Approach to Care of Cancer Essay - 1375 Words

Approach to Care of Cancer (Essay Sample) Content: Approach to Care of CancerNameInstitutionApproach to Care of CancerOverview of CancerOver the last few years, the mortality rate from cancer has been growing steadily making this disease among the leading causes of death both in the developed and the developing world. According to estimates, more than one million people are diagnosed with cancer every single year and half of that number ends up dead. According to experts, cancer is caused by the abnormal growth of cells that multiply uncontrollably and have the capability of attacking other tissues within the body. The blood and lymph systems are so far the recognized mechanisms through which the cancer cells are transferred to different body tissues. At the present, there are over one hundred types of cancer that have been documented. This paper takes a close examination on the approach to the care of cancer, which consists of diagnosis and staging, the complications of cancer, as well as the available modalities tha t can be used to reduce the physical and psychological effects of cancer and its treatment.Diagnosis and StagingJust like any other disease, the ability to provide optimal care for patients suffering from cancer depends on the offering of well-timed and precise prognosis. Equally important to this process is the staging of cancer. The staging process is critical to the effective treatment of cancer as the mode of treatment is formulated depending on the stage and the degree of the cancer. Identifying the symptoms is the first step towards an effective diagnosis of cancer, and this is immediately followed by the presentation of these symptoms. The procedure of diagnosing cancer in most cases begins with the presentation of symptoms. The moment that cancer is suspected, doctors use a wide range of methods to detect the disease and each of them varies depending on the type of cancer. Some of the available methods for that are used by doctors to detect cancer are CT scans, x-rays, bone scans among other methods. Even if a patient is determined to be suffering from cancer, doctors always use biopsy and tissue examination as the final diagnosis method. In the recent past, there have been emerging technologies that are being used by pathologists to determine the presence of cancer with positron emission tomography (PET) and F-fluorodeoxyglucose (FDG) being the most common (DeVita, Rosenberg, 2001).Once the doctor has ascertained the presence of cancer in a certain cell, the next most important stage before treatment can commence is staging. Staging is the simplest way of ascertaining the level of cancer and its exact placement. Staging defines the severity of a personà ¢Ã¢â€š ¬s cancer on the basis of the primary tumor, as well as on the level that the cancer has spread in the body. This is a critical stage since it makes it possible for doctors to create a prognosis, as well as to develop an ideal treatment modality for the patient. Comprehending the stage and ext ent of cancer is, therefore, one of the most important steps in the process of identifying clinical trials that are appropriate for individual patients. Although there are various methods of carrying out the staging process depending on individual patients, the main objective of the process is the same (DeVita, Rosenberg, 2001).There are four types that characterize cancer staging. The first is clinical staging, which determines the amount of cancer that there is based on the bodily examination as biopsies of the affected tissue. The other type is pathologic staging, which is only possible in individual patients who have had a tumor removed surgically to determine the level of the cancer. This stage usually involves the results from the clinical staging and the surgical process. The third type is the post-therapy or Post-Neoadjuvant Therapy Staging, which is done to determine the amount of cancer that has remained in the body after the initial treatment process. The last type is r estaging, which is used to establish the level of the recurring cancer. This last type of staging helps in determining the best modality of treating recurring cancer (Johnson, Gross, 2011).Cancer Complications and Side EffectsCancer patients are at greater risk of developing complications either due to the cancer itself or due to the available treatment options. Hyponatremia is the commonest of all the complications relating to cancer. Chemotherapy, which is the most common type of cancer treatment, is considered to be among the risk factors for this complication. This is mostly caused by the syndrome of inappropriate production of antidiuretic hormone (SIADH), which may arise as a result of the ectopic creation of arginine vasopressin (AVP) by the cancerous tissue. Although hyponatremia might be caused by other chronic diseases, research shows that more than half of all the cases are caused by cancer. All the hyponatremia cases that are linked to cancer have been found to hinder t he patientà ¢Ã¢â€š ¬s response to treatment as recovery. This mode of treatment deals with hyponatremia by openly obstructing the AVP biding with its receptors. Some of the drugs that are recommended for use in dealing with this condition include conivaptan, lixivaptan, and