Reactive Attachment Disorder - 4031 Words

A Research on Reactive Attachment Disorder of Early Childhood Yolanda Ashton Liberty University Abstract This paper explores the psychological disorder known as Reactive Attachment Disorder (RAD). It will investigate how a child diagnosed with RAD will have an inefficient connection with his or her caregiver during an early age. RAD is considered a serious disorder which affects infant and young children who have difficulties establishing healthy relationship with their caregiver or parents. The flawed relationship will affect the child’s ability to establish normal affiliation with other human being. Thus, a child’s rapport was a major determinant in the etiology of†¦show more content†¦129). Corbin (2007) cited that â€Å"The disorder is assumed to be the result of pathological parenting and often associated with developmental delays and childhood neglect† (p. 540). The DSM – IV – TR indicated that â€Å"laboratory findings consistent with malnutrition may be present† (APA, p. 128) and physical findings might be associated with medic al conditions in connection with extreme neglect that may include but not limited to delay in physical growth, evidence of physical abuse, malnutrition, vitamin deficiencies, or infectious diseases (APA, p. 128). The DSM – IV – TR (APA, 2000) described two subtypes of the disorder which was identified to be caused by pathogenic care as evidenced by persistent disregard of the child’s emotional and physical needs (Corbin, 2007, p. 540). The subtypes are: Inhibited Type – the child persistently fails to initiate and to respond to most social interactions in a developmentally appropriate way. The child shows a pattern of excessively inhibited, hyper-vigilant, or highly ambivalent responses (e.g., frozen watchfulness, resistance to comfort, or a mixture of approach and avoidance). Disinhibited Type – there is a pattern of diffuse choice of attachment. The disturbance is not accounted for solely by developmental delay (e.g., as in Mental Retardation) a nd does not meet criteria for Pervasive Developmental Disorder. (pp.127-128) Risk factors According to the studies done by Mayo ClinicShow MoreRelatedReactive Attachment Disorder1502 Words   |  7 PagesReactive Attachment Disorder What are the consequences when children are not given the love, a sense of safety, and care they need? While some of the behaviors of Reactive Attachment Disorder has been noted as far back as the mid-20th century (Fox and Zeanah 32), and was not even introduced as a disorder until 1980 in the 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (Gleason and Zeanah 207). Children have been exhibiting the symptoms of Reactive Attachment Disorder longRead MoreReactive Attachment Disorder1797 Words   |  8 Pages Reactive Attachment Disorder is a common infancy/early childhood disorder. Reactive attachment disorder is located under the trauma- and stressors-related disorder section of the Diagnostic and Statistical Manuel of Mental Disorders (DSM-5), Fifth Edition. It is normally diagnosed when an infant or child experience expresses a minimal attachment to a figure for nurturance, comfort, support, and protection. Although children diagnosed with reactive att achment disorder have the ability to selectRead MoreReactive Attachment Disorder ( Rad ) Essay1351 Words   |  6 PagesReactive Attachment Disorder (RAD) was first introduced just over 20 years ago, with the publication of DSM-III (American Psychiatric Association, 1980). In the DSM-IV. The disorder is defined by aberrant social behavior that appears in early childhood and is evident cross contextually(1994). The disorder describes aberrant social behaviors in young children that are believed to derive from being reared in caregiving environments lacking species-typical nurturance and stimulation, such as in instancesRead MoreReactive Attachment Disorder Of Children1512 Words   |  7 PagesReactive Attachment Disorder in Children Introduction to the Diagnosis According to Bowlby, the founder of attachment theory, a dependable, safe, and caring relationship with a primary caregiver is vital to an infant’s psychological health (Bowlby, 1951). In particular, children lacking a secure attachment with their primary caregivers are at risk of developing emotional and behavioral issues (Blakely Dziadosz, 2015). Unfortunately, the human bonds normally formed in infancy are fractured in neglectedRead MoreReactive Attachment Disorder ( Rad ) Treatment1246 Words   |  5 PagesReactive attachment disorder (RAD) Treatment There are many treatments for RAD: inner child work, cognitive restructuring, insight oriented therapy, holding therapy, re-parenting, cognitive behavioral therapy, and theraplay to name a few. Nevertheless, some of them have proven to be more effective than others, while some are highly controversial such as holding therapy which consist of obligating the disordered child to hugged or force them to receive tokens of affection against their will. Re-parentingRead MoreCase Study : Transference, Reactive Attachment Disorder1236 Words   |  5 PagesCase Study: Transference The flowing case study of a female, Mallory, suffering from transference, reactive attachment disorder, and depressive disorder due to reactive attachment disorder believed to be caused by incidents that occurred between her and an important individual in her life. Mallory initially comes to see Dr. Santos for what she descried as mild depressive symptoms. Patient/Client Mallory is a 25-year-old female. She