Friday, March 6, 2020
Sexual and Reproductive health needs of Sex workers in Tanzania The WritePass Journal
Sexual and Reproductive health needs of Sex workers in Tanzania 1. INTRODUCTION Sexual and Reproductive health needs of Sex workers in Tanzania 1. INTRODUCTION1.1 Sexual and Reproductive Health needs of sex workersAssessment of Unmet Needs.2. ASSESSMENT OF NEEDS2.1 STI Screening2.2 CONDOMSUse of Contraceptive Proposed programme components:BIBLIOGRAPHYReferencesRelated 1. INTRODUCTION Around the world sex workers are defined as ââ¬Å"female, male and transgender adults and young people who receive money or goods in exchange for sexual services, either regularly or occasionally, and who may or may not consciously define those activities as income-generating.The term sex worker has gained popularity over prostitute because those involved feel that it is less stigmatizing and say that the reference to work better describes their experience. According to UNAIDS,(2005) a sex worker is person who provides sex for money or goods and this may be occasionally or on regular basis. The groups involve female male adolescences and transgender adult, but they donââ¬â¢t exactly consider this act as earning money. It estimated about 1995, 333 million cases of curable sexually transmitted diseases (STDs) occurred in the world, 65 millions of which were from Sub-Sahara Africa alone. WHO, (2007) In Tanzania sex work is illegal under Tanzanian law. However, sex work is practiced openly in many areas across the country Due to lack of money Many women and children engage into this business due poverty which is caused by lack money Sex work in Tanzania including child trafficking is a major problem, especially in Zanzibar and Pemba child sex tourism is largely operated, and majority of them are infected by STI. Many of the children got involved into this sex work due to various problems for example after becoming orphans after their parents died from HIV/AIDS. ILO, (2001) Majority of women and youths are the most affected groups due to being unstable economically, socially and cultural. Therefore, it is evidence that lack of money is one of the country determinants. Sex workers are categorized as a mobile population (sex workers) which is at high-risk due to their vulnerability to infectious diseases due to the nature of the work like plasticising sex without use of condom. NACP,(2007). get tempted easier to exchange sex for money which put them into risk including their partners to acquire sexual transmitted infections including HIV/AIDS. More than 50% of the Tanzanians live below the poverty margin which forces them into sex exploitation.Sex workers usually has low access to health services including screening and treatment of HIV and AIDS. NACP, (2007). Ford .N. et al, (1999), revealed that in sex worker industry there are different groups involved in this practice men who sell sex to other men and gender issue is not a problem to them. This report is mainly going to look on Sexual and Reproductive Health needs of female sex workers. There are two types of sex workers direct sex worker and indirect sex worker. Direct Sex Worker is a person, male or female, selling sex as an occupation or main source of income. Direct Sex Workers may be either street based or based in a brothel or other fixed location, whereby an Indirect Sex Worker is a person, male or female, working in the entertainment business, such as in bars, karaoke canters, beauty salons or massage parlours, who to increase their income also sell sex. It should be noted that not everyone working in these places sells sex. 1.1 Sexual and Reproductive Health needs of sex workers Around the world sex workers are regarded as higher vulnerable groups with high prevalence (United Nations, 2003). In order to minimize the prevalence of STI, several steps measures needs to be enforced into this groups. Education on sexuality-It includes comprehensive sexual education programs including community based health programs Screening and Treatment of STIs-It involves the screening and treatmentà ofà à à STI for sex workers and community at high risk for various diseases like gonorrhoea Chlamydia including HIV/AIDS andà HIP .Screening and treatment has being identified as the effective way for sexual and reproductive needs for female commercial sex workers in Tanzania . Steen, (2002.2003) in his study revealed that both presumptive for sex workers and community based STI treatment for whole communities at high risk, can reduce the risk of HIV transmission. à Family Planning Servicesââ¬âOngoing and availability of Contraceptive and counselling services are vital to these groups. Moreover, types and how to comply with the pills is very essential as this will help to minimize the unwanted and unsafe abortions. Delivery Services ââ¬âIt includes ANC and Delivery services -This type of service is essential for Sex workers due high number of pregnancies caused by unsafe sex. (Guttmacher Institute 1998). Condom Use Services (programs). Availability of Condoms and their utilization among female sex workers in Tanzania is vital as many of sex workers are forced to perform unprotective sex by violent clients and the amount of money given. Establishment of clear policyà framework for sex work Ità involves developmentà of strategies , legislativeà changesà and itsà implementation Healthcare access ââ¬âFare/available access to healthcare services suchà drop in centre In Tanzania there are severalà à Reproductive and Sexual health policies that aims to improve and also address the needs of women such as Nationalà policy on HIV/AIDS Nationalà adolescence health policy but all these policies does not contain provision of sexual Reproductive Health for Female Sex Workers . à The reproductive and sexual health policies that exist within the Tanzanian health system aims to address the needs of women include; the national reproductive health strategy, national adolescent health policy and the national policy on HIV/AIDS.à Furthermore, because sex work is illegal in Tanzania sex workers are outside the scope of national HIV/AIDS programmes. However, these policies have no provision for specialized Reproductive Health services for FSWs which is necessary to address the reproductive and sexual needs of Female sex workers. Assessment of Unmet Needs. Contraceptive services. Family planning helps to reduce the number of highly risk pregnancies that results in high level of maternal illness and death (Health Policy 2009). In every country, sex workers face many of the same dangers and rights problems. Despite legal restriction and the medical risks associated with clandestine procedure, Tanzanian women obtain abortion from a wide range of providers, including doctors at private clinics, organisation when vacuum aspiration is not available. Women in rural areas have less much access to treatment for abortion complications than do women in urban settings. Private sector facilities handle more than half of post abortion care cases despite the fact that they charge patients about three times more than public facilities do. In East Africa in 2003, almost one in five maternal deaths were due to unsafe abortion .Even more common are long term health problem social stigma and infertility. Abortions performed by a skilled person are much more expensive than riskier procedure performed by unskilled providerââ¬â¢s .Therefore it is likely In Tanzania the need for safe abortion is very important issue especially among FSWs as some of them due the lack of the clear abortion service .From my own experienceà when FSWs they get pregnantà they end up killing their born infants and wrap them in a bin liner or any plastics bags and throw them along the roadà à . 