Monday, December 30, 2019

Normal And Abnormal Sleep Patterns - 909 Words

As we age, we may experience normal changes in our sleep patterns. For example, one might find it hard to fall asleep and stay asleep or even get fewer hours of sleep. In this paper, I will discuss normal and problematic or abnormal sleeping pattern changes that occur after the age of fifty. By predicting and educating the elderly regarding these changes and understanding why they occur, we, as health care providers, can help the elderly population experience longer, more restful sleep, which can lead to better health. First, let us address the importance of having an adequate amount of sleep. According to Edwards and et al (2010), sleep is a, â€Å"vital physiological process with important restrictive functions that are essential for optimal day-time functioning.† There are both normal and abnormal age-related changes that occur in sleep patterns. For instance, one of the normal age- related changes that occur in sleep patterns is that sleep becomes more scattered and lighter with an increase in the number of awakenings (Cooke Ancoli-Israel, 2011). In fact, there is a â€Å"reduction in the amount of slow wave sleep† that begins in middle –age and after the age of ninety; the deeper stages of sleep are completely absent (Cooke Ancoli-Israel, 2011). Although the elderly may spend more time in bed, they have deterioration in both the quality and quantity of sleep. This can lead to daytime sleepiness, which in turn can lead to unintentional or intentional napping (Cooke andShow MoreRelatedAbnormal Behavior And Aberrant Behavior1292 Words   |  6 Pagesdysfunction, danger and distress (â€Å"four Ds†). In other words, mental aberration patterns are usually deviant (atypical, out of the ordinary, radical, possibly even strange), distressing (distasteful and disturbing to the individual), potentially dangerous, and dysfunctional (hampering the individual’s capacity of carrying out everyday tasks constructively). Such a broad description provides a valuable basis for examining the abnormal phenomena outlined in this paper (Comer, 2013). A few days ago, I met twenty-eight-year-oldRead MoreHuntington s Disease ( Hd ) Is A Neurodegenerative Disease1289 Words   |  6 Pagesrecently is sleep disturbance and alteration of normal circadian rhythms. It is estimated that 60-90% of HD patients have sleep issues and that nearly 60% see those issues as being factors in their overall problems (Goodman et al., 2010). Despite the minimal volume of studies, the overwhelming proportion of HD patients who are afflicted with circadian dysfunction and sleep disturbance clearly outline the need for further research in this field. While it is now becoming more aware that sleep and circadianRead MoreAn Examination of Shelby Eatenton in Steel Magnolias811 Words   |  3 PagesIf her blood sugar gets too low, shell often get extremely thirsty. Pattern of Elimination: Stool, sweat and urine consistency and frequency are normal. Occasionally shell urinate more often if her blood sugar is low. Assessment Continued Pattern of Activity/Exercise: Generally, an energetic woman, she starts to have bouts of extreme fatigue once she suffers from liver failure. Conceptual/Perceptual Pattern: No problem with any of her five senses. No problem communicating with othersRead MoreMovie Character Presentation889 Words   |  4 PagesMovie Character Presentation Philadelphia Overview of Presentation ï  µ This presentation will focus on Andrew, the main character of the movie, Philadelphia. ï  µ A functional health assessment will be done. ï  µ Two normal and two abnormal health patterns identified. ï  µ A nursing diagnosis with interventions and resources included. Background of Movie and Character ï  µ Andrew is an up and coming lawyer working for a prestigious law firm in Philadelphia. He is a gay man who is HIV+ and hides hisRead MoreEssay on Prader-Willi Syndrome1403 Words   |  6 Pagesit ranges from 20 to 90. 41% of PWS people have IQs in the normal or borderline range.Specific academic weakness in math and writing are common, but reading and art are considered strengths.A delay in getting to early developmental milestones is common in PWS. The average IQ testing shows that people with PWS are mildly retarded, the range is from severely retarded to not retarded, with 40% having borderline retardation or just a low normal intelligence. Most affected children, besides their IQ scoresRead MorePrader-Willi Syndrom1477 Words   |  6 Pagesranges from 20 to 90. 