Monday, January 27, 2020

Reflection for professional development

Reflection for professional development Reflective practice has been recognised by health care professionals as an essential tool to link theory to practice, which can help us learn from our experiences (Jasper 2003a). During my first placement I experienced an incident that a struggled to deal with because I did not understand the condition that the patient had. By using a reflective model I am going to revisit this incident with the intention of learning from it to improve my future practice. There are many reflective models that I could have used, such as Johns Model of Structured Reflection, but the reason that I decided not to was because Johns (2004) reflects on uncovering the knowledge behind the incident and the actions of others present, which I felt was not suited to my chosen incident. The reflective model that I have chosen to use is Gibbs Reflective Cycle (1988), as I feel that this is a simple model, which is well structured and easy to use at this early stage in my course. Gibbs (1988) will help me to explor e the experience further, using a staged framework as guidance. Description what happened? I was assisting an elderly patient that had Parkinsons disease, with her drink. It was my second shift and I had not had much contact with the patients on the ward, but I felt confident enough to assist this patient as I have previous experience of care. I was holding the cup for the patient whilst she was sucking the fluid through a straw, but she was struggling as she wasnt sucking hard enough. She became distressed, and said that I was stopping the fluid from coming out of the straw and being evil towards her; even trying to kill her! I was shocked by her accusations but thought that there must be a logical explanation, so I stayed with her, reassuring and assisting the best I could, as I didnt want her to see that I was distressed. I then left the ward and immediately went to seek advice from my mentor. Feeling what were you thinking and feeling? Initially, at the time my feelings were for the patient, as I was concerned that my actions had caused her to feel threatened, but I didnt understand why. I felt embarrassed by her comments, and doubted myself, as this was a simple task so how could I get it wrong? I began to feel tearful, but then quickly reminded myself that there must be a reasonable explanation. Evaluation what was good and bad about the experience? I felt happy and confident to assist the patient. I referred to the Nursing Midwifery Council (NMC) code in my head and recalled that I should gain consent before offering to assist them NMC (2008), which she agreed. The patient appeared quite and I thought it would be nice for her to have some interaction, and to also feel at ease with a student nurse caring for them. The downside was that the patient felt that I was being nasty to them. It also made me doubt myself and the care that I was providing. I was also in a bay area, so other patients would have heard their comments. Would they then look at me differently, and not trust me to care for them too? Analysis what sense can you make of the situation? The patient had no recollection of what she had said to me and since the incident she has made these comments to other staff, which has put me at ease and made me realise that I had done nothing wrong. My mentor explained that a patient with Parkinsons can often behave like this as they develop dementia, which Noble (2007) also confirms. Since the incident I have read about Parkinsons and am now aware that the patients expressionless face Netdoctor (2008), also made her comments appear more confusing and aggressive. Conclusion what else could you have done? I could have asked my mentor before assisting the patient what the disease was like, so that I was prepared. I did ponder about calling over another member of staff, which may have helped me to understand that the patient had a condition that was making her act this way, but I didnt want to appear incapable of doing my job. Action Plan what would you do if this situation arose again? I am now more prepared for any future patients with this disease as I have researched it. I will take the time to talk to them, to make sure they are at ease with me, before providing any care. If they appear distressed I would get another member of staff to help me to reassure them. From my reflection it is clear to me that learning through reflective practice and being able to identify, and understand, my skills and abilities in both theory and practice are crucial for me to be able to act as a professional practitioner (Jasper 2003b). It is also important that I look at, and be honest about, the strengths and weaknesses that I have. So that I am able to identify these I have produced two Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis, one for theory (Appendix A), and one for practice (Appendix B). I am now going to explore these further, identifying the main areas that I feel are important to me, and my future development. My SWOT analysis for theory identifies my strengths, as a whole, as being very organised with my preparation for the work I have to undertake, with strong determination and motivation to succeed. (Appendix C) is a reflection that I wrote after completing my 1st week in university and demonstrates these qualities towards the course. It was important for me to realise that enrolling on a professional university course would mean that I became an independent learner, who must have strong organisational skills in order to succeed (Burns Sinfield 2008a). I believe that from my preparation this is a very strong strength that I have developed. The weaknesses that I have identified in my SWOT analysis for theory, that I feel will affect my grades in the future if they are not improved are referencing, revision technique and exceeding the word limit on assignments. I feel that these are weaknesses because they are new to me and as a mature student I have been outside of academic study for some time. (Appendix D) for example, is my feedback from my 1st assignment and shows how I have been penalised one grade point for exceeding the word limit. I will need to look at these weaknesses more closely and plan to improve them overtime, as Burns Sinfield (2008b) have commented, it takes time and practice to be a good student; we are not just born that way. My SWOT analysis for practice shows my strengths as wanting to help people, being determined to succeed, my willingness to learn and valuing people. These are all good qualities of a being a successful and professional nurse (NMC 2008). I have always had a caring nature and I am very determined to succeed and be successful in what I choose to do. (Appendix E) is a reflective journal that I wrote after my second week in placement and clearly highlights my strengths in practice. I feel that during my time as a student nurse I will build on these strengths even more. I have identified my weaknesses in practice, from my SWOT analysis, as communicating with difficult patients, showing emotion and aseptic technique. (Appendix F) demonstrates how I found it difficult to communicate with a patient because I did not understand her condition. It was also difficult for me not to take her behaviour to heart and show emotion at the time, it is clear that this is an area I need to build on for the future. I also need to practice my aseptic technique as I feel very unsure of the whole process, but need to be able to get it right as it will protect me and the patient from contamination (Dougherty Lister 2008). According to Bulman Schutz (2008), nursing requires effective preparation so that we can care competently, with knowledge and professional skills being developed over a professional lifetime. One way this can be achieved is through what Schon (1987) refers to as technical rationality, where professionals are problem solvers that select technical means best suited to particular purposes. Problems are solved by applying theory and technique. However, Bulman Schutz (2008) argue that this is failure to educate and for us to learn from practice and develop thinking skills. I would agree with them, as I learn best from practical experience, and build on it to improve my skills. With this is mind, I am now going to focus on my weaknesses, in both theory and practice, and state how, when and why I plan to improve on these. Theory Weaknesses Weakness Identified Referencing This is very new to me and when writing my 1st assignment I found that it took up much of my time, as I struggled with it. Revision Technique According to Cottrell (2008a), reading through notes over and over is a pitfall with revision. This is the strategy that I would normally use. Exceeding the word limit on assignments I must take more care with this as on my 1st assignment I was penalised for it. How I Plan to Improve Referencing To practice writing out references from different sources. Revision Technique I have decided to use the advice of Cottrell (2008a) and produce index cards that ask me questions relevant to my chosen subject. I will also produce a timetable in order to manage my time. Exceeding the word limit on assignments I will count the words manually and make sure that I do not use the whole +10% again so that I am in danger of being penalised. When I Plan to Improve Referencing When I receive my feedback from my 1st assignment I will use the comments on my referencing to guide me. Revision Technique I will start preparing my index cards immediately and plan my timetable to start after submission of this assignment. Exceeding the word limit on assignments This is the next assignment that I will hand in so I will make sure that I adhere to the word limit. Why I Plan to Improve Referencing Referencing plays an essential part within my writing Gimenez (2007), so correct use and structure of references will improve my grades. Revision Technique Improving my revision technique will mean that I am more relaxed before an exam, and will help me to achieve better grades (Cottrell 2008a). Exceeding the word limit on assignments Adhering to the word limit as Cottrell (2008b) suggests, will improve my grades in future assignments. Practice Weaknesses Weakness Indentified Communicating with difficult patients On my 1st placement I experienced a patient that had communication difficulties which I found difficult to deal with. Showing emotion I am a very sensitive person and feel anxious that I will get upset in front of a difficult patient, or a patients family at an inappropriate time, e.g. patient death. Aseptic technique In practice I need to get this procedure right, but I do not feel 100% confident with it at present as I have not had much practice with it. How I Plan to Improve Communicating with difficult patients I will observe as much as possible my mentor, and other nurses communication skills. Showing emotion I will use reflective models to make sense of what has happened, and also discuss it with my mentor. Aseptic technique I have asked my mentor if I can practice this procedure as much as possible. When I Plan to Improve Communicating with difficult patients Each time I am on placement I will plan to improve my skills in communication. Showing emotion I will start to use reflective models in my practice now so that I have experience of using them ready for when an emotional situation happens. Aseptic technique During the rest of my time in my 1st placement I plan to practice this so that I am comfortable with it by the end of my 1st semester. Why I Plan to Improve Communicating with difficult patients As a student nurse, and in line with the NMC (2008), I should make the effort to meet patients communication needs to provide the best care that I can. Showing emotion I want to appear professional to patients and their family, however I do agree with Scott (2008), that sometimes we should not be afraid to show emotion as a nurse, as long as we maintain our professional image at the same time. Aseptic technique The correct use of aseptic technique will protect myself and the patient from healthcare associated infections (Hart 2007). It will also prevent infections from being spread around the rest of the ward, which could harm other patients. I have clearly demonstrated that by using a reflective model as a guide I have been able to break down, make sense of, and learn from my experience during my 1st placement. So that I could identify my strengths and weaknesses in both theory and practice easily, I found that the use of a SWOT analysis provided a good framework to follow. I have then built on this by producing a development plan that focuses on my weaknesses and how, when and why I plan to improve on them. I will now begin to work on these, the main reason being of course, that I am determined to be a competent, professional nurse in the future.