said before coming that she is dissatisfied with multiple aspectsRead MoreReactive Attachment Disorder And The Age Of Five And Affects How A Child1815 Words   |  8 PagesReactive attachment disorder manifests before the age of five and affects how a child is able to attach to their guardians, teachers, friends, authority figures, and any other person in their lives. There are two recognized types of reactive attachment disorder. The inhibited type and the disinhibited type (Rhodes, 2016). The inhibited type is â€Å"emotionally withdrawn† (Roberds Davis, 2011). They do not initiate social relations or respond developmentally appropriately. The disinhibited type couldRead MoreA Randomized Controlled Trial Comparing Foster Care And Institutional Care For Children With Signs Of Reactive Attachment Disorder884 Words   |  4 Pages(CCAI, 2012). Can these children developmental need be meet in institutions and enable children to make sucker attachments? The American Journal of Psychiatry’s article â€Å"A Randomized Controlled Trial Comparing Foster Care and Institutional Care for Children With Signs of Reactive Attachment Disorder† examines signs of emotionally withdrawn and indiscriminately social reactive attachment disorder in three groups of young Romanian children that were abandoned by their parents. The placement of childrenRead MoreAn Overview Of Reactive Attachment Disorder1306 Words   |  6 PagesExtensive Overview of Reactive Attachment Disorder Reactive attachment disorder, also known as RAD, is characteristic of children who have developmentally inappropriate attachment behaviors. As mentioned in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (2013), â€Å"The essential feature (of reactive attachment disorder) is absent or grossly underdeveloped attachment between the child and putative caregiving adults† (p. 266). This underdeveloped attachment is in response to a childRead MoreReactive Attachment Disorder ( Ptsd )1717 Words   |  7 PagesReactive Attachment Disorder 1. Introduction Reactive Attachment Disorder is classified under Trauma- and Stressor- Related Disorders under the new Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013). The following mental disorders are also classified under Trauma- and Stressor-Related Disorders: Disinhibited Social Engagement Disorder, Posttraumatic Stress Disorder, Acute Stress Disorder, Adjustment Disorders, Other Specified Trauma-

Critical Analysis Paper - 781 Words

Chulin Deng BA 3103 Critical Analysis Paper 1 According to the article â€Å"BlackBerry Posts Loss as Phones Go Unsold†, BlackBerry performs a poor performance. Business has a quarterly loss in 2013 for $965 million. The revenue had drop 45% that down to $1.57 billion from $2.86 billion compares with a year earlier. BlackBerry lost $248 million, or 47 cents a share, and analysts forecast 49 cents a share loss for the quarter ended August 31. The net loss is $235 million which excluding inventory charge and restructuring charges in the latest quarter. The cash position also down to $2.6 billion from $3.1 billion at quarter-end. Smartphone maker report a hefty operating loss of nearly $1 billion charge on inventory of unsold phones.†¦show more content†¦Joseph Palenchar (2013) noted that â€Å"the old days saw BlackBerry’s market share in global smartphone shipments peak in 2009 at 20% and fall to 5% in 2012, marking the company’s lowest level since 2003.† (para. 3) â€Å"Increase the chance s that BlackBerry can regain some of its lost market share during the make-or-break year of 2013† (para. 9) Revenue is declining because the market is becoming smaller. With Apple, Samsung’s products are growing deeply in customers’ impression, BlackBerry is standing in the behind position compare with those two brands. BlackBerry is not enough strong to attract those Apple and Samsung’s customers to choose its products even they produce the new products. A poor financial performance reflects BlackBerry Company is going down. In the article of â€Å"Company Overview†, the author stated a SWOT analysis of BlackBerry. In the weaknesses of company, the author described the revenues decreased primarily due to lower shipment volumes and lower average selling prices of hardware products. The company’s revenues declined from $19,907 million in FY2011 to $11,073 million in FY 2013. (p.6) Continuous decline impacts the company’s profits and mar gins. In 2013, RIM recorded the operating loss of $1,235 million compared with operation profit of $1,497 million and $4,636 million in 2012 and 2011. It also suffers a decline in the cash position which from $4,009Show MoreRelatedCritical Analysis Paper On Nursing1442 Words   |  6 PagesCritical Reflective Analysis Paper The purpose of this paper is to reflect upon my original definition of nursing metaparadigm concepts critically, and to determine if any changes in my perception towards practice have occurred. The focus of the paper is to critically analyze the transformations that have occurred in my approach to practice. The critical analysis of nursing metaparadigm concepts has resulted in the transformation of my thinking regarding a person, nursing, and environment whileRead Moremonsanto paper critical analysis3483 Words   |  14 Pagesprotests and national governments are rejecting genetically modified foods, in particular the notorious company Monsanto. This assignment is aimed at evaluating key literature relating to the safety of GMO’s using the correct models developed in critical analysis for environmental management in hope that