tolvaptan among others (Rubin, Williams, 2010).According to Bucholtz (2010), spinal cord compression (SCC) is also prevalent among cancer patients. It is estimated that more than 20,000 Americans suffering from cancer develop SCC each year. This number is estimated to be on the increase due to the enhanced treatment and the elongated survival in different cancers. This condition is mostly prevalent among patients with lung, breast, prostate, and kidney types of cancer. This complication is mostly brought about by the growth of metastatic tumor that has blocked the epidural space. The unhindered growth of the mass destroys the bony structure of the vertebrae and makes them feeble to the point where they collaps e. If not treated, this injury might lead to a permanent loss of neurologic function. Most clinicians today recommend the use of radiation therapy for the effective treatment of this complication. This therapy deals with the complication by reducing the volume of the lump and easing the SCC (Bucholtz, 2010).Another complication that often occurs in patients receiving cancer treatment is an anaphylactic reaction. Research has shown that close to 40% of cancer patients that are undergoing therapy are prone to an allergic reaction. Interestingly, the same drug that causes the allergic reaction is the same one that can treat the condition. Patients who react to their medication are stabilized by being taken off the drug before being reintroduced to the same drug. This means that patients should be taught on how to watch for the symptoms of drug reaction and report them to doctors for management. Another complication that occurs in a large number of patients with cancer and those undergo ing treatment is intense pain. This is usually treated by introducing pain killers alongside the cancer drugs (Rubin, Williams, 2010)....

Who has more power in ‘The Collector’ Clegg or Miranda - Literature Essay Samples

The Collector by John Fowles examines a battle for power and control between the introverted character of Clegg and the audaciously articulate Miranda. Power is defined as the possession of control, authority, or influence over others (Merriam-Webster Dictionary) that Clegg has been cheated of his entire life. Clegg was brought up with a poor education and little money, lacking any sort of affectionate relationships. Clegg, maybe for these reasons has a clear lack of sanity that causes a platonic addiction to the beautiful art student Miranda. Ultimately alluding to the abduction of Miranda once he wins a great sum of money, allowing Clegg to keep her captive in his basement cellar. Clegg’s insanity is the reason he keeps Miranda as a possession of beauty, much like one of the butterflies in his collection, obtaining complete physical power over her. The depiction of Miranda and Clegg’s relationship provokes the theme of power in multiple aspects of physicality, economi cally, of beauty, and verbally. Undeniably manifesting the question of who posses more power, Miranda or Clegg? The most prominent and evident aspect of power throughout the novel is physical power, in which Clegg solely posses. Before Clegg kidnapped Miranda, he never maintained power over anyone especially the people he cares about, as his mother abandoned him, and both his father and dear uncle died. Clegg’s former powerlessness seems to have induced him to desire a higher level of power that he obtains by capturing Miranda. He is able to abduct Miranda and posses her physical power due to the fact that he wins an immense sum of money, allowing him to purchase a house, thus the ability to maintain her. Clegg thereby controls every physical aspect of Miranda’s life; when she can shower, eat, go outside, how she lives her life, and even how she dies. This blatant aspect of control that Clegg hordes, entitles him to feel connected with Miranda, furthermore in possession of her. Along with his physical power, he also gains economic power over her. He believes he has a chance to wi n over her love by buying her whatever she desires ranging from expensive food delicacies to artwork and supplies. He employs his economic power over Miranda as a tool to magically make her fall in love with him, only further demonstrating the lack of sanity. Clegg feeds off of the economic and physical power he holds over Miranda, feeling entitled to a position of power that has been absent from his entire life. Moreover, he begins to feel heroic for being able to suffice Miranda with whatever she desires. Miranda begins to seem subordinate, powerless to Clegg, as she constantly has to ask him when she can have a bath, when she can go outside, and overall becomes dependent on him. The fact that Miranda must turn to Clegg for all the vital necessities of life, ensure Clegg that he has complete control over her. Perhaps, fulfilling a life long sense of thirst to have unabridged control of his environment, and the life it involves. Especially being able to capture and control beauty a s he does with his study of lepidoptery, seeing Miranda as a beautiful goddess in the form that all of society desire to posses. All though Clegg possesses unquestionable economic and physical power over Miranda, she possesses powerful beauty both verbally and physically that has an inordinate impact on Clegg. Miranda’s beauty can be interpreted by the viewer as a sense of power that she holds over Clegg as it lingers over his mindset like a controlling fog. In the sense that even when Miranda speaks to Clegg in a disgusting manner or acts exactly as he despises, he subconsciously excuses her putrid actions as he literally sees her as an enchanting personification of perfection. For example, â€Å"even when she did things considered ugly, like yawning or stretching, she made it seem pretty. The truth was she couldn’t do ugly things. She was too beautiful.