Sunday, January 19, 2020

Types of Criticism and Literary Movements in Short Stories :: Free Essay Writer

Types of Criticism and Literary Movements in Short Stories The short story dates back as early as the 14th Century. It offers what a novel or the equivalent would offer but it has a swiftness and completeness about it. According to Ruby Redinger, the short story is most powerful through graphic narration (752). The short story has captured a diverse group of things from the supernatural to an everyday occurrence. Nearly any situation can be worked into a short story if the right writer is managing the idea. The first masters of the short story in the eyes of Redinger were Boccaccio, Decameron, and Chaucer, Canterbury Tales (752). These stories were both written during the 14th Century. During the Renaissance period the short story lost its edge and writers’ attempts to do what Boccaccio and Chaucer had done failed. In the 19th Century America was the first to declare the short story as a literary form. During this time the authors Edgar Allan Poe, Washington Irving, and Nathaniel Hawthorn contributed to the survival of the short story . During this timeframe realism, romanticism, and impressionism were the more common literary movements. The short story can also use many other forms and types of criticism to describe it. A few different forms are surrealism, Dadaism, Imagism, Romanticism, and many others. The satire is both a type of literature and a literary manner. It has an early history in poetry as a genre. C. Hugh Holman states that it originated in the 2nd Century B.C. by Roman satirist Lucilius and later practiced by Horace, Persius, Juvenal, and Quintilian (294). A satire is more frequently a literary manner in which the imperfections of a person, entire mankind, or an institution are ridiculed with the intention of correcting them. Satire is also applied to magic songs and ritualistic incentives in Greek, Old Irish, and Arabic literatures, where the ritual curse was believed to have powerful effects. The satire is often confused with the satyr play of Greek drama and coarse comic manner. This has influenced and confused the ideas about a satire in English literature. Although the satire is often comic, its primary object is not to provoke general laughter but to provoke laughter for corrective purposes. The satire always has a target, which is held up to mock upon the satiri st’s unveiling. The satirist’s viewpoint is nearly that of the cold-eyed realist, that penetrates shame and pretense for a didactic reason.

