The Anxiety Of Anxiety And Depression - 1030 Words

According to Mayo Clinic, if you have a mood disorder, your mood or emotional state changes dramatically, independent of your external conditions. The unrelenting factor of anxiety and depression is what separates them from common emotions (Mayoclinic.org) Depression is commonly mistaken for a case of the blues, or even laziness. The idea that if you want to change how you feel you can is a reoccurring thought. But, there is a key difference between sadness and depression. People with depression have an extreme, deep sadness that does not subside. Even if your environment becomes more positive, your mood stays the same. According to mayo clinic, people with depression may have given up on life, which is a response that is not associated with just being unhappy. (mayoclinic.org) Anxiety is perhaps equally as common as depression. Many people dismiss it as just worrying about something. It is public generalization to think that anxiety is no more than just a normal response to stress that will end when the stressful situation is over. There is a piece missing from this idea that is present in an anxiety disorder. According to Mayo Clinic, anxiety is a mood disorder characterized by prolonged, excessive worry and panic that get in the way of a person living their everyday lives. This separates people who are reacting to a stressful day from people who have an anxiety disorder. (mayoclinic.org) That being said, it is also important to be aware of the underlying causes ofShow MoreRelatedThe Anxiety Of Depression And Anxiety1413 Words   |  6 Pagessome anxiety due to the potential threat of decreasing social classes. William has an overwhelming feeling of being judged by his peers and his family alike. He feelings his family thinks he’s a failure and he’s certain that they are disappointment in him. William has begun to drink more than usual. The client and therapist relationship will be largely based in collaborative empiricism. The client and I will be working together to identify his irrational beliefs that sustain his depression andRead MoreDepression and Anxiety1637 Words   |  7 PagesDepression and Anxiety Sarah Gartin COM/155 March 17, 2013 Tressa Cook Gray [APA style looks good!] Depression and Anxiety Depression and anxiety are two common disorders that many Americans deal with day in and day out. So, individual Americans may ask, are we anxious, or are we depressed? Anxiety and depression are thought of as two distinct disorders. However, in this world, many people suffer from both conditions. Knowing the similarities, differences, treatments, and prevention/reductionRead MoreDepression and Anxiety2138 Words   |  9 PagesRunning Head: Depression and Anxiety Prevalence of Depression and Anxiety amongst College Students Presented in partial fulfillment for Research Methods Florida Gulf Coast University College of Health Professions Prevalence of Depression and Anxiety amongst College Students College represents a form of higher learning. For many, it is also a time for personal growth as we transition into adulthood. This in itself is a stressful situation as one must make drastic adjustments to a new role, environmentRead MoreDepression And Anxiety786 Words   |  4 PagesSymptoms of depression and anxiety are common during pregnancy and greatly effect a women’s health behaviors. The impact of women’s mental health on alcohol use is very significant to examine as prenatal alcohol use, which is common and can have serious negative consequences for the evolving fetus. Elevated symptoms of depression and anxiety can increase risk for binge drinking during pregnancy. Alcohol use during pregnancy may be associated with extremely detrimental effects for the developing fetusRead MoreDepression And Anxiety And Depression4756 Words   |  20 PagesAlthough anxiety and depression may seem to be separate categories of symptoms, as outlined in the DSM-5 (APA, 2013), and therefore different, many theorists posit that there is an underlying set of factors for both (Clark, Steer Beck, 1994, Clark Watson, 1991). Such commonalities between the diagnoses may explain the common comorbidity (Wittchen, Zhao, Kessler, Eaton, 1994). The high comorbidity between anxiety and mood disorders exacerbates the debate on the distinguish ability of the constructsRead MoreThe Anxiety Of Depression And Depression1457 Words   |  6 Pagesdisorders such as depression or mania (Comer, 2011, p. 193). Depression is a sad, low state where life seems dark and overwhelming (Comer, 2011, p. 193). Mania is a state of frenzied energy or breathless euphoria where a person may have an exaggerated belief that the world is theirs for the taking (Comer, 2011, p. 193). Mania and depression are the two key emotions in mood disorders and most people who have one usually only suffer from depression, which is called unipolar depression (Comer, 2011, pRead MoreAnxiety vs Depression837 Words   |  4 PagesAnxiety vs. Disorder What is the difference between Anxiety and Depression? Truth is depression is a symptom sometimes experienced by people with anxiety disorders, and anxiety is sometimes experienced by people with depression. The person experiencing the depression or anxiety often can tell which came first and which is more dominant. Although there is quite a difference between the two it can sometimes be difficult to determine. There are some common symptoms between those suffering from anxietyRead MoreThe Stress With Anxiety And Depression1534 Words   |  7 Pagesconsciously or unconsciously. Often, many people suffer from crippling anxiety as a result of constant stress or in response to some traumatic event. This anxiety can also be accompanied by feelings of depression, adding to the overall stress and feelings of anxiousness a person may experience during difficult times in their life. Worse still, there has historically been a stigma associated with high anxiety and chronic depression that t hose who suffer from these maladies are broken in some way or simplyRead MoreTreatment Of Depression And Anxiety1865 Words   |  8 Pagestreatment methods. Depression and Anxiety causes too many problems and tears apart many people’s lives. We see many of these problems spark up in as early as the adolescents to late as the elderly. More specifically, Major Depressive Disorder and Generalized Anxiety Disorder are the main culprits of many people’s mental illnesses and often times, these disorders occur simultaneously or sequentially. First of all, Major Depressive Disorder, often shortened to MDD, is a mental disorder that can negativelyRead MoreTeen Depression And Anxiety1781 Words   |  8 Pagessuffer from depression and anxiety, aren’t just from traumatic experiences in a teenager’s life, anyone can suffer from these issues. We will explore types of anxiety like OCD, substance abuse and self harm and their relationship to depression and anxiety. The relationship between depression and anxiety will also be discussed. Depression and anxiety cause problems in daily life and understanding those who suffer f rom them will help in finding them treatment. Teens suffer from depression more than

Professional Skepticism Throughout A Winter Quarter...