† (The Collector, Page 48.) This quote may be more enlightening to the reader than what comes to mind at first as it applies to the overall relationship between Clegg and Miranda. The syntax of this salient quote describes ‘the truth ’ as her inability to do ugly things, which gives the reader insight into Clegg’s perception of Miranda. Possibly interpreted as Clegg feeling eternally inferior to her as he recognizes her immaculate beauty, but controversially that â€Å"†¦he doesn’t have what it is girls look for† (The Collector, page 11). Yet, his entirely consuming infatuation with Miranda continues to flourish. In addition, Miranda is easily able to express her emotions and thoughts through ardent language, especially her opinions on Clegg’s â€Å"killing of beautiful life†. Miranda despises Clegg’s lack of inner-depth of life. Since Miranda has a high level of education and very keenly observes Clegg, she uses her articulate verbal strength to deprecate Clegg, abating his sense of esteem and thereby inner confidence and power. His character is very weak in the sense that he easily conforms to Miranda’s beliefs and manipulation. Clegg lacks the abili ty to express his emotions or thoughts verbally, particularly without offending his beloved Miranda. It seems as if he instead tends to stay quiet, constituting Miranda’s words and beliefs as his own, even when she belittles him. Thus Clegg’s lack of confidence or verbal power to express himself antithetically conflicts with Miranda’s character that has an eloquent, educated manner of speech that empowers her to take jurisdiction in any of their interactions. In spite of the fact that Miranda has a manipulative verbal power over Clegg, she struggles immensely near the end of the book to maintain this power, which she relied upon as a latent technique of escape. Clegg’s lack of reality and sanity is continuously depicted through out the novel becoming a plausible asset to Miranda’s escape ideas. The reader understands that Clegg does not have a grip on reality as he is built upon euphemisms, claiming Miranda is ‘his guest’ instead of realistically his prisoner. He thereby abates the severity of the situation he has put Miranda in. Clegg’s oblivious perspective on the truth of his and Miranda’s relationship is a weakness on his part that entitles Miranda to a certain power. She is able to seduce him to believe he stands a chance to win her love, due to his illogical perspective. This seduction hopefully perchance leading to an action of good morality from his side of â€Å"the many† as John Fo wles would say, by liberating her. When Miranda fails to be set free by her utilization of Clegg’s irrationality to become his ideal ‘butterfly’, she approaches a vastly different method of manipulation. She mistakenly tries to sexually seduce Clegg right before she becomes dangerously ill. This act on Miranda’s behalf caused a momentous change in the battle for power within the novel. Clegg now sees her as â€Å"no better than a common street woman† as he comes to the realization that she is just like any other foolish, ordinary woman. Who fits perfectly in his narrowly perceived category of desperate women utilizing their bodies much like a whore to achieve what they want. As The Verbal Struggle for Power stated; â€Å"The way Clegg talks to her and treats her from that moment changes. †¦She can feel that she has no longer the power she had before. Now Clegg is more self-confident, he can say ‘no’ to Miranda, which he almost cou ld not do earlier.† As soon as Miranda offers herself to Clegg sexually, she loses all the power she inflicted on him before as he feels she is subordinate to him. This decisive act on Clegg’s part to show supremacy over her, allows him to accumulate exactly the key power he is missing earlier in their relationship. Triggering his harsh tone of language that shows Miranda who is the boss, fulfilling his need to feel overwhelmed by power and control, which he so desperately hunted for his entire life. All in all, the novel portrays how Miranda’s verbal power over Clegg and her beauty vanishes the minute she mentally gives up and uses what seems to her as the only way out, ‘sex’. From that moment on Clegg procures the confidence and control that he needed all along to feel empowered. Clegg always proclaimed his fascination with Miranda as love, however it appears that his consequential disgust and denigration of Miranda is not love. That he is happier now that he posses exhaustive control over Miranda, drunk from physical, economic, and verbal power. Clegg’s pathological infatuation with the power he has over Miranda results in his abuse of power, obtaining Miranda as an object of his control that invariably leads to her death.