informative and unbiased conclusions can be drawn. Table1: The Purpose of this table is to briefly summarise five sources of literature using methods gained in the course to aid in the developmentRead MoreAnalysis Of Critical Analysis Application Paper1962 Words   |  8 PagesGuillermo Alonso Professor Peter Aguilera Sociology 101 4 March 2016 Critical Analysis Application Paper #1 Module 1 (#3) Explain how social units, social structures, and social institutions are related. Using examples from your own life, illustrate the interconnectedness of these concepts. Sociology is a science that studies the overall effects and results of a person or event. It is important to seek social connection behind our everyday lives because it brings clarification and a greater understandingRead More Critical Analysis of Research Papers1711 Words   |  7 PagesIn this paper I will critically analyse the strength and weakness of using qualitative and quantitative to a specific area of social work practice. The area of choice is childrens services with focus on two research findings in the area of performance measurement within social work, with special emphasis on quality services and stability of placements for children looked after away from home. The two documents will be referred as Paper one titled Performance Targets and stability of PlacementRead MoreA Critical Analysis Paper Of Life And Death2010 Words   |  9 PagesLast updated: 2 hours ago History View files Plagiarism check .DOC .PDF â€Å"A CRITICAL ANALYSIS PAPER OF LIFE AND DEATH IN2 A Critical Analysis Paper of Life and Death in Assisted Living Facilities: Name: Course: Professor: Institution: Date: A Critical Analysis Paper of Life and Death in Assisted Living Facilities Introduction The majority of the aged among the Americans make the choice to spend the rest of their lives in assisted living facilities. 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From narrator’s point of view, the setting of the story is pleasant but at the same time from the clues of the narrator the setting is horrific. The clues in the story about the setting do not justify the narrator’s description of the setting. The setting of this short storyRead MoreIntroduction. This Paper Is A Critical Analysis Of Two1147 Words   |  5 PagesINTRODUCTION This paper is a critical analysis of two academic papers: McKeown, J., Ryan, T., Ingleton, C., and Clarke, A., 2015, ‘You have to be mindful of whose story it is : The challenges of undertaking life story work with people with dementia and their families. Dementia, (Qualitative) and Milne, A., Guss, R., and Russ, A., 2014, Psycho-educational support for relatives of people with a recent diagnosis of mild to moderate dementia: An evaluation of a ‘Course for Carers . Dementia. (Quantitative)Read MoreThis Paper Is A Critical Analysis Of The Group Process1477 Words   |  6 PagesThis paper is a critical analysis of the group process during the â€Å"task group assignment â€Å"in a social work course at the University of Mississippi. This goal of this project was to create a fictional program to teach at low socio-economic status school aged children how to be productive members of society by teaching them necessary skills such as financial literacy, budgeting, and sex ed ucation. The task groups members were Nekkitta Beans, Hannah Walters, Kristin Bright, and myself worked togetherRead MoreAbstract . The Current Paper Presents A Critical Analysis1802 Words   |  8 PagesAbstract The current paper presents a critical analysis of the Hogan Personality Inventory (HPI), as it will be utilized by practitioners of Industrial Organizational Psychologists, based on the scholarly reviews from the Mental Measurements Yearbook. A description of the standardization sample and presentation of validity and reliability evidence of the HPI and the applications of HPI is included. The pros and cons of using the HPI as a practitioner of I-O Psychology are explored. The quality

Would You Recommend a Friend to Our Hospital Free Essays

Running head: WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 1 David M. Dowling Operations Management I Southwestern College 20 January 2011 Week 3 – The Culture Quality at Arnold Palmer Hospital Running head: WOULD YOU RECOMMENT A FRIEND TO OUR HOSPITAL? 2 Abstract In this paper I will demonstrate the importance of instilling a culture of quality in employees and why it’s essential to establish a concise mission statement, code of ethics, procedures and processes that employees can utilize in order to carry out the hospitals philosophy and mission. I will also show what systems and processes I would set up in a new hospital to achieve a culture of quality in a hospital. We will write a custom essay sample on Would You Recommend a Friend to Our Hospital or any similar topic only for you Order Now The paper will also show some of the processes that the Arnold Palmer Hospital in Orlando, Florida uses to achieve such a high success rate in customer satisfaction. The bottom line of this paper is that it’s easy to claim or make the statement that a hospital provides a quality service. It’s another thing to deliver. Learned and established techniques from this text will help an operations manager achieve the desired goal for establishing an environment of quality, excellence and profitability. Running head: WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 3 INTRODUCTION My Name is Dave Dowling and I am a new employee at the Arnold Palmer Hospital in Orlando, Florida. After graduating