Introduction Auditors face greater battles than deciding how to record debits and credits, or attempting to balance their stakeholders’ interests. The most important struggle occurs in the mind of every individual auditor, regardless of rank or status. The issue at hand involves an auditor’s duty to practice professional skepticism. Although it may seem easy to remain skeptical as an auditor, in reality, they face numerous barriers to fulfilling this duty. These barriers include but are not limited to: challenging high rank individuals both within the audit firm and at the client company, time constraints, budget constraints, fatigue and personal health concerns, lack of personal knowledge or skill, desire to please certain parties, and intimidation from others. First and foremost, this discussion will elaborate on both the time and budget constraints to professional skepticism, as they tend to go hand in hand. Following, the second section of this discussion will highlight a person al experience of applying professional skepticism throughout a winter quarter auditing internship. Third, as described in PCAOB Audit Staff Practice Alert No. 10, the PCAOB plans to explore meaningful ways to enhance auditor’s professional skepticism. Therefore, contained in section three is a proposal which provides justification for an implementation that may enhance the application of professional skepticism throughout the auditing profession. In culmination of discussing these examples,Show MoreRelatedStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words   |  534 Pagesworkers are better educated and many are professionals. As a result, they expect to participate more in decision making. In the future, more work is expected to be performed in task force or project teams, power will be shared, managerial status will be Page 22 STRATEGIC HUMAN RESOURCE MANAGEMENT Section One deemphasized, and leadership responsibilities may be rotated.34 Because of the participative aspect of these empowerment trends, many professionals and highly educated employees may haveRead MoreMarketing Mistakes and Successes175322 Words   |  702 Pagesâ€Å"Googling Lunch,† Wall Street Journal, December 1–2, 2007, pp. W1 and W5.) Also furnished were such conveniences as on-site laundry, hair styling, dental and medical care, a car wash, day care, fitness facilities with personal trainers, and a professional masseuse. Brightly colored medicine balls, lava lamps, assorted gadgets and sports equipment gave the appearance of a college campus. Chartered buses had internet access so that commuters to San Francisco could use their laptops. Social events Read MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pages610 Case Incident 2 The Rise of Extreme Jobs 610 Appendix A Research in Organizational Behavior 616 623 Comprehensive Cases Indexes Glindex 637 663 About the Authors Stephen P. Robbins Education Ph.D. University of Arizona Professional Experience Academic Positions: Professor, San Diego State University, Southern Illinois University at Edwardsville, University of Baltimore, Concordia University in Montreal, and University of Nebraska at Omaha. Research: Research interests have

The Meaning and Significance of a PsyD

Ph.D. degree, the doctor of philosophy degree, as it is the older of the two degrees and is awarded in every other graduate discipline, not just in psychology. But what is the PsyD and is it for you? What Is the PsyD? The Doctor of Psychology, known as the PsyD, is a professional degree awarded in the two main practice fields of psychology: Clinical and counseling psychology. The degrees origins lie in the 1973 Vail Conference on Professional Training in Psychology whose attendees articulated a need for a practitioners degree to train graduates for applied work in psychology (that is, therapy). The PsyD prepares students for careers as practicing psychologists. What Training Is Required to Earn a PsyD? Doctor of Psychology programs are rigorous. They typically require several years of coursework, several years of supervised practice, and the completion of a dissertation project. Graduates of American Psychological Association (APA) accredited PsyD programs are eligible for licensure in all US states. However, graduates of programs that are not accredited by APA may find it difficult to become licensed in their state. APA maintains a list of accredited programs on its website. The major difference between a PsyD and the more traditional Ph.D. in Psychology is that there is less of an emphasis on research in PsyD programs than in Ph.D. programs. PsyD students are immersed in applied training right from the start of graduate study whereas Ph.D. students often begin their clinical training later in favor of an early start in research. Therefore PsyD graduates tend to excel in practice-related knowledge and are able to apply research findings to their applied work. However, they generally do not engage in research. Can You Teach or Work in Academia With a PsyD? Yes. But graduates of Ph.D. programs generally are more competitive applicants for academic positions because of their research experience. PsyD psychologists are often hired as part-time adjunct instructors. PsyD psychologists are also hired in some full-time academic positions, especially those that teach applied skills such as therapeutic techniques, but full-time instructor positions are more often held by Ph.D. psychologists. If your dream is to become a professor (or even if you see it as a possibility in the future) a PsyD is not your best choice. How is the PsyD Perceived? Given that it is a relatively new degree (four decades old), applicants are wise to ask about how the PsyD is perceived. Early PsyD graduates may have been viewed by other psychologists as having lesser degrees, but that is not the case today. All clinical psychology doctoral programs are highly competitive with a rigorous admission process. PsyD students successfully compete with Ph.D. students for clinical internships, and graduates are employed in clinical settings. The public often lacks knowledge about the PsyD versus Ph.D. but the public often holds inaccurate views of psychology as well. For example, most people also are unaware of the many practice areas within psychology, such as clinical, counseling, and school, and assume that all psychologists have the same training. Generally speaking, most people view PsyD practitioners as psychologists and doctors, too. Why Choose a PsyD Over a Ph.D.? Choose the PsyD if your ultimate goal is to practice. If you see yourself conducting therapy through your career, perhaps becoming an administrator for a mental health setting, consider a PsyD. If you have no interest in conducting research and dont see yourself developing one, consider a PsyD. If you dont see yourself in academia other than as part-time adjunct instructor teaching a course here and there, consider a PsyD. Finally, remember that the PsyD is not your only choice if you want to practice. Several masters degrees can prepare you to conduct therapy.