Essay on Disobedience in William Shakespeares King Lear

Disobedience in William Shakespeares King Lear How sharper than a serpents tooth it is to have a thankless child. Filial disobedience is a key theme in the play King Lear and in both the times it was set and written, children were not expected to disobey their fathers. Jacobean England was an extremely hierarchical society meaning that respect should not only be shown to the powerful and rich but also to parents and the elderly. Seventeenth century England would have been more devout in terms of religion than today and undoubtedly a Jacobean audience would have been familiar with the fifth commandment, Honour thy father and mother. Lear, like any king, Pagan or otherwise, would have been†¦show more content†¦This is the source of Lears outrage and he cannot believe that his most beloved daughter would not only go against his wishes, but also against the basic expectations he has of his children. This helps Shakespeare to show what an unstable character Lear is because he does not realise that Cordelia has actually done w hat he has asked and told him how much she loves him. Lears emotions at this point swing between the extremes of love and anger because of this: Here I disclaim all my paternal care, Propinquity and property of blood And as a stranger to my heart and me. I.i.109-111 In his rage, Lear is willing to give up his love for his daughter even though he loves her immensely. It illustrates the fury and rash judgements that have become ingrained in his nature whilst king. He wants to prove to the court and possibly himself that, even though he is abdicating, he still wants to be seen as omnipotent. His self-importance and need for praise leads him to thinking that Cordelia has shamed him and therefore banishes her. In spite of Goneril and Regans obvious lies, Lear foolishly divides the kingdom between. Where Lear falls for their shallow lies, the audience sees through them and their sympathy lies with Cordelia. The audience also learn that the family dynamics depend on whether LearShow MoreRelatedAllegorical Elements In Macbeth Essay761 Words   |  4 Pagesit’s narrative and thus open a discussion King Lear , another of Shakespeare’s principle tragedies also opens a discourse into the political environment of Jacobean England or more sp ecifically the act of union. The drama explores a Kingdom that is divided and thus succumbs to chaos, it is only restored to natural order when the it unites again. This provides an opportunity to reinforce the act of union while condemning the division and civil disobedience/war. Much of the twentieth-century scholarshipRead MoreFemale Sexuality in Shakespeare4830 Words   |  20 PagesQuestion Compare and contrast the representation of female sexuality in Cymbeline, the Sonnets, and one of the plays: A Midsummer Night’s Dream, Richard II, Hamlet, Antony and Cleopatra, Measure for Measure or King Lear.       Both Cymbeline and A Midsummer Night’s Dream  (AMND)  are both set in a patriarchal environment where both genders grapple for control. Valerie Traub defines the distinction between gender sex and gender behavior as â€Å"Sex refers to the . . . biological distinctions between

Humans And The Ai Possible Now - 2003 Words

Humans and the AI possible now, are truly one and the same What does this mean?. The Human body is but a foundry sundry? of systems and preconditioned thinking that is lead through cause and effect. AI is the pinnacle of humanity’s attempts at mimicking the creation of life through â€Å"artificial† thinking. John R. Searle argues that the intentionality in human beings is a product of the brains and its mental processes. He also notes that the certain brain processes are sufficient (indicating that there is at times a bare minimum of processes) for the â€Å"intentionality.† He also states that the instantiation of a computer program can be done by a human but the program would still lack the relevant intentionality. Searle also states that, â€Å"any mechanism capable of producing intentionality must have casual powers equal to those of the brain.† One important thing to note in Searle’s arguments is that he separates AI into two distinct categori es. Strong AI and weak AI. Strong AI being the advanced computers that are in fact, â€Å"minds,† and that these computers can actually understand things. Weak AI on the other hand, are the computers that act as nothing more than tools to be used to study and to serve any purpose we program it to do. Searle brings up several arguments that he refutes such as the â€Å"Systems Reply,† â€Å"The Robot reply,† â€Å"The Brain simulator reply,† â€Å"the combination reply,† â€Å"The other minds reply,† and â€Å"the many mansions reply.