Characters in Great Expectations, by Charles Dickens Essay -- Great Exp

Characters in Great Expectations by Charles Dickens Dickens has many ways of making his characters both striking and memorable, he uses the dialogue and blends it with the setting and social background as illustrated by ‘torn by briars; who limped’. Dickens is very descriptive; this also helps making the character real. Dickens creates a creepy mood when we are told about the graveyard in which we meet Magwitch as shown by ‘as if he were eluding the hands of dead people’. He uses the graveyard and the gibbet in the distance to help create this mood which adds to the edgy atmosphere. The tone of this extract is dramatic and intimidating; Dickens achieves this by using short, but descriptive sentences. Dickens makes us feel sorry for Magwitch because of the way he speaks, ‘wittles’ and ‘pecoolier’ are examples of this. As Magwitch talks to Pip, we, as the reader notice that Magwitch talks to Pip as a child and uses language that would only scare a child : ‘you little devil, or I’ll cut your throat!’. When pip meets Miss Havisham, Dickens makes it seem like it is a nice, rich room, however we soon find out it is a dull, lifeless room that hasn’t seen light in years : ‘. Dickens uses long, descriptive sentences here to introduce the setting and mood of the room. Dickens slowly gives us information bit by bit so we build a picture of what is going on. He slowly reveals that Miss Havisham has been jilted at the alter. Wemmick’s home reflects his personality in the way that he likes to be secure and safe. Wemmick is one of the most memorable of Dickens’s characters, as he is slightly out of the ordinary and has his own way of doing things. Wemmick keeps his work and his home life very separate, this is... ...rrible places to be; they carried lots of diseases and were extremely unhygienic. Miss Havisham is from an upper class background. She is very wealthy, however remains unmarried. Marriage for women in those days was more important than it is today because it used to be the men making all the money while the women looked after the house; however Miss Havisham has plenty of money so her problem is that she is lonely. Wemmick is in the working class and works in the prison as a clerk, the conditions of prisons in those days was very bad, which may be the reason why he keeps his home life and work life completely separate. Dickens achieves making his characters both striking and memorable by describing them in heavy detail, but not making it boring by having too much. In my opinion Wemmick is the most memorable character as I could imagine him being real.

Moral Education Essay

Moral education can be given better by parents at home, than by schoolmasters and professors in schools and colleges. Parents have numberless opportunities of guiding their children by pre ¬cept and example, opportunities denied to the teacher. Who generally meets his pupils in large classes, and seldom has the means of becoming intimately acquainted with their several char ¬acters and the faults, other than intellectual faults, to which each of them is particularly prone. The first point of importance to notice with regard to moral instruction is that, in the words of the proverb, example is better than precept. This is too often forgotten by parents, especially in the case of young children. Many parents are emphatic in incul-cating truthfulness, but, on very slight occasion think it advisable to escape the importunity or curiosity of children by deception, if not by actual falsehood. They fondly hope that the deceit will pass unnoticed; but children are keener observers than t hey are generally supposed to be, and very quick to detect any discrep ¬ancy between preaching and practice on the part of their elders. It is therefore imperative that parents in all cases should them ¬selves act up to the moral precepts that they inculcate upon their children. Another important point in the home training of children is careful selection of associates of their own age who will not teach them bad habits. For the same reason, especially in rich houses, great care must be taken that the servants do not exert an evil influence on their moral character. Bad servants teach a child to be deceitful and disobedient by secretly helping him to enjoy forbidden pleasures, which of course they warn him he must on no account mention to his parents. They may also render a child rude and overbearing by servile submission to his caprices and bad temper. If we now pass from home to school life, we see that the first great disadvantage that the school-master labours under is that it is very difficult for him to gain the affections of his pupils. A father can generally appeal to filial love as an inducement towards obeying the moral rules he prescribes. But a school-master ap ¬pears to boys in the position of a task-master, and is too often without reason regarded by them as their natural enemy, particu ¬larly by those whom he has to punish for idleness or other faults, that is, by the very boys who stand most in need of moral instruction. Even when a school-master has got over this hostile feeling, he finds that the large amount of daily teaching expected from him leaves him little leisure to give his pupils friendly advice in the intervals between lessons. It has been proposed in India that formal lessons in morality should be given in schools and colleges. But it is to be feared that lessons so delivered from the school-master’s desk or the professor’s chair would produce little more effect than is obtained by the writing of moral sentences in copy-books. In the great public schools of England the masters have opportunities of de ¬livering moral lessons under more favourable conditions, when they preach the weekly sermon on Sunday in the sacred precincts of the school chapel. The Indian teacher has no such opportunity of using his eloquence in guiding the members of his school towards moral enthusiasm. Yet he can do much by the power of personal example, and by creating in the minds of his pupils admiration for the great English writers, who in prose or verse give expression to the highest moral thoughts. In addition to this, all intellectual education is in proportion to its success a powerful deterrent from vice, as it enables us to see more clearly the evil effects that follow from disobedience to moral rules.