from Southwestern College I was looking for a company that I could exercise my new talents as an Operations Management graduate. I was drawn to Arnold Palmer Hospital because of their dynamic structure and their compassion and care for children. First I would like to give you a little background on the Arnold Palmer Hospital and why it is such an appealing place to work. It was founded in 1989, the Arnold Palmer Hospital (A. P. H. is sanctuary of hope and healing for many sick children. It has grown to be one of the largest women’s and children’s hospitals in the United States. A. P. H. is a top level 1 children’s trauma facility. The hospital provides tangible services such as neonatal and pediatric intensive care services, pediatric oncology and cardiology. It also provides specialized service such as care for high risk pregnancies and maternal intensive care. The hospital is very proud of its new multi building facility that covers 676,000 square feet and houses some of the finest advanced state of the art medical equipment on the market today. This awesome facility houses 2,000 of the most compassionate and dedicated doctors, nurses and administrators found in any hospital in the United States. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 4 As part of the management team I was introduced to many of the processes that have been put into place at A. P. H. They have built a culture of quality that is focused on the patient and their family. The mantra at A. P. H. is â€Å"Quality is not just taking care of the patient, but also taking care of the family†. Why is it important for Arnold Palmer Hospital to get patient assessment of health care quality. Does the patient have the expertise to judge the health care he or she receives? In order to feel the pulse of the hospital and truly be able to assess what services need to be added, deleted or modified. Administrators need to know how patients truly feel about the experience they had at the Arnold Palmer Hospital. A powerful tool that A. P. H. has been using is the comprehensive survey that captures a patient’s honest assessment on their experience. Administrators review the assessments on a daily basis. This tool will allow administrators, doctors, nurses and employees adjust processes to provide patients better services. If patients and families are unhappy about treatment, facilities, parking, finding their way around the hospital, the management and hospital administrators need to know. They need to know on a daily basis. The executive staff level at A. P. H. review assessments as they are loaded into the executive dash board on a daily basis. They look at four quadrants of the hospital operation. Services, Quality, Human Resources and Finances. The results of the survey’s allow corporate officers to move assets, resources , personnel and changes to that functional areas that need the change. The results can help hospitals learn how to treat patients the way they expect to be treated. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 5 Addressing the question, Do patients have the expertise to judge the health care he or she receives. According to (Drain, 2010) â€Å"Patients do judge the quality of clinical care they receive. However, they base their judgments on far more than the technical interventions, many of which they are unaware. The sweeping overhaul of the U. S. health care system likely will result in increased patient volumes for hospitals and medical practices. As the nation moves toward value-based purchasing, patient satisfaction will become an increasingly important measure of quality. In a 2009 HealthLeaders Media survey, nearly a third of health care executives said that the patient experience was their top priority; another 55% said that it was in their top five. All reported that patient experience would be a priority in five years. In a 2004 study of five clinical conditions, two dimensions of patient-centered care stood out: emotional support and respect for patients’ values, preferences and expressed needs. Simply, put, providing support and involving patients in decision making are associated with better outcomes. Good communication between patients and care providers drives positive patient experiences and compliance, which lead to positive outcomes. Patient satisfaction is not about making patients â€Å"happy†; it is about improving the patient’s experience to facilitate health and medical outcomes. When patients are satisfied, trust is enhanced. When patients trust their physician, they are more likely to disclose information, follow advice and adhere to treatment plans†. It is very difficult to answer this question, regardless if you feel that people have the expertise to judge physicians and hospital on the care they receive or not. One must keep in mind that most people just want to feel that they are receiving the best medical care possible and they want to be informed and feel that they are cared for and have a clear roadmap on what is going on with their treatment. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 6 How would you build a culture of quality in an organization such as Arnold Palmer Hospital? As an operations manager I would break down my plan to develop a culture of quality into three categories, management, personnel and facilities. In order to properly take an organization to â€Å"A Culture of Quality† It is important develop a plan at the management level first. The first step is to establish a code of ethics, mission statement and leadership philosophy for management and first line supervisors. Although Arnold Palmer Hospital empowers all employees to make decisions. A foundation of standards needs to be established in writing as a source document for all employees from the top down. This will make it very clear that there is specific behavior that is expected from every employee from the CEO to food service. The next step I would take is to establish a mission for the hospital. The goal is to provide quality health care and make the patient experience as pleasant and comfortable as possible. Establish with every employee that each patient is an individual and must be respected as a person. People and families tend to not be themselves when they are sick. Every employee needs to rise above their own feelings and focus on why they are in the health care business. Establish in the minds of employees that every patient has the right to comprehensive, compassionate family centered health care service. Every patient and family has a right to be heard with the concerns they have about the care they or their family member is receiving. I would establish a patient bill of rights in order to serve as a guideline for employees to follow and understand. Once rules and policy is established I would then implement and put into place the following processes in order to give our employees the means and tools to carry out the desired missions of the hospital board of directors and administrators. WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 7 The first step is to establish a department that will construct a comprehensive survey the patients can fill out in order to capture what their experience was like at the hospital. I would then have the department establish an executive web site that this department can post reports, flowcharts, checksheets, Scatter Diagrams, cause and effect diagrams and various statistical reports. This will allow leaders at all levels see what patients like and dislike about their experience. This will allow top levels of management properly direct what processes need improvement and change and what assets need to be re-directed to those weak functional areas or processes. In order to ensure that your employees are on board with the hospital philosophy rules and policy must be established to empower employees to make decisions without being promoted to act. And work everyday with the goal of continually striving to improve processes and their specific job duties. I would also establish process improvement teams by department. These are the teams that ensure that data is being captured as problems arise with processes or employees and also reacting to customer surveys and tackle what patients see as a problem. And finally I would establish some type of awards program that would reward employees for making the effort of making our hospital a better place to work and a place the patients feel at ease with getting well. As mentioned in the prior paragraphs, I would establish a training program that will instill the culture of quality in every employee. Encourage them to own it and live it. To continually strive to improve processes and that there is always room for improvement. I would also instill that communication is key. Ensure that employees understand that keeping customers informed WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 8 is the number one priority. If you don’t have the answer, you will find someone who has the answer. The facility and equipement is also a very important concern when establishing a culture of quality within your hospital. As an operations manager you must ensure that the hospital has the best quality and up to date state of the art facilities and equipment that you budget will allow. Continually work with doctors, nurses, technicians and staff to ensure that operations is doing everything it can to ensure that processes are properly equipped and that patient rooms, surgical rooms and all facets of the facility are properly supplied, illuminated, marked, and safe. The bottom line is that you need facilities that are state of the art facilities, processes that provide quality healthcare, programs and measures that capture the patients like and dislike about your hospital. But most of all you need to mentor your employees about all the task that need to be accomplished in order to achieve â€Å"a culture of quality†. Constant analysis and caring employees is what make this happen. What techniques does Arnold Palmer Hospital practice in its drive for quality and continuous improvement? The number one technique that A. P. H. utilizes is their comprehensive surveys. Patient survey capture the customer’s assessment’s of there experience in the hospital. These survey’s will assess customers expectations of the medical services that the hospital is offering. This survey will be in-depth and will ask a wide variety of questions from the quality of food, staff, accommodations and medical treatment. The most important question is â€Å"Would you recommend A. P. H. to your friends? † Once the surveys are done they are posted they are posted on the WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 9 executive Dash Board which allows continuous monitoring of the problems and the measures the hospital staff are taking to correct the problems. It is important for key leadership and senior administrators to review survey each and every day in order to keep their pulse on the climate of the hospital and its patients. The survey asks specific questions such