† The main argument thatShow MoreRelatedThe Controversy of Artificial Intelligence1476 Words   |  6 PagesThroughout its history, artificial intelligence has always been a topic with much controversy. Should human intelligence be mimicked? If so, are there ethical bounds on what computers should be programmed to do? These are a couple of question that surround the artificial intelligence controversy. 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Animals can adapt to their environments and react to interference, and plants do the same. Human intelligence, however, is in an entirely different ball park. With the uprise of technology and advancements constantly being made, it has now come time to question the use of artificial intelligence. Artificial intelligence, or AI, means giving non living things, such as computers and robots, the ability to think for themselves to an extent† (Pros and Cons of ArtificialRead MorePreparedness In Education805 Words   |  4 Pagesadopt AI get overshadowed by competitors and monopolies emerge. Riots break out on the streets as workers fight for their jobs, the welfare system collapses because of the surge in cost. The education system becomes even more selective as only highly desirable skill sets are needed, and thousands of students graduate and cant find a job. The 1% gets richer, as the world descends into chaos, not because AI took over, but instead because we were too ignorant to prepare for the inevitable. Now, whichRead MoreEssay On Artificial Intelligence Regulation1541 Words   |  7 PagesOrion Humphrey Katherine Pack ENGL 1101 22 October 2017 Artificial Intelligence Regulation Artificial intelligence, or AI, is not necessarily a new concept but hasn’t been remotely possible up until a few years ago. It’s recently been a hot topic among the tech community, religious folk, and really, the rest of the world. While in its infancy, AI has the potential to be dangerous and needs to be regulated. Artificial intelligence is something that’s taboo to a lot of people. They wonder whetherRead MoreEssay On Corporate Finance806 Words   |  4 PagesJust like humans, computers can now learn and adapt, thanks to machine learning, a subfield in AI. 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These processes include the acquisition of complex information and a set of rules bound to conclude a reasoning or approximate conclusions. Applications of AI include expert systems, speech recognition, and machine vision. Artificial Intelligence uses algorithms thatRead MoreSocial and Ethical Impact of Artificial Intelligence Essay examples1503 Words   |  7 Pagescomputers in our everyday lives, it seems that the role of the computer has been reversed. Before we knew that the computer only understood what we programmed it to understand; however, now the majority of our society is learning more from computers than they are able to input into it. Dumm (1986 p.69) History The human aspiration to create intelligent machines has appeared in myth and literature for thousands of years, from stories of Pygmalion to the tales of the Jewish Golem. Anat Treister-Goren

Interview Reflection Paper On An International Manager Essay

Interview reflection paper By : Dendra Cowperthwaite Communication 101 11/19/16 Provide an introduction to your chosen career and the individual you interviewed. Why did you choose to interview this individual? Is his or her job exactly like the job you want or in a similar field? How did you locate the individual? An international manager is a broad title for someone who handles any and all interactions the business has on a national and global scale. They generally are responsible for all of the business that is conducted outside of the organization. There are often multiple people doing this job for bigger companies simply due to the size. They are broken down into smaller categories such as sales, marketing, and manufacturing. They must be culturally sensitive and know the business’ needs, and how to implements those in foreign markets. They also must be able to handle the political, cultural, and day-to-day challenges of doing business with other cultures. Furthermore, they must have a keen understanding of currency, and how that changes between countries. I chose to interview the individual I did because, as an owner of her own import-export business, she has great depth of experience in the field of international management. Although different from working for a company, it Is the same general principle, being that as she owned her own business, she did this job along with many others. Also, this is the goal for my life; the job is a backup plan, so IShow