Importance Of Fashion And Its Effect On Society - 890 Words

Tami K. Brown Professor Corinne Tatum ENG102 20 December 2015 The Importance of Fashion Every year thousands of fashion magazines flood the newspaper stands and tons of new fashion lines come out each season with the hopes of being better than last season. Book such as â€Å"The devil wears Prada† and â€Å"Confessions of a shopaholic† hit the shelves and become national bestsellers. Fashion capitals such as Paris, Milan, London and New York turn into meccas for trend followers. Designers and their labels sell millions of dollars in merchandise each year to people from all walks of life. Models, Photographers and media outlets capitalize on these labels making people want to have the latest Must haves of the season. The anticipation grows constantly for the September issue of Vogue. With all these components combined and despite the opposition fashion remains an important factor to society. One might pose the question how is fashion important to society? Fashion can invoke creativity, creates first impressions, and strongly encourages confidence and plays a huge role is religions and culture. A recent study asked that exact question and the results showed that 64% (debate.org) of people believed that fashion was important. One can argue that people should find other ways to express their creative side like going to an art classes or becoming a hobby photographer. Another argument that seems to come into play is that today’s fashions are really not all that great and can be a bit onShow MoreRelatedFood as an Important Symbol in the Importance of Being Earnest763 Words   |  4 Pagesor break the problems. In the Importance of Being Earnest, food plays a very vital role in helping create movement in the plot. The play, importance of being earnest by Oscar Wilde uses food as an essential motif /symbol of an act of working out problems. Set in the Victorian era the tea time custom is vastly a part of the play. From the very beginning where Algernon is questioned about the â€Å"cucumber sandwiches† he claims â€Å"I believe it is customary in good society to take some slight refreshmentRead MoreFashion as a Medium of Communication1305 Words   |  6 PagesSince the Industrial Revolution of the 19th century, the function of fashion as a medium of communication is becoming of a new significance for modern society. Introduction. Clothing has always had place in society. Ever since the primitive society people were dressing for variety of reasons: at first, simply to cover naked parts of human bodies, to protect one from bitter frost or extreme heat; centuries later--to become an indicator of one’s well-being and social position, a sign of royalty andRead MoreAnalysis of the Fashion Industry1301 Words   |  6 PagesFashion is one of the world’s most important creative industries. It has provided economic thought with a canonical example in theorizing about consumption and conformity. Social thinkers have long treated fashion as a window upon social class and social change. Cultural theorists have focused on fashion to reflect on symbolic meaning and social ideals. Fashion has also been seen to embody representative characteristics of modernity, and even of culture itself. Everyone wears clothing and inevitablyRead MoreDoes The Structure Of Social Relations Determine Who We1016 Words   |  5 Pages Does the Structure of Social Relations Determine Who We Are? The structure of social relations is of utmost importance when analyzing the factors that constitute one’s personality. Sociological theorist, Georg Simmel, explains the development of individuality through the expansion and subsequent differentiation of one’s social circles and how this expansion affects the individual. Simmel asserts, â€Å"Individuality in being and action generally increases to the degree that the social circle encompassingRead MoreAd Takeover. Jim Fowles’ Advertising’S Fifteen Basic Appeals1371 Words   |  6 Pagesfifteen basic appeals to be exact. When Fowles writes â€Å"something primary and primitive, an emotional appeal, that in effect is the thin line edge of the wedge, trying to find it’s way into our minds.† In other words, Fowles is saying how advertisement works . The point that Fowles is making is important because something that has been around for years has made a major impact to society. The consumers ha ve â€Å"unfulfilled urges and motives swirling in the bottom half of our minds.