Nike Organization Management Report Nike Company

Nike Organization Management Report Abstract Organizations cultures are essential elements for the sake of management. Whereas on its own cannot be active in the running and management of the cooperate, other components such as management styles, technology, organization size and market demand must be combined to make cooperate management easy. Nike Company administrative unit though has complicated structure format; their competent managers have what it takes to balance variables within its management circles and bring about stability within itself. The paper studies how various organization factors of market demand, management style, and organization culture affects the running of Nike Company operation. The paper’s objectives With†¦show more content†¦As Nike Company forms the case study for the analysis, the paper will investigate how suitable the company has been able to strike the balance both on the market and within its operational structures. Literature review Organization culture can be the source of competitive advantage of a given cooperate. A sustained culture that is sensitive to the success of the organization will give it the capacity to compete effectively on the market platform (Goetsch Davis, 2014). Its production besides the ability to create confidence among the customers will be high due to the culture adopted by the organization. On the other hand, the type of technology adopted by the organization has a direct impact on the capacity of production, besides the size of the organization (Fang, et al. 2013). Large organization with suitable technology will quickly attain the high level of performance as compared to those with undesirable technology and in small size nature. On the similar note, since the market size determines the production capacity of a given organization, a company with a large market size are ever having large scale of production to tally with the level of customer demand (Johanson Ma ttsson, 2015). Therefore, such is different for the organization with the small scale of production. Their capacity of production is always low given that marker scale of relatively small. Organization culture Nikes organization culture is based on the ethical values that promote itsShow MoreRelatedEssay on Nike Case Study743 Words   |  3 Pages1. A decision to retain an in-house arm of agency Weiden amp; Kennedy by Nike exemplify the concept of organizational design by allowing Nike use the agency’s creative designers to focus solely on Nike work, giving them un-parallel access to executives, researchers and anyone else who might provide Nike advertisers with their next inspiration for marketing greatness before listening to any other organization. Having the agency in the building is having them at their disposal at anytime they needRead MoreUnethical Business Practice: Nike1499 Words   |  6 Pagesmajor role in these challenges that are faced by Nike. As we know that government laws and regulations differ from country to country and this makes manufacturing of products very difficult challenge for the international companies like Nike. The host governmen ts have laws concerns against consumer protection, information and labeling, employment, wages and salaries and safety of the workers who work in those firms. The international organizations must keep these rules and regulations in their mindsRead MoreSocial responsibility and Ethics in International Business Essay1392 Words   |  6 Pagessurroundings the organization will be operating in the host country. Additionally, as described by Gupta and Govindarajan, â€Å"the success of companies in exploiting emerging opportunities and tackling their accompanying challenges relies heavily on how deeply they understand the dynamics of their operating environment† (as cited by Abebe, Elmuti, Minnis, 2005, p. 1024). Social responsibility and ethics Global expansion has developed a strategic imperative for nearly all large organizations and their managersRead MoreInternal and External Factors1553 Words   |  7 PagesAffecting the Functions of Management Both internal and external factors can affect the four functions of management differently. Some of the obvious internal factors would be such things as the company’s own strengths and weaknesses, which could include values, goals, skills, and even the attitudes of manager and the workers in the organization. Other factors can include the different tasks that the organization chooses as well as their resources and even the technology can be an internalRead MoreThe Theme Of Nike Foreign Exchange Exposure Essay1038 Words   |  5 PagesI. Introduction The purpose of this report is to analyze the theme of NIKE foreign exchange exposure. In this research, NIKE financial report 2014 will be used a fundamental source to analyse the break down of revenue according to market or segments of Nike. Nike Enterprise possesses heaps of segments all over the world such as North America, Central Eastern Europe, Greater China, Japan, and Emerging Markets. In addition, there are also manifold merchandises manufactured and distributed beyondRead MoreNike s Sustainable Business And Innovation Strategy Essay1669 Words   |  7 PagesCompany Overview NIKE, Inc. (Nike) is a publicly traded American multinational company in the sportswear and apparel industry. In 2016 Nike Brand sales covered 47% of total revenue in the U.S. market and 53% of the market internationally. These figures show they are clear market leaders over their main competitors Adidas, Under Armour and Puma. For the fiscal year 2016; total revenues were a record high $32.4b and net income was $3.76b, up 6% and 15% respectively from 2015, showing a very strongRead MoreNike CSR Analysis1581 Words   |  7 Pagesï » ¿ CSR Analysis and Impact on Operations Nike has a Code of Business Conduct and Ethics that includes its commitment to the environment and is a signatory of the UN Global Compact. Nike has created a team of sustainability managers led by an independent director. Its environmental goals include producing eco-friendly products and minimizing its environmental impact through the reduction of greenhouse gases, organic solvents and PVCs. Nike acknowledges the difficulty of tracking environmentalRead MoreEnvironmental Scan Essays952 Words   |  4 PagesNanette Guffey MGT/ 498 – Strategic Management Richard Haines September 17th, 2012 Environmental scanning is an organization’s strategic management and is actual important to the corporation. Environmental scanning is getting-together data for the external and the internal of the company. A SWOTT is the paramount technique to gather the data. A SWOTT isRead MoreThe Contemporary Challenges Of Outsourcing1244 Words   |  5 PagesMatthew Butler December 2nd 2014 Contemporary management Professor Beehner M.P.A Contemporary Challenge Essay Outsourcing â€Å"Outsourcing is the transfer of control of a process or product to an outside supplier†(Hasan). For this assignment, please identify a contemporary management challenge (e.g. diversity, globalism, ethics social responsibility, etc.). Then, identify a company or organization that you believe has been impacted by this contemporary challenge. Write a minimum four-page paperRead MoreNike Macro Environmental Analysis Essay699 Words   |  3 PagesPA1: Nike - Environmental Marketing Analysis Mahendranath Gunti BUS 510 - Marketing Management Westcliff University Instructor: Dr. Geraldine Goodstone Nike is a global brand headquartered in the United States, Europe, and the Asia Pacific region, specialized in the manufacturing of athletic apparel, footwear, accessories and equipment. Nike products can be found in over 20,000 retail stores. This paper focuses on the six macroeconomic factors (political, Economic, Social, Technology, Legal