MoreRelatedIndividual Reflection Paper : Team Climate Action Challenge1000 Words   |  4 PagesIndividual Reflection Paper – Team Climate Action Challenge This semester I worked with Tobi Olaiya, Jahan Francois, Kate Raulin, and Xinran Zhao to create the Be Bright - Choose Solar campaign. I am proud of the work we have accomplished and our ability to overcome each barrier we met. Working through our team project provided some key lessons about the practice of public policy that our course readings have also emphasized, including (1) let your ideas evolve from something simple, (2) do not wasteRead MoreThe Human Resource Manager For A Prestigious Cable Company1636 Words   |  7 PagesThe Portfolio Paper As the human resource manager for a prestigious cable company that has recently began developing plans of a new call center to handle customer service issues, it is indispensible I am well prepared to logistically assist in the developmental stages. My company is considering four (4) locations for the call center, which includes locations in Memphis, Tennessee; Montgomery, Alabama; Jackson, Mississippi; and Baton Rouge, Louisiana (Belhaven University, 2016). 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Firstly, Carvalho (2014)Read MoreRethinking Project Management9242 Words   |  37 PagesReINTERNATIONAL JOURNAL OF PROJECT MANAGEMENT International Journal of Project Management 24 (2006) 675–686 www.elsevier.com/locate/ijproman Rethinking Project Management: Researching the actuality of projects Svetlana Cicmil a c a,* , Terry Williams b, Janice Thomas c, Damian Hodgson d Bristol Business School, University of the West of England, Frenchay Campus, Bristol BS16 1QY, UK b School of Management, University of Southampton, Highï ¬ eld, Southampton SO17 1BJ, UK School ofRead MoreAuthenticity Within Hospitality Industry2129 Words   |  9 Pagesin particular. 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Analysis Of 500 Days Of Summer - 1714 Words

munication. 500 Days of Summer, which is one famous movie, we can recognize some important communication theory. In this paper, I would like to focus on the social penetration theory revealed in 500 Days of Summer. In this movie, some essential perspectives of penetration theory are revealed: depth and breadth of penetration, stages of the penetration theory, and verbal and non-verbal communication. In this essay, I am going to discuss these three characteristics revealed in the movie, 500 Days of Summer with my observations. First of all, depth and breadth of penetration is revealed in this movie. Firstly, the breadth of penetration is described by the Griffin (2009); â€Å"the range of areas in an individual’s life over which disclosure takes place†¦The breadth is the amount of information we disclose between two people.† In the case of the relationship between Tom and Summer we learned about, Tom’s breadth is his job, a fan of The Smith, and where he is f rom. In addition, for Summer, her breadth learned about her job, a fan of The Smith, and where she is from, and â€Å"Anal girl†. If I take one of example from these breadth, Summer does not tell when she started liking The Smiths, or how she discovered The Smiths, or what her favorite song by The Smiths is. None of that information is any more personal than â€Å"I love The Smiths.† I believe that the level of penetration is deep. As this story shows that at the first time they met, they talked small talk. However, the depth ofShow MoreRelatedScript Analysis Of ( 500 ) Days Of Summer 1018 Words   |  5 PagesScript Analysis - â€Å"(500) Days of Summer† (500) Days of Summer is a film directed by Marc Webb. This film is about Tom, a lovesick romantic who is blind sided when Summer, the love of his life, dumps him. He falls in love with her. But she doesn’t fall in love with him. 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Reflection on Nursing Care

Question: Demonstrates the impact of reflection on future practice through critical thinking and synthesis of ideas . Evidence of the identification of personal values and beliefs on caring as a nurse. Clear linkages of the creative representation in the reflection on values and beliefs . An engaging and clear creative representation of person-centredness within your practice and an application of the Synthesised Model of the Communication of Caring in Nursing Participation in online forum discussion . Relevance to practice ( /20) Analysis of how ordinary nursing practice that may be perceived as extraordinary. Evidence of how the creative representation will enable your future practice to be authentic to your values and belief . Answer: Reflection on Nursing Care Nursing is considered as a fusion