Saturday, January 11, 2020

The Twilight Saga 2: New Moon Chapter 7 REPETITION

I WASN'T SURE WHAT THE HELL I WAS DOING HERE Was I trying to push myself back into the zombie stupor? Had I turned masochisticdeveloped a taste for torture? I should have gone straight down to La Push I felt much, much healthier around Jacob This was not a healthy thing to do. But I continued to drive slowly down the overgrown lane, twisting through the trees that arched over me like a green, living tunnel My hands were shaking, so I tightened my grip on the steering wheel. I knew that part of the reason I did this was the nightmare, now that I was really awake, the nothingness of the dream gnawed on my nerves, a dog worrying a bone. There was something to search for. Unattainable and impossible, uncaring and distracted but he was out there, somewhere. I had to believe that. The other part was the strange sense of repetition I'd felt at school today, the coincidence of the date. The feeling that I was starting overperhaps the way my first day would have gone if I'd really been the most unusual person in the cafeteria that afternoon. The words ran through my head, tonelessly, like I was reading them rather than hearing them spoken: It will be as if I'd never existed. I was lying to myself by splitting my reason for coming here into just two parts. I didn't want to admit the strongest motivation. Because it was mentally unsound. The truth was that I wanted to hear his voice again, like I had in the strange delusion Friday night. For that brief moment, when his voice came from some other part of me than my conscious memory, when his voice was perfect and honey smooth rather than the pale echo my memories usually produced, I was able to remember without pain. It hadn't lasted; the pain had caught up with me, as I was sure it would for this fool's errand. But those precious moments when I could hear him again were an irresistible lure. I had to find some way to repeat the experience or maybe the better word was episode. I was hoping that dj vu was the key. So I was going to his home, a place I hadn't been since my ill-fated birthday party, so many months ago. The thick, almost jungle-like growth crawled slowly past my windows. The drive wound on and on. I started to go faster, getting edgy. How long had I been driving? Shouldn't I have reached the house yet? The lane was so overgrown that it did not look familiar. What if I couldn't find it? I shivered. What if there was no tangible proof at all? Then there was the break in the trees that I was looking for, only it was not so pronounced as before. The flora here did not wait long to reclaim any land that was left unguarded. The tall ferns had infiltrated the meadow around the house, crowding against the trunks of the cedars, even the wide porch. It was like the lawn had been floodedwaist-highwith green, feathery waves. And the house was there, but it was not the same. Though nothing had changed on the outside, the emptiness screamed from the blank windows. It was creepy. For the first time since I'd seen the beautiful house, it looked like a fitting haunt for vampires. I hit the brakes, looking away. I was afraid to go farther. But nothing happened. No voice in my head. So I left the engine running and jumped out into the fern sea. Maybe, like Friday night, if I walked forward I approached the barren, vacant face slowly, my truck rumbling out a comforting roar behind me. I stopped when I got to the porch stairs, because there was nothing here. No lingering sense of their presence of his presence. The house was solidly here, but it meant little. Its concrete reality would not counteract the nothingness of the nightmares. I didn't go any closer. I didn't want to look in the windows. I wasn't sure which would be harder to see. If the rooms were bare, echoing empty from floor to ceiling, that would certainly hurt. Like my grandmother's funeral, when my mother had insisted that I stay outside during the viewing. She had said that I didn't need to see Gran that way, to remember her that way, rather than alive. But wouldn't it be worse if there were no change? If the couches sat just as I'd last seen them, the paintings on the wallsworse still, the piano on its low platform? It would be second only to the house disappearing all together, to see that there was no physical possession that tied them in anyway. That everything remained, untouched and forgotten, behind them. Just like me. I turned my back on the gaping emptiness and hurried to my truck. I nearly ran. I was anxious to be gone, to get back to the human world. I felt hideously empty, and I wanted to see Jacob. Maybe I was developing a new kind of sickness, another addiction, like the numbness before. I didn't care. I pushed my truck as fast as it would go as I barreled toward my fix. Jacob was waiting for me. My chest seemed to relax as soon as I saw him, making it easier to breathe. â€Å"Hey, Bella,† he called. I smiled in relief. â€Å"Hey, Jacob,† I waved at Billy, who was looking out the window. â€Å"Let's get to work,† Jacob said in a low but eager voice. I was somehow able to laugh. â€Å"You seriously aren't sick of me yet?† I wondered. He must be starting to ask himself how desperate I was for company. Jacob led the way around the house to his garage. â€Å"Nope. Not yet.† â€Å"Please let me know when I start getting on your nerves. I don't want to be a pain.† â€Å"Okay.† He laughed, a throaty sound. â€Å"I wouldn't hold your breath for that, though.† When I walked into the garage, I was shocked to see the red bike standing up, looking like a motorcycle rather than a pile of jagged metal. â€Å"Jake, you're amazing,† I breathed. He laughed again. â€Å"I get obsessive when I have a project.† He shrugged. â€Å"If I had any brains I'd drag it out a little bit.† â€Å"Why?† He looked down, pausing for so long that I wondered if he hadn't heard my question. Finally, he asked me, â€Å"Bella, if I told you that I couldn't fix these bikes, what would you say?† I didn't answer right away, either, and he glanced up to check my expression. â€Å"I would say that's too bad, but I'll bet we could figure out something else to do. If we got really desperate, we could even do homework.† Jacob smiled, and his shoulders relaxed. He sat down next to the bike and picked up a wrench. â€Å"So you think you'll still come over when I'm done, then?† â€Å"Is that what you meant?† I shook my head. â€Å"I guess I am taking advantage of your very underpriced mechanical skills. But as long as you let me come over, I'll be here.† â€Å"Hoping to see Quil again?† he teased. â€Å"You caught me.† He chuckled. â€Å"You really like spending time with me?† he asked, marveling. â€Å"Very, very much. And I'll prove it. I have to work tomorrow, but Wednesday we'll do something nonmechanical.† â€Å"Like what?† â€Å"I have no idea. We can go to my place so you won't be tempted to be obsessive. You could bring your schoolworkyou have to be getting behind, because I know I am.† â€Å"Homework might be a good idea.† He made a face, and I wondered how much he was leaving undone to be with me. â€Å"Yes,† I agreed. â€Å"We'll have to start being responsible occasionally, or Billy and Charlie aren't going to be so easygoing about this.