41% of PWS people have IQs in the normal or borderline range.Specific academic weakness in math and writing are common, but reading and art are considered strengths.A delay in getting to early developmental milestones is common in PWS. The average IQ testing shows that people with PWS are mildly retarded, the range is from severely retarded to not retarded, with 40% having borderline retardation or just a low normal intelligence. Most affected children, besides their IQ scoresRead MoreInsomni Symptoms And Factors Essay1069 Words   |  5 Pagesis associated with adverse outcomes and should be proactively targeted for intervention. Often, sleep disturbances are associated with situational stresses such as illness, aging, and drug treatments. However, the physical illness, pain, hospitalization, and medications, along with the psychological impact of a life-threatening disease, may disrupt sleeping patterns. A history of poor sleep patterns will adversely affect the individual s daytime mood and performance. Among the general populationRead MoreHealth Screening and History of Older Adult2161 Words   |  9 PagesGeneral appearance: alert and oriented x 3, cooperative, no distress Head: Normal Eyes: Cataract surgery 5 years ago; slightly red Nose: Normal Ears: Hearing is abnormal, currently having to repeat questions Throat/Oropharynx: recent mandibular surgery. Limited ability to open mouth. Upper plate. Neck: Abnormal recent surgery and radiation to area. Area reddened. Lungs: clear to auscultation bilaterally and normal respiratory effort Heart: regular rate and rhythm, no murmurs Abdomen: bowelRead MoreChildrens Functional Health Assessment Essay2753 Words   |  12 PagesChildren’s Functional Health Pattern Assessment Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy vs Shame | Preschool-Aged Erickson’s Developmental Stage: Initiative vs Guilt | School-Aged Erickson’s Developmental Stage: Industry vs Inferiority | Pattern of Health Perception and Health Management: List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurseRead MoreThe Effect Of Sleep Deprivation On Seizure1220 Words   |  5 PagesA study on the effect of sleep deprivation on seizure in epilepsy disorder and its relation to signaling bathways in the brain People with seizure disorder usually have problems with their sleep. Daytime sleepiness, lack of energy and drowsiness are frequently seen in epileptic patients. Baseline electrical activity has been vastly studied in epilepsy. Seizures can be either partial or generalized. Based on the area of the brain triggered by epileptic waves, any kind of motor or sensory abnormalities

Sunday, December 22, 2019

Behavior Is, Simply Put, A Function Of A Person And...

Behavior is, simply put, a function of a person and environment, B = f (P, E). If we take a person and put them in a stressful situation, such as warfare, they are going to display certain behaviors based on the myriad of dimensions to their personality. If we move that same person to a pool deck on a Sunday afternoon, they’re going to act very differently due to the change in their environment. As management, we know that success comes from being able to identify the different personality dimensions of our workers and understand how those dimensions relate to the environment that has been created at the workplace. The Study of Organizational Behavior, or OB, is that very premise. It is the gathering the knowledge of the impact that†¦show more content†¦The Sun was a regional paper owned by the NY Times and serviced close to 60,000 customers a day in a community surrounding the University of Florida. When I arrived, the Sun was experiencing a revenue boom like none ot her since its formation in 1876. The internet had not yet taken hold and there were plenty of newsworthy stories surrounding multiple wars, cultural changes, and a rise in global connectedness. The HR department invested heavily in collecting information, not only about our behaviors as workers, but also with our needs and satisfaction. They understood that people are the most important variables in a successful operation. Maslow Theory of Needs describes that an individual has needs, and those needs must be met before they can move to a higher level and our company’s management tried hard to meet those needs. The company supported their workers for many years, even though difficult ones, until 2012 when the New York Times found a buyer for its regional papers. Overnight we had a new parent company, and new set of supervisor, and a new mission statement. What I wouldn’t know initially was that gone also were the times of understanding and satisfying employees. A foste ring, cohesive environment gave way to one of blind, management-by-accounting, policies wholeheartedly embraced by the new owners. I now found myself working under a new supervisor who style of management was examining data on a spreadsheet,Show MoreRelatedApproaches Of Psychology And Psychology1465 Words   |  6 Pageslearning- changes in behavior which occur as the result of experience (Glassman, Hadad 100). Everything we know about behaviorism is through observation and experimentation, it doesn’t concern itself with internal thoughts such thinking or emotions they also believe that people have no free will. Our surrounding and environment are the components that determine our behavior. It is believed that when we are born our minds are â€Å"Tabula Rasa† or blank slate waiting to learn from our environment. It is believedRead MoreThe Biological Approach : Mental Processes And Behaviors1356 Words   |  6 Pagesprocesses and behaviors by focusing on genetics and physiology. Psychologists who use the biological approach believe that mental processes and behaviors are caused and explained by activity between the nervous system and the brain. The biological approach is very scientific; therefore, psychologists can perform consistent, measureable experiments to examine how our genes, neuronal activity, and neurotransmitters interact with our environment and how they influence our mental processes and behaviors. PsychologistsRead MorePolice Disretion Essay examples1128 Words   |  5 Pagesequally due to the wide interpretation that can be a particular law. This is the heart of police discretion. Police officers are required to fully enforce the law when deciding the severity of the situation. They often would ask themselves â€Å"Is this person a danger to society? Was the event that just took place a possible threat? If it appears necessary that action be taken, then the answer is clear-cut. But police discretion is such a messy topic because it really falls in the hands of the individualRead MorePsychology : Nature Vs Nurture869 Words   |  4 Pagesinterested in studying human behavior and how our brains function. Psychological research has been mainly geared towards discovering parts of the brain, and the environment that influences our behavior as individuals. In other words, research aims to provide reasons why people behave the way they do, and what makes individuals different from each other. Much to the joy of experts in the field, major strides have been made in not only understanding, but also predicting human behavior. Concepts such as theRead MoreThere are ma ny different ways of thinking about human behavior. Psychologists use a lot of700 Words   |  3 PagesThere are many different ways of thinking about human behavior. Psychologists use a lot of different ways to study how people think, feel, and behave. Some of them look at a certain point of view while others look at several points of view. There is no single perspective that is better than the other because each perspective points out different aspects of human behavior. The essentials of the cognitive learning theory have a long history, and the cognitive transformation occurred around the middleRead More Sociology: The Study of Culture Essay1323 Words   |  6 Pagespeople. I always wanted to know why people of different genders, descents, and colors had certain cultural, societal, and religious beliefs. It became apparent to me that all persons are a direct reflection of their environment. In other words, all persons unconsciously, and sometimes consciously, reflect and imitate their environment and the things that they see. Every culture has their own individual stereotypes and belief systems. The reason for this is that people place arbitrary meanings on lifesRead MoreThe Theory Of Social Work And Psychology Essay1137 Words   |  5 Pagesthe systems theory for social work and the cognitive behavior theory for psychology. Given the heuristic nature of interdisciplinary research, the theories to be utilized within each cognate could possibly be dynamic in nature; therefore, subject to expanding to include more than just the two theories or disciplines currently included. The systems theory, as the name implies, deals with wide-range integration of methods, theories, and functions, which focuses on the varying levels that individualsRead MoreWhat is an organization? At what three levels is organizational behavior usually examined?1484 Words   |  6 Pages1. What is an organization? At what three levels is organizational behavior usually examined?More specifically, organization design is a formal, guided process for integrating the people, information and technology of an organization. It is used to match the form of the organization as closely as possible to the purpose(s) the organization seeks to achieve. Through the design process, organizations act to improve the probability that the collective efforts of members will be successful. TypicallyRead MoreThe Role Of Socialization On Our Development As A Human Being Essay1473 Words   |  6 PagesCognition plays a very important role in a person’s life. Cognition can be simply put as the mental capacities, associated to how humans can acquire, store, and retrieve information. In other words, cognition can be portrayed as something a person can recognize, understand, and feel. During class, we came across Dorothy Dinnerstien’s seven features of human cognition, which are; motivated, flexibly focused, structured, layered, affectively tinged, self-reflective, and social which has helped us understandRead MoreSymptoms And Diagnosis Of Dementia987 Words   |  4 Pagesdiagnosed after a series of assessments that includes a physical evaluation, memory tests, imaging studies and blood work. It affects three aspects of one’s mental function, cognitive dysfunction (Problems with memory, language, thinking and problem solving), psychiatric behavior (ch anges in personality, emotional control, social behavior and delusions) and difficulties with daily living activities (driving, shopping, eating and dressing). â€Å"The median survival time in women is 4.6 years and in men