† This shows why FowlesRead MoreThe Fashion Choices People Make Should Not Define Who They Are1288 Words   |  6 PagesThe fashion choices people make should not define who they are. People should be judged based on their actions and not by their fashion choices. Passing judgement based on looks can hurt others and cause issues in society. Some people are required to dress in a certain fashion, but that does not determine whether they are good or bad. I chose this argument topic because it involves my major in fashion and also an issue for which I can relate. The study of fashion and sociology can relate in someRead More Great Gatsby by Scott Fitzgerald Essay1122 Words   |  5 Pages Great Gatsby by Scott Fitzgerald The 1920s is the decade in American history known as the â€Å"roaring twenties.† Scott Fitzgerald’s novel The Great Gatsby is a reflection of life in the 1920s. Booming parties, prominence, fresh fashion trends, and the excess of alcohol are all aspects of life in the â€Å"roaring twenties.†   Ã‚  Ã‚  Ã‚  Ã‚  The booming parties in Scott Fitzgerald’s The Great Gatsby reflect life in America during the 1920s. Gatsby displays his prominent fortune by throwing grand parties. FromRead MoreThe Work Of Andy Bennett1398 Words   |  6 Pages 2005) â€Å"Culture and Everyday Life† will be discussed in order to analysis fashion in relation to theories of identity and how they in form our understanding of fashion. Fashion can be defined as a constant changing trend. Fashion has a deeper influence in people’s lives. Now days fashion show parts of individual’s identities, which shows who they are as people. The first idea will be discussing Bennett’s statement â€Å"Fashion provides one if the most ready means through which individual can make expressiveRead MoreWhy You Should Know Your Clothes Come From Essay1303 Words   |  6 Pagesa niche sustainable fashion and lifestyle online magazine called Who What Where. It sets out to do just what t he title promised by trying to educate readers about the importance of knowing the process by which their clothing is made and distributed. In order to achieve this task the author, Jessica Schiffer, interviewed Maxine Bà ©dat, the co-founder of Zady, an increasingly popular sustainable fashion and lifestyle brand. Together they assessed the current state of fast fashion, the large and franticallyRead MoreThe Issue Of Sustainability Of The Apparel Industry Essay1421 Words   |  6 PagesIn our generation, fast fashion is in. It’s ok to have multiple shirts or shoes of the same color. It’s actually ok to throw away unwanted apparel. Apparel companies are beginning to focus on sustainable fashion, also known as eco fashion. Apparel, fashion, and textiles is the most polluting industry in the world. Every stage, that a garment goes through, uses up and threatens our resources. Review of Literature Sustainability has become a major issue in the fashion industry. The global apparel

The Norton Anthology of World Literature Essay - 659 Words

The Norton Anthology of World Literature not only makes available valuable lessons and words of wisdom, but it shares experiences from around the world. These ageless writings allow generations to encounter a heritage of tradition and culture all within the confines of its pages. The anthology’s variety offers multiple characters and ideas to explore, while each selection contains notable and impressionable material. The collection’s most memorable content presents larger than life characters and priceless lessons in Gilgamesh, astute ideas and guidelines to live by in Confucius, and the universal experience of an impassioned relationship outlined in Lyrics. In The Epic of Gilgamesh, the†¦show more content†¦He exemplifies this in Book I as he demonstrates a way of detecting a man’s true conviction to his moral and ethical principles. Confucius attests that by comparing a man’s actions before and after his father’s death, eventually the true measure of his character comes forth (Book I: 11). Confucius means to convey that to self-govern, by knowing your core values and holding fast to them at all times, defines integrity in its purest form. By this, he implies that integrity exemplifies a notable concept to strive towards through a lifetime. The memorable content of Book II provides valuable words for guidance through life. The Master offers advice for the teen years, mid-life, and for the later years (Book II: 4). He first recounts how he spent his younger years learning. He then states that in his middle years, he developed a conviction which, in return, rewarded