Admission essay
Thursday, August 27, 2020
Reflection on simulation Essay Example | Topics and Well Written Essays - 750 words
Reflection on recreation - Essay Example My partner was to begin by taking the pulse of the patient. She did this utilizing a sphygmomanometer. While estimating the circulatory strain of the patient, she inquired as to whether he is hypertensive, and the patientââ¬â¢s answer was a no. As my partner was taking the patientsââ¬â¢ pulse, I was cleaning the instruments I would utilize. I likewise watched that they were working appropriately. At the point when she was through it, was my chance with the patient. I applied a gel to my hands to disinfect them. I educated the patient that I was to take his temperature, breath and heartbeat. I clarified this was vital for conclusion of his disease. He gave me his agree to continue. This is according to the prerequisite of nursing and birthing assistance gathering (Delany and Molloy 2009). During the time spent taking his temperature from the ears, I inquired as to whether I could somewhat pull his ear. The honorable man was helpful, and he concurred. As I was embeddings the thermometer in his ears, I coincidentally pierced a plastic in the ear. This is on the grounds that I was not sure enough. Subsequent to finishing the readings of temperature, I plotted the perusing in the temperature outline. I at that point continue to checking the beat pace of the patient. I check the quality of the beat and the mood from the supply routes. I utilized the corridors on the arm to check the beat rate. I at that point continue to doing the respiratory test. In taking the breath, I checked the pace of the patients taking in sixty second. I at that point recorded the finding of these two tests in a different actuality sheet. After I was through with the patient, I cleaned my hands with water and cleanser. The cleaning of the hands when going to a patient was basic (Johns, 2009, p.25). It is hence that I had applied a gel on my hands previously, and cleaned them in the wake of going to Mr. A. This is in consistence to nursing and birthing assistance chamber gauges on control of diseases. Further, the medical caretaker doesn't stay with germs that he
Saturday, August 22, 2020
Frog Atlas
Naturally visible ANATOMY rââ¬Ã¢â¬Ã¢â¬ Snout â⬠â⬠â⬠â⬠â⬠External naris Brows pot Upper eyelid Nictitating layer ~)f~~~~=:::::::::::::=;E;::: Lower eyelid â⬠¢ Digits of Fingers .. J. ââ¬Ã¢â¬Å"ââ¬Ë1~-:S:râ⬠Tympanic layer Carpus or wrist â⬠¦Ã¢â¬ ¦.. ,~â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦.. ~'l. ldOrâ⬠Forearm Upper arm r â⬠â⬠â⬠â⬠â⬠â⬠Median dorsal line . . . â⬠â⬠â⬠â⬠â⬠â⬠Hump (~ fl Cf TID~~ ~N. irââ¬Ã¢â¬Ã¢â¬ Anus WJirfi1il m I T â⬠â⬠â⬠â⬠Thigh ~l-~b~l,~lu,'1: ââ¬Ëv~Arftb~t. n4 C q ~ à ·, - An IVâ⬠ID ,- G t>h~à ·LW à ·Ã¢â¬ ¢ (M()n:Wq . Olrcl-television à ·. A l-y-r; F ctf,,,b⠷â · Ru'idc r â⬠â⬠â⬠â⬠Shank G(Jil'S. à ·. 91 t1 C ~pt. d :~ ââ¬Ë. v lll,. g~. rt ,W). tJf!. â⬠¦ ~. ~~ oF. ~::â⬠Prehallux â⬠! ââ¬Å"V,A(lu:il:l ~ f cJi:h~.! :,;:::>â⬠Digits of toes J Web â⬠à · Tarsus or lower leg _ . ,.. :â⬠Mâ ·)v EXTERNAL ANATOMY OF TH E FROG ~ââ¬Ã¢â¬Ã¢â¬Darkly are~ pigmented of the skin SwoJ. _J.. en thumb A MALE FROG Ventral view Diffused skin pigmentation â⬠¢-~~ââ¬Thumb not swollen A FEMALE FROG Ventral view Met atarsals Astragalus]Tarsals Calcaneum Ischium SKELETAL SYSTEM Dorsal View Transverse procedure Neural spine Postzygapophysis second to eighth vertebrae (Typical vertebrae) Sacral vertebra ninth vertebra) VERTEBRAL COLUMN Dorsal view ISOLATED VERTEBRAE Neural spine Neural curve Postzygapophysis Neural trench Concavity for explanation with occipital condyle Centrun ATLAS Antero-dorsal view .