You Suck A Love Story Chapter 1 Free Essays

For my readers, by request ACKNOWLEDGMENTS Thanks, again, to the usual suspects: my agent, Nick Ellison, and Sarah Dickman, Arija Weddle, and Marissa Matteo at Nicholas Ellison, Inc.; Jennifer Brehl, Kate Nintzel, Lisa Gallagher, Michael Morrison, Mike Spradlin, Jack Womack, Debbie Stier, Lynn Grady, and all my friends at William Morrow; and, of course, to Charlee Rodgers, for putting up with the frozen turkey bowling. Chapter One Get Over It, a Lot of People Are Dead â€Å"You bitch, you killed me! You suck!† Tommy had just awakened for the first time as a vampire. We will write a custom essay sample on You Suck: A Love Story Chapter 1 or any similar topic only for you Order Now He was nineteen, thin, and had spent his entire life between states of amazement and confusion. â€Å"I wanted us to be together.† Jody: pale, pretty, long red hair hanging in her face, cute swoop of a nose in search of a lost spray of freckles, a big lipstick-smeared grin. She’d only been undead herself for a couple of months, and was still learning to be spooky. â€Å"Yeah, that’s why you spent the night with him.† Tommy pointed across the loft to the life-sized bronze statue of a man in a tattered suit. Inside the bronze shell was the ancient vampire who had turned Jody. Another bronze of Jody stood next to him. When the two of them had gone out at sunrise, into the sleep of the dead, Tommy had taken them to the sculptors who lived on the ground floor of his building and had the vampires bronzed. He’d thought it would give him time to think of what to do, and keep Jody from running off with the old vampire. Tommy’s mistake had been drilling ear holes in Jody’s sculpture so she could hear him. Somehow, during the night, before the bronzing, the old vampire had taught her to turn to mist, and she’d streamed out of the ear holes into the room, and – well – here they were: dead, in love, and angry. â€Å"I needed to know about what I am, Tommy. Who else was going to tell me if not him?† â€Å"Yeah, but you should have asked me before you did this,† Tommy said. â€Å"You shouldn’t just kill a guy without asking. It’s inconsiderate.† Tommy was from Indiana, and his mother had raised him to have good manners and to be considerate of other people’s feelings. â€Å"You had sex with me while I was unconscious,† Jody said. â€Å"That’s not the same,† Tommy said. â€Å"I was just being friendly, like when you put a quarter in someone else’s parking meter when they aren’t there – you know they appreciate it later, even if they don’t thank you personally.† â€Å"Yeah, wait until you go out in your jammies and wake up all sticky in a cheerleader outfit and see how grateful you are. You know, Tommy, when I’m out, technically, I’m dead. Guess what that makes you?† â€Å"Well – uh – yeah, but you’re not even human. You’re just some foul dead thing.† Tommy immediately regretted saying it. It was hurtful and mean, and although Jody was, indeed, dead, he didn’t find her foul at all – in fact, he was pretty sure he was in love with her, he was just a little embarrassed about the whole necrophilia/cheerleader thing. Back in the Midwest people didn’t mention that sort of thing unless a dog dug up a pom-pom in some guy’s backyard and the police eventually discovered the whole human pyramid buried under the swing set. Jody sniffled, completely for effect. Actually she was relieved that Tommy was now on the defensive. â€Å"Well, welcome to the Foul, Dead Thing Club, Mr. Flood.† â€Å"Yeah, you drank my blood,† Tommy said. â€Å"A lot.† Damn, she should have pretended to cry. â€Å"You let me.† â€Å"Again, being considerate,† Tommy said. He stood up and shrugged. â€Å"You just let me because of the sex.† â€Å"That’s not true, it was because you needed me.† He was lying, it was because of the sex. â€Å"Yes, I did,† Jody said. â€Å"I still do.† She held her arms out to him. â€Å"I really do.† He walked into her arms and held her. She felt amazing to him, even more amazing than she had before. It was as if his nerves had been dialed up to eleven. â€Å"Okay, it was because of the sex.† Great, she thought, in control once again. She kissed his neck. â€Å"How do you feel about it now?† â€Å"Maybe in a minute, I’m starving.† He let go of her and stormed across the loft to the kitchen, where he pulled a burrito out of the freezer, threw it into the microwave, and hit the button, all in one smooth motion. â€Å"You don’t want to eat that,† Jody said. â€Å"Nonsense, it smells great. It’s like every little bean and pork piece is sending out its own delicious miasma of flavor vapor.† Tommy used words like ;miasma; because he wanted to be a writer. That’s why he’d come to San Francisco in the first place – to take life in big bites and write about it. Oh, and to find a girlfriend. â€Å"Put the burrito down, and back away, Tommy,† Jody said. â€Å"I don’t want you to get hurt.† â€Å"Ha, that’s cute.† He took a big bite and grinned at her as he chewed. Five minutes later, because she felt responsible, Jody was helping him clean bits of masticated burrito off the kitchen wall and the front of the refrigerator. â€Å"It’s like every bean was storming the gates of repressive digestion to escape.† â€Å"Yeah, well, being refried will do that to you,† Jody said, stroking his hair. â€Å"You okay?† â€Å"I’m starving. I need to eat.† â€Å"Not so much eat,† Jody said. â€Å"Oh my God! It’s the hunger. I feel like my insides are caving in on themselves. You should have told me about this.† She knew how he felt – actually, she had felt worse when it happened to her. At least he knew what was happening to him. â€Å"Yeah, sweetie, we’re going to have to make a few adjustments.† â€Å"Well, what do I do? What did you do?† â€Å"I mostly fed off of you, remember?† â€Å"You should have thought this through before you killed me. I’m fucked.† â€Å"We’re fucked. Together. Like Romeo and Juliet, only we get to be in a sequel. Very literary, Tommy.† â€Å"Oh, that’s a comfort. I can’t believe you just killed me like that.† â€Å"And turned you into a superbeing, thank you very much.† â€Å"Oh, crap, there’s burrito spooge all over my new sneakers.† â€Å"You can see in the dark, now,† Jody said cheerfully. â€Å"Wanna try it? I’ll get naked. You can look at me in the dark. Naked. You’ll like it.† â€Å"Jody, I’m starving over here.† She couldn’t believe that he didn’t respond to the naked persuasion. What kind of monster had she created? â€Å"Okay, I’ll find you a bug or something.† â€Å"A bug?! A bug!? I’m not eating a bug.† â€Å"I said there’d have to be some adjustments.† Tommy had been dealing with more than a few adjustments since he’d come west from his hometown of Incontinence, Indiana – not the least of which had been finding a girlfriend, who, while smart, sexy, and quick-witted, drank his blood and tended to fall unconscious at the exact moment of sunrise. He’d always suspected that she might have just picked him because he worked nights and could walk around during the day, especially since she’d once said, â€Å"I need someone who works nights and can walk around during the day,† but now that he was a vampire, he could close the door on that insecurity and open another onto a whole new world of insecurities he’d never even considered before. The appropriate age for a vampire is four hundred years old – he should be a world-weary and sophisticated creature, his human anxieties long since overcome or evolved into macabre perversions. The problem with a nineteen-year-old vampire is that he drags a ll of his adolescent insecurities into the dark with him. â€Å"I’m really pale,† Tommy said, staring at himself in the bathroom mirror. They’d figured out early on that vampires do, indeed, cast a reflection in a mirror, just like they could tolerate proximity to crucifixes and garlic. (Tommy had run experiments on Jody while she slept, including many involving cheerleader outfits and personal lubricants.) â€Å"And not just winter in Indiana pale. I’m, like, pale like you.