2. ASSESSMENT OF NEEDS 2.1 STI Screening The sexual and reproductive health needs of sex workers have been neglected both in research and public health interventions, like Millennium Development Goals (MDGs) which have almost exclusively focused on STI/HIV prevention. Chacham et al, (2007), revealed that the reasons among this issue are due to the condemnation, stigma and ambiguous legal status of sex work Majority of Female Commercial Sex Workers (FCSW) often have high rate of STIs due to unprotective sex activities and access to effective STI treatment. Frequent unprotective sexual exposure put sex workers, their clients and other partners all at high risk of acquiring HIV/STIs Steen, (2003). Reducing the prevalence of Sexual Transmitted infection (STIs) would greatly reduce the risk of transmission of HIV. 2.2 CONDOMS According to (UNAIDS 2000), It is very essential to involve sex workers in policy and programme development and implementation as part of the overall empowerment ââ¬âbuilding process and for greater programme effectiveness. Many 100% condom use programs are focused on the experience of Thailand. In the 1990s, Thailand conducted a massive programme on control of HIV which showed a significant drop on visits to commercial sex workers by half, utilization of condom Increased, the prevalence of STDs fell dramatically, and achieved substantial reductions in new HIV infections. Avert (2007). Similar programs were implemented successful in Cambodia, Laos, Mongolia and Philippines whereby, in most of these programs local or national authorities, including police, were required to use condoms in every sex act. Use of Contraceptive A study conducted by Delvaux, (2003) found that huge number of female sex workers had limited knowledge of how to use contraceptive pills, condoms and syringes for those who are IV drug users. In Tanzania the use of contraceptive pills among majority of sex workers was very limited which increased the percentage of safe abortion due to poor awareness. Globally condom use alone is considered problematic by family planning promotion due to fear of birth rate increase or abortion and this happens during the first year of condom use when more accidents are likely to happen (Berer, 1997) . Another problem is the wide spread provision of non-barrier contraceptive for sex workers might lead to reduction in their use of condom (Delvaux, 2003). Another problem is the wide spread provision of non-barrier contraceptive for sex workers might lead to reduction in their use of condom (Delvaux, 2003). Healthcare access ââ¬â Some of the sex workers in Tanzania fear to use Public healthcare facilities due to discrimination and stigma from healthcare workers, other service users, lack of money and insurance due to poverty. Many sex workers in East Africa lack access to the insurance system because of their profession. Some are trafficked women from rural area who do not have identification or permanent residence documents they need to get health care. Landipo, (2005) revealed that high attendace to private health facilities like Pharmacies and medical stores; to purchase contraceptive pills contributes to low attendance to public facilities, which can results to poor compliance of the contraceptive pill among sex workers Recommendations Based on findings above, the following recommendations are being made to the national centre for HIV/AIDS and STIs: Proposed programme components: Sensitise policy makers to enact laws which lead to tolerance of FSWs. This will be a cornerstone to destigmatisation and allow these women to enjoy a greater degree of human rights. It will also allow the government to set aside specific funding and to solicit ate further input from the donor community. Mobilization of FSWs for a systematic STD/HIV/AIDS prevention course that includes participatory education, prevention, and positive living when infected and peer counselling. The condoms should be free or at a price the FSWs can afford. Proper use of condom is crucial in the absence of a vaccine or cure. It is also important for FSWs to know where to get condoms for example. Clinics, chemists and peer educators also storage and disposal methods should be covered in education. Although condom is the prevention method of choice, it is not 100% efficient due to breakage or slipping, meaning that some FSWs will still get infected. Therefore prompt and proper management of STDs which includes counselling, condom use, contact tracing and compliance is vital for prevention of HIV transmission. Proper use contraceptive pills needed in order to meet compliance and its irrational use. The FSWs should be trained and offered opportunities for alternative income generating activities. This is because according to the writerââ¬â¢s experience, well over 90% of women in Africa are in commercial sex due to poverty and lack of an alternative. The low economic status also interferes with condom negotiation and therefore should be addressed. BIBLIOGRAPHY UNAIDS Guidance Notes on HIV and Sex Work, 2009, p. 2. http//www.Sciencedirect.com/science bibliography UNAIDS Inter-agency Task Team on Young People (2006) Section 2. (reference above) bibliography Department of Reproductive Health and Research (2004) Part 2 (reference above) bibliography Sexual and Reproductive Health needs of sex Workers: Two feminist Projects in Brazil. Bibliography References Laga M., Alory M., Anzala N., Monoko A.T., Behets F., Goeman J., St.Louis World Health Organisation (2010).ââ¬Å"Health systems policies and service deliveryâ⬠. [online]. [Accessed 20 January 2011]. Available from: who.int/countries/nga/areas/health_systems/en/index.html M., Piot P.: Condom Promotion, Sexually Transmitted Diseases Treatment and Declining Incidence of HIV1 Infection in Female Zairian Sex Workers. Lancet 1994; 334:246-48. Ngugi E.N., Staugard F., Gallachi A., Njoroge M., Waweru A.L Social Economic Empowers Commercial Sex Workers to Reduce Reported Attack Rate of STDs. Xth International Conference on AIDS and STD in Africa, Abidjan, December 1997. (C. 290). DITTMORE, M. 2008. Punishing Sex Workers Wont Curb HIV/AIDS, Says Ban-Ki Moon. 24 June. RH reality check. [online]. [Accessed 18 January 2011]. Available from: rhrealitycheck.org/blog/2008/06/23/sex-workers-grateful-banki-moon World Health Organisation (2010).ââ¬Å"Health systems policies and service deliveryâ⬠. [online]. [Accessed 15 feburary 2010]. Available from: who.int/countries/nga/areas/health_systems/en/index.html Chacham AS, Diniz SG, Maia MB, Galati AF, Mirim LA, 2007.Reproductive Health MATTERS [Online].15(29), [Accessed 30 January 2011), pp106-119 The Open Tropical Medicine Journal, 2 2009 [online]. [Accessed 07 Feb. 11], pp 27-38 Stadler J, Delaney S. The healthy brothel: The context of clinical services for sex workers in Hill brow, South Africa. Cult Health Sex 2006; 8(5): 451-63. Ford N, Koetsawang S. The socio-cultural context of the transmission of HIV in Thailand. Soc Sci Med 1991; 33(4): 405-14.Wojcicki J, Malala J. Condom use, power and HIV/AIDS risk: sex workers bargain for survival in Hillbrow/Joubert/Brea, Johannesburg.Soc Sci Med 2001; 53: 99-121. Pisani E et al (2003) back to basics in HIV prevention: focus of exposure. British Medical Journal, 326, 1384-7 GEETANJALI.G, 2002.Unmet needs: Reproductive Health Needs, Sex Work and Sex Workers .Social Scientist.30 (5/6) pp.79-102
Wednesday, February 19, 2020
History And Political Science Article Example | Topics and Well Written Essays - 250 words
History And Political Science - Article Example When she appeared in both her Senate and House, she emphasized policy continuity with Ben Bernanke, her predecessor who stepped down after leading the central bank for eight years. Just like Bernanke, she believes that the economy is getting stronger enough for the Fed to gradually reduce its purchase of monthly bonds. The cut in bond purchases had reduced from the original monthly pace of $85 billion in December 2013 to currently $ 65 million. The intention is to cut the purchases by $10 million. The Federal Reserve plans to keep short-term rates low or near zero in the coming times for an extended period with economists speculating that the first hike in rate will occur probably in 2015 even though some policymakers feel that it may be appropriate to raise short-term rates sooner. Even though the inflation remains below 2 percent, many of the Fed officials including Yellen say that the economy needs support from the Reserve until the job market, as well as the economic growth, impr oves. The Fed is progressively cutting its monthly bond purchases with the intention of keeping long-term loans low rates so as to boost spending and growth. She confirmed that the Federal Reserve has soft data for over the last six weeks and is alert on the upcoming data that will help ascertain the effect of the severe winter weather.Ã These comments are encouraging as they offer investors a hint that the Federal Reserve might suspend or slow a pullback in economic stimulus in the event that the US economy weakened.