ââ¬Ã¢â¬Ã¢â¬Neural spine ~ââ¬Ã¢â¬Postzygapophysis Transverse procedure ~~~~ââ¬Ã¢â¬- Prezygapophysis â⬠¦.. __ _ Neural trench ~~ââ¬Ã¢â¬- Centrum TYPICAL VETEBRA Antero-dorsal view centrum SACRAL VERTEBRA Postern-dorsal view Neural channel of the lOth Concavities for verbalization lvi th sacral vertebra UROSTYLE Antero-latera! see Exoccipital Occipital condyle SKULL Dorsal view ~ââ¬Ã¢â¬Ã¢â¬Ã¢â¬Premaxillae circle SKULL Ventral view LOWER JAW Dorsal view Anterior cornu Alary procedure Body Posterior cor-nu Thyroid procedure HYOID APPARATUS Ventral view ââ¬Ã¢â¬Ã¢â¬Ã¢â¬Ã¢â¬Ã¢â¬Ã¢â¬- Episternum Clavicle Omosternum Scapula Suprascapula Glenoid fossa. rââ¬Ã¢â¬- . ::.. ::: PECTORAL GIRDLE Dorsal view Fenestra coracoid Epicoracoid Mesosternum Xiphistermn PELVIC GIRDLE, 1/2 (INNOMINATE BONE) Lateral view Head Deltoid edge/'~â · Condyle Radio-ulna Longitudinal section Centrale Ordinary carpals Metacarpals Radiale Ulnare - ââ¬Å"â⬠â⬠ââ¬Ëo'! ;I'J !l:i(tl. =-Phalanges FOREUMB, R1ght Lataral Vtt1111 Tibio-fibula ~-Calcaneum or fib111are Astragalus or tibiale ~ââ¬~-AA~.. ,. ,'Hfâ⬠Ordinary tarsals Calcar Metatarsals ââ¬Ë~~~~~~Phalanges HINDLIMB, RIGHT Ventral view ~~~ââ¬Ã¢â¬~-rrââ¬Ã¢â¬Temporalis ~~:. ââ¬Ã¢â¬nm-;. ;yâ⬠Depressor mandibula ~~~~~~~~~~~~==Dorsal1s scapula ~ ~rj;;,rââ¬Cucullaris ~~~? /IH/IJ/II~r-à ¢â¬ ¦ ;::~=ââ¬Ã¢â¬- External Latissimus dorsi diagonal m. mmrââ¬Ã¢â¬Ã¢â¬Ã¢â¬Longiss imus dorsi llfi~~ââ¬Ã¢â¬Ã¢â¬Ã¢â¬Ilio-lumbaris ~~~~~ââ¬Ã¢â¬Ã¢â¬- Coccygeo-sacralis ~~~~iââ¬==========Coccygeo-iliacus ~ femoris anticus ~~~~wBwm~~ââ¬Ã¢â¬Ã¢â¬Ã¢â¬Gluteus :f'(U~~~ ~::m. ::rn. ââ¬Ã¢â¬Ã¢â¬Ã¢â¬ Vastus externus ~ââ¬Ã¢â¬Ã¢â¬Triceps n~~~~â⬠femoris Semimembranosus Gracilis minor J:..!!. - .!. ââ¬- fiââ¬Ã¢â¬Ã¢â¬Tibialis anticus Tendon of Achilles MUSCULAR SYSTEM Dorsal view Suanentalis is 0tC r. :. (à ·s cutaneous~~~~tfl1 pectoralis Scapulo-humeralis or deltoid s epicoracofaaaâ⬠(Anterior pectoralis) ââ¬Ã¢â¬Ëâ⬠ââ¬- Pectoralis sternalis AU~ââ¬Ã¢â¬Ã¢â¬PeCtoralis ~is (Posterior pectoralis) Linea albaââ¬- ~~~~1:~~~ââ¬Ã¢â¬~Rectus abdominis Inscriptiones tendinae tt,_,ie;r vn:;b? ~ . à ·~~iâ⬠n;(~~ ~. (. I d
Friday, August 21, 2020
20 Kick-Ass Websites To Test Responsive Web Design
20 Kndex.cgpadpeek.com/ 18. Mobile phone emulator If you need to take your site screen shots on various mobile devices then this is the ideal site for you. I think you would love it. Mobile phone emulator containing various features to view website design responsiveness. Visit: http://www.mobilephoneemulator.com/ 19. Responsivepx This site is faster to load but unfortunately dont have any smart device frame to view the sites design. But I love this site because this site hasnt any background behind responsive testing frame. Visit: http://responsivepx.com 20. Responsive Design Bookmarklet Responsive Design Bookmarklet is a French responsive design testing tool. Interface is really simple but elegant. Users need to drag the bookmarklet above the bookmarks bar and instantly it will apply in your browser. However users have options to choose tablets and Smartphone to see the responsive design. Visit: http://responsive.victorcoulon.fr/ Thats all about responsive design testing tools. I hope now you can test or take screen short of your web design for your design and other purposes. If you know more sites for testing design responsiveness then feel free to share with me. In addition you can share with me about your personal experience while testing your sites responsive design. Thank you.
