Breaking bad news Free Essay Example, 3000 words

Finding out how much the patient’s capacity of accepting information – patients should have a say in the capacity or content given by the medical professional. In other words, bringing up bad news has no right answer and a way to establish the right of the patient to choose, give him/her the chance to establish the information content. Sharing the information – before talking with the patient, prepare the agendas to discuss like the diagnosis, treatment, prognosis, and coping. However, a right agenda only covers two of the aforementioned areas. It is not useful to discuss in a long medically termed context. It must be simple and comprehensible; hence, medical terms are translated in simple, understandable English. Responding to the patient’s feelings – understanding the patient’s reaction is important. However, this skill improves through experience, as with the enhancement of acknowledgement and identification. Planning and follow-through – all gathered information ought to have apt documentation for further planning of the patient’s situation. A step-by-step plan given to the patient will be in his/her system of healthcare (Buckman, 2007, as quoted from Back, 1999). We will write a custom essay sample on Breaking bad news or any topic specifically for you Only $17.96 $11.86/pageorder now The nurse’s decision of family care mostly depends on the NHS Plan and the Code of Professional Conduct. Communicative skills of a nurse are an important interpersonal skill in building trust in families of patients and the patient himself. To develop good skills in communication to patients in breaking bad news, one reliable tool is the Leske’s Inventory. This inventory will assess the family’s needs, which the nurse needs to prioritize in time of stressful events happening in unfamiliar environments. Leske’s inventory will work on critical intimidating care and other fields of healthcare. However, many critical care nurses lack the skill and training for better communicative skills in delivering bad news. To give a holistic care, nurses should be able to plan, implement, and evaluate the individualized family needs effectively. Hence, the care will result in autonomy when managing both the family and the patient’s empowerment occurs (Back, 1999) . Sensitivity in Delivering Bad News to Patients with Life-Limiting Illnesses Breaking bad news should be sensitive in many ways, with ample consideration of the patient’s ethnic background, gender, and social class. Patient information and the common errors for breaking bad news are presented in the following discussion. One life limiting illness where breaking bad news happens is caring for people with cancer (Moody, 2003).

Laser Crack Measurement System for Pavement-Management Sytems

Pavement-management systems (PMS) can work effectively only when they are constructed by organically combining all activities concerned with road pavement (planning, design, construction, maintenance, rehabilitation, evaluation, economic analysis, and research) and the data bank [1]. Then, the most important items are the establishment of a serviceability index, which represents pavement quality, and a prediction of performance, which is represented by the relation between time (and/or traffic) and the index. Pavement quality consists of two primary factors: riding quality and skid resistance. The factors influencing riding quality are pavement distress and/or roughness. Three major factors of pavement distress are cracking, rutting, and†¦show more content†¦Therefore, measuring the macro texture is one of the essential components in pavement management applications. The requirements for acquiring these factors are the following: (1) That data-acquisition cost is as cheap as possible; (2) that data analysis can be done in a short time; and (3) that data acquisition doesnt influence the speed of other traveling vehicles, in particular on roads with heavy traffic [2]. Pavement surface distress measurement is an essential part of a pavement management system (PMS) for determining cost-effective maintenance and rehabilitation strategies. Visual surveys conducted by engineers in the field are still the most widely used means to inspect and evaluate pavements, although such evaluations involve high degrees of subjectivity, hazardous exposure, and low production rates. Consequently, automated distress identification is gaining wide popularity among transportation agencies [6]. With the advancement of 3D sensor and information technology, a high-resolution, high-speed 3D line laser imaging system has become available for pavement surface condition data collection. With the advances in sensor technology, a 3D line-laser-imaging-based pavement surface data acquisition system has become available. The Laser Crack Measurement System (LCMS) [7] can collect high-resolution 3D continuous pavement profiles for constructing pavement surfaces. The objective of