Friday, December 13, 2019

Night World Black Dawn Chapter 10 Free Essays

But at the instant which would have made it akiss, Delos pulled away. Maggie felt the brush of his warm lips and then cold air as he jerked back. â€Å"No,†he said. We will write a custom essay sample on Night World : Black Dawn Chapter 10 or any similar topic only for you Order Now †No.† She could see the clash of fear and anger in his eyes, and she could see itsuddenly resolve itselfas the pain grew unbearable.He shuddered once, and then all the turmoil vanished, asif it were being swept aside by a giant hand. It left only icy determination in its wake. â€Å"That’s not going to help,† Maggie said. â€Å"I don’teven understand why you want to be this way, butyou can’t just squash everything down-â€Å" â€Å"Listen,† he said in a clipped, taut voice. â€Å"Yousaid that in your dream I told you to go away. Well,I’m telling you the same thing now. Go away anddon’t ever come back. I never want to see yourface again.† â€Å"Oh, fine.† Maggie was trembling herself withfrustration. She’d had it; she’d finally reached thelimit of her patience with him. There was so muchbitterness in his face, so much pain, but it was clear he wasn’t going to let anyone help. â€Å"I mean it. And you don’t know how much of aconcession it is. I’m letting you go. You’re not justan escaped slave, you’re an escaped slave whoknows about the pass in the mountains. The pen-.alty for that is death.† â€Å"So kill me,† Maggie said. It was a stupid thingto say and she knew it. He was dangerous – andthe master of that blue fire. He could do it at theturn of an eyelash. But she was feeling stupid andreckless. Her fists were clenched. â€Å"I’m telling you to leave,† he said. â€Å"And I’ll tellyou something else. You wanted to know what happened to your brother.† Maggie went still. There was something differentabout him suddenly. He looked like somebodyabout to strike a blow. His body was tense and hiseyes were burning gold like twin flames. â€Å"Well, here it is,† he said. â€Å"Your brother is dead. I killed him.† It was a blow. Maggie felt as if she’d been hit. Shock spread through her body and left her tingling with adrenaline. At the same time she felt strangely weak, as if her legs didn’t want to hold her up any longer. But she didn’t believe it. She couldn’t believe it, not just like that. She opened her mouth and dragged in a breathto speakand froze. Somewhere outside the cave a voice was calling. Maggie couldn’t make out the words, but it was agirl’s voice. And it was close †¦and coming closer. Delos’s head whipped around to look at the entrance of the cave. Then, before Maggie could say anything, he was moving. He took one step to the wall and blew out theflame of the little stone lamp. Instantly, the cavewas plunged into darkness. Maggie hadn’t realizedhow little light came from the entrance crack-almost none at all. No, she thought. Less light is coming throughthan before. It’s getting dark. Oh, God, she thought. Cady. I just walked off and left her there. What’s wrongwith me? I forgot all about her-1 didn’t eventhink†¦. â€Å"Where are you going?† Delos whispered harshly. Maggie paused in mid rush and looked at himwildly. Or looked towardhim, actually, becausenow she couldn’t see anything but darkness against paler darkness. â€Å"To Cady,† she said, distracted and frantic, clutching the water bag she’d grabbed. â€Å"I left herdown there. Anything could have happened bynow. o. â€Å"You can’t go outside,† he said. â€Å"That’s the hunting party I came with. If they catch you I won’t beable to help-2†² I don’t care!† Maggie’s words tumbled over his.†A minute ago you never wanted to see me again.Oh, God, I left her. How could I do that?† ‘It hasn’t been that long,† he hissed impatiently. â€Å"An hour or so.† Vaguely, Maggie realized that hemust be right. It seemed like a hundred years sinceshe had climbed up to his ledge, but actually every thing had happened quickly after that. â€Å"I still have to go,† she said, a little more calmly.†She’s sick. And maybe Gavin came back.† A waveof fear surged through her at the thought. â€Å"If they catch you, you’ll wish you were dead,† he said distinctly. Before Maggie could answer, hewas going on, his voice as brusque as ever. â€Å"Stayhere. Don’t come out until everybody’s gone.† She felt the movement of air and the brush ofcloth as he passed in front of her. The light fromthe entrance crack was cut off briefly, and then shesaw him silhouetted for an instant against gray sky. Then she was alone. Maggie stood tensely for a moment, listening.The sound of her own breathing was too loud. She crept quietly to the entrance and crouched And felt a jolt. She could hear footsteps crunching on the broken slate outside. Rightoutside. Thena shadow seemed to fall across the crack and sheheard a voice. â€Å"Delos! What are you doing up here?