Tuesday, February 4, 2020
HCM427-0801A-01 Human Resource Management in Health Care - Phase 3 Essay
HCM427-0801A-01 Human Resource Management in Health Care - Phase 3 Discussion Board - Essay Example secretary, we have been told that she is no longer interested with her job since she strongly feels that all of her improvement suggestions are not taken seriously by the doctors. Based on the medical secretaryââ¬â¢s explanation, it is very clear that she is a leader in her own way because of her desire to develop improvement suggestions for the betterment of the health care organization. In line with this matter, self-management serves as an effective intrinsic motivation on her part. (Graham & Unruh, 1990) It means that simple one-on-one rewards such as a sincere acknoweldgement for her effort and determination to develop improvement suggestions is all she is asking for. Basically, there are two types of rewards that could improve the job performance and satisfaction of the employees. These are the company rewards which are offered by the organization management and the one-on-one rewards which are being extended by the employeesââ¬â¢ bosses. Traditional reward system such as compensation and promotions are slowly becoming ineffective in terms of motivating the generation X and Y employees. (Craig, March-April 1989) Material rewards such as cash incentives could also result in demotivating the employees. (Anthony, Dearden, & Bedford, 1989; Cecil Hill, Spring 1989) Basically, the main reason why ââ¬Ëpay-for-performanceââ¬â¢ concept fails to work is because in exchange with the money, the pride and job satisfaction of employees suffer. Eventhough extrinsic rewards such as increase in pay or bonus given to employees could still be effective in some cases, a more recent study shows that intrinsic rewards / motivation such as congratulating the employees for a job well done either verbally, written on a personal note, through public recognition, or implementing a celebration for success in work performance is more effective in motivating employees to increase their work performance. (Graham & Unruh, 1990) The best way to retain and regain the job satisfaction of
Monday, January 27, 2020
Communication Skills in Nursing
Communication Skills in Nursing Communication is a vital part of the nurses role. Theorists such as Peplau (1952), Rogers (1970) and King (1971) all emphasise therapeutic communication as a primary part of nursing and a major focus of nursing practice. Long (1992) further suggests that communication contains many components including presence, listening, perception, caring, disclosure, acceptance, empathy, authenticity and respect. Stuart and Sundeen (1991, p.127) warn that while communication can facilitate the development of a therapeutic relationship it can also create barriers between clients and colleagues. Within Healthcare, communication may be described as a transitional process that is dynamic and constantly changing (Hargie, Saunders and Dickenson, 1994, p.329). It primarily involves communication between the nurse and the patient. If the interaction is to be meaningful, information should be exchanged; this involves the nurse adopting a planned, holistic approach which eventually forms the basis of a therapeutic relationship. Fielding and Llewelyn (1987) contend that poor communication is the primary cause of complaints by patients. This is supported by Young (1995) who reports that one third of complaints to the Health Service Commissioner were related to communication with nursing staff. Studies by Boore (1979) and Devine and Cook (1983) demonstrate that good communication actually assisted the rate of patient recovery thus reducing hospital admission times. This suggests that good communication skills are cost effective. In this assignment, I have reflected on situations that have taken place during my clinical work experience. These situations have helped to develop and utilise my interpersonal skills, helping to maintain therapeutic relationships with patients. In this instance, I have used Gibbs (1988) reflective cycle as the framework for my reflection. Gibbs (1988) reflective cycle consists of six stages in nursing practice and learning from the experiences. Description of the situation that arose. Conclusion of what else would I could have done. Action plan is there so I can prepare if the situation rises again. Analysis of the feeling Evaluation of the experience Analysis to make sense of the experience My Reflective Cycle Baird and Winter (2005) illustrate the importance of reflective practice. They state that reflecting will help to generate knowledge and professional practice, increase ones ability to adapt to new situations, develop self esteem and greater job satisfaction. However, Siviter (2004) explains that reflection is about gaining self confidence, identifying ways to improve, learning from ones own mistakes and behaviour, looking at other peoples perspectives, being self aware and making future improvements by learning from the past. I have come to realise that it is important for me to improve and build therapeutic relationships with my patients by helping to establish a rapport through trust and mutual understanding, creating the special link between patient and nurse as described by Harkreader and Hogan (2004). Peplau (1952), cited in Harkreader and Hogan (2004), notes that good contact in therapeutic relationships builds trust as well as raising the patients self esteem, often leading t o the patients personal growth. Ruesh (1961), cited in Arnold and Boggs (2007), states that the purpose of therapeutic communication is to improve the patients ability to function. Therefore, in order to establish a therapeutic nurse/patient interaction, a nurse must possess certain qualities e.g. caring, sincerity, empathy and trustworthiness (Kathol, 2003) (P.33). These qualities can be expressed by promoting effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) defines interpersonal skills as the ability to communicate effectively. Chitty and Black (2007, p 218) mention that communication is the exchange of information, thoughts and ideas via simultaneous verbal and non verbal communication. They explain that while verbal communication relies on the spoken word, non-verbal communication is just as important, consisting of gestures, postures, facial expressions, plus the tone and level of volume of ones voice. Thus, my reflection i n this assignment is based on the development of therapeutic relationships between the nurse and patient using interpersonal skills. My reflection is about a particular patient, to whom, in order to maintain patient information confidentiality (NMC, 2004), I will refer to as Mr R. It concerns an event which took place when I was working on a surgical ward. Whilst there were male and female wards, female and male surgical patients were encouraged mingle. On this particular day, I noticed that one of the male patients was sitting alone on his bed. This was Mr R., a 64 year old gentleman who had been diagnosed with inoperable cancer of the pancreas, with a life expectancy of 18-24 months. He was unable to control his pain, and whilst some relief could be provided by chemotherapy, Mr R. had a good understanding of his condition and knew that there was no cure available. He was unable to walk by himself and always needed assistance even to stand up or sit down. Because of his mobility problems I offered to get him his cup of tea and I then sat with him as he was lonely. I would now like to discuss the feelings and thoughts I experienced at the time. Before I gave Mr R. his cup of tea, I approached him in a friendly manner and introduced myself; I tried to establish a good rapport with him because I wanted him to feel comfortable with me even though I was not a family member or relative. When I first asked Mr R. if I could get him a cup of tea, he looked at me and replied I have asked the girl for a cup of tea, I dont know where she is. I answered Well, I will see where she is and if I cant find her, I will gladly get one for you Mr R. In doing this, I demonstrated emphatic listening. According to Wold (2004, p 13), emphatic listening is about the willingness to understand the other person, not just judging by appearance. Then I touched MrR.s shoulders, kept talking and raised my tone a little because I was unsure of his reaction. At the same time, I used body language to communicate the action of drinking. I paused and repeated my actions, but this time I used some simple words which I though Mr R. would understand. Mr R. looked at me and nodded his head. As I was giving him his cup of tea, I maintained eye contact as I didnt want him to feel shy or embarrassed. Fortunately, using body language helped me to communicate with this gentleman. At the time I was worried that he would be unable to understand me since English is not my first language but I was able to communicate effectively with him by verbal and non-verbal means, using appropriate gestures and facial expressions. Body language and facial expressions are referred to as a