Monday, May 25, 2020
The Voyagers by Linda Hogan Free Essay Example, 1000 words
This notion has been affirmed by the current Western concepts of perceiving nature as a merely organic means of providing sustenance however older cultures accepted nature and animals beyond their food dimension. In the essay, Hogan has emphasized the lack of connection between human beings and their natural settings which has been a result of their own destructive actions. As the human society has experienced a decline, so has its relationship with the key elements of the world which make it move. Hogan emphasizes the importance of our environment as supporting our existence in this world. Furthermore, several examples have been presented which reflect the destructive human nature and its devastating actions. The events of Auschwitz, Hiroshima, My Lai, and Rwanda are evident examples of how the selfish and violent human nature brings out destructive impacts on the world. The Holocaust brought the worst form of religious discrimination resulting in millions of deaths. The atomic bom b dropped in the Japanese city of Hiroshima again reflects the violent human nature destroying the very own world where humans dwell. Similarly, all these events reflect the failure of human beings and the decline of society by which humans are on the path of losing their natural connection with the world which they inhabit. We will write a custom essay sample on The Voyagers by Linda Hogan or any topic specifically for you Only $17.96 $11.86/pageorder now The environment which fascinates the humans is also the one being destroyed by the human hands themselves. Although the fact is upsetting however it appropriately reflects the historical events of societal failure which were a result of human intervention with nature. Many of the present actions also demonstrate similar pursuits of environmental and nature decline. In The Voyagers, Hogan presents her ideas in a way which raises several moral questions pertaining to the actions of Man on Earth. Hogan expresses a deep sense of affection for the mother Earth beyond a mere piece of land which will embrace us after we are dead (n. pag. ). Hogan presents a deep connection with our nature counterparts including plants and animals. For centuries humans have lived in in the same environmental context however often human actions have threatened the balance and harmony between the human-nature relationship. In one form or the other humans have been occasionall y riveted by the attractive features of the natural environment. On the other hand, humans have made attempts contrary to protecting the environment in which they dwell as if their existence is independent of the natural context.
Thursday, May 14, 2020
The Great Gatsby And The American Dream Analysis - 1086 Words
ââ¬Å"The American Dream is that dream of a land in which life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement.â⬠This quote by James Adams shows the concepts of a dream that is linked to hard work and opportunity. In Scott Fitzgeraldââ¬â¢s The Great Gatsby and Ridley Scottââ¬â¢s American Gangster, Gatsby and Frank portrays the theme of the destructive nature of dreams. The Great Gatsby follows the story of a charming yet mysterious man named Gatsby who orders his life around the love he lost while the American Gangster is based on a real-life story that follows the life of Frank Lucas, one of the most powerful drug crime bosses. Both charactersââ¬â¢ pursuit of the American dream focuses onâ⬠¦show more contentâ⬠¦When Lucas finishes his prison term, he walks out of the prison alone with no one to greet him, not even his wife. Wealth only brings both Gatsby and Lucas a social status but people onl y want to be associated with them because of their riches. Thus, money can buy materialistic items but not what is most important, friendship and happiness. Both Gatsby and Lucas acquire their money through dishonest means in order to gain power. Both come from a poor family that pushes them to take the dishonest and easy route to become wealthy. Gatsbyââ¬â¢s fortune comes form the illegal sale of alcohol that he did through his ties to the mob. Nick states, ââ¬Å"He and this Wolfsheim bought up a lot of side-street drug-stores here and in Chicago and sold grain alcohol over the counter. Thats one of his little stunts. I picked him for a bootlegger the first time I saw him, and I wasnt wrong.â⬠Gatsby tells his friends that he worked hard for his money but the truth is, he took advantage of prohibition by making a fortune from bootlegging as he built connections with various gangsters like Meyer Wolfshiem. Just like Gatsby, Frank knows that real money is made on the streets through illegal gambling and drugs, which makes him become more bold and ruthless. Cattano states, ââ¬Å"Monopolies are illegal in this country, Frank, bec ause no one can compete with a monopoly. If they let the dairy farmers do that, half of them would go out of business tomorrow.