† It was a light, pleasant voice, the voice of a girl only a little older than Maggie. Not a woman yet.And it was both concerned and casual, addressingDelos with a familiarity that was startling. But that wasn’t what gave her the bigjolt. It wasthat she recognized the voice. She knew it and shehated it. It was Sylvia. She’s here, Maggie thought. And from the wayshe’stalkingshe’s been here before – enough to getto know Delos. Or maybe she was born here, and she’s just started coming Outside. Whatever the truth, it somehow made Maggiecertain that Miles had been brought here, too. But then-what? What had happened to him after that?Had he done something that meant he had to disappear? Or had it been Sylvia’s plan from thebeginning? Could Delos have really†¦ ? I don’t believe it, Maggie thought fiercely, butthere was a pit of sick fear in her stomach. Outside, Sylvia was chatting on in a musical voice. â€Å"We didn’t even know you’d left the groupbut then we saw the blue fire. We thought youmight be in trouble-â€Å" â€Å"Me?†Delos laughed briefly. â€Å"Well-we thought there might betrouble,† Sylvia amended. Her own laugh was like wind chimes. â€Å"I’m fine. I used the fire for practice.† â€Å"Delos.† Sylvia’s voice was gently reproving now,in a way that was almost flirtatious. â€Å"You knowyou shouldn’t do that. You’ll only do more damageto your armit’s never going to get better if youkeep using it.† â€Å"I know.† Delos’s brusque tone was a sharp con trast to Sylvia’s teasing. â€Å"But that’s my business.†Ã¢â‚¬ I only want what’s best for you-â€Å" â€Å"Let’s go. I’m sure the rest of the party is waiting for us.† He doesn’t like her, Maggie thought. All herwhinnying and prancing doesn’t fool him. But Iwonder what she is to him? What she really wanted at that moment was to dash out and confront Sylvia. Grab her and shake her until she coughed up some answers. But she’d already tried that once-and it had gotten her thrown into slavery. She gritted her teethand edged closer to the entrance crack. It was dangerous and she knew it, but she wanted to seeSylvia. When she did, it was another shock. Sylvia always wore slinky tops and fashionable jeans, butthe outfit she had on now was completely medieval.More, she looked comfortable in it, as if thesestrange clothes were natural to her-and flattering. She was wearing a sea-green tunic that had longsleeves and fell to the ground. Over that was another tunic, a shade paler, this one sleeveless andtied with a belt embroidered in green and silver. Her hair was loose in a fine shimmering mass, andshe had a falcon on her wrist. A real falcon. With a little leather hood on itshead and leather ties with bells on its feet. Maggie stared at it, fascinated despite herself. That whole fragile act Sylvia puts on, shethought. But you have to be strong to hold up a big bird like that. â€Å"Oh, we don’t have to rush back just yet,† Sylvia was saying, moving closer to Delos. â€Å"Now that I’m here, we could go a little farther. This looks like anice path; we could explore it.† Cady, Maggie thought. If they go to the end ofthe path, they’ll see her. Sylvia will see her. She had just decided to jump out of the cavewhen Delos spoke. â€Å"I’m tired,† he said in his flat, cold way. â€Å"We’regoing back now.† â€Å"Oh, you’re tired,† Sylvia said, and her smile wasalmost sly. â€Å"You see. I told you not to use yourpowers so much. â€Å"Yes,†Delossaid,evenmoreshortly. â€Å"Iremember.† Before he could say anything else, Sylvia went on. â€Å"I forgot to mention, a funny thing happened.A guy named Gavin dropped in on the huntingparty a little while ago.† Gavin. Maggie’s stomach plummeted. He got away. And he saw everything. And he must have moved fast,she thought absently. To hook around and get to a hunting partyon the other side of this ledge-in time for Sylviato come find Delos. â€Å"You probably donI know him,† Sylvia was saying. â€Å"But I do. He’s the slave trader I use to getgirls from Outside. He’s normally pretty good, but today he was all upset. He said a group of slavesgot loose on the mountain, and somehow his part ner Bern got killed.† You†¦ witch,Maggie thought. She couldn’tthink of a swear word strong enough. Sylvia knew. There was no doubt about it. IfGavin was her flunky, and if he’d told her that Bernwas dead, he must have told her the rest. That Bernhad been killed by Prince Delos himself, fried withblue fire, and that there were two slave girls infront of Delos at the time. She knew all along, Maggie thought, and she wasjust trying to trap Delos. But why isn’t she afraidof him? He’s the prince, after all. His father’s dead; he’s in charge. So how come she daresto set upher little traps? â€Å"We were all concerned,† Sylvia was going on,tilting her silvery head to one side. â€Å"All the nobles,and especially your greatgrandfather. Loose slavescan mean trouble† â€Å"How sweet of you to worry,† Delos said. Fromwhat Maggie could see of his face, it was expressionless and his voice was dry and level. â€Å"But youshouldn’t have. I used the fire for practice-on the other slave trader. Also on two slaves. They interrupted me when I wanted quiet.