non-verbal communication (Funnell et al. 2005 p.443). I kept thinking that I needed to improve my English in order for him to better understand and interpret my actions. I thought of the language barrier that could break verbal communication. Castledine (2002, p.923) mentions that the language barrier arises when individuals come from different social backgrounds or use slang or colloquial phrases in conversation. Luckily, when dealing with Mr R. the particular gestures and facial expressions I used helped him to understand that I was offering him assistance. The eye contact I maintained helped show my willingness to help him; it gave him reassurance and encouraged him to place his confidence in me. This is supported by Caris-Verhallen et al (1999) who mention that direct eye contact expresses a sense of interest in the other person and provides another form of communication. In my dealings with Mr R., I tried to communicate in the best and appropriate way possible in order to make him feel comfortable; as a result he placed his trust in me and was more co-operative. Evaluation In evaluating my actions, I feel that I behaved correctly since my actions gave Mr R. both the assistance he needed and provided him with some company. I was able to successfully develop the nurse-patient relationship. Although McCabe (2004, p-44) would describe this as task centred communication one of the key components missing in communication by nurses I feel that the situation involved both good patient and task centred communication. I feel that I treated Mr R. with empathy because he was unable to perform certain tasks himself due to his mobility problems and was now refusing chemotherapy. It was my duty to make sure he was comfortable and felt supported and reassured. My involvement in the nurse-patient relationship was not restricted to task centred communication but included a patient centred approach using basic techniques to provide warmth and empathy toward the patient. I found that I was able to improve my non-verbal communication skills in my dealings with Mr R. When he first mentioned having chemotherapy, he volunteered very little information, thus demonstrating the role of non-verbal communication. Caris-Verhallen et al (1999, p.809) state that the role of non-verbal communication becomes important when communicating with elderly people with incurable cancer (Hollman et al 2005, p.31) There are a number of effective ways to maximise communication with people, for example, by trying to gain the persons attention before speaking this makes one more visible and helps to prevent the person from feeling intimidated or under any kind of pressure; the use of sensitive touch can also make them feel more comfortable. I feel that the interaction with Mr R. had been beneficial to me in that it helped me to learn how to adapt my communication skills both verbally and non-verbally. I used body language to its full effect since the language barrier made verbal communication with Mr.R. difficult. I used simple sentences that Mr R. could easily understand in order to encourage his participation. Wold (2004, p.76) mention that gestures are a specific type of non-verbal communication intended to express ideas; they are useful for people who have limited verbal communication skills. I also used facial expressions to help encourage him to have chemotherapy treatment which might not cure his problem but would give him some relief and make him feel healthier. Facial expressions are the most expressive means of non-verbal communication but are also limited to certain cultural and age barriers (Wold 2004 p.76). My facial expressions were intended to encourage Mr R. to reconsider his decision with regard to chemotherapy treatment. Whilst I could not go into all the details about his treatment, I was able to advise him to complete his treatment in order to alleviate his symptoms. Analysis In order to analyse the situation, I aim to evaluate the important communication skills that enabled me to provide the best level of nursing care for Mr R. My dealings with Mr R. involved interpersonal communication i.e. communication between two people (Funnell et al 2005, p-438).I realised that non-verbal communication did help me considerably in providing Mr R. with appropriate nursing care even though he could only understand a few of the words I was speaking. I did notice that one of the problems that occurred with this style of communication was the language barrier but despite this I continued by using appropriate communication techniques to aid the conversation. Although it was quite difficult at first, the use of non verbal communication skills helped encourage him to speak and also allowed him to understand me. The situation showed me that Mr R. was able to respond when I asked him the question without me having to wait for an answer he was unable to give. Funnell et al (2005, p 438) point out that communication occurs when a person responds to the message received and assigns a meaning to it. Mr R. had indicated his agreement by nodding his head. Delaune and Ladner (2002, P-191) explain that this channel is one of the key components of communication techniques and processes, being used as a medium to send out messages. In addition Mr R. also gave me feedback by showing that he was able to understand the messages being conveyed by my body language, facial expression and eye contact. The channels of communication I used can therefore be classed as both visual and auditory. Delaune and Ladner (2002 p.191) state that feedback occurs when the sender receives information after the receiver reacts to the message, however Chitty and Black (2007, p.218) define feedback as a response to a message. I n this particular situation, I was the sender who conveyed the message to Mr R. and Mr R. was the receiver who agreed to talk about his chemotherapy treatment and allowed me to assist. Consequently I feel that my dealings with Mr R. involved the 5 key components of communication outlined by Delaune and Ladner (2002, p.191) i.e. senders, message, channel, receiver and feedback. Reflecting on this event allowed me to explore how communication skills play a key role in the nurse and patient relationship in the delivery of patient-focussed care. Whilst I was trying to assist Mr R. when he was attempting to walk, I realised that he needed time to adapt to the changes in his activities of daily living. I was also considering ways of successful and effective communication to ensure a good nursing outcome. I concluded that it was vital to establish a rapport with Mr R. to encourage him to participate in the exchange both verbally and non-verbally. This might then give him the confidence to communicate effectively with the other staff nurses; this might later prevent him from being neglected due to his age or his inability to understand the information given to him about his treatment and the benefits of that treatment. I have set out an action plan of clinical practice for future reference. If there were patients who needed help with feeding or with other procedures, I would ensure that I was well prepared to deal patients who werent able to communicate properly. This is because, as a nurse, it is my role to ensure that patients are provided with the best possible care. To achieve this, I need to be able to communicate effectively with patients in different situations and with patients who have differing needs. I need to communicate effectively as it is important to know what patients need most during there stay on the ward under my supervision. Whilst I have a lot of experience in this field of practice, communication remains a fundamental part of the nursing process which needs to be developed in nurse-patient relationships. Wood (2006, p.13) states that communication is the key to unlock the foundation of relationships. Good communication is essential if one is to get to know a patients individu al health status (Walsh, 2005, p.30). Active learning can also help to identify the existence of barriers to communication when interacting with patients. Active learning means listening without making judgements; I always try to listen to patients opinions or complaints since this gives me the opportunity to see the patients perspective (Arnold, 2007, p.201). On the other hand, it is crucial to avoid the barriers that occur in communication with the patients and be able to detect language barriers. This can be done by questioning patients about their health and by asking them if they need help in their daily activities. I set about overcoming such barriers by asking open-ended questions and interrupting when necessary to seek additional facts (Funnell et al, 2005, p.453). Walsh (2005, p.31) also points out that stereotyping and making assumptions about patients, by making judgements on first impressions and a lack of awareness of communication skills are the main barriers to good communication. I must not judge patients by making assumptions on my first impression but should go out of my way to make the patient feel valued as an individual. I should respect