of science and art wherein the theoretical framework is formed by caring. Caring and nursing are based on a relational understanding, connection and unity between the patient and the nurse. The art of caring in nursing is based on the metaphysical and empirical knowledge that forms the science of nursing (Robinson 2014). The personal values and beliefs on caring as a nurse include human dignity, justice, privacy and human relationship. These values and belief form the spiritual and humanistic approach to the art of caring in the nursing profession (Boyd 2013). Justified intentional care, competence and compassion forms the core of caring and nurses are expected to develop these qualities while being in their profession (Robinson 2014). This assignment is a critical reflection of the personal values and beliefs on caring as a nurse of a situation that was based on a geriatric care ward for a patient with dementia, following Bortons developmental frame work. I am a registered nurse working in the medical ward of a multispecialty hospital and this reflection is about an incident where I perceived an ordinary practice of nursing as extraordinary. This reflective incident is about a 70 years old patient named Harry suffering from dementia and started at 7:30 am when my shift starts. It is common for the elderly to develop diseases like dementia and Alzheimers disease with the increase in life expectancy (Fong et al. 2015). Dementia is a condition where the mental ability gets declined and interferes with the activities of daily life like communicating, thinking and memory. This patient was aged and was suffering from a long time without much improvement in his condition and I was involved in his nursing care. From this situation, I was providing the essentials of nursing care for an elderly patient with dementia as the process was challenging and it is quite difficult to manage the patients without having an appropriate understanding of the disease process (Peters, Villeneuve and Belleville 2014). I made active participation in the caring process by providing a safe environment for the patient and it was very much important to treat them with respect and maintain their dignity (Baborie et al. 2012). Person centered care was adopted for providing care to the patient as it is beneficial for the patients of dementia since they are considered as individuals rather than focusing on their disabilities and illness. It helps to treat the patients with respect and dignity (Brooker and Latham 2015). Harry was happy on my arrival and when I approached him for a bath, he became forgetful and confused and it is necessary for the nurses to supervise the patients of dementia during the process. Although the process went smooth, it got derailed at the end when he was asked to leave the bath as he started shouting with swearing and personal insults as he did not want to get out. From the incident, I developed mixed feelings as I belie ved that a previously happy patient turned agitated and distressed due to my actions and this evoked a feeling of guilt that made me upset. Although I was aware that mood swings are a part of dementia, however, considering his condition of ill health made me sad. However, I was happy that I eased the situation and was able to calm him down. This entire situation was ordinary from the perspectives of a registered nurse as they are used to the aggression of the patients of dementia, however, my perception and learning from the incident made it extraordinary for me. When Harry was informed about the changes in his behavior after he was pacified and how I handled the situation, he perceived the situation as extraordinary as well. Although it was my duty to handle such situations with care and kindness, he was surprised how someone can be kind when the patient is going rough and abusive. This was the perception of Harry of my patient centered care for his dementia and he perceived my ord inary nursing care as extraordinary. The outcome of this perception was beneficial for the treatment as he co-operated with me in his other care processes. During my process of pacifying Harry, I had a number of things going on in my mind. I was trying to apply the knowledge and theory of nursing care to get over this embarrassing situation created by Harry during his bath. His reactions were based on the thought that he will be allowed to do whatever he wish without any restriction and my actions were based on the scientific and ethical grounds of nursing care. On stopping him, he outburst with anger and this somewhat frightened and shocked me. However, the reaction was handled with care and I was there with him to calm him down as it was my