† â€Å"Yeah,† said Jody, â€Å"I thought you liked the pale.† â€Å"Sure, it looks good on you, but I look ill.† â€Å"Keep looking,† Jody said. She was leaning against the door frame, dressed in tight black jeans and a half shirt, her hair tied back and streaming down her back like a flaccid red comet tail. She was trying not to appear too amused. â€Å"Something’s missing,† Tommy said. â€Å"Something besides color.† â€Å"Uh-huh.† Jody grinned. â€Å"My skin cleared up! I don’t have a single zit.† â€Å"Ding, ding, ding,† Jody onomatopeed, signaling that Tommy had hit on the correct answer. â€Å"If I had known my skin would clear up, I’d have asked you to change me a long time ago.† â€Å"I didn’t know how to a long time ago,† Jody said. â€Å"That’s not all, take off your shoes.† â€Å"I don’t understand, I – â€Å" â€Å"Just take off your shoes.; Tommy sat on the edge of the tub and took off his sneakers and socks. â€Å"What?† â€Å"Look at your toes.† â€Å"They’re straight. My little toe isn’t bent anymore. It’s like I’ve never worn shoes.† â€Å"You’re perfect,† Jody said. She remembered finding out this condition of vampirism and being both delighted and horrified because now she felt that she’d always need to lose five pounds – five pounds that were preserved for eternity. Tommy pulled up the leg of his jeans and studied his shin. â€Å"The scar where I hit myself with a hatchet, it’s gone.† â€Å"And it always will be,† Jody said. â€Å"You’ll always be perfect, just like you are now. My split ends even went away.† â€Å"I’ll always be the same?† â€Å"Yes.† â€Å"Just like I am now.† â€Å"As far as I know,† Jody said. â€Å"But I was going to start working out. I was going to be buff. I was going to have abs of steel.† â€Å"No, you weren’t.† â€Å"I was. I was going to be an awesome hunk of muscular man-meat.† â€Å"No, you weren’t. You wanted to be a writer. You were going to have little stick arms and get winded when you hit the back-space key more than three times consecutively. You’re in great shape from working in the grocery store. Wait until you see how you can run.† â€Å"You really think I’m in great shape?† â€Å"Yes, I thought I made that clear.† Tommy flexed his chest in the mirror, which showed not at all through his flannel shirt. He unbuttoned his shirt and tried it again, with little effect, then shrugged. â€Å"What about the writer thing? Will my brain always be like this? I mean, will I get any smarter, or is that stuck in time, too?† â€Å"Well, yeah, but that’s because you’re a man, not because you’re a vampire.† â€Å"You spiteful harpy.† â€Å"I think I’ve made my point,† Jody said. Jody had put on a red leather jacket, even though she could no longer feel discomfort from the cold fog coming in off the Bay. She liked the way it looked with her black jeans and a low-cut black lace camisole she’d rescued from a Nordstrom Rack Store before some slut got hold of it. â€Å"Come on, Tommy, we need to go find something for you to eat before we run out of night.† â€Å"I know, but I have something I have to do. Give me a minute.† He was in the bathroom again, this time with the door shut. Jody heard the zipper of his jeans go down, then a slightly breathless man-scream. The bathroom door flew open and Tommy, his pants and underwear around his ankles, bunny-hopped in two great leaps across the bedroom. â€Å"Look at this. What’s happening to me. Look at this!† He was pointing furiously to his penis. â€Å"It’s like I’m some radioactive mutant freak.† Jody went to him and grabbed his hands – held him steady, looked him in the eyes. â€Å"Tommy, calm down. It’s just your foreskin.† â€Å"I don’t have a foreskin. I’m circumcised.† â€Å"Not anymore,† Jody said. â€Å"Evidently, when you turned, it grew back, just like your toes straightened and your scars all went away.† â€Å"Oh. You don’t find it creepy, then?† â€Å"No. It’s fine.† â€Å"You want to touch it?† â€Å"Thanks. Maybe later.† â€Å"Oh, sorry, I freaked. Didn’t realize. I – uh – I still feel like I have to finish what I was going to do.† â€Å"That’s fine,† Jody said. â€Å"You’re fine. You go finish up. I’ll wait.† â€Å"You’re sure you don’t want to give it a quick fondle?† â€Å"If I do, can we get out of here?† â€Å"Probably not.† â€Å"Well then, back in the bathroom you go.† She spun him around and gave him a gentle shove. He bunny-hopped his newly recovered foreskin back into the bathroom and closed the door. Jody shuddered at the sound of the door closing. She hadn’t thought about whether or not Tommy would retain his incessant horniness after he turned, she had just wanted a companion who could understand what she was, what she felt, what the world looked like through vampire eyes. If it turned out that he was going to be nineteen forever, she might end up having to kill him for real. How to cite You Suck: A Love Story Chapter 1, Essay examples

Analysis Of Huckleberry Finn, The Red Badge Of Courage, And The Catche Essay Example For Students

Analysis Of Huckleberry Finn, The Red Badge Of Courage, And The Catche Essay r And The RyeTeenagers everywhere have experienced an emotional bond with the characters Huckleberry Fin, Henry Fleming, and Holden Caulfield while reading The Adventures of Huckleberry Finn, The Red Badge of Courage, and The Catcher in the Rye. Hucks adventure down the Mississippi, Henrys challenging experience in the Civil War, and Holdens weekend of self examination in New York City present various views of the transition of the adolescent into adulthood. All three characters evolve from na?ve, innocent children to adult men, sharing their experiences, personal interactions, and emotions thus relating to the readers own teenage years. Huckleberry Finn shares his story, a young boy running away from his oppressive father, as his many adventures chronicle his change into a man. Huck Finn grows up in the sense that he loses his youthful innocence and becomes a mature young man. His first step as a naive innocent child is the simple desire to escape from his abusive father, Pap. Huck is trying to escape his corrupt past, but on the river Huck still faces corruption and inevitably loses his innocent view of the world. Huck witnesses the Grangerforld and Shepahrdson feud, an angry lynch mob, and Duke and King tarred and feathered by the towns people. ?It made me so sick I almost fell out of the tree. I aint agoing to tell all that happened- it would make me sick again if I was to do that. I wish I hadnt ever come ashore that night, to see such things (Twain, 87).? Huck is inexperienced and uneducated, but is expressing his true feelings that the human race is barbaric. Still trying to escape, Huck continues down the riv er. He is constantly challenged to question his society and the human race, and his final challenge comes when he is forced to make a moral decision over his dilemma about Jim. The prejudice and the hypocrisy of the society he has always known challenges the actions Huck is taking to set Jim free. Huck must decide to either go with the values he was raised or go with his inner desire to save Jim. ?Alright then Ill go to hell (Twain, 162).? He decides as he rips up his letter turning in Jim. Even though Huck thinks he is morally making the wrong choice, the decision goes against societys views about the inferior and subhuman black