him with confidence. Finally, in his later years, he comes to understand that Heaven brings the process to an end and he makes peace with that recognition. Further along in the anthology, Catullus’ Lyrics shares an entire cycle of a romantic involvement that ends badly, the same type of relationship universally witnessed first- hand or through acquaintances. Catullus demonstrates the highs and lows of his impassioned emotions as he asserts that he loves and hates simultaneously (85: 1-2).Show MoreRelatedFrom The Norton Anthology Of World Literature Book The Epic Of Gilgamesh 865 Words   |  4 PagesThose Meddling Gods Through the sampling of readings from The Norton Anthology of World Literature book, one could come to the realization that in a majority of those stories, the deities seem to influence or even control the outcomes of the heroes, often in a negative manner. In the first epic, Gilgamesh encounters the gods at various times, and in The Iliad, the gods manipulate the Greeks and the Trojans for their own desires and wants. Two understand how the gods influenced our hero, GilgameshRead MoreEssay about The Classic of Poetry957 Words   |  4 PagesThe Classic of Poetry is a collection of old Chinese literature that has been rewritten and renamed into the Book of Songs/Odes. (â€Å"Norton Anthology of World Literature† 812) This collection of poems seemed to become popular around the beginning of Confucianism. Confucianism is the concept of centering one’s life or work on authority figures, family, and friends. The expression of Confucianism is best seen in the work of Tu Fu. Confucianism is wide spread throughout the Classic of Poetry.Read MoreThe Enlightenment Was A Time Of Rapid Changes That Took1306 Words   |  6 Pagesthis era of vast changes, literature was also influenced. Many writers were either for the new philosophies or against them. Molià ¨re and Voltaire were writers that were against the changes of the Enlightenment. They showcased this in their works Tartuffe and Candide. These works focused on the Enlightenment changes in society by religion and politics. The Enlightenment began in the seventeenth century according to Norton Anthology (3). The Norton Anthology to World Literature claims that the EnlightenmentRead MoreEast Vs. West Literature Essay931 Words   |  4 Pages2332 25 October 2016 East vs. West Literature Essay   Ã‚  Ã‚   Eastern and Western Literature has so many unique characteristics of their own. Eastern Literature usually deals with epics such as The Ramayana and Confucius. While Western Literature typically are epics like Beowulf, The Odyssey, and similar characteristics are also in Gilgamesh.   These types of literatures are so rich in their text and have so many different beliefs.   The Eastern and Western Literature compares throughout topics like genderRead MoreEssay on Mmmmmmmm734 Words   |  3 PagesRomantics in Their Time Literature does not occur in a vacuum but is generated in response to forces in the larger culture. Resource: â€Å"The Romantic Period† (pp. 1363–1884) in The Norton Anthology of English Literature Write a 1,400- to 1,750-word paper in which you develop specific answers to the following questions: †¢ Many possible forces can shape a society. Which forces is Romantic literature responding to? †¢ What answer or answers does Romantic literature offer regarding these forcesRead MoreSongs of Good and Evil1545 Words   |  7 Pagesprivately published his first collections of poems, Poetical Sketches, which Blake wrote over a period of fourteen years (William Blake Biography). In August 1782 Blake married Catherine Boucher, with whom he fell in love at first sight (Encyclopedia of World Biography). Blake taught Catherine to read and write, and she later became his assistant. Blake wrote Songs of Innocence and Songs of Experience in 1794. With the help of his wife, Catherine, Blake hand-engraved his poems and paintings on a bronzeRead MoreNative Americans and Early American Colonists Essay652 Words   |  3 Pagesalliances with explorers and settlers to further their own interests and disputes with warring tribes and peoples. William Bradford (1897) describes quite a different account of his coming to the new world. He was part of a group of â€Å"pilgrims† seeking religious freedom. He likens their arrival to the new world, to the story in Acts were the apostles are met with such aggression from barbarians â€Å"who were readier to fill their sides full of arrows† (pg. 60). Later on in his account, he describes an attackRead More Waste Land Essay: Eliots Use of Different Speakers681 Words   |  3 Pagesof varying viewpoints, but also a sort of anthropological description of post-World War II Europe. For instance, Eliot gives a picture of the rootlessness experienced by many Europeans in line 13: Bin gar keine Russin, stamm aus Litauen, echt deutsch.    