as respect, access, quality of care and medical staff, was the care coordinated, were you given a thorough explanation of your condition and follow on care. This information will assist employee, supervisors and administrators refine processes to improve the quality that is provided to patients. The new measure are pushed down to the individual department levels to ensure changes are made were the problems exist. A. P. H. management will also take these assessments and compare the against a national benchmark comparison in order to provide the best health care possible. Data is available on how other hospital might handle a similar issue or chanllenge. As mentioned prior, The A. P. H. executive dashboard is a crucial tool in assessing customers opinions about their experience at A. P. H. In order to truly know were we really stand with customers we must capture extremely accurate information on how our patients and their families fell about the care that we have provided. It doesn’t matter what we think, The only opionion that truly counts is the patients and their family. Another method is benchmarking. Benchmarking in order to ensure that standards are set in order to establish and maintain specific standards in the specific medical services that it will offer its customers. The specific services that they focus on are pediatric and neonatal intensive care, pediatric oncology, labor and delivery and care for high risk pregnancies. As mentioned prior, the business of caring for people is the business of having highly trained physicians and WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 10 state of the art equipment. This is your service. If you fail to contiunually update processes and benchmark. You will not survive, patients will simply go to better hospitals. Without benchmarking quality of service could slip causing customer dissatisfaction. Another interesting and unique technique that A. P. H. uses is giving senior leadership cell phone and they can monitor and get directly involved with patients and families if there are significant challenges or patients are unhappy or concerned about the service they are receiving. The senior management has taken call on the most trivial issues. The unique part of this story is they don’t see these small issues as trivial. This is probably why they rank so high nationwide in customer satisfaction. The hospital also uses various charts. I will briefly discuss the uses of each. The flow charts Pareto charts are used to give staff and personnel a quick overview of what is happening in the hospital and nationwide. The Pareto charts also focus on critical items and leave less important issues off. This is a good chart to find out what the major problems are. Benchmarking is critical in showing where opportunities exist for improvement. Develop a fish-bone diagram illustrating the quality variables for a patient who just gave birth at A. P. H. Another tool that can be used by operations managers is cause and affect diagram or fish-bone chart. This can assist department heads such as those who are in charge of a post natal unit in a hospital. This chart can help doctors, pediatricians and pediatric nurses take care of mom and baby in a more efficient manner. It chart will identify potential causes to problems that that may have occurred in the past. Knowing what causes problems will give employees the ability to WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 11 identify these problems. These charts should be updated as new problems arise and new equipment is introduced to the post labor or neo natal units. Charts like these help us document mistakes and learn from others . Below is a chart I developed to help the nurses and doctors identify potential causes of the most common post natal problems that hinder quality care for mom and baby. Material: Quality rooms designed for post natal patients PATIENTS HAVING TO ENDURE CRAMPED ROOMS COMPLAINTS ABOUT OLD EQUIPMENT AND SUPPLIES Method: Processes classes to prepare parents to go home SPECIAL DESIGNED ROOMS ROOMS THAT ACCOMMODATE MOM BABY WELL LIGHTED ROOMSBASIC INFANT CARE CLASSE POOR PARENTING SKILLS ACCOMODATIONS FOR LONG TERM STAYSMOMS MEETING MOMS CLASSENO SUPPORT QUALITY MEDICAL SUPPLIESBIG BROTHER BIG SISTER CLASSESKIDS NOT COPINGPARENTAL BREASTFEEDING CLASS NOT UNDERSTANDING EDUCATED PARENT PREPARED TO TAKE BABY HOME Hospital cant provide care because lack of state of the art equipment NEONATOLOGISTINEXPERIENCEDPEDIATRIC EMERGENCY UNIT PEDIATRIC NURSESLACK OF SPECIAL SKILLSPEDIATRICS INENSIVE CARE UNIT PEDIATRIC SPECIALISTSNICU CANT DEAL WITH NICU UNITS Manpower: Quality Doctors, Nurses and specialists Machine: State of the art equipment Services EMERGENCIESPEDIATRIC INPATIENT UNIT WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 12 REFERENCES 1. Drain, M. , MA. (2010). How patient satifaction correlates with clinical quality, Retrieved from http://www. pressganey. com/improvinghealthcare /improvingHCBlog/blogPost/10-04-12/How_Patient_Satisfaction_Correlates_With_ Clinical_Quality. aspx How to cite Would You Recommend a Friend to Our Hospital, Essay examples

The Legend of King Arthur-Free-Samples for Students-Myassignment