† I made a gesture indicating the two of us as a single entity. He liked thathe beamed. â€Å"Homework once a week?† he proposed. â€Å"Maybe we'd better go with twice,† I suggested, thinking of the pile I'd just been assigned today. He sighed a heavy sigh. Then he reached over his toolbox to a paper grocery sack. He pulled out two cans of soda, cracking one open and handing it to me. He opened the second, and held it up ceremoniously. â€Å"Here's to responsibility,† he toasted. â€Å"Twice a week.† â€Å"And recklessness every day in between,† I emphasized. He grinned and touched his can to mine. I got home later than I'd planned and found Charlie had ordered a pizza rather than wait for me. He wouldn't let me apologize. â€Å"I don't mind,† he assured me. â€Å"You deserve a break from all the cooking, anyway.† I knew he was just relieved that I was still acting like a normal person, and he was not about to rock the boat. I checked my e-mail before I started on my homework, and there was a long one from Renee. She gushed over every detail I'd provided her with, so I sent back another exhaustive description of my day. Everything but the motorcycles. Even happy-go-lucky Renee was likely to be alarmed by that. School Tuesday had its ups and downs. Angela and Mike seemed ready to welcome me back with open armsto kindly overlook my few months of aberrant behavior. Jess was more resistant. I wondered if she needed a formal written apology for the Port Angeles incident. Mike was animated and chatty at work. It was like he'd stored up the semester's worth of talk, and it was all spilling out now. I found that I was able to smile and laugh with him, though it wasn't as effortless as it was with Jacob. It seemed harmless enough, until quitting time. Mike put the closed sign in the window while I folded my vest and shoved it under the counter. â€Å"This was fun tonight,† Mike said happily. â€Å"Yeah,† I agreed, though I'd much rather have spent the afternoon in the garage. â€Å"It's too bad that you had to leave the movie early last week.† I was a little confused by his train of thought. I shrugged. â€Å"I'm just a wimp, I guess.† â€Å"What I mean is, you should go to a better movie, something you'd enjoy,† he explained. â€Å"Oh,† I muttered, still confused. â€Å"Like maybe this Friday. With me. We could go see something that isn't scary at all.† I bit my lip. I didn't want to screw things up with Mike, not when he was one of the only people ready to forgive me for being crazy. But this, again, felt far too familiar. Like the last year had never happened. I wished I had Jess as an excuse this time. â€Å"Like a date?† I asked. Honesty was probably the best policy at this point. Get it over with. He processed the tone of my voice â€Å"If you want. But it doesn't have to be like that.† â€Å"I don't date,† I said slowly, realizing how true that was. That whole world seemed impossibly distant. â€Å"Just as friends?† he suggested. His clear blue eyes were not as eager now. I hoped he really meant that we could be friends anyway. â€Å"That would be fun. But I actually have plans already this Friday, so maybe next week?† â€Å"What are you doing?† he asked, less casually than I think he wanted to sound. â€Å"Homework. I have a study session planned with a friend.† â€Å"Oh. Okay. Maybe next week.† He walked me to my car, less exuberant than before. It reminded me so clearly of my first months in Forks. I'd come full circle, and now everything felt like an echoan empty echo, devoid of the interest it used to have. The next night, Charlie didn't seem the smallest bit surprised to find Jacob and me sprawled across the living room floor with our books scattered around us, so I guessed that he and Billy were talking behind our backs. â€Å"Hey, kids,† he said, his eyes straying to the kitchen. The smell of the lasagna I'd spent the afternoon makingwhile Jacob watched and occasionally sampledwafted down the hall; I was being good, trying to atone for all the pizza. Jacob stayed for dinner, and took a plate home for Billy. He grudgingly added another year to my negotiable age for being a good cook. Friday was the garage, and Saturday, after my shift at Newton's, was homework again. Charlie felt secure enough in my sanity to spend the day fishing with Harry. When he got back, we were all donefeeling very sensible and mature about it, tooand watching Monster Garage on the Discovery Channel. â€Å"I probably ought to go.† Jacob sighed. â€Å"It's later than I thought.† â€Å"Okay, fine,† I grumbled. â€Å"I'll take you home.† He laughed at my unwilling expressionit seemed to please him. â€Å"Tomorrow, back to work,† I said as soon as we were safe in the truck. â€Å"What time do you want me to come up?† There was an unexplained excitement in his answering smile. â€Å"I'll call you first, okay?† â€Å"Sure.† I frowned to myself, wondering what was up. His smile widened. I cleaned the house the next morningwaiting for Jacob to call and trying to shake off the Litest nightmare. The scenery had changed. Last night I'd wandered in a wide sea of ferns interspersed with huge hemlock trees. There was nothing else there, and I was lost, wandering aimless and alone, searching for nothing. I wanted to kick myself for the stupid field trip last week. I shoved the dream out of my conscious mind, hoping it would stay locked up somewhere and not escape again. Charlie was outside washing the cruiser, so when the phone rang, I dropped the toilet brush and ran downstairs to answer it. â€Å"Hello?† I asked breathlessly. â€Å"Bella,† Jacob said, a strange, formal tone to his voice. â€Å"Hey, Jake.† â€Å"I believe that we have a date† he said, his tone thick with implications. It took me a second before I got it. â€Å"They're done? I can't believe it!† What perfect timing. I needed something to distract me from nightmares and nothingness. â€Å"Yeah, they run and everything.† â€Å"Jacob, you are absolutely, without a doubt, the most talented and wonderful person I know. You get ten years for this one.† â€Å"Cool! I'm middle-aged now.† I laughed. â€Å"I'm on my way up!† I threw the cleaning supplies under the bathroom counter and grabbed my jacket. â€Å"Headed to see Jake,† Charlie said when I ran past him. It wasn't really a question. â€Å"Yep,† I replied as I jumped in my truck. â€Å"I'll be at the station later,† Charlie called after me. â€Å"Okay,† I yelled back, turning the key. Charlie said something else, but I couldn't hear him clearly over the roar of the engine. It sounded sort of like, â€Å"Where's the fire?† I parked my truck off to the side of the Blacks' house, close to the trees, to make it easier for us to sneak the bikes out. When I got out, a splash of color caught my eyetwo shiny motorcycles, one red, one black, were hidden under a spruce, invisible from the house. Jacob was prepared. There was a piece of blue ribbon tied in a small bow around each of the handlebars. I was laughing at that when Jacob ran out of the house. â€Å"Ready?† he asked in a low voice, his eyes sparkling. I glanced over his shoulder, and there was no sign of Billy. â€Å"Yeah,† I said, but I didn't feel quite as excited as before; I was trying to imagine myself actually on the motorcycle. Jacob loaded the bikes into the bed of the truck with ease, laying them carefully on their sides so they didn't show. â€Å"Let's go,† he said, his voice higher than usual with excitement. â€Å"I know the perfect spotno one will catch us there.