each patients fundamental values, beliefs, culture, and individual means of communication (Heath, 300, p.27). I should be able to know how to establish a rapport with each patient. Cellini (1998, p.49) suggests a number of ways in which this can be achieved, including making oneself visible to the patient, anticipating patients needs, being reliable, listening effectively; all these factors will give me guidelines to improve my communication skills. Another important factor to include in my action plan is the need to take into account any disabilities patients may have such as poor hearing, visual impairment or mental disability. This could help give the patient some control and allow them to make the best use of body language. Once I know that a patient has some form of disability, I will be able to prepare a course of action in advance, deciding on the most appropriate and effective means of communication. Heath (2000, p.28) mentions that communicating with patients who have an impairment requires a particular and certain type of skill and consideration. Nazarko (2004, p.9) suggests that one should not repeat oneself if the patient is unable to understand but rather try to rephrase what one is saying in terms they can understand e.g. try speaking a little more slowly when communicating with disabled people or the hard of hearing. Hearing problems are the most common disability amongst adults due to the ageing process (Schofield. 2002, p.21). In summary, my action plan will show how to establish a good rapport with the patient, by recognising what affects the patients ability to communicate well and how to avoid barriers to effective communication in the future. Conclusion In conclusion, I have outlined the reasons behind my choosing Gibbs (1988) reflective cycle as the framework of my reflection and have discussed the importance of reflection in nursing practice. I feel I have discussed each stage of the cycle, outlining my ability to develop therapeutic relationship by using interpersonal skills in my dealings with one particular patient. I feel that most parts of the reflective cycle (Gibbs 1988) can be applied to the situation on which I have reflected. Without the model of structured reflection I do not feel I would have had the confidence to consider the situation in any depth (Graham cited in Johns 1997 a, p.91-92) and I fear reflection would have been remained at a descriptive level. I have been able to apply the situation to theory; as Boud Keogh Walker (1985, p.19) explain that reflection in the context of learning is a generic term for those intellectual and effective activities whereby individuals engage to explore their experiences in ord er to lead to a better understanding and appreciation. Boyd Fales (1983, p.100) agree with this and state that reflective learning is the process of internally examining and exploring an issue of concern, trigged by an experience that creates and clarifies meaning in terms of self and which results in a changed conceptual perspective. However, I personally believe that the reflective process is merely based on each individuals own personality and beliefs as well as their attitude and approach to the life. Appendix Mr R., a 64 year old gentleman, was an inpatient on a surgical ward. Earlier that day his consultant had directly informed him that he had inoperable cancer of the pancreas with a life expectancy of 18-24 months. Some relief might be offered by chemotherapy, but there was no cure. Mr R. was understandably shocked, but had suspected the diagnosis. At that time he remained in the care of the specialist nurse. Later in the day, as I was passing through the ward, I notice Mr. R. alone on his bed. Prescriptive A prescriptive intervention seeks to direct the behaviour of the client, usually behaviour that is outside the client-practitioner relationship. My first intervention was to open the conversation and demonstrate warmth. I provided information myself and gave Mr R. the choice of staying on his own or engaging with me. By shaking Mr R.s hands I was attempting to provide reassurance and support as well as communicating warmth in order to reduce his anxiety and promote an effective nurse-patient relationship. Practitioner: Hello Mr. R, I am one of the nurses here thisà morning with Dr. M. Is there anything I can get you or would you rather be on your own? (Shook hands). Mr. R: NO, I remember you from this morning, come and sit down. Ive asked the girl for a cup of tea, I dont know where shes got to. Practitioner: Well give me a minute and Ill bring you one in. Do you take sugar? Mr. R: I suppose I shouldnt, then why worry. Two please. Practitioner: (Returning with a cup of tea) Here we are, dont blame me if its horrible, I got it from the trolley. (I smiled at Mr.R. and tried to establish eye contact, then sat down in the chair next to him). Mr. R: Thanks, thats just what I need. 2. Informative An informative intervention seeks to impart knowledge, information and meaning to the patient. My intention was to reinforce the nurse-patient relationship by smiling and attempting to establish eye contact as well as using facial expressions to put the patient at ease and establish a good rapport. By making Mr. R a cup of tea it created a pleasant response in a time of crisis. Practitioner: Jane (specialist nurse) was here this morning, what did you think about what she had to say? Mr. R: Oh yes she was very nice, mind you Im an old hand at this, I looked after my wife when she had cancer. Mr. R: She was riddled with cancer, but we kept her at home and looked after her. She could make a cracking cup of tea (Mr.R. smiles) Practitioner: (smiles and nods) When did she pass away? 3. Confronting A confronting intervention seeks to raise the clients consciousness about limiting behaviour or attitudes of which they are relatively unaware. By meeting the patients needs at that time I felt the urge to continue to show a display of warmth and develop the relationship further. Mr. R: It will be two years next month that she died. Practitioner: You must miss her. Mr. R: Theres not a day goes by that I dont talk to her. Goodness knows what she would make of all this, its brought it all back. 4. Cathartic A cathartic intervention seeks to enable the client to discharge/react to a painful emotion primarily grief, fear and/or anger. Mr. R spoke emotively and angrily by using such words as riddled and cancer. He spoke loudly and angrily with congruent non-verbal cues. Practitioner: Has what youve been discussing with Jane reminded you of your wifes death? Mr. R: Yes, (patient covers his face with his hands). Practitioner: What is it about what youve heard that is worrying you, do you think you can tell me? 5. Catalytic A catalytic intervention seeks to elicit self-discovery, self direct living, learning and problem solving in the client. Mr. R had a broad scope in which to discuss any concerns he may have had, but his response only concerned his wife, not him as his wife was the one who suffered from cancer. Mr. R: (Pause)à ¢Ã¢â ¬Ã ¦Ã ¢Ã¢â ¬Ã ¦Ã ¢Ã¢â ¬Ã ¦..Im an old hand at this and I dont want any of that chemo. Practitioner: What is it about the chemotherapy you dont like? Mr. R: My wife had it and we went through hell. Practitioner: You went through hell Mr. R: The doctors made her have the chemo and she still died in agony. 6. Supportive A supportive intervention seeks to affirm worth and value of the clients person, qualities, attitudes and actions. It is done to encourage the client to say more and to explore the issue further. Support is provided by non-verbal means like giving warmth, supportive posture and maintaining eye contact. I wanted to convince Mr. R that I was interested in what he had to say and help him believe that he was worth listening to that his opinions really mattered. Practitioner: Do you think the same thing will happen to you? Mr. R: Yes, thats the one thing Im worried about. Practitioner:.em, if Im honest with you chemotherapy treatment is not a subject I know a lot about. (Pause), would you like to see the specialist nurse again? She can go over things with you and explain your options. Mr. R Well if she doesnt mind, Im just not sure the chemo will be worth it. Learning outcomes From this experience, I have learned the importance of:- Practice in accordance with the NMC (2004) code of professional conduct, performance, when caring for adult patients including confidentially, informed consent, accountability, patient advocacy and a safe environment. Demonstrating fair and anti-discriminatory behaviour, acknowledging differences in the beliefs, spiritual and cultural practices of individuals. Understanding the rationale for undertaking and documenting, a comprehensive, systematic and accurate nursing assessment of physical, psychological, social and spiritual needs. Interpreting assessment data to prioritise interventions in evidence based plan of care. Discussing factors that will influence the effective working relationships between health and social care teams. Demonstrating the ability to critically reflect upon practice.