Question: Write an Essay about King Arthur in Geoffrey of Monmouth and Wace. Answer: Yet some men say in many parts of England that King Arthur is not dead, but had by the will of our Lord Jesu into another place; and men say that he shall come again, and he shall win the holy cross. The above quoted lines of Thomas Malory from his famous literary work Le Morte d'Arthur clearly indicates the myth associated with the legend of King Arthur. It is to be noted that the various literary sources gives varied interpretations of the legend of King Arthur (Tolhurst 10-54). Therefore, the legend as well as the actual facts related to this particular king of England has been shrouded in mystery for a long time (Pace 24:45-78). In the absence of any reliable source the various historians as well as the scholars depend on the various literary texts for the interpretation of the life as well as the incidents related to the life and the reign of this great king of England (Bbc.co.uk). This essay intends to give an overview of the legend of King Arthur on the basis of the sources provided by Geoffrey of Monmouth and Wace. The reign of King Arthur is generally attributed to the 5th and 6th AD as per the records of the metrical romances and the historical texts (Duckett 1-30). It is to be noted that he is famous in the historical cannon of England for leading the successful defense of England against the Saxon invaders in the Battle of Bath and also the successful defense of England against the Scots (Duckett 1-30). His reign also finds detailed description in the famous works of that period like Annales Cambriae, the Historia Brittonum, and the writings of Gildas and also in poetical works like Y Gododdin (Duckett 1-30). In addition to his successful defense of the nation of England from the invaders of Saxon he is also reputed for his contribution towards the genre of arts and literature. It is to be noted that learning was significantly revived during his reign and he even went to extent of rewarding the monks and other scholars who would bring rare manuscripts to his court (Ashe 10-54). In addition to this, he is also famous for noted for his encouragement to learning and the foundation of various monasteries and nunneries. However, it is significant to note that all the historical accounts as well as the literary texts do not agree on the same point and therefore there is a discrepancy as regards the details and the activities of his reign. Geoffrey of Monmouth, the Welsh bishop gives a fleeting account of this particular legendary hero of England in his famous work History of the Kings of Britain (Ashe 10-54). It is to be noted that many of the present day historians as well as scholars think that the work of Geoffrey was based on the legends which he heard from the various sources and that in some cases he used his imagination to fill in the gaps between the various events. Geoffrey gives a detailed description of Arthur since his birth as the son of Uther Pendragon (Molchan 5-25). According to Geoffrey he becomes the king of England at the age of 15 and rules peacefully from his court at Caerleon for almost 12 years (Molchan 5-25). However, it is significant to note that the major part of the account of Geoffrey deals with the various battle of King Arthur. His account includes an overview of Bedivere and Kay, the former as Duke of Normandy and Arthur's right-hand man and the latter as one of the king's brave knights (Lacy 10-43). It is significant to note that Morgan Le Fay also finds representation in the account of Geoffrey (Lacy 10-43). Morgan Le Fay is described as the representative member of the group of nine women who guard the Isle of Avalon (Lacy 10-43). In this particular work, Morgan is described as a benign enchantress however in other works of the same period Morgan finds representation as a benevolent enchantress. This particular work of Geoffrey also gives a pertinent account of Caliburn, the mythical sword of Arthur. Many scholars believe that Geoffrey derived the name of the sword from the various Welsh legends and tales of mythical swords like Caladbolg (Lacy 10-43). According to the account of Goeffrey, the sword was forged at the Isle of Avalon or more popularly the Isle of Apples. It is to be noted that the major discrepancy between the text of Geoffrey and other literary texts belonging to this particular period lies in the description of the final battle of Camlann. It i s to be noted that according to the work of Geoffrey, Modred, the nephew of Arthur dies at this particular battle and Arthur, on the other seriously wounded and carried off the Isle of Avalon by Morgan (Thorpe 7-43). It is significant to note that this particular work states that Arthur is wounded and not dead and thereby prolongs the myth that Arthur is still living and protecting the nation of England. Another significant feature of this particular literary text is the description of the Round Table Conference and the nine knights of the court of King Arthur (Thorpe 7-43). The account of Wace, on the other hand, is another literary account which provides an account of the reign as well as the various activities of King Arthur. It is significant to note that the French scholar Wace was impressed by the work of Geoffrey of Monmouth and he decided to write his own account of the book and called it Roman de Brut (Pearcy 12). It is with the work of Wace that the romantic interpretation of the reign as well as the times of King Arthur began (Pearcy 12). Therefore, with this particular interest he gives a detailed description of the Round Table Conference of the nine knights of the court of King Arthur. He describes the gathering of the knights in the following words- "For the noble barons he had, of whom each felt that he was superioreach one believed himself to be the best, and noone could tell the