† We drove south out of town. The dirt road wove in and out of the forestsometimes there was nothing but trees, and then there would suddenly be a breathtaking glimpse of the Pacific Ocean, reaching to the horizon, dark gray under the clouds. We were above the shore, on top of the cliffs that bordered the beach here and the view seemed to stretch on forever. I was driving slowly, so that I could safely stare out across the ocean now and then, as the road wound closer to the sea cliffs. Jacob was talking about finishing the bikes, but his descriptions were getting technical, so I wasn't paying close attention. That was when I noticed four figures standing on a rocky ledge, much too close to the precipice. I couldn't tell from the distance how old they were, but I assumed they were men. Despite the chill in the air today, they seemed to be wearing only shorts. As I watched, the tallest person stepped closer to the brink. I slowed automatically, my foot hesitating over the brake pedal. And then he threw himself off the edge. â€Å"No!† I shouted, stomping down on the brake. â€Å"What's wrong?† Jacob shouted back, alarmed. â€Å"That guyhe just jumped off the cliff! Why didn't they stop him? We've got to call an ambulance!† I threw open my door and started to get out, which made no sense at all. The fastest way to a phone was to drive back to Billy's. But I couldn't believe what I'd just seen. Maybe, subconsciously, I hoped I would see something different without the glass of the windshield in the way. Jacob laughed, and I spun to stare at him wildly. How could he be so calloused, so cold-blooded? â€Å"They're just cliff diving, Bella. Recreation. La Push doesn't have a mall, you know.† He was teasing, but there was a strange note of irritation in his voice. â€Å"Cliff diving?† I repeated, dazed. I stared in disbelief as a second figure stepped to the edge, paused, and then very gracefully leaped into space. He fell for what seemed like an eternity to me, finally cutting smoothly into the dark gray waves below. â€Å"Wow. It's so high.† I slid back into my seat, still staring wide-eyed at the two remaining divers. â€Å"It must be a hundred feet.† â€Å"Well, yeah, most of us jump from lower down, that rock that juts out from the cliff about halfway.† He pointed out his window. The place he indicated did seem much more reasonable. â€Å"Those guys are insane. Probably showing off how tough they are. I mean, really, it's freezing today. That water can't feel good.† He made a disgruntled face, as if the stunt personally offended him. It surprised me a little. I would have thought Jacob was nearly impossible to upset. â€Å"You jump off the cliff?† I hadn't missed the â€Å"us.† â€Å"Sure, sure.† He shrugged and grinned. â€Å"It's fun. A little scary, kind of a rush.† I looked back at the cliffs, where the third figure was pacing the edge. I'd never witnessed anything so reckless in all my life. My eyes widened, and I smiled. â€Å"Jake, you have to take me cliff diving.† He frowned back at me, his face disapproving. â€Å"Bella, you just wanted to call an ambulance for Sam,† he reminded me. I was surprised that he could tell who it was from this distance. â€Å"I want to try,† I insisted, start ing to get out of the car again. Jacob grabbed my wrist. â€Å"Not today, all right? Can we at least wait for a warmer day?† â€Å"Okay, fine,† I agreed. With the door open, the glacial breeze was raising goose bumps on my arm. â€Å"But I want to go soon.† â€Å"Soon.† He rolled his eyes. â€Å"Sometimes you're a little strange, Bella. Do you know that?† I sighed. â€Å"Yes.† â€Å"And we're not jumping off the top.† I watched, fascinated, as the third boy made a running start and flung himself farther into the empty air than the other two. He twisted and cartwheeled through space as he fell, like he was skydiving. He looked absolutely freeunthinking and utterly irresponsible. â€Å"Fine,† I agreed. â€Å"Not the first time, anyway.† Now Jacob sighed. â€Å"Are we going to try out the bikes or not?† he demanded. â€Å"Okay, okay,† I said, tearing my eyes away from the last person waiting on the cliff. I put my seat belt back on and closed the door. The engine was still running, roaring as it idled. We started down the road again. â€Å"So who were those guysthe crazy ones?† I wondered. He made a disgusted sound in the back of his throat. â€Å"The La Push gang.† â€Å"You have a gang?† I asked. I realized that I sounded impressed. He laughed once at my reaction. â€Å"Not like that. I swear, they're like hall monitors gone bad. They don't start fights, they keep the peace.† He snorted. â€Å"There was this guy from up somewhere by the Makah rez, big guy too, scary-looking. Well, word got around that he was selling meth to kids, and Sam Uley and his disciples ran him off our land. They're all about our land, and tribe pride it's getting ridiculous. The worst part is that the council takes them seriously. Embry said that the council actually meets with Sam.† He shook his head, face full of resentment. â€Å"Embry also heard from Leah Clearwater that they call themselves ‘protectors' or something like that.† Jacob's hands were clenched into fists, as if he'd like to hit something. I'd never seen this side of him. I was surprised to hear Sam Uley's name. I didn't want it to bring back the images from my nightmare, so I made a quick observation to distract myself. â€Å"You don't like them very much.† â€Å"Does it show?† he asked sarcastically. â€Å"Well It doesn't sound like they're doing anything bad.† I tried to soothe him, to make him cheerful again. â€Å"Just sort of annoyingly goody-two-shoes for a gang.† â€Å"Yeah. Annoying is a good word. They're always showing offlike the cliff thing. They act like like, I don't know. Like tough guys. I was hanging out at the store with Embry and Quil once, last semester, and Sam came by with his followers, Jared and Paul. Quil said something, you know how he's got a big mouth, and it pissed Paul off. His eyes got all dark, and he sort of smiledno, he showed his teeth but he didn't smileand it was like he was so mad he was shaking or something. But Sam put his hand against Paul's chest and shook his head. Paul looked at him for a minute and calmed down. Honestly, it was like Sam was holding him backlike Paul was going to tear us up if Sam didn't stop him.† He groaned. â€Å"Like a bad western. You know, Sam's a pretty big guy, he's twenty. But Paul's just sixteen, too, shorter than me and not as beefy as Quil. I think any one of us could take him.† â€Å"Tough guys,† I agreed. I could see it in my head as he described it, and it reminded me of something a trio of tall, dark men standing very still and close together in my father's living room. The picture was sideways, because my head was lying against the couch while Dr. Gerandy and Charlie leaned over me Had that been Sam's gang? I spoke quickly again to divert myself from the bleak memories. â€Å"Isn't Sam a little too old for this kind of thing?