Barn Burning Essay Thesis Example For Students

Barn Burning Essay Thesis Youre getting to be a man. You got to learn. You got to learn to stick to your own blood or you aint going to have any blood to stick to you. This quote from William Faulkners Barn Burning does reveal a central issue in the story, as Jane Hiles suggests in her interpretation. The story is about blood ties, but more specifically, how these ties affect Sarty the central character of the story. The story examines the internal conflict and dilemma that Sarty faces. When the story begins, Sarty and his family are in a courtroom. Sarty, known in a proper setting as Colonel Sartoris, which in itself gives an insight into the families mentality. Sartys father, Abner Snopes is being accused of a barn burning. Right away, as Sarty is called to testify, you get an idea of what is going through the boys head, and the mentality that has be ingrained in him. He thinks to himself, Enemy! Enemy! , referring to the people that his father and his family for that matter are up against. Sarty would later discover that things are not always the way that his father leads everyone to believe they are. Sarty, somewhere deep down wants to just do what is right, but being roughly 10 years old, I dont think he quite has that figured out yet. His sense of right and wrong has been biased under the tyranny of his father. We also get a good idea of the personality of the father, Abner, by the way Sarty describes his physical appearance. Abner is not a man of a lot of words, demonstrated in many instances. We see this in the way he addresses his family, in the way he communicates with other characters, and most importantly in his outrageous stunts in his attempts to prove that know one will ever run over Abner Snopes and his family. He more or less uses actions to speak for him. Thats sort of the whole idea behind Abner Snopes. Hes a man with so much pride that he will go to any lengths to get revenge upon those who wrong him or try to own him, even if it means breaking the law. His actions, make bold statements about what kind of man he is. Barn burning is his largest and always final statement. But, he sort of builds up to that, as we can see in the story. Once Abner and his family are run out of town in the beginning of the story which seems to be a frequent occurrence with this family they find another home and another farm to work. Immediately, Abner takes Sarty up to the landlords house, where Abner purposely steps in manure and walks into the house and proceeds to rub the manure into a very fine rug. There seems to be no apparent reason for the action other than the fact that the landlord in a way owns Abner Snopes and his family, because the landlord own the land they will have to work for a living. Therefore, they are at the mercy of the landlord. This doesnt sit well with Abner, and the purpose of soiling the rug must be, again to make a statement about who he is, and to let the landlord know that he doesnt bow to anyone. Soon, the rug is brought down to the farm and presented to the family, who must now clean it. Abner, instead of getting his wife, or his sons to clean the rug, not to mention himself as well instructs his two daughters, described as big, lethargic and bovine, to take care of the task. The rational behind this is, Abner knows that the two daughters will more than likely not do a proper job of washing the rug. Hes a very spiteful man. When the rug is returned to the owner and determined to be ruined, Abner is ordered to pay the land owner twenty bushels of corn against his families share of the crop. .u2e7d8009f6743a28d99a0b0b8a65e04d , .u2e7d8009f6743a28d99a0b0b8a65e04d .postImageUrl , .u2e7d8009f6743a28d99a0b0b8a65e04d .centered-text-area { min-height: 80px; position: relative; } .u2e7d8009f6743a28d99a0b0b8a65e04d , .u2e7d8009f6743a28d99a0b0b8a65e04d:hover , .u2e7d8009f6743a28d99a0b0b8a65e04d:visited , .u2e7d8009f6743a28d99a0b0b8a65e04d:active { border:0!important; } .u2e7d8009f6743a28d99a0b0b8a65e04d .clearfix:after { content: ""; display: table; clear: both; } .u2e7d8009f6743a28d99a0b0b8a65e04d { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u2e7d8009f6743a28d99a0b0b8a65e04d:active , .u2e7d8009f6743a28d99a0b0b8a65e04d:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u2e7d8009f6743a28d99a0b0b8a65e04d .centered-text-area { width: 100%; position: relative ; } .u2e7d8009f6743a28d99a0b0b8a65e04d .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u2e7d8009f6743a28d99a0b0b8a65e04d .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u2e7d8009f6743a28d99a0b0b8a65e04d .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u2e7d8009f6743a28d99a0b0b8a65e04d:hover .ctaButton { background-color: #34495E!important; } .u2e7d8009f6743a28d99a0b0b8a65e04d .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u2e7d8009f6743a28d99a0b0b8a65e04d .u2e7d8009f6743a28d99a0b0b8a65e04d-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u2e7d8009f6743a28d99a0b0b8a65e04d:after { content: ""; display: block; clear: both; } READ: Anna Karenina and Hester Prynne EssayIt is later decided in court, by the Justice of the Peace that he will only be required to pay ten bushels of corn. Of course, Abner, being the way he is, will still not stand for it. Inevitably, one night Abner decides he will make his signature statement, the barn burning. Of course, the story doesnt come right out and say this, there is an ambiguous quality to this work by Faulkner. We are clued into Abners plans for the burning when Sarty is sent to get the oil. Then, when Sarty, says Aint you going to even send a nigger? we can confirm what is planned. It is at this point that the conflict within Sarty arises once more. Sarty had hoped that his father would stop this evil pattern of destruction and disregard for the law and the property of others. However, Sarty at this point is beginning to realize that his father will probably never change. He contemplates running away, something he will soon do. After being detained by his mother for a short time, at his fathers request, Sarty breaks free and heads directly for the land owners house. He knows now what he must do. He must warn them of what his father and older brother and about to do. Continually on the run, Sarty warns the people in the big white house and takes off down the road. Sarty soon hears a number of shots, which he assumes to be his father and brother being shot by the landlord who has caught them in the act. This may or may not be the case, again, this shows the ambiguity of the story in various places. Regardless of what actually happened, he knows he can never go back. He just keeps on going, and never looks back. It is at this point that Sarty breaks the blood ties, and the fear of suffering the wrath of his fathers. Sarty is free. But, not without paying a price. I believe Sarty still feels that pull of blood that the author speaks of, and he made this decision with obviously a lot of feelings on both sides of the issue. He still cares for his family, he still loves his father, even though he now realizes that what his father does is wrong and he had to try to stop it and cease to be a part of it. The fact that Sarty can never return home is not a question of whether he choose that, but rather its not a choice, he cant go back. So, the conflict within Sarty is not really every resolved, just the situation changed.