† Maggie sat in helpless admiration. He did it. He outsmarted her. Now there’s nothing she can say. And there’s no way to prove thathe didn’t kill us. Gavin ran; he couldn’t have seenanything after that. He saved us. Delos saved Cady and me bothagain. â€Å"I see.† Sylvia bowed her head, looking sweet andplacating, if not quite convinced. â€Å"Well, of courseyou had every right to do that. So the slaves aredead.† â€Å"Yes. And since they were only slaves, why arewe standing heretalking about them? Is there something about them I don’t know?† â€Å"No, no. Of course not,† Sylvia said quickly. â€Å"You’re right; we’ve wasted enough time. Let’s go back.† In her mind, Maggie heard Gavin’s voice. â€Å"It’s not like they were ordinary slaves. If we don’t deliver that maiden we’re dead.† So she’s lying again, Maggie thought. What a surprise. But who’s the maiden? And why’s she so important? For that matter, she thought, who’s this greatgrandfather of Delos’s? When Sylvia mentionedhim it sounded almost like a threat. But if he’s agreat-grandfather he’s got to be ancient. How areSylvia and some old geezer teamed up? It was an interesting question, but there was no time to think about it now. Sylvia and Delos wereturning away from the cave, Sylvia murmuringabout having to take a look at Delos’s arm when they got back. In another moment they’d passed out of Maggie’s line of sight and she heard thecrunching noise of feet on slate. Maggie waited until the last footstep faded, then she held her breath and waited for a count ofthirty. It was all she could stand. She ducked through the entrance crack and stood in the openair. It was fully dark now. She was very nearly blind.But shecould sense the vast emptiness of the valley in front of her, and the solidity of the mountain at her back. And she should have felt relieved, to be outsideand not caught-but instead she felt strangely stifled. It took her a moment to realize why. There was no sound at all. No footsteps, novoices, and no animals, either. And that was whatfelt eerie. It might be too cold at night for mosquitoes and gnats and flies, but there should have been someanimal life to be heard. Birds heading intothe trees to rest, batsheadingout. Deer feeding.Bucks charging around-it was autumn, after all. There was nothing. Maggie had the unnervingfeeling that she was alone in a strange lifelessworld swathed in cotton, cut off from everythingreal. Don’t stick around and think about it, she toldherself sternly. Find Cady. Now! Gritting her teeth, she thrust the water bag intoher jacket and started back. By keeping close to the mountains bulk on her left and feeling ahead with her foot before each step, she could find her way in the dark. When she reached the ledge, her stomach tightened in dismay. Terrific. Going down in pitch darkness-there’s going to be no way to see the footholds. Oh, well, I’ll feel for them. The worst that can happen is I fall a hundred feet straight down. â€Å"Cady,† she whispered. She was afraid to talk tooloudly; the hunting party might be anywhere andsound could carry surprisingly well on a mountain slope. â€Å"Cady? Are you okay?† Her heart thumped slowly five times before she heard something below. Not a voice, just a stirring,like cloth on rock, and then a sigh. Relief flooded through Maggie in a wave that wasalmost painful. Cady hadn’t died or been abducted. because Maggie had left her. â€Å"Stay there,† she whispered as loudly as she dared. â€Å"I’m coming down.I’ve brought water.† It wasn’t ashard going downas she’d expected. Maybe because she was still high on adrenaline,running in survival mode. Her feet seemed to findthe toeholds of their own accord and in a few minutes she was on the boulders. â€Å"Cady.† Her fingers found warmth and cloth. Itmoved and she heard another little sigh. â€Å"Cady, areyou okay? I can’t see you.† And then the darkness seemed to lighten, andMaggie realized that she couldsee the shape shewas touching, dimly but distinctly. She glanced up and went still. The moon was out. In a sky that was otherwisecovered with clouds, there was a small opening, a clear spot. The moon shone down through it like asupernatural white face, nearly full. â€Å"Maggie.† The voice was a soft breath, almost awhisper, but it seemed to blow peace and calm into Maggie’s heart. â€Å"Thanks for letting me rest. I feel stronger now.† Maggie looked down. Silver light touched thecurves of Cady’s cheek and lips. The blind girllooked like some ancient Egyptian princess, herdark hair loose in crimped waves around her shoulders, her wide, heavy-lashed eyes reflecting themoon. Her face wasas sereneasever. â€Å"I’m sorry it took so long. I got some water,†Maggie said. She helped Cady sit up and put thewater bag to her lips. She doesn’t look as feverish, she thought asCadywas drinking. Maybe she can walk. But where?Where can we go? They would never make it to the pass. And even if they did, what then? They’d be high on a moun tain-some mountain-in the dark and cold of aNovember night. â€Å"We need to get you to a doctor,† she said. Cady stopped drinking and gave the bag back. â€Å"Idon’t think there’s anything like that here. There might be some healing woman down there in thecastle – but. .She stopped and shook her head. â€Å"It’s not worth it.