Saturday, January 18, 2020
British Petroleum Essay
2. Introduction BP is one of the largest multinational corporations in the world. According to CNN (2011), BP is the fourth largest multinational corporation in the world and employs over 80,000 people and making annual revenue of $392 Billion. BP has massive influence on the global economic climate and has the operation capacity to affect stakeholders. This essay will analyse BPââ¬â¢S current stance using Porters five forces. It will also establish who are the most important stakeholders and suggest strategies that can be used in future. 3. Porters Five Forces This looks at he external factors that can affect which include new entrants, buyers, suppliers, substitutes and competition and can affect productivity of a business as seen in appendix A. 3.1 Threat of New Entrants The threat of new entrants into the oil and gas industry is relatively low. This is a result of the high capital costs and technology, distribution channels, economies of scale, regulations and geopolitical barriers and the high levels of expertise required for exploration and extraction. (Mascarenhas, 1997) This makes it relatively easy for the oil and gas industry to fend of potential entrants; however the investment in relation to profit returns with suitable environmental and technical environment is relatively high. 3.2 Rivalry Rivalry in the oil and gas industry is relatively high because of the resource based nature of the business. There is severe competition to locate and secure drilling licenses between the major players and the cost of expedition and production is relatively high. The main source of competitive advantage in his industry is to cut down the costs of production per unit produced. 3.3 Substitutes for Oil and Gas Products The threats of substitutes for oil and gas products are low and come fromà wind, nuclear, hydroelectric and biomass. Wachsmith et al (2013) states that solar power, wind power and other substitutes for oil and gas products are not yet efficient enough to challenge oil and gas products as they can be affected by environmental factors. Other substitutes such as Nuclear power can cause devastating harm to the environment in the event of unprecedented spillages and reparations would be extremely costly. However, BP is currently embarking on projects to diversify the range of their energy production sources into wind power and biofuels which yield less carbon emission.(BP, 2014) 3.4 Buyers Buyers are both industrial and individual consumers. Consumer power is relatively low because suppliers have an incentive to keep supply low in order to control oil prices. Also OPEC has the power to limit the amount Oil in the market and can alter this to the benefit of the producer to achieve the highest possible price. (Radetski, 2012) The consumer is the price taker. 3.5 Supply Supplier power in the oil and gas industry is high. This is because of the constraints attached to the supply of the output by OPEC and countries resource management levels. (Radetski, 2012) This enables suppliers to control oil prices to an extent while working in unison to the regulations of overseeing organisations and countries of operations they can decide to seize BPââ¬â¢S output if terms and conditions of resource exploitation are not met. 4. Stakeholders The major BP stakeholders are suppliers, environmental organisations, countries of operation and oil production governing organisations. 5. Conclusion This essay has given a short account of BPââ¬â¢s stakeholders using Porters five forces as a model and identified the major stakeholders. This study has shown that suppliers, countries of operation and governing bodies play aà major role in the success of BP. These finding suggest several courses of action for BP which include: â⬠¢Abiding by the rules and regulations of both countries and governing organisations. â⬠¢Maintaining a frugal means of production and investing in more efficient methods of production â⬠¢Maintain good relationship with government to secure more oil blocs. â⬠¢Caution should be taken when mining to reduce hazardous environmental effects as they will call for reparations and damage government relationship. 6.Appendices Appendix A: Porters Five Forces (own source)
Friday, January 10, 2020
Christian man Essay
Miller re-defined what a hero is 1949. He did this because up until this point it was Aristotleââ¬â¢s definition that writers followed when writing a tragic drama. Aristotle wrote that it was only a character with nobility from birth could become a hero. This means that only a character that is a King or a nobleman could become a hero. Aristotle also said that a hero is a character that overcomes a conflict with a higher power, usually the Gods. However Miller wrote in 1949 that a hero could be any character that ââ¬Ëto secure one thing ââ¬â his sense of personal dignity. ââ¬Ë This shows us that Miller thought that any character could be a hero as long as he had the willingness to become one. Miller also seemed to think that rather then a hero fighting a higher power he could fight against his own society (which may include fighting a higher power) to ââ¬Ëgain his ââ¬Ërightfulââ¬â¢ position in his society. ââ¬Ë Miller argued that the common man could become a hero. He said that he ââ¬Å"believe that the common man is as apt a subject for tragedy in its highest sense as Kings were. â⬠This basically meant that commoners were as suited to be heroes as Kings were. This completely re-defined who heroes were and who they could be. This opened up the range of different characters that writers could introduce in a tragic play and therefore led to more of this type of plays being written. Miller also defined a hero as a flawed character who is broken down to his raw core and then he is built back up again (in the eyes of the audience) through his heroic actions. This new definition shows us that Proctor is the ideal character for a hero in the play. He is an honest, working man and he has sinned but he is ready to end his sinning and become a true Christian man. We can see this by the way he is ashamed of his sin with Abigail and the way that he tells her that it is over. The audience can now see that he is trying to regain his dignity and pride. The audience can also see, by the end of Act 1, that Proctor is the main individual that may become a hero throughout the play. This leads the audience to forge assumptions of Proctorââ¬â¢s future actions and reactions. After the conversation between Proctor and Abigail, in Act 1, of their relationship and previous affair the audience has preconceived ideas of Elizabeth and her relationship with Proctor. The first we hear of Elizabeth is at the beginning of Act 1 when Abigail is talking to Parris. She says that Goody Proctor is a ââ¬Ëbitter woman, lying, cold, sniveling, woman. ââ¬Ë This is all brought about because Goody Proctor dismissed Abigail from her services, secretly for her affair with John, however Abigail says it is because she would not be a slave for Goody Proctor. This is the first the audience hears of Elizabeth and at this point they do not know of the affair between Proctor and Abigail so they have no reason to question Abigailââ¬â¢s information of Elizabeth. Also up until this point in the play Abigail has been admitting to her misdeeds. Again this gives the audience no reason to question what Abigail says. The opinion of Elizabeth given to Parris from Abigail suggests that Elizabeth is mean as she was spreading rumors of Abigail. The audience knows that at the time in which the play was set young girls had many rules of conduct that they had to follow, shown in the way that the girls will be punished for dancing. If Abigail hates a woman so much that she talks of her in such a ruthless manner to an adult then the audience may conclude that Elizabeth is an evil character. This depends on the audienceââ¬â¢s thoughts of Abigail. I think that they would perceive Abigail as a bad character. I think this because of what has been revealed about Abigail. At this point we know of her affair (ââ¬ËI know how you clutched my back behind your houseââ¬â¢ and ââ¬ËI know you, Johnââ¬â¢) and of the potion she drank to kill Goody Proctor (ââ¬ËYou drank a charm to kill Goody Proctorââ¬â¢). Both of these facts give the audience the idea that Abigail is a troubled, evil character. ââ¬ËEvil characterââ¬â¢ is supported by the way that Abigail threatened the other Girls in Act 1, ââ¬ËI will come to you in the black of some terrible night and I will bring a pointy reckoning that will shudder youââ¬â¢ she said. When the audience learn of the affair between Proctor and Abigail they assume that the relationship that Elizabeth and Proctor is not a loving one. They would argue that if it were a loving relationship then Proctor would not have engaged in an affair. When Abigail and Proctor are arguing over Elizabeth Abigail says ââ¬Ëyou bend to her John. ââ¬Ë This makes the audience think that Elizabeth is threatening and has great power over John, this is seen as a very bad quality. In the 17th century the man in a marriage was the boss and the threatening character, to see a woman being portrayed like this is quite shocking to the audience. Elizabeth is expected to be an unloving and gossiping character by the audience. These two characteristics are shown by the way that John had an affair and when Abigail says that Elizabeth is ââ¬Ëblackening her name. ââ¬Ë Both of these traits would have been frowned on in the 17th Century, Elizabeth was expected to be quite, loving and obeying as a wife in this time period. This shows us how what others say can affect the audiences opinions. This is very important. If Elizabeth and Proctor had an unloving relationship when John dies at the end of the play the audience would be not quite as attached to him. If he had an unloving and hard time in his home life some may see him dying as a blessing. When Elizabeth is introduced in Act 2 for the first time she is singing to her