crop is now being cultivated on over 3,500 acres in Tentulia, Sadar and Atoari upazilas of Panchagarh. It can be expanded to ultimately cover about 60,000 acres. The humus content in the soil here is more than in the traditional tea-growing areas of Sylhet. The tea produced in Panchagarh is supposedly much better in quality than that of Sylhet. Several nurseries have been set up in Panchagarh and Thakurgaon to supply high quality saplings to the tea gardens.

Artist Essay Example

Artist Essay Example Artist Essay Artist Essay Artist What do you think of when you hear the word artist? Picasso, Dali, Ad Vinci, and Michelangelo are all typical answers. They are also crucial to how we define artist. Most people, including the dictionary, consider artists people that draw or paint pieces of art and make a living off of it. An artist does not have to paint or write to be considered one. In fact, an artist does not have to be a professional at all. The word artist meaner so much more, and requires a broader definition. An artist is someone who excels at something and inspires others with their work. From the street performer to the multi-million dollar piece of art to the Hessian winning quarterback, artists captivate our attention and provide us with inspiration to be better than who we already are. Many athletes could be considered artists because what they do is amazing. They inspire many normal people to do incredible things, and that is a hallmark of a great artist. Just like the painter that takes the breath away from someone, an athlete can create memorable plays with their mastery of what they do. In soccer all the mime you hear the announcer call the players artists. The way they move on the field and the things they can do with the ball inspire awe in every person that watches. What they do inspires others to do amazing things Just like them. Watching an amazing athlete sends chills down your spine. As well as athletes being considered artists, musicians could be as well. They hone their craft with much precision, and work many long hours on what they do. Their work inspires others as well, and when you hear a very nice piece of music it ivies you chills Just like an amazing piece of art. People go to concerts to see these amazing artists, Just like how people go and see art in art museums. Music has a way of changing how people think, and that is a very influential thing. Just like art that provokes thought, music can provoke emotions in people. Because of how well musicians influence thoughts and emotions, they should be considered artists. Artists are not Just confined to sports, music, and painting, they can also be writers. Thousands of books across many centuries have inspired others to lead hanged or to do great things. Almost everyone has been moved by a well written book, and this has inspired them to do something. This again is the hallmark of a great artist. Writers are some of the most influential people in the world. While more commonly thought of as an artist than an athlete or musician, a writer is still not the first thing to pop into your head when you think of an artist, but it should definitely be thought of more often. In the early sasss, an artist was thought of as a painter, and the art they were aging was in the midst of a change. As the century progressed up into the early sasss, the artist was thought of more as someone who hones their craft, and it branched out into music and sports, much like today. Now in the 21st century, the thought of what an artist is is much broader, and encompasses much more than the previous century. Now artists are people who perform their craft to a level that most The word artist cannot be overused. Anyone who inspires someone will their skill in a particular thing should be considered one. Also, the people we call artists do not have to be specifically professionals.

A Report on Operating Systems Essay Example | Topics and Well Written Essays - 1500 words

A Report on Operating Systems - Essay Example The 'ENIAC' had the capacity to do 100,000 calculations per second (White, 2005). As the needs increased, many scientific computing needs were met by increasingly sophisticated, special-purpose analog computers during the 20th century, which used a direct physical or electrical model of the problem as a basis for computation. However, these features became more and more uncommon after the introduction digital computer. A succession of steadily more potent and versatile computers were constructed in the 1930s and 1940s, with increasing use of digital electronics (invented by Claude Shannon in 1937) and more versatile programmability (Computer, 2006). Later, Intel released the world's first commercial microprocessor, the 4004 on November 15th, 1971. This is a Fourth generation computer using a microprocessor to locate much of the computer's processing abilities on a single (small) chip. The microprocessor allowed the development of microcomputers, personal computers that were small and cheap enough to be affordable by ordinary people. The first such personal computer was the MITS Altair 8800, released at the end of 1974, but it was followed by computers such as the Apple I & II, Commodore PET and eventually the original IBM PC in 1981. Although processing power and storage capacities have increased beyond all recognition since the 1970s the underlying technology of LSI (large scale integration) or VLSI (very large scale integration) microchips has remained basically the same, so it is widely regarded that most of today's computers still belong to the fourth generation (White, 2005).The demands of today's computer users as well as the modern network have moved beyond that of simple client server connectivity. There is now the availability of a wide variety of end-to-end communication products aimed at specific business functions. These include access points, broadband, cable, content networking, contact centre solutions, data centre networking, network management, optical, routing, security, VPN, storage