worst King Arthur, of whom the Britons tell many stories, established the Round Table. There sat the vassals, all of them at the tablehead, and all equal. They w ere placed at the table as equals. None of them could boast that he was seated higher than his peer" (The British Library). It is significant to note that the work of Wace does not say that King Arthur sat at the round table. On the contrary, the work states that Arthur sat on a dais much higher than the table of the knights. This particular work of Wace traces the history of England from its founding by the legendary Brutus the Trojan (The British Library). The work also incorporates the various events of the reign of King Arthur and the activities of the knights of the Round Table. The work of Wace further extends the mystery with which the work of Geoffrey of Monmouth ends in lines likes "And will ye no come back again ? Better loed ye canna be : He is yet in Avalon, awaited of the Britons, for they say and deem he will return from whence he went and live again" (Legendofkingarthur.co.uk). It is interesting to note that his work of Wace is one of the rare ones which raise doubt a bout the survival of King Arthur after the battle of Camlann. In the opinion of Wace, Men have ever doubted, and as I am persuaded, will ever doubt, whether he liveth or is dead..To Constantine, Cadors son, Earl of Cornwall and his near kin..The earl took the land to his keeping. He held it as bidden, but nevertheless Arthur came never again (Legendofkingarthur.co.uk). Therefore, it would not be too far-fetched to say that the work of Wace tries to demystify the myth which the work of Geoffrey of Monmouth created in his work. However, still there is a kind of obscurity which centers round the reign of King Arthur and his life. In the absence of any significant and accurate record the various scholars and historians therefore take either the account of Wace or the account of Geoffrey of Monmouth as the authentic one and vice versa. There are various points of similarities as well as differences between the literary works of Geoffrey of Monmouth and that of Wace related to the reign of King Arthur. It is significant to note that both the works provides a pertinent account of the reign of King Arthur and his Round Table along with the nine knights of his court. As a matter of fact, the work of Wace is often seen as a paraphrase of the work of Geoffrey of Monmouth. However, the differences between the two works are also very significant. The primary difference between the two works lie in the way they interpret the end of the reign of King Arthur. The work of Geoffrey states that after the final battle King Arthur is seriously wounded and carried off to the Isle of Avalon but is still alive. However, the work of Wace and the author himself serious doubts about the existence of King Arthur after the final battle and considers that Arthur died in that battle and is not going to return. Furthermore, the work of Geoff rey seeks to provide a historical account of the reign of King Arthur through the various legends and myths. However, the work of Wace, on the other hand, seeks to romanticize the life as well as the reign of King Arthur. It is significant to note that the romantic interpretation of the reign as well as the life of King Arthur began after this particular work of Wace. Therefore, from the above discussion it becomes clear that although King Arthur was one of the greatest kings of England and successfully defended the nation of England against the attack of various invaders like the Saxons and the Scots yet no single literary or historical work provides a detailed and authentic account of his reign. Therefore, the various scholars as well as the historians often rely on the various literary as well as the semi-historical texts of that particular period for detailed information about the reign of King Arthur. The works of Geoffrey of Monmouth and Wace are two such works on which the historians as well as the various scholars depend for a credible account of the reign of King Arthur. However, it is significant to note that although there are several points of similarities between the two works however the differences between the two works are also significant. It is precisely this difference in the information provided by the two works about the reign of King Arthur which gives rise to the myth that centers round the reign of King Arthur. References "BBC Wales - History - Themes - Geoffrey Of Monmouth."Bbc.co.uk. N.p., 2018. Web. 30 Mar. 2018. "Geoffrey Of Monmouth."Legendofkingarthur.co.uk. N.p., 2018. Web. 30 Mar. 2018. "The Legends Of King Arthur."The British Library. N.p., 2018. Web. 30 Mar. 2018. Ashe, Laura, ed.Early Fiction in England: From Geoffrey of Monmouth to Chaucer. Penguin UK, 2015. Duckett, Eleanor Shipley.Alfred the Great: The King and His England. University of Chicago Press, 2014. Lacy, Norris J., et al., eds.The New Arthurian Encyclopedia: New Edition. Routledge, 2013. Molchan, George Gregory. "Translating Arthur: the Historia regum Brittanniae of Geoffrey of Monmouth and Roman de Brut of Wace." (2013). Pace, Edwin. "Geoffrey of Monmouth's Sources for the Cador and Camblan Narratives."Arthuriana24.3 (2014): 45-78. Pearcy, Roy J. "Chaucer, Deschamps, and Le Roman de Brut."Arts: The Journal of the Sydney University Arts Association12 (2012). Thorpe, Lewis.The history of the kings of Britain. Penguin UK, 2015. Tolhurst, Fiona.Geoffrey of Monmouth and the translation of female kingship. Springer, 2013.