† â€Å"What do you mean, it’s not worth it? And, hey, you rereally feeling better, aren’t you?† Maggieadded, pleased. It was the first time Cady had gottenout more than a few words. She sounded very weak,but rational, and surprisingly knowledgeable. â€Å"It’s not worth it because it’s too much of a risk. I’m too much of a risk. You have to leave me here, Maggie. Go down and get to shelter yourself.† â€Å"Not this again!† Maggie waved a hand She really couldn’t deal with this argument anymore. â€Å"IfI left you up here, you’d die. It’s going to get freezing cold. So I’m not going to leave you. And ifthere’s a healing woman down at the castle, thenwe’re going to the castle. Wherever the castle is.† â€Å"It’s the place all the Night People are,† Arcadiasaid, unexpectedly grim. â€Å"The slaves, too. Everybody who lives here is inside the castle gates; it’sreally like a little town. And it’s exactly the placeyou shouldn’t go.† Maggie blinked. â€Å"How come you know so much?Are you an escaped slave like Jeanne?† â€Å"No. I heard about it a year or so ago from someone who had been here. I was coming here for a reason-it was just bad luck that I got caught bythe slave traders on my way in.† Maggie wanted to ask her more about it, but anagging voice inside her said that this wasn’t thetime. It was already getting very cold. They couldn’t be caught on the mountainside overnight â€Å"That road the cart was on-does it go all theway to the castle? Do you know?† Cady hesitated. She turned her face toward the valley, and Maggie had the strange sense that shewas looking out. â€Å"I think so,† she said, at last. â€Å"It would makesense that it does, anyway-there’s only one placeto go in the valley.† â€Å"Then we’ve got to find it again.† Maggie knewthat wouldn’t be easy. They’d run a long way fromBern and Gavin. But she knew the general direction. â€Å"Look, even if we don’t get to the castle, weshould find the road so we know where we are. And if we have to spend the night on the mountain,it’s much better to be in the forest. It’ll be warmer.† â€Å"That’s true. But-â€Å" Maggie didn’t give her a chance to go on. â€Å"Canyou stand up? I’ll help-put your arm around myneck†¦ .† It was tricky, getting Cady out of the nest of boulders. She and Maggie both had to crawl most of the way. And although Cady never complained, Maggiecould see how tired it made her. â€Å"Come on,† Maggie said. â€Å"You’re doing great.†And she thought, with narrowed eyes and set teeth,If it comes to that, I’ll carryher. Too many people had told her to leave this girl.Maggie had never felt quite this stubborn before. But it wasn’t easy. Once into the woods, the canopy of branches cut off the moonlight. In only minutes, Cady wasleaning heavilyon Maggie,stumbling and trembling. Maggie herself was stumbling, tripping over roots, slipping on club mossand liverwort. Strangely, Cady seemed to have a better sense ofdirection than she did, and in the beginning shekept murmuring, â€Å"This way, I think.† But after awhile she stopped talking, and some time afterthat, she stopped even responding to Maggie’squestions. At last, she stopped dead and swayed on her feet. It was no good. The taller girl shivered once, thenwent limp. It was all Maggie could do to breakher fall. And then she was sitting alone in a small clearing, with the spicy aroma of red cedar around her, and an unconscious girl in her lap. Maggie held still and listened to the silence. Which was broken suddenly by the crunch offootsteps. Footsteps coming toward her. It might be a deer. But there was something hesitant and stealthy about it. Crunch, pause; crunchpause. The back of Maggie’s neck prickled. She held her breath and reached out, feeling fora rock or a stick-some weapon. Cady was heavyin her lap. Something stirred in the salal bushes betweentwo trees. Maggie strained her eyes, every muscle tense. â€Å"Who’s there?† How to cite Night World : Black Dawn Chapter 10, Essay examples

Thursday, December 5, 2019

Mental Health Practices Relationships And Recovery †Free Samples