One of the most important aspects pictured through the use of multiple speakers in The Waste Land is the emptiness of sexual experience in the modern world. This is pictured, for instance, by Tiresias description of the seduction ofRead MoreWilliam Wordsworth and John Keats Essay1170 Words   |  5 Pagesselect two pieces by each writer and interpret how each writer feels about nature, and from my conclusions I will be comparing and contrasting their individual views. From Wordsworth I’ve chosen his â€Å"It is a beauteous evening† and his â€Å"The World is too much with us†; from Keats I’ve chosen his â€Å"Ode to a Nightingale† and his â€Å"Bright star, would I were stedfast as thou art†. William Wordsworth was born on April 7, 1770 in Cockermouth, Cumberland in a lake district of modern EnglandRead MoreThe Universal Truths on the Epic of Gilgamesh and the Hebrew Bible596 Words   |  3 PagesChristopher Gilchrist Professor Ms. Alyse W. Jones World Literature I - English 2111 October 7, 2012 The Universal Truths on ‘The Epic of Gilgamesh amp; The Hebrew Bible’ The Epic of Gilgamesh and The Hebrew Bible are considered by their audiences’ as two of the greatest literary works of ancient literature. The universal truths on The Epic of Gilgamesh and The Hebrew Bible, are most fundamental when viewed from both the contemporary and traditional audiences. Fundamentally, both audiences

The Americans with Disabilities Act (ADA) A Good Start Essay

â€Å"Open your mouth for the mute, for the rights of all who are destitute. Open your mouth, judge righteously, defend the rights of the poor and needy.† (Proverbs 31:8-9). Prejudices exist in every measure, against every person, and everywhere across the world. People are inclined to judge without reason, and often hold conviction to the initial judgment made. Despite worldwide attempts to decrease these preconceptions, people must suffer through being the target on very frequent occasions. In the U.S., occurred the Civil Rights Movement as well as the movement to end Women’s Suffrage. This did not eliminate all biases against those groups, nor did the Americans with Disabilities Act. People are still isolated because of physical†¦show more content†¦Those with disabilities have to accept their lives as being deprived of some joyful instances that may never happen. Individuals with handicaps may not be able to be active with their (or other’s) children, dream jobs may not be within grasp, memories may not be accessible while other’s take them for granted and shun those who desire that which they’ve already acq uired (â€Å"People With Disabilities†). Provided, life is hard with a disability but additionally, those with handicaps must suffer isolation which is unfavorable in multiple ways. With isolation the person has no help, no support, no companionship, and feel ultimately rejected shutting them down in a social manner (â€Å"People With Disabilities†). People who suffer from the difficulties of having a disability as well as being discriminated against may have complications managing. In daily life, individuals seek the approval, acceptance, and companionship of their peers; those with disabilities are no different in what they seek. Therefore, being out casted can have very disturbing conclusions. A woman and her daughter experienced severe brutality because of the daughter’s mental disabilities. In order to escape the cruelty the woman killed both her daughter and herself (Williams, Rachel). As if it isn’t wretched enough, others with disabilities al so feel the discrimination against them, more so than other groups of society. In addition to discriminating, people do itShow MoreRelatedChildren With Disabilities Act ( Ada )1222 Words   |  5 Pagessystematically have tools or laws in place for Deaf individuals. In 1991, the Americans with Disabilities Act (ADA) – a civil rights law was implemented across the U.S [with four sections] that prohibit discrimination against people with disabilities including deaf and hearing impaired people. The purpose of the ADA is to make sure that people with disabilities have the same rights and opportunities as everyone else. Each section of the ADA – employment, government, public accommodations, and telecommunicationsRead MoreWhat Is The Ada And How Did It Start?2238 Words   |  9 PagesWhat is the ADA and How Did It Start? The Americans with Disabilities Act signed by President George H. W. Bush on July 26, 1990, outstands against discrimination to disabled individuals. Being one of the most complete legalization of civil privileges, this act promises individuals with disabilities that they will have the same opportunities as everyone else to contribute in the regular American life - to buy services and goods, to enjoy job opportunities, and to contribute in local and in stateRead MoreShould The Vending Machines Be Purchased For An External Company Meeting The Requirements For Products?780 Words   |  4 Pages The company will also consider to employing a vending maintenance person that will be a student worker who will have the responsibility of periodical visits to the machines; maybe once or twice per week to check the inventory and to determine the good functioning of the different mechanisms and electronic components. However, we also are going to have technology that is going to allow us to control inventory and sales. 8.3. Permits As a vending machine company, the business must be certifiedRead MoreAgency Description / Policy Analysis2603 Words   |  11 PagesDescription / Policy Analysis: Pathways John Gray Brandon Raney SW 3601 April 15, 2015 For our groups agency description paper we decided to interview â€Å"pathways†. This is an agency contracted through opportunities for Ohioans with disabilities (OOD) and partnered with Goodwill industries and paint valley ADAMH board. The home office is located at 14 south paint street in Chillicothe Ohio. This organization can be contacted by email at www.ood.gov or http://gwisco.org and also by phoneRead MorePublic Policy Impact On An American Corporation3071 Words   |  13 PagesPublic Policy Impact on an American Corporation Due to the differences in mankind, issues and conflicts often occurred in history for a multiplicity of reasons and they still will occur in the future. But to improve the quality of life for everybody and because we are all supposed to be equal in some way, we definitely need to create laws, draw up guidelines and develop principles that might solve upcoming issues or at least minimize the harm for the unprivileged and socially disadvantaged part ofRead MoreQuality Of Being Available For Inclusive Recreation Participation Essay1813 Words   |  8 Pagesaccess different spectrums of facilities or outdoor recreation activities without assistance is self rewarding. The ADA is one of Americas most comprehensive pieces of civil rights that prohibits discrimination and guarantees that people with disabilities have the same opportunities as everyone else to participate in leisure activities freely. After completing the various sections of the ADA checklist my positive and accessible area s includes Priority 1 which is consisted of Approach Entrance. In priorityRead MoreThe Feasibility Of Miniature Horses Serving As Guide Animals1348 Words   |  6 Pagesservice animal is any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability. Other species of animals, whether wild or domestic, trained or untrained, are not considered service animals. (ADA National Network) ADA –Americans with Disabilities. Research Questions and Hypotheses 1) What could possibly be a benefit with utilizing a miniature pony as a service animalRead MoreThe Republicans Fight For Economic Justice And Security1171 Words   |  5 Pageshealth because of the fears he had. Democratic party’s ideology on tax policy calls for raising certain taxes to provide money for government spending, which in turn generates business. The party platform asserts that government spending provides good jobs and will help the economy today†. The Republican party believes government should tax only to raise money for its essential functions. That is, Conservatives believe government should spend money only to enforce contracts, maintain basic infrastructureRead MoreChildren s Academic And Social Competencies1549 Words   |  7 Pagesfamilies, communities, and the economic future of the United States is reinforced. Surprisingly, one in four children in the United States living in low-income households enters kindergarten not equipped to learn and, as a result, fall behind from the start. â€Å"Children s academic and social competencies at kindergarten entry are important predictors of success throughout school; children