boys. This suggests that she is a caring mother, she is singing which is a loving trait. She is introduced as a calm, caring mother making the audience take notice because they immediately think that their perceived idea of her is completely wrong. Her singing shocks the audience because they may have expected her to be shouting and ruling the house as Abigailââ¬â¢s comments had suggested in the previous scene. However there is still some credibility in the suggestion that the character is unfeeling as she has not spoken to Proctor. Her first line to Proctor is an accusation ââ¬ËWhat keeps you so late? ââ¬Ë This keeps alive the idea that though she may not be evil she still seems cold. It will be thought by the audience that if the Proctors had a strong, loving relationship Elizabeth may have welcomed Proctor, kissed or hugged him. In the first snippet of their long conversation at the beginning of Act 2 there are many more accusations made between the couple, and even if the inquiry is not made an answer is provided. For example when Proctor comments on the stew ââ¬ËIt is well seasoned. ââ¬Ë Just before Proctor sits down to dinner with Elizabeth he re-seasons the stew without her knowing. This symbolizes many different things about the Proctors. Firstly I think the seasoning of the stew symbolises the couple marriage. I think it shows the audience the lack of heat, passion and ââ¬Ëseasoningââ¬â¢ that the couple seems to have between them. Also, I think that John seasoning the stew shows his love for Elizabeth and wanting to please her. I think that he seasons the stew so that he can make an honest compliment to her later about it; he knows that the compliment will please her. The audience may feel that when Proctor is eating the stew the atmosphere is uneasy. Proctorââ¬â¢s comment of the stew may suggest that Elizabeth is asking for his acceptance. Though when Proctor kisses her after his meal it says in the stage directions that she accepts it but he is left disappointed. This suggests that though she wants his approval she does not wish for his tenderness. This shows the audience that though Elizabeth is a fragile character (she needs Proctorââ¬â¢s acknowledgment and approval of her cooking) she is not necessarily a loving, affectionate character. Elizabeth shows how fragile she is throughout Act 2; for example when John questions her over letting Mary go into Salem ââ¬â she says Mary ââ¬Ëfrightened all of her strength away. ââ¬Ë The kiss in Act 2 leaves the audience with speculation over the couples relationship. However it has a much more important role later in the play. In Act 4 when Proctor dies there is another kiss shared between the Proctors. The audience can compare this to the kiss in Act 2 to confirm any variation in the relationship between the couple. If it is even less affectionate the audience will feel that if Proctor dies he is not leaving a lover behind and there will be less hope that he will not die. However if it is more passionate the audience will think that the couple are much closer and the relationship has blossomed in that last 3months. They will be seen as a much bigger tragedy for Proctor and Elizabeth to lose the new stronger relationship that they have obviously not had for a very long time. This shows us how important the kiss in Act 2 is. At the end of Act 2 Elizabeth is accused of being a witch and is taken to the jail. Proctor promises to get her out of jail and bring her back home. This is where the hysteria that the play accelerates. Act 3 starts with the court hearing of another woman who has been accused like Elizabeth. The hearing is very biased and the judge seems convinced in his verdict from the beginning giving the impression that the court hearing is simply for show and that it is realistically impossible for the ruling to be in favour of the defendant. This makes the audience worry that Elizabeth will have an unfair trial and she will hang for her ââ¬Ësins. ââ¬Ë We see the first accusation made in the scene quite early on. It is made from Judge Hathorne to Martha Corey (the defendant) ââ¬ËI am innocent to a witch. I know not what a witch is. ââ¬Ë ââ¬ËHow do you know then, that you are not a witch? ââ¬Ë Here we see how a witch is prosecuted, this makes us think of fragile Elizabeth and wonder of how she will cope under the strain of court. Here we also see the power used by Hathorne. He uses accusations to make him seem in control and that he holds the power. Proctor and his friend storm into the court and the judge sends them out but then goes to talk to them for disturbing his courtroom. Proctor tries to use Mary Warrenââ¬â¢s confession to lying to the court to free Elizabeth but soon realises that the only chance of saving his wifeââ¬â¢s life is to prove that Abigail is lying. The only way he can do this is by proving that she has a reason for wanting Elizabeth dead, to take her place. Proctor confesses to lechery and Danforth says that if Elizabeth will confirm that Abigail and Proctor had an affair he will let all the accused go free. This will prove that Abigail had an evil aim that she was trying to accomplish by accusing women of witchcraft. Elizabeth is brought in and Miller makes this part of the play a semi-climax. There is a lot of tension because the audience are pleading for Elizabeth to claim lechery on John, knowing that it is one of the Ten Commandments. Miller makes this moment dramatic using stage directions. This is a part in the play where Miller is very particular about where each character is and how the stage must be set out. The first directions are give as dialogue from ââ¬Ë(to Abigail) Turn your back. (To Proctor) Do likewise. Now let neither of you turn to face Goody Proctor. No one in this room is to speak one word, or raise a gesture aye or nay. ââ¬Ë This series of speech shows that seriousness of the court and also the power of Hathorne. Proctor has been told not to speak but the audience hope that he will do the exact opposite. At this point in the play the audience know that Proctor loves Elizabeth and that he would do anything for her, however they are not aware of the strength of Elizabethââ¬â¢s affections towards her husband. If Elizabethââ¬â¢s morals come above her love for Proctor she could tell the court that he committed lechery and in this bizarre sequence of events this could save her life. This moment in the play may be seen as a build up to the confession and execution of John Proctor. These moments may be seen as similar because it is at both these points in the play where the audience is wishing for the Proctors to not follow their morals and confess to a crime. Tension is built up at both of these points, however there is a considerable amount more of strain in Act 4, this is because the consequences are clear. In this scene the consequences are clear if Elizabeth prompts lechery upon her husband, she will save not only her and her husbands lives but she will put an end to the witch trials. Firstly tension is caused here by the pure fact that Elizabeth can not rely on her husband to give her answers, after all it was his crime and she may fear that if she tells the truth he will suffer for it. This is shown by the many attempts that she makes to look at Proctor for guidance. Each time Danforth stops her until she sees that it is impossible to receive an answer from her husband. Repeatedly Elizabeth strays from the subject to try and show how her husband is a good man but again she soon realises that she can no come to a faint conclusion. This is shown when Danforth asks her directly, after interrupting her many times, ââ¬ËAnswer my question! Is your husband a lecher! ââ¬Ë This shocks the audience because up until this point Danforth has remained relatively calm because he is seen with such great power that no one dares deceive him. Elizabeth angers Danforth because she seems to be more concerned of the wellbeing of her husband then acting in the court. At this point Elizabeth sees no other option then to give an answer and the audience feel that should break her personal morals and say that Proctor did not commit the crime of lechery. The audience thinks this because so far Elizabeth has tried to defend Proctor with irrelevant information that he is not a drunkard and that he is not slovenly. This shows that in her mind she is debating of which answer to give and though the audience suspect that she will tell a lie they are pleading with the play that she does not. Millers directions of when she gives her answer to the enraged Danforth is ââ¬Ë(faintly): No, sir. ââ¬Ë At this moment time seems to stop because all of a sudden there is uncertainty in the future of all of the characters; whether Danforth will reverse his demands and believe Proctor, whether Abigail will crumble under the pressure and what will happen to Proctor. At this point Miller restarts time quickly and it seems that in a matter of minutes Mary (a character that had been forgotten in this Act) crumbles under the increased pressure of Abigail and accuses Proctor of being involved with the devil. This is the very end of Act 3 and at this point Proctor breaks down and lets all of his thoughts and emotion run wild by screaming every words that he thinks for all to hear. This is all shown in his last lengthy speech of Act 3. ââ¬ËA fire, a fire is burning! I hear the boot of Lucifer, I see his filthy face! And itââ¬â¢s my face, and yours, Danforth! ââ¬Ë This shocks the audience because like Danforth Proctor has kept himself quite controlled and also like Danforth he explodes with rage. It is very relevant when he likens himself and Danforth as being both images of the devil. Though they may seem complete opposites (Danforth is condemning people to death and Proctor is trying to save these people) their characters are very similar. They both fight extremely hard for what they believe to be right. This similarity gives the audience hope that Danforth may be lenient in Act 4 when Proctor has pain and difficulty in confessing.