† â€Å"Yeah. He was supposed to go to college, but he stayed. And no one gave him any crap about it, either. The whole council pitched a fit when my sister turned down a partial scholarship and got married. But, oh no, Sam Uley can do no wrong.† His face was set in unfamiliar lines of outrageoutrage and something else I didn't recognize at first. â€Å"It all sounds really annoying and strange. But I don't get why you're taking it so personally.† I peeked over at his face, hoping I hadn't offended him. He was suddenly calm, staring out the side window. â€Å"You just missed the turn,† he said in an even voice. I executed a very wide U-turn, nearly hitting a tree as my circle ran the truck halfway off the road. â€Å"Thanks for the heads-up,† I muttered as I started up the side road. â€Å"Sorry, I wasn't paying attention.† It was quiet for a brief minute. â€Å"You can stop anywhere along here,† he said softly. I pulled over and cut the engine. My ears rang in the silence that followed. We both got out, and Jacob headed around to the back to get the bikes. I tried to read his expression. Something more was bothering him. I'd hit a nerve. He smiled halfheartedly as he pushed the red bike to my side. â€Å"Happy late birthday. Are you ready for this?† â€Å"I think so.† The bike suddenly looked intimidating, frightening, as I realized I would soon be astride it. â€Å"We'll take it slow,† he promised. I gingerly leaned the motorcycle against the truck's fender while he went to get his. â€Å"Jake†I hesitated as he came back around the truck. â€Å"Yeah?† â€Å"What's really bothering you? About the Sam thing, I mean? Is there something else?† I watched his face. He grimaced, but he didn't seem angry. He looked at the dirt and kicked his shoe against the front tire of his bike again and again, like he was keeping time. He sighed. â€Å"It's just the way they treat me. It creeps me out.† The words started to rush out now. â€Å"You know, the council is supposed to be made up of equals, but if there was a leader, it would be my dad. I've never been able to figure out why people treat him the way they do. Why his opinion counts the most. It's got something to do with his father and his father's father. My great-grandpa, Ephraim Black, was sort of the last chief we had, and they still listen to Billy, maybe because of that. â€Å"But I'm just like everyone else. Nobody treats me special until now.† That caught me off guard. â€Å"Sam treats you special?† â€Å"Yeah,† he agreed, looking up at me with troubled eyes. â€Å"He looks at me like he's waiting for something like I'm going to join his stupid gang someday. He pays more attention to me than any of the other guys. I hate it.† â€Å"You don't have to join anything.† My voice was angry. This was really upsetting Jacob, and that infuriated me. Who did these â€Å"protectors† think they were? â€Å"Yeah.† His foot kept up its rhythm against the tire. â€Å"What?† I could tell there was more. He frowned, his eyebrows pulling up in a way that looked sad and worried rather than angry. â€Å"It's Embry. He's been avoiding me lately.† The thoughts didn't seem connected, but I wondered if I was to blame for the problems with his friend. â€Å"You've been hanging out with me a lot,† I reminded him, feeling selfish. I'd been monopolizing him. â€Å"No, that's not it. It's not just meit's Quil, too, and everyone. Embry missed a week of school, but he was never home when we tried to see him. And when he came back, he looked he looked freaked out. Terrified. Quil and I both tried to get him to tell us what was wrong, but he wouldn't talk to either one of us.† I stared at Jacob, biting my lip anxiouslyhe was really frightened. But he didn't look at me. He watched his own foot kicking the rubber as if it belonged to someone else. The tempo increased. â€Å"Then this week, out of nowhere, Embry's hanging out with Sam and the rest of them. He was out on the cliffs today.† His voice was low and tense. He finally looked at me. â€Å"Bella, they bugged him even more than they bother me. He didn't want anything to do with them. And now Embry's following Sam around like he's joined a cult. â€Å"And that's the way it was with Paul. Just exactly the same. He wasn't friends with Sam at all. Then he stopped coming to school for a few weeks, and, when he came back, suddenly Sam owned him. I don't know what it means. I can't figure it out, and I feel like I have to, because Embry's my friend and Sam's looking at me funny . . and† He trailed off. â€Å"Have you talked to Billy about this?† I asked. His horror was spreading to me. I had chills running on the back of my neck. Now there was anger on his face. â€Å"Yes,† he snorted. â€Å"That was helpful.† â€Å"What did he say?† Jacob's expression was sarcastic, and when he spoke, his voice mocked the deep tones of his father's voice. â€Å"It's nothing you need to worry about now, Jacob. In a few years, if you don't well, I'll explain later.† And then his voice was his own. â€Å"What am I supposed to get from that? Is he trying to say it's some stupid puberty, coming-of-age thing? This is something else. Something wrong.† He was biting his lower lip and clenching his hands. He looked like he was about to cry. I threw my arms around him instinctively, wrapping them around his waist and pressing my face against his chest. He was so big, I felt like I was a child hugging a grown-up. â€Å"Oh, Jake, it'll be okay!† I promised. â€Å"If it gets worse you can come live with me and Charlie. Don't be scared, we'll think of something!† He was frozen for a second, and then his long arms wrapped hesitantly around me. â€Å"Thanks, Bella.† His voice was huskier than usual. We stood like that for a moment, and it didn't upset me; in fact, I felt comforted by the contact. This didn't feel anything like the last time someone had embraced me this way. This was friendship. And Jacob was very warm. It was strange for me, being this closeemotionally rather than physically, though the physical was strange for me, tooto another human being. It wasn't my usual style. I didn't normally relate to people so easily, on such a basic level. Not human beings. â€Å"If this is how you're going to react, I'll freak out more often.† Jacob's voice was light, normal again, and his laughter rumbled against my ear. His fingers touched my hair, soft and tentative. Well, it was friendship for me. I pulled away quickly, laughing with him, but determined to put things back in perspective at once. â€Å"It's hard to believe I'm two years older than you,† I said, emphasizing the word older. â€Å"You make me feel like a dwarf.† Standing this close to him, I really had to crane my neck to see his face. â€Å"You're forgetting I'm in my forties, of course.† â€Å"Oh, that's right.† He patted my head. â€Å"You're like a little doll,† he teased. â€Å"A porcelain doll.† I rolled my eyes, taking another step away. â€Å"Let's not start with the albino cracks.† â€Å"Seriously, Bella, are you sure you're not?† He stretched his russet arm out next to mine. The difference wasn't flattering. â€Å"I've never seen anyone paler than you well, except for† He broke off, and I looked away, trying to not understand what he had been about to say. â€Å"So are we going to ride or what?† â€Å"Let's do it,† I agreed, more enthusiastic than I would have been half a minute ago. His unfinished sentence reminded me of why I was here.