who enter school not ready to learn struggle with academic difficulties and [can] manifest social and behavior problemsRead MoreThe Puppet Playground : Children With Disabilities1506 Words   |  7 Pagesborn with disabilities were isolated, excluded and dependent on other people. Families would have feelings of shame and guilt giving birth to a child with a disability. Society viewed a child with a disability a personal tragedy and it was left to the families to cope. This all began to change after World War II when many soldiers came home with acquired disabilities. Several Acts of Congress were put in place to give rights to those with disabilities. Most notably, the Americans with Disabilities

Returning Back to School Free Essays

I decided to return back to school now because I am more stable in life than I were when I finished school or even years ago when I considering going to school again. I am more Mature with Why I decided to return back to the decisions I make toward life now. I know what I want and the responsibilities I need to take to meet my goals. We will write a custom essay sample on Returning Back to School or any similar topic only for you Order Now I am no longer trying to figure out what I want to do with my life. I want to be educated in the career field I am seeking.In this time of living it is important that you obtain an graduate degree to open more opportunities for career advancements. There are many benefits of life experiences for returning back to school. One is knowing exactly what degree you want to pursue. The benefits of having an college degree is to be more advanced in the work field than someone whom doesn’t have any college time. It take a lot in returning to school you have to chang you life style a lot to maintain focus on your class work. You have to be more dedicated to time than you use to a lot of time management has to be adjusted. I had to learn to over come procrastination. I am still working on getting in the habit of writing this a subject that I am no good at and has never been. I am gona begin to start writing to see if I can get in the habit of writing. I need to over come waitng until the last second because it is something I am not comfortable doing because I am afraid of failure. So I am just going to have to just apply my self and learn from what mistake I make. I need to spend more time studying than what I do . How to cite Returning Back to School, Papers

Assessment and care management free essay sample

This reflection essay is going to forms on an assessment tool that uses in my work setting of healthcare delivery. Reflexive exercise, which includes reflexivity that assists the development of emotional intelligence(Grainger 2010). It will use Gibbs(1969) reflective cycle to explain one of the areas where I found myself incompetent with the use of a pain assessment tool. Even though there are variety model of reflective writing Gibbs model is ideal and permitting for explanation, analysis and valuation of the experience helping the reflective personal to make sense of the incident and examine their works. To maintain the confidentiality of the persons according to Nursing and Midwifery Council (2008) it uses fictional names. First part of Gibbs cycle is description of the event. I am a student in BSC Honours in Nursing and Healthcare course in a university. When working in a nursing home with most of dementia patients, the sister in charge showed one Pain Assessment In Advanced Dementia (PAINAD) tool (Appendix 3) and explained it. She said fill that form by assessing the residents. As I am new in that healthcare setting I asked one of my colleagues for assistance. He introduced that form to me more deeply and told to assess the patient for five minutes before filling the form. I assessed one cognitively impaired patient with the PAINAD tool(Corbett, 2012). The next stage of Gibbs reflective cycle is feeling. I was happy to use that tool, because that was my first time using PAINAD tool. However, I was embarrassed and confused too as it was not customary in my practice I felt shame on me as a nurse. N. M. C (2008) states that all nurses should be competent in their work set up. I thought about importance of this tool since advanced dementia patients do not have the ability to communicate effectively (Scott,2012), which is supported by Chatterjee(2012). Thus it is important to assess their silent pain and is the responsibility of healthcare professionals. I also thought that why does this tool need