Thursday, January 2, 2020
Art As A Form Of Self Expression - 1378 Words
Art can be a form of self-expression and a way to communicate ideas and thoughts with other people. Each time when an art work is being viewed, a resonance between the art itself the viewer is created. Art allows the artists to express themselves and communicate with the world through their own imaginations and crafts. Artists has their own styles and they often use art crafts to blend colors to create incredible visual effects. Art is not always easy to understand. It can be a very literal representation of certain objects, but it can also be abstract. Art is determined by its context. Art can be inspirational, pushing the viewers to explore the world through the eyes of the artists. By looking at a work of art, people gain better understanding of the world in artistsââ¬â¢ perspectives. First, art is the unique. Art is the self-expression created out of the artistsââ¬â¢ own imaginations. No two artists in the world would share the same imaginations. It is a highly personal and creative to connect and share their own ideas with the public. The artists express their own ideas and emotions through illustrating visual effects. It is debatable whether a work has to arouse a sense of beauty to be considered as art, but it is undoubtable that all art pieces shares the same attribute of being the one and only in the world. Thousands of people would line up in front of the Louvre just have a glimpse of the magical and mysterious smile of Mona Lisa. Art is so magical that no matterShow MoreRelated Art Therapy: Children and its Effectiveness Essay examples856 Words à |à 4 Pages What is art? Art is the self-expression of someone of something that shows the hidden or underlying emotions that are found within the unconscious mind. Art has been around for centuries (â⠬Å"Merriam-Websterâ⬠). Normally, art would tell stories of past events which were significant to that culture. This could include things such as hunts and sacrifices to please the gods. As people and humanity started to evolve and become more civilized, art started to transform and take on a new appearance as wellRead MoreArt Is Not Plagiarism Or Revolution?1128 Words à |à 5 PagesUNIVERSITY OF CHICAGO EXTENDED ESSAY 4 ââ¬Å"Art is either plagiarism or revolution.â⬠ââ¬âPaul Gauguin. What is your ââ¬Å"artâ⬠? Is it plagiarism or revolution? Add a mustache and a beard to the Mona Lisa--it becomes L.H.O.O.Q., a Dada piece of art by Marcel Duchamp. Assemble a bicycle seat and handlebars--it becomes Bull s Head, a found object artwork by Pablo Picasso. The creation of such works, which directly borrow ideas or actual parts of another work, can be considered plagiarism, but that assumptionRead MoreRenaissance Art Analysis1097 Words à |à 5 PagesThe Renaissance was a period in history known as celebration of knowledge, through various forms of art including sculpture, painting, etc.,. In relation to previous periods, artists during the Renaissance use their art to serve as a representation of both their beliefs, and social trends. Using this means of portraying information, art became a subjective tool to educate the population. In using art to represent the artistââ¬â¢s beliefs, opinions, and social trends; artists also transformed into poetsRead More Theme of Isolation in The Awakening Essays787 Words à |à 4 Pageswith this consequence after she embarks on a journey of self-discovery. As Ednas ability to express herself grows, the number of people who can understand her newfound language shrinks (Ward 3). Ednas awakeni ng from a conforming, Victorian wife and mother, into an emotional and sexual woman takes place through the use of self-expression in three forms: emotional language, art, and physical passion. The first form of self-expression Edna learns is the emotional language spoken by the CreoleRead MoreBody Piercings And Its Impact On Society1665 Words à |à 7 Pagesand opportunities in the workplace even though itââ¬â¢s seen as a way to express oneââ¬â¢s self. Socially and economically, body piercings, among other forms of body modifications, have not only benefited individuals but may also be quickly destroying them. Historically, body piercings have drastically boomed as a trend in modern society and have developed various stereotypes, social reactions, and new motives for body art in general. An article about the history of ear piercings by HelpCenter states thatRead MoreVincent Van Gogh And Pablo Picasso858 Words à |à 4 PagesAn artists self portrait depicts far more than outward appearance. They capture an abstract documentation of the emotions felt throughout their lives, and reflect upon the time in which they lived in. When looking at the works of prominent artists Vincent Van Gogh and Pablo Picasso, the portraits that they painted of themselves offer a clear reflection of the style and sentiment of their time. These painters, although differing in style, became two of the most influential artists of all time. SomeRead MoreChelsie Vogel. Assignment: Sentence Outline. Trs 3312 Sec1049 Words à |à 5 PagesChelsie Vogel ASSIGNMENT: Sentence Outline TRS 3312 SEC 700 Title: Art Healing: How Art Therapy Benefits Children of Trauma Topic: Using art to heal children who have experienced trauma Specific Purpose: To help children of trauma express, communicate, and benefit from art integrated activities and therapy. Original Thesis Statement: Incorporating art-based activities and techniques effectively develops coping skills, self expression, open communication, and begins the healing process for childrenRead MoreThe Visual Arts, Technology, And Philosophy1683 Words à |à 7 PagesOne may wonder how much did The Information Age really contribute to society and, more specifically, the visual arts, technology, and philosophy. The Information Age, as defined by Gloria K. Fiero, is ââ¬Å"dominated by radical changes in the technology of communication and the way we receive and process informationâ⬠(Fiero, 476). The Information Age paved the way for several brilliant artists to not only share their work, but create their work. Artists, such as Andy Warhol, expressed their artistic abilitiesRead MoreThe Theories Presented By Tolstoy And Bell1493 Words à |à 6 PagesTo categorize art by such vague criteria as expression and form would be difficult if it were not for the several prevailing th eories presented by Tolstoy and Bell. According to Tolstoyââ¬â¢s theory of expression, something is art only if it successfully does the following. First, it must have been created with the intention of being art and revealed to an audience through a publicly accessible medium, even if the audience is a single individual. These mediums must be physical things such as shapes,Read MoreBenefits Of Music And Art Education977 Words à |à 4 PagesThe Benefits of Music and Art Education If we live in the land of many opportunities, then why should music and art programs be cut from schools? When people hear the term ââ¬Å"artâ⬠, their first initial thought would most likely be drawing or painting. However, itââ¬â¢s a lot more than the visual art forms that can be set on a paper or canvas; According to the Merriam Webster Dictionary, the term ââ¬Å"Artâ⬠is ââ¬Å"something that is created with imagination and skill and that is beautiful or that expresses important
Subscribe to:
Posts (Atom)