race. Developing a moral ideologue and becoming a man, Huck has become an individual, making the decision himself, living his life the way he wants, and not living his life the way society expects him to. By this decision, Huck sacrifices himself for another human being, taking his final step towards becoming a man. Henry shares his voyage from a young coward to a brave man as he experiences the American Civil War. Henry goes off to war as an ordinary farm boy with na?ve, romantic views of the glory of war. ?They (battles) might not be distinctly Homeric, but there seemed to be much glory in them. He had read of marches, sieges, conflicts, and he had longed to see it all (Crane, 3).? With this romantic idea of war, he dreams of becoming a hero, yet when the battle begins despite his romantic vision, Henrys immaturity causes him to flee. Henrys escape from battle is the act of a child, and he does not realize the severity of his desertion. With childish innocence, he decides to return to his regiment as if nothing has occurred. However before returning, Henry receives what he pretends is a red badge of courage, a battle wound. Henry pretends he received his red badge of courage in battle to allow him to continue his fantasy. Upon returning, Henry watches his long time friend die bravely after fig hting in battle, and begins to realize his immaturity, realizing that war is neither about heroism nor victory, but life or death. ?He (Henry) had grown to regard himself merely as part of a vast blue demonstration (Crane, 7).? Henry still deceives his fellow soldiers and receives praise for his fake courage, but the true hero, Jim, receives nothing. After the death of his friend he questions his role in the war, and Henry finally realizes the severity of desertion during battle and begins to loose his selfishness while gaining a concern for others. ?He felt the subtle battle brotherhood more potent even than the cause for which he was fighting (Crane, 33).? Though his previous actions were immature, Henry learns from his mistakes,and uses this newfound knowledge for his courage in the next battle. With brotherhood as his motivation, Henry shows great heroism, and Henry symbolically steals the Confederate flag and goes bravely onto the field without his weapon. This shows Henrys mov e from a young coward to brave fighting man. By fighting bravely and entering adulthood, Henry ?put his sin at a distance (Crane, 111),? and states that ?He felt a quiet manhood, nonassertive but of sturdy and strong blood? He was a man (Crane 131).? Holden Caulfield, a teenage boy caught between the corruptness of growing up and the beauty of staying young and innocent, discovers the answers to his struggle to enter adulthood during his adventure in New York City. Holden, trying to escape from childhood by not going home or staying his last three days at Pency, decides to go out on his own in New York City. Holden was kicked out of Pency, not because of lack of intellect, but because he chooses not to succeed in school to avoid becoming a ?phony? and become an adult thus losing his individuality. However by the conclusion of the novel, Holden realizes that it is inevitable that he grow up, and that he has actually already lost his childhood innocence. Holden is stuck in the emotion al turbulence of adolescence, and his battle to go back to the innocent leads him down many paths to escape adulthood. First, he goes to New York, and then at one point he contemplates heading west where he will pretend to be deaf and mute and live a quiet life. At another point, he proposes to his friend, Sally, to escape the adult world together. However depressing, on his last attempt to flee, Holden decides that he cannot save himself, but that perhaps he could save other children from the curse of adulthood. He describes this plan in a metaphor about the catcher in the rye. ?Anyway, I keep picturing all these little kids playing some game in this big field of rye and all. Thousands of little kids, and nobodys around- nobody big I mean- except me. And Im standing on the edge of some crazy cliff. What I have to do, I have to catch everybody if they start to go over the cliff?(Salinger, 173).? Holden blames the adult world for the corruption forcing children into phony-ness. Holde ns resolve is to become the catcher in the rye to save the world. Sadly, Holden soon realizes he does not possess the power to stop the perversion of children. He could not hide from this corruption, and neither can any other children. His realization comes when he sees ?Fuck-you? written on the wall of the school (Salinger, 204). To protect the children, he rubs it off, but then he sees ?Fuck-you? whittled into the wood at the Egyptian Tomb Room in the museum (Salinger, 209). He cannot erase this message. This permanent message makes Holden understand that his dream is unrealistic. With the failure of yet another plan, Holden sinks into depression and decides to go out west. During his last goodbye to his sister while watching her on the carousel, Holden finally realizes he cannot prevent or run away from adult hood. ?The thing is with kids is, if they want to grab for the gold ring, you have to let them do it, not say anything. If they fall off, they fall off, but its bad to say a nything to them (Salinger, 211).? To Holden, the golden ring is the desire of children to control their own destiny, and when they fall off they become adults. With the breakdown of all his plans, Holden falls off, sinks into depression, matures reluctantly into an adult, and then returns to his safe haven, home. Huck, Henry, and Holden share their growth and maturation with the reader differently, but each ends the novel with the passage from childhood to adulthood. If adolescence is the time when people grow the most mentally, creating personality, character, and moral beliefs, then adolescence is the true beginning of a persons development. A persons entire life is spent further developing from the seed started in adolescence. Each character begins as an adolescent that is maturing. Through immaturity and na?ve realism, each character attempts to escape reality. As Huck finds adulthood by escaping from his abusive father, as Henry runs into adulthood by escaping from battle, and as Holden stumbles into adult by escaping from the corruptness of growing up, the reader too escapes from his or her own reality and gains a greater sense of realism. BibliographyBibliographyCrane, Stephan. The Red Badge of Courage. 1895. New York: Bantam Books, 1983. .u3ca1a9eb06fc1c6545e6bd115dd79a1c , .u3ca1a9eb06fc1c6545e6bd115dd79a1c .postImageUrl , .u3ca1a9eb06fc1c6545e6bd115dd79a1c .centered-text-area { min-height: 80px; position: relative; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c , .u3ca1a9eb06fc1c6545e6bd115dd79a1c:hover , .u3ca1a9eb06fc1c6545e6bd115dd79a1c:visited , .u3ca1a9eb06fc1c6545e6bd115dd79a1c:active { border:0!important; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .clearfix:after { content: ""; display: table; clear: both; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c { 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; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c:active , .u3ca1a9eb06fc1c6545e6bd115dd79a1c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .centered-text-area { width: 100%; position: relative ; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .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; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c:hover .ctaButton { background-color: #34495E!important; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c .u3ca1a9eb06fc1c6545e6bd115dd79a1c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3ca1a9eb06fc1c6545e6bd115dd79a1c:after { content: ""; display: block; clear: both; } READ: Hate Crimes EssayTwain, Mark. The Adventures of Huckleberry Finn. 1885. New York: Dover Publications, 1994. Salinger, J.D. The Catcher in the Rye. 1945. Boston: Little Brown and Company, 1951. English Essays