Thursday, December 26, 2019

Mp3 Audio An Important Leap For Apple - 2193 Words

Portable music players were becoming more popular as the market began to move away from technologies such as the CD. Mp3 audio was an important leap for Apple. The 21st Century saw the introduction of Apple’s iPod line with the innovative wheel scroll, fashionable look and ease of use. It made the digital Mp3 market the easiest way to acquire music (either by downloading from iTunes or elsewhere on the internet) and bringing your music on the go. The introduction of the iPhone has been the main driving force of the company. The first introduction of the iPhone line started in 2007, combining the iPod product and the mobile network into one. Prior to this, mobile devices were able to perform all the basic tasks of a computer, however were very business orientated and had a steep learning curve which rendered them quite difficult to use. This resulted in a very narrow target market which included mainly businessmen and those who were already quite adept to technology. Job’s saw this as the opportunity to expand the Apple company and introduce the ease of use and simplicity of the iPod into a mobile device. This increased the range of the target market to include people of all ages and all skill levels. Further expansion of dedicated Apple stores allowed new users to easily acquire a product with excellent customer service. The idea of one product for each application created a unique and exclusive Apple product experience. The release of one product each year for eachShow MoreRelatedIcloud1934 Words   |  8 PagesHow the Apple iCloud Works Cloud storage is a growing tech trend. Making use of cloud computing technology, cloud storage services give you password-protected access to online storage space. You can upload files to this storage space as a backup copy of content from your hard drive, as additional space to supplement your hard drive, or just to make those files available online from other computers or mobile devices. 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Wednesday, December 18, 2019