Question: Discuss about the Mental Health Practices Relationships And Recovery. Answer: Mental health practices based on recovery implies to the care sessions that the caregivers need to give to the patients by implementation of the caregivers capability by considering the patients behavior, attitudes, principles, knowledge and values (Tew et al., 2012). Recovery oriented practitioners to assist mental health patients; necessities and incorporation of therapy: Practices based on recovery largely promotes the relationship between the caregiver and the patients in a collaborative and active manner. On the other hand people with experience of mental disorders are considered to be experts on their condition and the caregivers are experts on the present treatment procedures available (Richards, Coulter Wicks, 2015). Practices based on recovery is encapsulated as care of mental health that: Understands the situation of a patient and the likelihood for recovery by inculcating strength and sharing of experiences of the sufferers. Maximizes the involvement of the sufferer in the recovery process. It includes personalized care, drawing attention to the cultural needs of the patient (Scanlan Still, 2013). Includes inculcation of holistic approach which necessitates a wide number of factors including social approaches. Helps the family members to assist the patients in the recovery process. Lastly, includes the need of understanding the people with experience of mental disorders that are still unresolved to feel better and help them get out of traumatizing conditions. Review on literature was organized for the international and Australian literature consisting of mental health recovery oriented literatures. Goal of the review was create an understanding of the term for good practices. However, the review did not include the broader issues in the system. It only focused on practices based on recovery. Some literatures were specified for youth and children, emphasis on older people was given in some other literatures. Occupational therapy and recovery: Therapist involved in occupation therapy understand the need of mental soundness. The knowledge of therapists helps in the process of recovery in collaboration with individuals with experience. Several areas of functioning are addressed by the therapists (Crouch Alers, 2014). The relation between recovery and occupation is very clear by analyzing participation of people in socially and personally important activities. The practice emphasizes on clinical focus on the symptoms of people and the complexions related to building strength and positivity. Role of occupational therapist: Therapy based relationships between the practitioner and patients by implementation of approaches based on strength by analyzing strength of the patient under treatment should be initiated with inculcation of the skills of the practitioners. The family members should also be incorporated in the recovery of a person. It increases the possibility of recovery (Schell et al., 2013). Summary: With respect to the perspective of the people will mental ailments, the term recovery means achieving recovery by gaining hope and retaining it. It requires the collaboration of the therapist and the patient to live an active life with a social identity and lead a purposeful life (Brooker Latham, 2015). The model of recovery needs the implementation of decision making on a shared manner, it should be in a personalized and driven by the client. Occupation therapists are indulged in group activities for the betterment of mental health of the people under consideration, it involves groups like Pyscho-education multi family groups and several other groups involved in development of a persons identity, building the expressions of the patients in addition to analyzing the social skills that the patients have (Carlstrm Ekman, 2012). The occupational therapists should be associated with several available programs on psychosis intervention as per available research work, it improves the positions of the programs and helps the people associated with it to productively participate in it. Studies on mental health needs was found to be provision of services based on occupational therapy, increases the enhancement of mental conditions(Olsson et al., 2013). The patients have been seen to have productive roles in several activities within a few months of discharge from the health care centers. References Brooker, D., Latham, I. (2015).Person-centred dementia care: Making services better with the VIPS framework. Jessica Kingsley Publishers. Carlstrm, E. D., Ekman, I. (2012). Organisational culture and change: implementing person-centred care.Journal of health organization and management,26(2), 175-191. Crouch, R., Alers, V. (Eds.). (2014).Occupational therapy in psychiatry and mental health. John Wiley Sons. Olsson, L. E., Jakobsson Ung, E., Swedberg, K., Ekman, I. (2013). Efficacy of person?centred care as an intervention in controlled trialsa systematic review.Journal of clinical nursing,22(3-4), 456-465. Richards, T., Coulter, A., Wicks, P. (2015). Time to deliver patient centred care. Scanlan, J. N., Still, M. (2013). Job satisfaction, burnout and turnover intention in occupational therapists working in mental health.Australian occupational therapy journal,60(5), 310-318. Schell, B. A., Gillen, G., Scaffa, M., Cohn, E. S. (2013).Willard and Spackman's occupational therapy. Lippincott Williams Wilkins. Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J., Le Boutillier, C. (2012). Social factors and recovery from mental health difficulties: a review of the evidence.The British Journal of Social Work,42(3), 443-460.