Patient Vulnerability in the Operating Room

Question: Discuss about the Report for Patient Vulnerability in the Operating Room. Answer: Introduction Perioperative environment is indeed challenging both to the patient and nurses in Australia. As primary health care providers, nurses have to deal with diverse patients with individual uniqueness that might require a lot of attention to handle. Worse still, perioperative nurses have to endure serving chronically-ill patients whose encounter with them might expose them to serious dangers such as disease infections. On the other hand, patients face the challenge of exposure to medical risks (Amrock Deiner, 2014). However, this can be addressed if he nurses take measures to engage in rigorous assessment to evaluate the patients conditions; adopt a collaborative approach; and effectively communicate with one another to help in managing the transition process in the pursuit of quality care. This paper presents an in-depth and critical analysis of the challenges facing nurses and patients as well as identifies the key positive strategies that can be applied by the nurses in the reduction of the patient vulnerability and risk in perioperative settings in Australia. The Key Factors that Put Patients at Risk As Cousley ardently put it, perioperative environment poses a great challenge both to the patients and nurses. The patients who go through surgical operations are vulnerable to a wide range of risks. Surgery is a long process that involves different procedures. When a patient is brought to the operation room, the patient has to undergo through the prerequisite perioperative stage that exposes them to these risks. Lack of Safe Care Another challenge faced by the patients in the operation room is lack of safety. Although patients should be served in a safe environment that can make them feel comfortable and satisfied with the level of services rendered, this does not always happen. On several occasions, the safety of the patients is compromised in many ways. The first threat to perioperative patient safety is lack of effective communication system. Since surgery is a tedious process, it involves the input of different specialists-nurses, surgeons, anesthesiologists, and surgical assistants. Each of these experts is trained on different areas. Therefore, to deliver quality care to the patient, each of these experts should effectively communicate with one another (Rowley, Van Poperin, Everett, Stommel Lehto, 2014). This can give them an opportunity to share ideas, consult and make important decisions regarding the patient. However, this does not always happen because of communication breakdowns. Whenever it happe ns, the patients safety is jeopardized because the providers cannot manage to deliver the right type of care required. Gaps in the communication system in the operating room can also result from poor record keeping system. A well-organized health care system should have a coordinated information system. Meaning, no health care provider should fail to access up dated records of the patients before performing any procedure. Unfortunately, patients information is not always made available for the access of all the health care providers. Should this happen, the safety of the patient is threatened because health care providers do not have adequate verbal, written or electronic information about each patient (Ivarsen, Asp Hjortdal, 2014). It should be noted that communication breakdown is disastrous in the perioperative environment since it denies the providers an ample opportunity to effectively adopt a multidisciplinary and collaborative approach that heavily banks on effective communication system amongst the concerned specialists. Medical Errors As already hinted, surgical operation is a lengthy process that involves a lot of stages, each of which require different kinds of specialists to handle. It is therefore important if the health care providers involved in each of the stages effectively handle the transition process. This is the only way through which the patients can smoothly transition from perioperation stage to operation and post-operation stages which also play a significant role in the recovery of the patient (Mijderwijk, Stolker, Duivenvoorden, Klimek Steyerberg, 2016). Although this is what should be done, there have been cases in which the transition process has not been properly handled thus making the patient vulnerable to lots of challenges. One of the challenges faced as a result of poor transition is medical errors. Once the pre-operation stage is not handled well, the surgical team responsible for the patient is likely to err. Defective transition can be a major cause of medical errors that might be done by the health care providers in charge of the perioperation services. This is necessary because of the complexities in the perioperation services (Cousley, Martin Hoy, 2014). Without having a proper knowledge of the re-operation assessments, the practitioner might make a wrong guess that can only harm the patient. The situation can be worsened if handling an elderly patient diagnosed with a multimorbidity condition that requires a lot of attention than anticipated. Any small error made can expose the patient to serious dangers because it might complicate the situation as the patient is already battling different chronic diseases. Positive Strategies that Nurses use to Reduce Vulnerability and Risk in Perioperative Settings Perioperative risk has been a major challenge in many health facilities across Australia. Despite spending a lot of resources in streamlining health care system, the patients are still at risk because of the preventable challenges. Many patients have suffered or lost their lives as a result of the risks undergone at the operation room. The buck stops with the nurses who are bestowed with the responsibility of providing quality primary care to the patients (Cousley, 2015). Therefore, to ultimately address the challenge, the paper presents the following recommendations: Nursing Assessment Nursing assessment is a key aspect of perioperation care that should not be neglected at whatever cost. When a patient goes to the health care facility to seek for surgical services, it is necessary not to begin serving them without carrying out a proper assessment (Morello, Lowthian, Barker, McGinnes, Dunt Brand, 2013). To do so, a nurse should create enough time to assess the patients records to gather all the necessary information that can be relied upon while serving the patient (Black, 2013). A part from analyzing the patients records, the nurse should observe the patient and engage the patient or their carers on a one-on-one interview in which the nurse should ask all the necessary questions that can help in understanding the patient. Otherwise, without the prerequisite assessments, it might not be easier for the nurse to know anything about the patient. Nursing assessment is very important because it can help in understanding the medical, social and economic background of the patient. These are important information that can help the nurse to make reasonable decisions regarding the patient (de Rooij, van Munster de Jonghe, 2015). Besides, nursing assessment can be an instrumental tool in identifying the needs of the patient before taking the necessary measures to