â⬠Every halfShow MoreRelatedThe American Dream In The Great Gatsby Analysis1497 Words à |à 6 PagesFitzgeraldââ¬â¢s novel, the Great Gatsby is one of the most meticulously written story of all time. This book incorporates different themes, yet the shadiness of the American Dream is the most significant one. The American Dream designates that one starting very low on their economic or social status and getting success and wealth trough their arduous work. Having a big house, a nice car and a happy family show the success of the American Dream. This dream is also shown by the concept of a self-madeRead MoreThe American Dream In The Great Gatsby Analysis749 Words à |à 3 PagesThe Great Fantasy Idealism is the paramount theme in ââ¬Å"The Great Gatsby.â⬠Each of the characters have a craving for self-definition and a high position in society. The story is shaped by the ideals each of these characters hold. These ideals allude to the American Dream, along with the superficiality and corruption associated with it. Fitzgerald uses Jay Gatsby as a medium to portray hopeless romanticism, fantasy fueled ambition, and failure to achieve self-contentment. Gatsby is characterizedRead MoreThe American Dream In The Great Gatsby Analysis1744 Words à |à 7 Pagesthe American Dream From a distance, the American dream is a hopeful one- that anyone, regardless of race, class, or gender, can become successful and wealthy if they possess ambition and the ability to work hard. However, when scrutinized, this rosy view clearly shows ignorance towards societal issues such as misogyny, racism, and income inequality and instead focuses on the notion of having an extravagant home, fancy cars, and a happy family- all of which symbolize the great American dream. FitzgeraldRead MoreAnalysis Of The American Dream In The Great Gatsby1142 Words à |à 5 PagesThe American Dream is one of the most prevalent themes in The Great Gatsby. It is essentially the belief that, regardless of social class, anyone can become wealthy and famous. In the novel, Jay Gatsby attempts to reunify with Daisy Buchanan by achieving great wealth, but he fails and dies having been unsuccessful in his mission. Though it may appear to some that Gatsby, the main character of the novel, has achieved the American Dream, it turns out to be a massive illusion. When, following Gatsbyââ¬â¢sRead MoreThe American Dream In The Great Gatsby Analysis906 Words à |à 4 PagesTorres Mrs. Heffelman English 11 September 26, 2017 The American Dream can mean a lot of different things depending on who is asked. Some will answer that it is the freedom of religion or the ability to move between class. Others define it as the ideal that every US citizen should have an equal opportunity to achieve success and prosperity through hard work, determination, and initiative. For Jay Gatsby and many others, the American Dream is about gaining wealth and material possessions in the attemptRead MoreThe American Dream In The Great Gatsby Analysis1367 Words à |à 6 Pagesidea of the American Dream, where qualities of hard work and ambition are shown. The novel The Great Gatsby by Scott Fitzgerald embodies many themes; however the most significant one relates to the corruption of the American dream. The American Dream is defined as someone starting low on the economic or social level, and working hard towards prosperity and or wealth and fame. By having money, a car, a big house, nice clothes and a happy family symbolize s the American dream. This dream also representsRead MoreThe American Dream In The Great Gatsby Analysis1428 Words à |à 6 PagesThe Great Gatsby by F. Scott Fitzgerald contains many themes; however, the most noteworthy one identifies the American dream. This Dream likewise speaks to that people, regardless of who he or she is, can emerge to rich in life through their own works. The dream is spoken to with the aid of the mind of an unbiased man or woman, who strives to perform an objective to become tremendously effective. The Great Gatsby is a novel that indicates what happened to the American Dream in the 1920s, which wasRead MoreThe American Dream In The Great Gatsby Analysis903 Words à |à 4 PagesThe American Dream: A Fruitless Endeavour The 1920ââ¬â¢s, famously known as the Jazz Age, was a major turning point in Americaââ¬â¢s soaring economy. However, as a result, amassing wealth in exorbitant amounts and throwing extravagant parties became socially acceptable and the conservatism and the old-fashioned values of the 19th century were left behind. The roaring twenties also coincided with the prohibition period which saw bootleggers make millions off the sale of contraband and brought life to undergroundRead MoreThe Great Gatsby American Dream Analysis761 Words à |à 4 Pagesobtained. In The Great Gatsby, F. Scott Fitzgerald suggest that the American Dream is an illusory, the people who pursue it are Gatsby, Daisy, Tom, and Myrtle, and this pursuit is ultimately unattainable. In the roaring twenties known as the Jazz Age, many people wanted to become rich, most people were bootleggers and Wall Street stock brokers. Alcohol was illegal and the Wall Street stocks were higher than ever before. The Great Gatsby is an extended critique of the American Dream. And this critiqueRead MoreThe American Dream In The Great Gatsby Analysis758 Words à |à 4 PagesThe American dream is a idea that anyone can reach prosperity and success by determination and hard work. Everyone has equal opportunity to achieve this dream. This may not be the case in this tragic love story, The novel The Great Gatsby by Fitzgerald. By corruption, unfaithfulness, and entitlement we see a different view of the American Dream. Through the characters and plot in the novel, The Great Gatsby, Fitzgerald suggests the pessimistic view that the American Dream of social mobility is a