networking, switching, unified communications, video, voice and wireless (Networking, 2004). Today's computers also have huge speed and capacity for information processing compared to computers of the past, and they have become exponentially more powerful over the years (a phenomenon known as Moore's Law). The original computers were as huge as the size of a big room. Today's smaller computers for individual use, called personal computers, and their portable equivalent, the notebook computer, are ubiquitous information-processing and communication tools and are perhaps what most non-experts think of as "a co mputer". However, the most common form of computer in use today is the embedded computer, small computers used to control another device. Embedded computers control machines from fighter planes to digital cameras (Computer, 2006). Historical developments in operating systemsSoon after the invention of the computer, it was discovered that certain tasks were required in many different programs; an early example was computing some of the standard mathematical functions. For the purposes of efficiency, standard versions of these were collected in libraries and made

Pricing Strategy River Side Cafe Essay Example | Topics and Well Written Essays - 750 words

Pricing Strategy River Side Cafe - Essay Example This gives River Side Cafe a distinct competitive advantage over its competitors as its unique Mexican style attracts and retains coffee and tea lovers at its premises. Therefore, the premium pricing strategy is the best strategy for River Side Cafe to adopt because it is also a new entrant into the market with the hope of maximizing its revenues especially in the first stages of the cafe’s product life cycle (Smith, 2011). River Side Cafe is a new player in the tea and coffee industry. As such, it has to curve out a name for itself in the beverages service industry in order to attract and retain loyal customers. However, it faces stiff competition from established industry players who already have reputable brand names and command a large share of the market. These include the likes of Tchibo, Nestle, Wal-Mart and Starbucks. These companies have a wide capital outlay to expand and promote their business thereby remaining relevant in the market over a long period. Therefore, River Side Cafe has to establish its own competitive advantages in order to enter this strongly guarded beverages market. Owing to its unique features in brewing and serving coffee and tea, the cafe also incorporates a pricing strategy in order to penetrate the market further (Jensen, 2013). Premium pricing is the best pricing strategy for the cafe to use in entering the beverages business under such competitive markets. This strat egy gives the cafe class, style and prestige as well as promoting its clients’ base through word of mouth references. Being a new kid in the block and charging high prices for their products and services attracts high-end consumers as well as establish a reputable

Analyse Contribution Of Engagement In Biopsychosocial Assessment Client Nursing Essay

Analyse Contribution Of Engagement In Biopsychosocial Assessment Client Nursing Essay In this essay the process of building a therapeutic relationship and assessing clients own circumstances within the inpatient admission and the framework found in practice will be uses analysed and criticized by using Johns (1994) model of reflection. The framework that has been used in mental health services is the Care Program Approach (CPA), which it has been profoundly criticised since it was introduced. Therefore the reflection will look into other model of nursing, Tidal Model, which offers a different philosophy of care. The reflection will also explore the interpersonal interactions theories which the nursed used during the assessment and how these aided to engage the client in the biopsychosocial assessing process. It also will be discussed other intervention models and the possible usage in similar situations. In order to begin the analysis of the above points, engagement needs to be defined. Thurgood (cited by Norman and Ryrie (2004) p.650) described it as: can be broadly defined as providing a service that is experienced by service users (including carers) as acceptable, accessible, positive and empowering. Although this definition gives an idea of the concept, it lacks to define the key elements of engagement, which Cutcliffe and Barker (2002) identified as forming a human to human relationship, expressing tolerance and acceptance, and hearing and understanding. Both definitions gather the professional values of the service and the interaction itself. Yet, Cutcliffe and Barker (2002) definition can be considered more practical when holistically assessing clients. However, these definitions do not acknowledge factors of engagement that are behind the interpersonal relationship, such as personal or organizational perspectives of engagement. The personal perspective for the nurses practice is underpinned by poor structural organization, occupational cultures and stress, bureaucratic constrains, lack of time and nursing culture driven by measurable targets (Hosany et al (2007) and Addis and Gamble (2004)). On the other hand, clients and their families are conditioned by the mental illness, their past experiences with other services, the trust in the service and the relevance of it. Additionally, the organizational issues effect upon engagement and care by reducing services budgets, by not providing resources and also by politics. Engagement has been recognized as an important part of mental health services users care. The National Service Framework (NSF), the National Institute for Clinical Excellence (NICE) and the Department of Health (DoH) appoint that users under CPA should be provided with resources to build a therapeutic relationship, optimise engagement and reduce risks. These documents also highlight the need to provide a therapeutic environment in order to provide best care and to engage the clients and their families with the service. Taking into account all the above information a reflective account will be taking place in the following pages by using Johns model of reflection (1994). 