meet them. All professional nurses should acknowledge that they are serving a multicultural society in which there are different kinds of patients with unique needs (Oresanya, Lyons Finlayson, 2014). Therefore, to address the unique needs of each of the patients, the nurse should carry out an elaborate and objective assessment on the patients. This can be a better tool in delivering individualized patient-care service to the patient. Moreover, the assessment can help in evaluating the patients vulnerabilities and all the factors that might expose the patient to risks during operation. The knowledge of the risk factors is a better step in the treatment of the patient because it can enable the nurse to ascertain the kind of safe activities to perform during operation so as not to expose the life of the patient to unnecessary risks (Dawe, Pena, Windsor, Broeders, Cregan, Hewett Maddern, 2014). However, without such knowledge, it might not be easy for the health care providers to determine how to lessen the risks and deliver high quality services to the patient no matter how serious or complex the condition might be. So, when a nurse is committed to knowing what risks that might occur when a patient is taken for operations, it is necessary to perform a well-organized assessment. Last, but not least, nursing assessment should be given a priority before availing the patient to the operation room for surgery because it can play a significant role in identifying any serious issue that might need an immediate redress. For example, when the nurse identifies that the patient has a serious problem with nutrition; it might require an immediate attention because it should be treated as a matter of urgency. This implies that nursing assessment is very important tool that should not be left by any nurse who is committed to preparing a patent for a successful surgical operation (Chow, Rosenthal, Merkow, Ko Esnaola, 2012). It can be a key factor in addressing immediate and long-term needs that require the attention of the specialist right before, during and after surgery. Effective Interdisciplinary Communication The challenge of communication breakdown in the operation room can be amicably addressed by applying the principles of interdisciplinary approach. On many occasions, medical mistakes have been committed during surgery as a result of poor communication system among the involved specialists (Kaukonen, Bailey, Suzuki, Pilcher Bellomo, 2014). However, to address this challenge, it is necessary to instill a spirit of effective interpersonal communication amongst the nurses, surgeons, anesthesiologists, and surgical assistants who are charged with the responsibility of overseeing the pre-operation, operation and post operation activities. Effective communication can help to bring together all the specialists and enable them to share ideas, consult and refer cases whenever necessary. To avoid any cases of misunderstandings that might be experienced, the providers should collaborate and schedule for meetings right from the time when the patient is admitted to the facility. Here, important information should be shared amongst the specialists to help in analyzing the situation and laying out strategies on how to effectively handle the patient without any mishaps (Oresanya, Lyons Finlayson, 2014). Apart from engaging in meetings, the specialists should ensure that adequate information about the patient should be passed from one person to another through a written document, electronic source of verbally. To do so, the specialists should be ready to operate as culturally-diverse professionals who can tolerate and collaborate with anyone regardless of their diversities. This strategy can be useful in managing the transition process of the patients. Once a patient has been admitted to the perioperation room, the patient should be properly handled by a nurse who assesses the conditions and medical history. From here, the patient should be referred to the specialists for the subsequent anesthesia and surgeries (Rowley, Van Poperin, Everett, Stommel Lehto, 2014). After a successful surgery, the patient should proceed to post operation stage in which additional care is provided to monitor the recovery process. To achieve this, the providers need to collaborate with one another. Conclusion Whenever a patient seeks for medical care, they look forward for a quality health care. However, this does not always happen because of the myriad of challenges faced. This justifies why the patients looking for perioperation services are not exempt from experiences that makes them vulnerable to medical risks. During surgery, a patient is taken through painful procedures like anesthesia, electroencephalogram, and blood drawing. These procedures make the patients vulnerable to anxiety because they are perceived to be disturbing. However, to address these challenges, the nurses should be prioritize the requisite patient assessment, adopt a collaborative approach and properly handle the transition process. These can help in creating a good environment for the delivery of safe quality health care services to the patients. References Amrock, L.G. Deiner, S. (2014). The implication of frailty on preoperative risk assessment. Current opinion in anaesthesiology, 27(3), p.330. Black, N. (2013). Patient reported outcome measures could help transform healthcare. BMJ (Clinical research ed), 346, p.f167. Chow, W.B., Rosenthal, R.A., Merkow, R.P., Ko, C.Y. Esnaola, N.F. (20120. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. Journal of the American College of Surgeons, 215(4), pp.453-466. Cousley, A. (2015). Vulnerability in perioperative patients: a qualitative study. Journal of Perioperative Practice. December, Vol 25(12), pp 246-254. Cousley, A., Martin, D.S.E. Hoy, L. (2014). Vulnerability in the perioperative patient: a concept analysis. Journal of perioperative practice, 24(7-8), pp.164-171. Dawe, S.R., Pena, G.N., Windsor, J.A., Broeders, J.A.J.L., Cregan, P.C., Hewett, P.J. Maddern, G.J. (2014). Systematic review of skills transfer after surgical simulationà ¢Ã¢â€š ¬Ã‚ based training. British Journal of Surgery, 101(9), pp.1063-1076. de Rooij, S.E., van Munster, B.C. de Jonghe, A., 2015. Patient Safety. Journal of the American College of Surgeons, 220(5), pp.979-980. Ivarsen, A., Asp, S. Hjortdal, J. (2014). Safety and complications of more than 1500 small- incision lenticule extraction procedures. Ophthalmology, 121(4), pp.822-828. Kaukonen, K.M., Bailey, M., Suzuki, S., Pilcher, D. Bellomo, R., 2014. Mortality related to severe sepsis and septic shock among critically ill patients in Australia and New Zealand, 2000-2012. Jama, 311(13), pp.1308-1316. Mijderwijk, H., Stolker, R.J., Duivenvoorden, H.J., Klimek, M. Steyerberg, E.W., (2016). Clinical prediction model to identify vulnerable patients in ambulatory surgery: towards optimal medical decision-making. Canadian Journal of Anesthesia/Journal canadien d'anesthsie, pp.1-11. Morello, R. T., Lowthian, J. A., Barker, A. L., McGinnes, R., Dunt, D., Brand, C. (2013). Strategies for improving patient safety culture in hospitals: a systematic review. BMJ quality safety, 22(1), 11-18. Oresanya, L.B., Lyons, W.L. Finlayson, E. (2014). Preoperative assessment of the older patient: a narrative review. JAMA, 311(20), pp.2110-2120. Oresanya, L.B., Lyons, W.L. Finlayson, E. (2014). Preoperative assessment of the older patient: a narrative review. JAMA, 311(20), pp.2110-2120. Rowley, B., Kerr, M., Van Poperin, J., Everett, C., Stommel, M. Lehto, R.H. (2014). Perioperative Warming in Surgical Patients A Comparison of Interventions. Clinical nursing research, p.1054773814535428.