Cultural Awareness Of Nursing My Family - 1949 Words

Cultural Awareness in Nursing My southern heritage has directly influenced the person I am today. I grew up in South Louisiana and I have lived there all 25 years of my life. My childhood was not easy, but I think those tough situations prepared me for life, and taught me the value of family. I attended a private, Christian school and I am so appreciative of my parent’s sacrifices that allowed me to receive that education. I would describe myself as a kind, hardworking individual who respects, cares for, and values others. I believe these attributes are a genuine reflection of my upbringing. My Christian faith is what motivates me each day and it is also what has inspired me to help others through a career in nursing. I was taught†¦show more content†¦I am appreciative of the cultural interactions provided by my college experience as I feel well-equipped for working with diversity in my future profession as a nurse. In particular, I am thankful for the opportunity I have had this semester to not only get to know a fellow nursing student from Nigeria, but I am privileged to now call her a dear friend. In order to get to know my interviewee, E. E., it is important to learn about her distinct heritage. She has such an interesting story that even prior to this interview, I found myself eager to learn more about her and her life in Nigeria. While researching about the Nigerian culture, I gathered information related to traditional language, religion, diet, values, gender roles, and health practices. In doing so, I was able to get a glimpse of what it might be like to live in Nigeria and ultimately, I gained insight to the culture that made E. E. the inspiring person she is today. According to the Embassy of the Federal Republic of Nigeria, Abu Dhabi (2013), Nigeria is a country in West Africa that it is primarily composed of three distinct ethnic groups: Hausa/Fulani, Yoruba, and Igbo. Of these groups, the Igbo are known for being the most professionally oriented and independent in the country. English is the primary language, although many Nigerians speak multiple languages, including one or more of the 400 native languages. There are also two major trade languages, pidgin andShow MoreRelatedThe Self Assessment Tool Is The Best Learning System For Managing Diverse Societies1114 Words   |  5 Pagestool. My childhood consisted of two significant moves across the states. Born and raised in southern Florida till I was eight, I was not very exposed to much diversity until moving to California, at age 8 to 15 years old, where I was exposed to mass amounts of diversity and culture. In completing this self-assessment survey, I learned a great deal about mysel f and the ability to bring to light my strengths and challenges in multicultural awareness and becoming more culturally competent in my nursingRead MoreIntegrating Cultural Competence to Nursing Methods988 Words   |  4 Pagesmanagement, cultural awareness is crucial when treating a diverse population of patients. According to the U.S. Department of Health and Human Services Office of Minority Health (OMH), cultural competence is, â€Å"is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations† (Garcia, 2007, p. 1). It is important for nurses to deliver culturally competent and appropriate care to patients due to the perpetually growing culture of diversity. My workplaceRead MoreHow Culture Affects Nursing Care And The Way Humans Care For Themselves946 Words   |  4 PagesLeininger, pg 11).† Leininger states the theory can help to show how culture affects nursing care and the way humans care for themselves. Lei ninger holds to the idea that care is the central concept for nursing theory and research. The theory has many assumptive premises which include; Care is essential for overall health and well-being. Cultural care can provide a holistic way to improve and guide nursing practices. Nursing should be transcultural and meant to serve all of mankind. Different culturesRead MoreDiversity, Knowledge, And Skills862 Words   |  4 Pagesof College of Nursing defines cultural competencies as â€Å"the attitudes, knowledge, and skills necessary for providing quality care to diverse populations† (California Endowment, 2003). 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Monday, December 9, 2019

The Last Shot by Darcy Frey Chapter Outlines free essay sample

The Last shot Chapter by chapter outline by Darcy Frey Prologue Outline: A. States when the story happens. B. States what the story will be about, and who the story will follow. C. Introduces who the narrator is and how he came to write about the book. Chap 1 A. Describes the difficulties and disadvantages the boys have grown up in. B. Describes the reasons why basketball is so important to the boys. C. Tells about the manipulation and greed that is behind basketball recruiting. Chapter Two Outline: A. Introduces Tchaka Shipp B. Gives a thorough character description of his skills, and goals. C. Tells of his first experience with the recruiters. Chapter Three Outline: A. Introduces Russell Thomas B. Gives a thorough character description of his skills, and goals. C. Follows him through leading events to the outcome of his tournament at the Empire State Game. Chapter 4: Outline A. Introduces Corey Johnson B. We will write a custom essay sample on The Last Shot by Darcy Frey Chapter Outlines or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Gives a thorough description of his skills and past background. C. Follows him from the leading events up to the outcome of his game at the B/C All Stars Camp in Gettysburg, Pennsylvania. Chapter Five Outline: A. Continues with the four boys experience as the recruiters chase them. Chapter Six Outline: A. Tells about Tchaka and Russell’s (differing) experiences with the recruiters. B. Describes Lincoln High School’s failing educational system. C. Contrasts and compares how Tchaka’s and Russell’s personalities affect the way the Chapter Seven Outline: A. Continues telling more about Tchaka. B. Talks about the sports industry’s corrupt system Chapter Eight Outline: A. Describes in detail about the recruitment process B. Gives the pros and cons about being recruited. C. Tells of the illegal dealings, and unfair stipulations related to the recruiting process. Chapter 9 Outline: A. Focuses on Tchaka Shipp and Russell Thomas prior to their decisions about choosing colleges. B. Describes for the first time Russell’s home life, and how he is supported. C. Gives a description to how Tchaka and Russell make their decisions, based on who they are most influenced by. Chapter 10: A. Describes the last game of the season between Lincoln High School and Grady High School, and how well that Russell worked to help his team win. B. Tells about the growing tension and anxiety, especially on the parents side, about jeopardizing their childrens opportunities to get into college. C. Darcy Frey draws his own conclusions about the cruelty and disadvantages that Corey, Russell, Stephon, and Tchaka have faced when trying to fulfill their efforts to escape the life that their parents have been forced into because of poverty.