Wednesday, May 6, 2020
Absinence Is the Only Way - 965 Words
Abstinence is the only sure way that you will not get pregnant or STDs. Teenagers only think of sex as being a pleasurable thing. Most teenagers do not realize that there is a great responsibility and consequences for being sexually active. Abstinence has expended in this society and because our country and culture has clinch to loose morals, the result have been demolish. Teens are developing diseases such as gonorrhea, syphilis and AIDS and they are having unwanted pregnancy before marriage. Condoms as we all know are not one-hundred percent accurate, therefore abstinence should be practiced in our country. Abstinence should be a regular course taught in school because of these important reasons: to prevent pregnancy, to prevent STDs,â⬠¦show more contentâ⬠¦Contraception only guard against some STDââ¬â¢s. Abstinence is a guaranteed form to prevent unwelcome disease and pregnancies. Most people lack self-esteem and struggle to overcome the physical desires, however once a person realizes all of the danger and consequences sex can bring to oneââ¬â¢s life, abstinence should be put into practice. One of the best ways to stay safe is to wait until after marriage before being sexually active, this will also decrease the rate of disease. According to the Center of Disease Control in 2010 ââ¬Å"about 65 % of STDââ¬â¢s contracted this year will occur in people under the age of 24â⬠. Abstinence-Only Education focuses on the risks to avoid and help youth so that they would not be vulnerable to harm. The program teaches teenagers to wait before having sex until after marriage and remaining faithful afterward is the best choice for physical health and a healthy, happier relationship. Abstinence-Only Education educates us about the realities of STDââ¬â¢s and the best way to prevent them. Most teen mothers who give birth outside marriage live with the childs father at the time of birth. Wedlock childbearing does not occur due to the young parentsââ¬â¢ lack of knowledge about birth control or condoms. Wedlock childbearing, in most cases, happens because young people are unable to develop committed, loving marital relationships. Abstinence programs, therefore focus on developing loving and bear hardship relationships andShow MoreRelatedMotivation and the Brain Paper1098 Words à |à 5 Pagesmajor impact on the brains functioning and emotional disarrays. Drugs are chemicals, which access the brains communication system and interfere with the method nerve cells send, receive and process information. ââ¬Å"Some drugs can change the brain in ways that last long after the person has stopped taking drugs, maybe even permanently. This is more likely when a drug is taken repeatedlyâ⬠(NIDA, 2011,para 6). Some drugs can copycat a natural neurotransmitter sending abno rmal messages through the brain
Tuesday, May 5, 2020
Counselling Therapy Systemic Therapies
Question: Discuss about the Counselling Therapy for Systemic Therapies. Answer: Summary of session The counselling session in the video provides insights into the issues faced by the client. The client is a married woman who states that she often gets late in her work and cannot organise her daily tasks correctly. Whenever her routine changes, she develops anxiety and cannot manage things. The thought of being late freezes her mind, and she develops confusion regarding how to initiate the task. Different questions posed by the counsellor helps in knowing her state of mind and what exactly happens when she develops anxiety. She has to travel a lot and things like booking tickets, getting on time always run in her mind. But still, she gets up late in spite of putting an alarm. When she develops this kind of anxiety, she tries to relax herself by relaxation techniques. Finally, after all, the questioned posed by the counsellor is answered by the client, the counsellor advises her regarding how she can sort things and make it more systematic to avoid tension. She teaches her breathing techniques as a form of relaxation during anxiety. Method of counseling and purpose As a counsellor, I need to maintain a particular level of therapeutic relation with the client. To deal with the client, I utilized narrative therapy to counsel the patient and knew about her psychological problems. It is a modern approach to counselling that uses ways to understand the lived experience of the client in reality and focus on the use of stories to solve their problems in life (Johnstone Dallos, 2013).My primary objective behind taking this approach of counselling was to help identify clients problem through the narration of their story. My technique was to pose such questions to the client that it automatically helps in reauthoring their life story in a descriptive way. My approach was to