five minute monitoring, and who formulated this tool, so I decided to check for it. Gibbs Reflective cycle’s third level is evaluation. As the residents with dementia lack the communication ability they cannot express their pain and agitation verbally (While,2009), thus finding their unspeakable needs is the responsibility of those who care for them. If the pain left untreated the condition of the resident may get worse with aggression , lack of socialisation and sleep deprivation(While,2009). Corbett (2012) states that correct management of pain is essential for the patient as well as the staff, since it provides easiness of care. It is also should be taken in to consideration that at least 79 percent of dementia patients have any kind of painful condition (Zieber, 2005). Thus the importance of assessing pain through their various expressions was clear to me. Analysis of the situation is the fourth element of Gibbs cycle. I analysed topics I have read and recounting that in the fourth stage of Gibbs cycle. Even though there are many methods to determine the pain, I found that PAINAD is one of the effective one. Chatterjee(2012) states that a major portion of elderly people affect with pain and cognitive impairment before death. The health care professionals need to ask the susceptible person about pain using different words and gestures such as aching, hurting, uncomfortable (SCIE,2009). However, Scherder(2009) and Scott (2012) states that in advanced dementia stage patients lose their linguistic and self care ability which pointed to the importance of assessing pain through various expressions. Herr et. al. (2010) describing as much as 14 pain assessment tools using in health care setting and found that PAINAD by Warden et al(2003) received the highest rating. Six behavioural aspects with a score of zero to two are using in Pain Assessment in Advanced Dementia Tool (Appendix 1). Chatterjee(2012) pointed that PAINAD(Warden et. al,2003) does not provide data on patients complaints where as it only focused on activities of the person. He further states that self reported pain is the most reliable one. If it is found that the person lacks the ability to self report, an observation scale should be used to determine the pain (While,2009). The situation makes me think over the studies conducted about pain assessment tools and its importance in dementia patient care. As pain is a subjective feeling (While,2009) it is hard to assess and manage (Corbett et. al,2012). Thus obtaining the presence and intensity either by assessing activities or by direct reporting may not give excellent result in cognitively impaired patients, however using a combination of tools providing both subjective and objective data should be useful(Chatterjee,2012; Corbett,2009). The reading of articles helped me as a care promoter to assess and manage with residents who are cognitively impaired and susceptible to pain. Even though at first the situation made me embarrassed, I could gain enormous knowledge secondary to that. The incident helped me to understand more about Dementia and need of pain assessment in those dementia patients. Action plan for the future is the last stage of Gibbs reflective cycle. I realised the importance of gaining and updating knowledge day by day since there is new inventions and methods in healthcare sector and planned an action plan (Appendix 2). Healthcare sector is improving and becomes more evidence based to deliver accurate care to patients. N. M. C(2012) persuades nurses to improve up to date their knowledge and skills throughout the career. It also declare that nurses should have the knowledge and skills for safe and effective practice while working. So I decided for continual reading and collaborating my practice with evidence based theories. I decided to participate in appropriate study sessions and practice workshops to attain more knowledge to my career (N. M. C,2012). I planned to assess each residents who belongs to me in each shifts, so I could know their unspeakable feelings and pain. I determined to use both subjective as well as objective data get from each one for this purpose. Cognitively impaired people should be given extra assistance to describe their pain experience through the use of suitable adapted tools, modified to allow for sensory and cognitive insufficiency in the patient and selected to suit their capabilities(Chatterjee,2012). The incident in the new work atmosphere helped to reflect on it and to acquire knowledge to my profession.