1. Description of the experience The clinical environment where this assessment took place was in an acute adult ward. The ward is based in an old mental health hospital, which has old and pilling off wooden windows, untidy roofs and old fashioned flooring. The ward had untidy carpets, the curtains did not draw appropriately and the painting on the walls was peeling off. These are the organisational barriers affecting engagement. This particular client was known by the service already, to protect his right to confidentiality he will be referred as John (NMC code of practice 2008). John had been stable for 10 years, but in the past few months his mental state had worsened. His psychosis and levels of anxiety increased; he distrusted neighbours and other acquaintances as well as strangers. Consequently, he stopped going out of his house and began to self medicate with over the counter sedatives. Crisis and Resolution Home Treatment Team (CRHTT) was involved and as they felt that John was not able to cope at home, they decided that an inpatient admission would be beneficial. Before the admission the CRHTT forwarded the CPA form 1A, which updated the ward staff about the latest assessment of the clients biopsychosocial needs. Once John arrived to the ward, he fully understood the situation where he was in. He was able to consent and had capacity to agree with treatment and, thus, he was admitted as an informal client. This facilitated the initial interaction and the initial grounding for the nurse/client relationship. Before the beginning of the assessment Tom (Johns named nurse) introduced everyone to John, roles were explained, a welcome pack with the ward information and a CPA booklet were given and Tom provided all the information in an oral and written manner. The nurse started the assessment by formulating open questions. However John gave single direct answers (yes, not, not sure ). Consequently, the nurse decided to change to more direct questioning. After that the client was very co-operative and was answering all the questions. He reported to be very anxious, which also was noticeable by looking to his body language (he was sweaty, clenching his fingers, rubbing his hands on the chairs arms and removing his spectacles several times during the interview). At this stage the nurse decided to undertake an anxiety assessment by using the scales tools available on the ward the Becks Anxiety Inventory (BAI, see Appendix 1). Following this assessment, John began to answer the questions more in depth and he appeared more eased, stating several times that he was in hospital for help and was going to do everything that was available for his recovery. Following the local trust policies and NICE guidelines, the CPA 1A assessment was concluded (as it must to be completed within 72 hours of the admission); the Integrated Care Pathway for Inpatient Safety and the Patient Property Liability Disclaimer were filled in and signed by nurse and client. 2. Reflection The whole assessment was intended to gather as much information as possible about John in order to understand the clients actual biopsychosocial situation (holistic assessment) and the context that led to the admission, which would highlight the needs and strengths of the client. However, inpatient admissions are more likely to focus on a more medical approach to health, mainly because social interventions cannot be implemented until the clients mental state has stabilized and he is ready to move on to community settings. Along this process the multi-disciplinary team organizes care to build up the grounds to enable recovery (Simpson 2009). This particular ward was focus on treatment and stabilizing, working on one to one interventions (nurse-client), building a therapeutic relationship through structured and unstructured interventions, and used CPA as a nursing intervention framework. Alongside these individual interactions, the activity nurses and the occupational therapist offered daily social and leisure activities. These groups provided skills and entertainment to the clients on the ward, but did not follow a particular model of nursing, such as the Tidal Model, and they offered activities to spare the free time on the ward without promoting recovery. The Tidal Model provides structured group-work centred on recovery (Barker and Buchanan-Barker 2005). This model centres its assessment on a holistic approach for the short and long term needs, viewing the mental illness as a unique experience of each individual, their families and social environment. It looks into the lowest point of the illness (such as an inpatient admission like Johns) as the point where the recovery begins with a positive approach to the illness. There are three working groups recommended in this model: discovery, solutions and information (see appendix 3), where therapeutic relationship is built and issues common to the individual and others are discussed and explored. As mentioned above, the ward nurses had more structured interventions with clients, and the issues discussed in these interviews were correlated to the Tidals Model theme groups. In these interviews the clients engage with their primary nurses and they discuss their concerns in relation to their care or other personal matters. These interventions or interviews were intended to happen at least twice weekly for at least an hour. However, for organizational issues (usually low number of staffing) not all the clients had the opportunity to benefit from these one to one interventions on a regular basis. Initially, the Tidal Model research was criticised for being bias, for lacking to fully describe clients pre and post intervention with the model, not taking into account Hawthorne effect and most of physiological factors and by not reasoning the need for a