use a range of strategies to uncover the issues hidden in the plot and create a new perspective on the story (Ha Baek, 2015). In the case of the client in the video, I wanted her to narrate her stories and know her view regarding the issue. The Same story can be looked at differently by a different person (McMahon Watson, 2012). I wanted to know clients story to judge how she looks at things and problems in her life. It might be possible that another person with the same situation may react differently if they face similar conditions in life. Therefore, every person involved in an incident has their own perspective regarding the reality of that situation (McMahon Watson, 2012), and I wanted to know her perspective regarding the challenges she faces every day in life due to her anxiety. Principles and skills of narrative therapy I was interested in helping the client to recognize that her approach to a situation can be different than what she thinks. The fundamental principles of narrative therapy are: Getting to know the problem or story Externalizing the problem Thickening the story or deconstructing dominant plots Redeveloping the narrative (Epston et al., 2012). I first started with asking the client to narrate her problems in her own words. While she answered to my questions one by one, I was exploring how the issue has influenced clients life. When asked about what problem the client faces, she explained in detail that she experiences nervous breakdown due to her inability to organize things and not being able to do daily activities on time in spite of planning to do. The client narrates that often she sets the alarm for 5 a.m, but still she sleeps till 7 a.m. When she wakes up, all of a sudden managing household work and getting the tasks done become difficult. When asked about what exactly happens to her at such times, she narrates that her mind freezes for a time being, and she has to push herself to work. This story about the client helped me realize that she had a problem with anxiety, and I tried techniques to define the problem in clients own word and languages. This was my approach to externalize the problem (Denborough, 2014). I used my counselling skills to thicken the story by questions like: When did the problem start to trouble you? How does the problem continue to trouble you in life? What is affecting you right now at this stage? During what situation this pattern of thinking starts? When did this thing start? Asking all the above questions enlightened me with inner layers to the clients story. The client told me that she first faced this problem when her husband has to suddenly rush to his parents because of sudden illness. Since then the problem has started to trouble her. I was able to know that the patient has to travel a lot and so she continues to face problem whenever her normal routine changes. Rushing to do things on time, booking a ticket, arranging the house, etc. acts as a stressor for her. Therefore, I realized that she develops this anxiety and unusual thinking pattern when her daily routine changes all of a sudden. This kind of activity can be influenced by the culture inherited by the client (Madsen, 2013).In this case, the client had a problematic story to narrate. I was able to deconstruct her dominant stories. It is the belief of the customer that tends to shape their problems in life. Once her attitude towards the situation changes and she starts thinking in a positive way to solve problems, she can add new meaning to her life (Helmond et al., 2014). I also identified that the clients life centered round her issues and she forgot about her positivities in life. Therefore, my approach towards treating the client was to distract her from her own perspective of the problem during the interview and show her how she can manage the same situation in a better and positive way (Freedman, 2014). I explored the client's dominant story in depth. I asked influencing questions like- Can you explain what is the effect of these problems in your life? What exactly happens when you develop anxiety due to disorganization of task? What techniques have you adopted to tackle such situations? Have you shared your problem with your husband? When asked about the effects of the problem in the clients life, she answered that she experienced pain in hand and legs when her anxiety and nervousness increases. The client narrated that tries to tackle the situation by relaxing herself and lying down for some time. Then she exerts and pushes herself to complete the task. I also got to know that the client was reluctant to share her problems with her husband. I found this strange and I felt that she should have discussed this problem with her husband. The interview session helped me to deconstruct stories during my counselling session to interpret new meanings of the narration. It is an approach to separate the problem from the client and implement ways to overcome the problem (Ricks, et al., 2014). I also used methods to redevelop the narrative of the customer by using different depth of question. I used this technique because it helps in removing filters so that the hidden part of the experience of customers comes to the forefront. I