new model in mental health care (Noak 2001). However, further research and analysis showed that the Tidal Model provides tools and structure to improve care in acute ward admissions filling the gaps in care pointed in the NSF and The Sainsbury Centre for Mental Health (Gordon et al 2005). One could say that this model has been shown to improve mental health services, fulfil the historical gaps within nursing practice and to be grounded on evidence-based practice. However, the author of this essay believes, after reading the relevant literature, that for the implementation of the Tidal Model the levels of staffing (and therefore the service budget) should be increased and nursing practice cultures must be changed by re-educating th e workforce. Arguably both implementations are very difficult to achieve as the health service has seen budgets cut downs in the recent years and nurses practiced has been subject to negative ward cultures towards nursing models. On the other hand CPA, which is the framework used on the ward, was first designed after a series of fatal incidents which involved mentally ill people. It was aimed to be introduced in Wales by 2004 (in England was done by 1991). CPA is person centred focus which promotes social inclusion and recovery, through assessment and planning of individualized needs and strengths, working with the clients and their families or carers (Care Programme Approach Association (CPAA) 2008). Despite the initial intention that the CPA was brought to improve service users quality of care, to increase inter agencies communication and to be a case management tool, some critiques appeared. Simpson et al (2003a) researched showed CPA was thought to be an over-bureaucratic duty within the professionals. The author of this paper has observed in practice, not in this particular assessment, that some professional do not reassess clients when they are admitted. Instead the latest CPA 1A form (usually filled in by the CRHTT) is photocopied or copied-pasted and re-used to speed up the process. This would be acceptable if the client was assessed the day or night before the admission, because the social, psychological or biological needs would have not changed in that period of time. When older assessments are used, changes in circumstances might have not been updated. In the worst case scenario a health professional could have misunderstood the clients needs and have documented them wrongly. This misunderstanding could be carried over, therefore care would be affected. This hypothetical scenario shows that CPA assessments should be done every time when needed. CPA as a case management tool fails to compile the most important features which promote therapeutic relationship. In contrast with other case managements models the role of the care co-ordinator is more of an administrative and as an alternative service prescriber (Simpson et al 2003a). This means that there is no need for a specific training or skills related to therapeutic relationship, partly because other services (or service providers) will engage with the client, and the care co-ordinator just oversees the process of care. Moreover, CPA also lacks a nursing model background and fails to define specific roles within the multi-disciplinary team. These factors reduce the teamness feeling between the health professional (Simpson et al 2003b). Although, it could be argued that the reason, why CPA is lacking nursing background, is that it was not designed as a mental health nursing framework but for the use of mental health services. In this particular reflexion the care co-ordinato r was not present in the admission and never mention during the assessment. Whether it was a usual situation or not it is something that never was discussed, but it shows Simpson et al (2003a and 2003b) critiques of CPA as a case management were factual. CPA and Tidal Model are intended to provide holistic care for clients and their families. However, the Tidal Model is more clients centred than CPA, and it also looks into the more positive side of the clients situation, foreseen the now and future as a whole. It explains the illness as an accumulation of life factors. The Tidal Model complements other health and social care professionals, as well as it searches to nurse by building a special relationship between health practitioner and client. Moreover, CPA always looks for risk signs in the short-term and from a psychiatric approach. As this assessment took place in an inpatient admission it is important to bear in mind that in this particular environment CPA forms (1A, 2, 2A and 4) were used for assessment, planning, implementing and evaluation of inpatient care and for the liaison with other health professional in tertiary care (such as physiotherapist, dietician or occupational therapist). Perhaps CPA would benefit from sharing some principles of a nursing model (like the Tidal Model), by using it as a tool more than as a paperwork and from a better staff training and promoting adherence to nursing models (Barker 2001). Whether the ward uses Tidal Model or CPA to structure care, an inpatient admission is always stressful and uncomfortable experience for clients and their families. John saw the nurse as a stranger in an unfamiliar place, however, Tom was there to guide the client throughout his care, to provide information and to be somebody he could relay on. This first encounter related to the orientation phase described by Peplau (1952) (cited by Sheldon (2005), see Appendix 2). In this phase Johns past experiences, expectancies, culture and believes were to condition the initial interaction. Following this phase John went into the identification stage, where he sought assistance for anxiety relief techniques, shared needs and strengths when and co-designed care plans and began to have feelings of belonging and capability, therefore decreasing negative feelings. This exchange of feelings is going to lead to exploitation and resolution phases, where John will engaged with treatment (medical, physic al and social), having different needs at different times, starting to be informed about all the help available towards the final stage, feeling as an important part of the whole nursing process and finally ending the professional relationship when discharged. The exploitation and resolution phases were not observe as at the time of writing John was still an inpatient. John had had previously one bad inpatient admission. He reported that he was very unhappy when he was in the other hospital 10 years ago. He explained that the bad experience was related to the other clients and organizational issues rather than staff. John stated that he was feeling anxious but happy that he was getting help. His positive attitude helped to engage him in the assessment process and on the ward activities, which were the first steps towards the identification phase. Therefore, John could begin to have professional input from other members of the multi-disciplinary team. Tom interacted in a way that John felt understood, respected and individualized. Tom did not appear to have preconceived ideas of the client after reading the CPA forma 1A. And certainly, Tom treated John respectfully and as an equal human being. He followed the NMC code of practice 2008, which states that: you must treat people as individuals and not to discriminate in any way those in your care. Tom tried to adapt the pace of the questioning to the clients needs, involving him and asking in a respectful manner. Tom also acknowledged Johns anxiety feelings, and showed it when taking further (BAI see appendix 1) assessments to empathize more with Johns situation. This reinforced the approachability and genuineness of the nurse and led John to open and engage with the assessment process and the health professional. 3. Influencing factors John scored 45 points in the BAI (see appendix 1), which is a high scoring. This could have been influenced by the hospital admission and the assessment process. Despite these factors and Johns actual mental state he engaged in the assessment actively. The BAI scales consist of 21 observable and self-rating symptoms of anxiety, rated from 0 to 3 (0 being the lowest score), which can also be easily transformed in direct questions or self rating. At the end of the assessment the scores are added up and compared against the scales. There are several assessment tools available such as Hospital Anxiety and Depression Scales (HADS) or Hamilton Anxiety Scales (a collection of them can be found in the Appendix 1 reference). The BAI is shown to be a quick and reliable when measuring clients anxiety levels and it also differentiates General Anxiety Depression and depression (Fydrich et al 1992). Although, these characteristics appear to be positive, it could be argued that BAI is just a merely adaptation of the DSM-IV panic symptoms and therefore it could also be said that measures panic attacks rather than anxiety levels (Cox et al 1996 and de Beurs et al 1997). On the other hand, HADS which achieves good levels of anxiety and depression screening could have been more appropriate for hospital settings and more accurate (Bjelland et al 2002). It is important to point out that NICE clinical guideline for management of Anxiety (2004) does not recommend a specific tool for assessment of anxiety, which gives to the professional practitioner choice on the usage of available tools. This affects practice as these scales are not used as often as they should be. Most practitioners relay on their observations and experience to perform informal assessments, rather than using research based scales. It is perhaps understandable when dealing with clients unable to fully understand these assessments. But in practice it can be noticed that nurses do not tend to use anxiety inventory even with clients that could engage with the process. Tom designed care plans in partnership with John and made him realise which were more realistic goals in the short and long term. Tom had shown knowledge and understanding of the professional capabilities that the NSF defined in the documents The Ten Essential Shared Capabilities (2004) and The Capable Practitioner (2001). These documents set basic principles that underpin positive mental health practice as well as providing the basic grounding for service workers to continue developing and learning skills. Therefore, it was observed during the placement that along the whole admission the nursing team also guided care and practice as appointed by these documents. They provided patient-centred care, which is accountable for each client and respecting the individual. The team also had a broad knowledge of national legislations as well as local policies and services, and worked under the same professional and ethical principles recognizing the rights of the clients and their families. T hey promoted recovery and self-realisation by identifying people needs/strengths and empowering the individuals. Most of the team members were undertaking further training, to keep their skills up-to-date or be able to transfer their existing skills to new environments. They also worked in partnership with family, carers, lay people and external agencies, such as community care services, voluntary associations and vocational services. 