realized that the client had marginalised her problems, and this might be due to her cultural boundaries (Freedman, 2014). This is evident from the fact that as married women she is expected to fulfill all her duties regarding looking after household work, family as well as in-laws. The responsibility of the family, work and in-laws had affected the client's state of mind and led to her nervous breakdown in life. I was able to get a vivid description of the problems faced by the client through a range of different questions related to her story. Solution to the clients problem Finally, I helped the client to redevelop her story by showing her a new perspective of dealing with the problem. I remained actively engaged with the customer throughout the counselling session and advised her that she should make a list of things that she will do on a given day. Secondly, she notes the time before which she will do the task. The first few days she will have to put extra efforts to get up on the planned time. I suggested that before starting the task, she should give herself 5-10 minutes time to relax herself by adopting releasing techniques. It would mean doing deep breathing exercise to relax oneself and engaging in fun activities like listening to music, having a chat or wandering around for some time. This technique will help in relaxing the patients and accomplish her planned task efficiently (Armfield Heaton, 2013). However, by the end of the session I realised my weakness in counselling skills. I was able to view the clients problem from a large sociocultural context, but I could not identify what is absent but implicit in the presentation of problem. I should have explored the impact of the problem by questioning the client regarding what is truly valuable to them in a broader context beyond the problem. This would be an influential step to help the client prioritise her choices in life in order to manage things in a better way. Often people forget their values when they navigate a new terrain. This approach would have helped the client to understand their experiences in life and gains skills to address problem scenarios in the future (Oshman Combs, 2016). Implications of narrative therapy Thus, narrative therapy is a very useful technique to help the client become the author of their own story and instill in them new positivity to tackle life situations. This theory will have useful implications for treating patients with different problems. This is because it recognises the fact that people face natural competency skills that guide them to bring new changes in life (Ribeiro et al., 2016). The approach to separating problems from individuals and externalizing sensitive issues work well in healing the patients and change their perspective towards the problem. This strategy mitigates resistance and allows a person to address and manages their problems in a productive and efficient manner (McParland, 2015). Reference Armfield, J. M., Heaton, L. J. (2013). Management of fear and anxiety in the dental clinic: a review.Australian dental journal,58(4), 390-407. Denborough, D. (2014).Retelling the stories of our lives: Everyday narrative therapy to draw inspiration and transform experience. WW Norton Company. Epston, D., Stillman, J. R., Erbes, C. R. (2012). Speaking two languages: A conversation between narrative therapy and scientific practices.Journal of Systemic Therapies,31(1), 74. Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples.Australian and New Zealand Journal of Family Therapy,35(1), 20-30. Ha, T. H., Baek, H. G. (2015). A study on curing the wounded heart applications development and effect analysis by utilizing narrative therapy techniques.Journal of Digital Contents Society,16(2), 207-218. Helmond, P., Overbeek, G., Brugman, D., Gibbs, J. C. (2014). A meta-analysis on cognitive distortions and externalizing problem behavior associations, moderators, and treatment effectiveness.Criminal Justice and Behavior, 0093854814552842. Johnstone, L., Dallos, R. (2013).Formulation in psychology and psychotherapy: Making sense of people's problems. Routledge. Madsen, W. C. (2013).Collaborative therapy with multi-stressed families. Guilford Press. McMahon, M., Watson, M. (2012). Story crafting: Strategies for facilitating narrative career counselling.International Journal for Educational and Vocational Guidance,12(3), 211-224. McParland, J. (2015). Narrative therapy in a learning disability context: A review.Tizard Learning Disability Review,20(3), 121-129. Oshman, L. D., Combs, G. N. (2016). Integrating motivational interviewing and narrative therapy to teach behavior change to family medicine resident physicians.The International Journal of Psychiatry in Medicine,51(4), 367-378. Ribeiro, A. P., Braga, C., Stiles, W. B., Teixeira, P., Gonalves, M. M., Ribeiro, E. (2016). Therapist interventions and client ambivalence in two cases of narrative therapy for depression.Psychotherapy Research, 1-13. Ricks, L., Kitchens, S., Goodrich, T., Hancock, E. (2014). My story: The use of narrative therapy in individual and group counseling.Journal of Creativity in Mental Health,9(1), 99-110.
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