4. Evaluation In the interview Tom used a Rogerian approach (Roger (1961) cited by Sheldon (2005)). He also showed knowledge of Peplaus interpersonal theories and applied them in practice by creating a shared experience of care. However, it also would be appropriate to use the Herons six-category intervention framework (Heron 1989). This framework was designed to enable a practitioner (nurse) taking the lead to facilitate the clients specific needs or arising issues. Therefore this intervention could have been used in the admissions assessment and the following one to one sessions, which have been described in this essay. The framework is made off two categories, which are subdivided in three more. The first category is authoritative which it can be prescriptive, in which the nurse influences and directs behaviour, gives advice and prescribe goals. It also can be informative providing information or giving feedback for the clients behaviour. The third subcategory is confronting, in which the pract itioner challenges the clients beliefs or actions. The second category is the facilitative which is divided into cathartic, in which the nurse tries to release the clients painful feelings and talks about or express them with actions (tears, anger or shouts). Next subcategory is catalytic, where the nurse tries to help the client and encourage self-discovery and learning. Finally, supportive is the category where the client is supported in an unqualified manner. The facilitative stage of the framework would have been the most appropriate to use in the first assessment. Johns mental state would not have benefit from an authoritative approach as he might have felt threatened by the staff, therefore his willingness to engage with the service could have reduced greatly. This approach shares the same goals as the one that Tom used. The outcome would have been the same, which was the beginning to build a relationship towards recovery. However, it is important to know different ways to practice and to interact in order to provide an individualised care. This principle is shared by the models discussed in the essay (CPA and Tidal Model) and also by the nursing professional code (NMC code of practice 2008). 5. Learning Although, it was difficult to deal with Johns anxiety levels and his initial unwillingness to engage with the assessment, it was possible to create a therapeutic relationship between nurse and client. After this reflexion it was learnt that nurses knowledge and usage of the right nursing models, strategies and tools can be adapted to individual situations and their own circumstances. It is also important to share principles of care and to change some nurses cultures regarding models of care. It was positive to reflect upon this experience and, therefore, to realise how the theory learnt was applied in practice. Since nursing studies and practice are moved towards research based knowledge it seems that the human connection and relationship building have lost their place in the nursing profession. As a student it is good to see that values based nursing promoted safe, trustful and supporting environment, which led to a healthy therapeutic relationship (Hewitt 2009). In conclusion, the reflection and analysis of engagement through a biopsychosocial assessment illustrated how personal and organizational factors effect on clients care. It was found out that applying specific intervention techniques, mental health screening tools and the adequate adaptation to the individual and the situation promote engagement and build a healthy therapeutic relationship. Furthermore, the research showed that the relevant mental health regulations and nursing professional code recognise the need to keep up-to-dated knowledge and skills in order to provide the best care. All the above techniques and tools were found to be used in a very individual way between the nursing professionals. In addition to this, it was found that theses personal adaptations to practice and clients care were beneficial when reducing barriers for engagement and personalising the care. The positive and negative characteristics of the actual mental health framework CPA were brought forward and it was found that it lacks a nursing model background. CPA and Tidal Model when compared and contrasted, showed that both mental health frameworks differ gratefully from each other but at the same time they could benefit from each other. Despite the ward worked under CPA and used a more medical approach to nursing, the nursing team shared the same professional capabilities and worked towards holistic goals and recovery. Over all, in order to engage and to provide relevant services for clients and cares biopsychosocial needs there should be a continues connection between practice and theory in nursing. References Addis J Gamble C (2004) Assertive outreach nurses experience of engagement. Journal of Psychiatric Mental Health Nursing 11 (4) 452-460. Barker P (2001) The Tidal Model: developing an empowering, person-centred approach to recovery within psychiatric and mental health nursing. Journal of Psychiatric and Mental Health Nursing 8 233-240. Barker P Buchanan-Barker P (2005) Tidal Model: A guide for mental health professional. Brunner-Routledge. Hove. UK. Bjelland I Dahl A A Haug T T (2002) The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research 55(2) 69-77. Cox B J Cohen E Direnfeld D M Swinson R P (1997) Does the Beck Anxiety Inventory measure anything beyond panic attacks? Behaviour Research Therapy 34 (11/12) 949-954. Cutcliffe J R Barker P (2002) Considering the care of the suicidal client and the case for engagement and inspiring hope or observations. Journal of Psychiatric Mental Health Nursing 9 611-621. Department of Health (2002) Mental Health Policy Implementation Guide: Adult Acute Inpatient Care Provision. Department of Health (2004) The Ten Essential Shared Capabilities. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4087169 Accessed: 29/12/09 de Beurs E Wilson K A Chambless D L Goldstein A J Ulrike Feske U (1997) Convergent and divergent validity of the Beck Anxiety Inventory for patients with panic disorder and agoraphobia Depression and Anxiety 6 140-146. Fydrich T Dowdall D Chambless D L (1992) Reliability and Validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders 6 55-61. Gordon W Morton T Brooks G (2005) Launching the Tidal Model: evaluating the evidence. Journal of Psychiatric Mental Health Nursing 12 (6) 703-712. Heron J (1989) Six-Category Intervention Analysis (3rd EDN) Human Potential Resource Group, University of Surrey, Surrey, UK. Hewitt J (2009) Redressing the balance in mental health nursing education: Arguments for a values-based approach International Journal of Mental Health Nursing 18 368-379. Hosany Z Wellman N Lowe T (2007) Fostering a culture of engagement: a pilot study of the outcomes of training mental health nurses working in two UK acute admission units in brief solution-focused therapy techniques. Journal of Psychiatric Mental Health Nursing 14 (7) 688-695. Johns C Graham J (1996) Using a Reflective Model of Nursing and Guided Reflection. Nursing Standard 11 (2) 34-38. National Institute for Clinical Excellence (NICE) Clinical Guideline for Management of Anxiety (2004) http://www.nice.org.uk/nicemedia/pdf/cg022fullguideline.pdf Accessed: 26/11/09 National Service Framework (NSF) Modern Standards and Service Models for Mental Health (1999) NHS our Healthier Nation. Noak J (2001) Do we need another model for mental health care? Nursing Standard 16 (8) 33-35. Norman I Ryrie I (2004) The Art and Science of Mental Health Nursing: A Textbook of Principles. Open University Press. Maidenhead. UK. Nursing and Midwifery Council (NMC) (2008) The Code. (NMC, London). Sheldon L K (2005) Communication for Nurses: Talking with Patients. Sudbury; Jones and Bartlett. Simpson A (2009) The acute care setting. In Barker P (2009) Psychiatric and Mental Health Nursing: The craft of caring. Edward Arnold Ltd. London. Simpson A Miller C Bowers L (2003a) Case management models and the care programme approach: how to make the CPA effective and credible. Journal of Psychiatric and Mental Health Nursing 10, 472-483. Simpson A Miller C Bowers L (2003b) The history of the Care Programme Approach in England: Where did it go wrong? Journal of Psychiatric and Mental Health Nursing 10, 489-504. The Sainsbury Centre for Mental Health (2001) The Capable Practitioner. http://www.scmh.org.uk/publications/capable_practitioner.aspx?ID=552 Accessed: 29/12/09 Appendixes Appendix 1 Beck Anxiety Inventory Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the corresponding space in the column next to each symptom. Not At All Mildly but it didnt bother me much. Moderately it wasnt pleasant at times Severely it bothered me a lot Numbness or tingling 0 1 2 3 Feeling hot 0 1 2 3 Wobbliness in legs 0 1 2 3 Unable to relax 0 1 2 3 Fear of worst happening 0 1 2 3 Dizzy or lightheaded 0 1 2 3 Heart pounding/racing 0 1 2 3 Unsteady 0 1 2 3 Terrified or afraid 0 1 2 3 Nervous 0 1 2 3 Feeling of choking 0 1 2 3 Hands trembling 0 1 2 3 Shaky / unsteady 0 1 2 3 Fear of losing control 0 1 2 3 Difficulty in breathing 0 1 2 3 Fear of dying 0 1 2 3 Scared 0 1 2 3 Indigestion 0 1 2 3 Faint / lightheaded 0 1 2 3 Face flushed 0 1 2 3 Hot/cold sweats 0 1 2 3 Column Sum Scoring Sum each column. Then sum the column totals to achieve a grand score. Write that score here ____________ . Interpretation A grand sum between 0 21 indicates very low anxiety. That is usually a good thing. However, it is possible that you might be unrealistic in either your assessment which would be denial or that you have learned to mask the symptoms commonly associated with anxiety. Too little anxiety could indicate that you are detached from yourself, others, or your environment. A grand sum between 22 35 indicates moderate anxiety. Your bod

Cosmology: Science Vs Religion Essay -- essays research papers

In the eighteenth and nineteenth centuries, Christian belief encountered significant opposition. Until then, most of the world shared the belief of the â€Å"Medieval world view† that not only was the earth positioned at the center of the universe, but that God was all knowing, all powerful and all good. God was thought to have created and sustained the wondrous workings of the universe. This belief told the people all they needed to know about the meaning and purpose of life. Then, scientific discovery and methods began to undermine religious beliefs. Scientists began to reveal that natural laws and natural forces governed the world. Opposing beliefs, e.g. the Marxism belief, criticized Christian views. People like, Bacon, Copernicus, Kepler, Galileo and Newton all played significant roles in challenging the recognized views at that time. In contrast to the â€Å"medieval world view†, the â€Å"scientific universe† is impersonal, governed by natural laws and understandable in physical and mathematical terms. Many people trust the information science offers rather than religion because science seems to be more reliable. Science has replaced religion as the dominant intellectual authority because science offers the chance to understand the universe, whereas religion just assumes things. Many believe, as was said by Richard Dawkins, â€Å"the truth means scientific truth†. Along with the logical Positivists, they claimed the only meaningful statements were scientific. It is unfortunate that such...

Isolation in “a Rose for Emily” and “the Yellow Wallpaper”

â€Å"A Rose for Emily† by William Faulkner and â€Å"The Yellow Wallpaper† by Charlotte Perkins Gilman are two well written short stories that entail both similarities and differences. Both short stories were written in the late 1800’s early 1900’s and depict the era when women were viewed less important than men. The protagonist in each story is a woman, who is confined in solitary due to the men in their lives. The narrator in â€Å"A Rose for Emily† is the mutual voice of the townspeople of Jefferson, while Emily Grierson is the main character in the story that undergoes a sequence of bad events. The unnamed, female narrator in â€Å"The Yellow Wallpaper† is also the main character whose journal we read. This difference in tense gives each story a different outlook on the situations at hand. In â€Å"The Yellow Wallpaper† we get the thoughts and actions of the unnamed narrator as she sees it, while in â€Å"A Rose for Emily† we get Emily’s thoughts form dialogue and her actions from the narration of the townspeople. A comparison between the protagonist in â€Å"A Rose for Emily† and â€Å"The Yellow Wallpaper† enables readers to interpret the main character’s isolation from their community and state of mind. In each section of â€Å"A Rose for Emily†, the narrator goes back and forth in time telling stories of Miss Emily’s life. Emily’s father was a controlling man who ran off all prospect men of Emily’s (Faulkner 77). This caused Emily to be an unhappy, middle-aged, single woman who was the talk of the town. Miss Emily isolated herself from all people, except having a male Negro housekeeper who ran all her errands and took care of her house. According to Floyd C. Watkins’ â€Å"The Structure of ‘A Rose For Emily’ in Modern Language Notes, â€Å"The inviolability of Miss Emily’s isolation is maintained in the central division, part three, which no outsider enters her home† (509). In â€Å"The Yellow Wallpaper† it is revealed at the beginning of the story that the unnamed female narrator is â€Å"sick† or depressed, and therefore is taken far away from people she knows to rest and get better (Gilman 408). From Tulsa Studies in Women’s Literature, Paula A. Treichler’s â€Å"Escaping the Sentence: Diagnosis and Discourse in ‘The Yellow Wallpaper’† informs readers â€Å"The narrator is forbidden to engage in normal social conversation [†¦] and avoid expressing negative thoughts and expressions about her illness† (61). Although both women were isolated, Emily isolated herself while the unnamed narrator was forcefully isolated. In both short stories the main character is judged by the surrounding people: Emily as a conceited, ill woman, and the unnamed narrator as a â€Å"sick†, depressed woman. In â€Å"A Rose for Emily† the townspeople were extremely nosey and very judgmental about how people should live there life. Watkins argues â€Å"The contrast between Emily and the townspeople and between her home and her surroundings is carried out by the invasion of her home by the adherents of the new order in the town† (509). Also it is displayed sometime after Emily’s father died when she went to the druggist and ordered arsenic to kill rats (Faulkner 78-79). â€Å"†¦The next day we [the townspeople] all said, ‘She will kill herself’; and we [the townspeople] said it would be the best thing (Faulkner 79). In â€Å"The Yellow Wallpaper† the unnamed narrator is judged by her family and friends. In the introduction of the story the unnamed narrator reveals that her husband, also a physician, belittles her illness and her general thoughts of life (Gilman 408). â€Å"If a physician of high standing, and one’s own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression–a slight hysterical tendency–what is one to do? † (Gilman 408). The narrator is left in the â€Å"colonial mansion† for the summer, not seeing anyone except her husband, John, John’s sister, Jennie, who takes care of the narrator and the house, and some family members who came to visit for a short while. By the end of each story we realize that both Emily and the unnamed narrator are clearly insane. After Emily’s death and funeral, the nosey townspeople enter her home and break down a locked away room that had not been entered in forty years (Faulkner 80). In the room they found the decaying body of Homer Barron, the man that she wished to marry (81). â€Å"The body had apparently once lain in the attitude of embrace, but now the long sleep that outlasts love, that conquers even the grimace of love, had cuckolded him† (Faulkner 81). A â€Å"long strand of iron-gray hair† was on the pillow next to him, indicating that Emily is the result of this tragedy (Faulkner 81). Although the townspeople had always thought of Emily as crazy, this finally proved them right. Throughout â€Å"The Yellow Wallpaper† it is noted that the unnamed narrator is ill. After being secluded in the upstairs room, â€Å"the yellow wallpaper comes to occupy the narrator’s entire reality† affirming her loss of sanity and isolation from the world (Treichler 62). â€Å"There are things in that wallpaper that nobody knows about but me. †¦] And it is like a woman stooping down and creeping about that pattern† (Gilman 413). The unnamed narrator in â€Å"The Yellow Wallpaper† had torn down all the wallpaper and locked herself in the room in order to get the woman out from behind the wallpaper (Gilman 417). It is interpreted that the woman behind the wallpaper is actually the narrator’s shadow. T he parallel enabling comparison and contrast between the main characters in â€Å"A Rose for Emily† and â€Å"The Yellow Wallpaper† reveals separation, seclusion, and depression as a result of life circumstances. While differences of circumstances exist in the compared short stories, resemblances permit readers to observe events leading to associations between the two protagonists. According to reviews, isolation by both characters is exposed as an entry into the short stories. In â€Å"The Yellow Wallpaper† review by Treischler, the confirmation of the unnamed narrator being isolated is affirmed stating â€Å"The narrator of ‘The Yellow Wallpaper’ has come with her husband to an isolated country estate†¦Ã¢â‚¬  (62). The review of â€Å"A Rose for Emily† by Watkins verifies the isolation of Emily when he communicates â€Å"†¦she withdraws more and more until her own death again exposes her to the townspeople. † (509). The short stories â€Å"A Rose for Emily† and â€Å"The Yellow Wallpaper† possess protagonist as the main character that reveal connections of separation enabling associations between the two characters. Work Cited Faulkner, William. â€Å"A Rose for Emily. † Literature: An Introduction to Reading and Writing. Fourth Compact Edition. Ed. Edgar V. Roberts. Upper Saddle River: Pearson Prentice Hall, 2008, 75-81. Gilman, Charlotte Perkins. â€Å"The Yellow Wallpaper. † Literature: An Introduction to Reading and Writing. Fourth Compact Edition. Ed. Edgar V. Roberts. Upper Saddle River: Pearson Prentice Hall, 2008, 408-418. Treichler, Paula A. â€Å"Escaping the Sentence: Diagnosis and Discourse in ‘The Yellow Wallpaper’. † Tulsa Studies in Women’s Literature. 3. 5 (1984): 61-77. JSTOR. Web. 11 March 2010. Watkins, Floyd C. â€Å"The Structure of ‘A Rose for Emily’. † Modern Language Notes. 69. 7 (1954): 508-510. JSTOR. Web. 16 February 2010.