professional and ethical obligation not to abandon the patient during the process of nursing care (van der Steen et al. 2013). According to the person-centered nursing framework, I was expected to provide holistic care and engagement to the patient and this was the reason I could not leave the patient on his time of discomfort. I was aware of the knowledge of the nursing care for the patient with d ementia and in such cases of patient anger, the most effective way to handle the situation is redirection of the topic in a firm and calm manner (Borson et al. 2013). This will ensure patient safety and reduce his confusion of expression of thoughts and following instructions. However, distracting his attention towards some other direction with the help of playful activities could have served the purpose effectively and made the situation better (Baborie et al. 2012). From the situation, I understood that even trivial events could bring about sudden changes in the mood of the patient with dementia that can even lead to aggression that has to be handled with appropriate patience and care, without leaving the patient. The broader issue that needs to be considered in this incident to make it successful is based on the critical analysis of why and where it went wrong that caused Harry to get angry Patients with dementia needs to be communicated in a way that makes them comfortable, based on the principles of person centered care of nursing (Borson et al. 2013). During his bathing process, if I communicated with Harry with small talks to distract him, the embarrassment could have been avoided (Catic et al. 2014). The consequence of this action could have made him feel ease with the situation and he could have avoided the verbal aggression (van der Steen et al. 2013). From this incident, I learned this skill which I will implement in my future cases of nursing care for the patients with dementia. I also realized that the curricula of the nursing schools should expand to include the courses on gerontology and geriatrics for providing specialized training for preparing the future nurses to provide optim al care to the patients with dementia and avoid such embarrassing situation to confuse and aggravate the patients. By reflecting on this incident, I have identified the gaps that I had in my knowledge regarding the nursing care of the patients with dementia that I bridged as the treatment progressed. Using Bortons developmental framework through action and reflection enabled me to develop the knowledge that is required in the practice of nursing (Rolfe, Freshwater and Jasper 2001). Action and reflection as the core values enabled me as a nurse to work with the patients suffering from mental health and support their families by enabling mutual learning and co-production of the knowledge (Rolfe, Freshwater and Jasper 2001). In this reflection, I used the framework of my theoretical knowledge and practical experiences to get over the problematic situation and established a dynamic theory of nursing practice. References Baborie, A., Griffiths, T.D., Jaros, E., Momeni, P., McKeith, I.G., Burn, D.J., Keir, G., Larner, A.J., Mann, D.M. and Perry, R., 2012. Frontotemporal dementia in elderly individuals.Archives of neurology,69(8), pp.1052-1060. Borson, S., Frank, L., Bayley, P.J., Boustani, M., Dean, M., Lin, P.J., McCarten, J.R., Morris, J.C., Salmon, D.P., Schmitt, F.A. and Stefanacci, R.G., 2013. Improving dementia care: the role of screening and detection of cognitive impairment.Alzheimer's Dementia,9(2), pp.151-159. Boyd, M.D., 2013. The Art of Nursing: Preserving History. Brooker, D. and Latham, I., 2015.Person-Centred Dementia Care: Making Services Better with the VIPS Framework. Jessica Kingsley Publishers. Catic, A.G., Mattison, M.L., Bakaev, I., Morgan, M., Monti, S.M. and Lipsitz, L., 2014. ECHO-AGE: An innovative model of geriatric care for long-term care residents with dementia and behavioral issues.Journal of the American Medical Directors Association,15(12), pp.938-942. Fong, T.G., Davis, D., Growdon, M.E., Albuquerque, A. and Inouye, S.K., 2015. The interface between delirium and dementia in elderly adults.The Lancet Neurology,14(8), pp.823-832. Peters, F., Villeneuve, S. and Belleville, S., 2014. Predicting progression to dementia in elderly subjects with mild cognitive impairment using both cognitive and neuroimaging predictors.Journal of Alzheimer's Disease,38(2), pp.307-318. Robinson, S.G., 2014. True presence: Practicing the art of nursing.Nursing2015,44(4), pp.44-45. Rolfe, G., Freshwater, D. and Jasper, M., 2001.Critical reflection for nursing and the helping professions: A user's guide. Basingstoke: Palgrave. van der Steen, J.T., Radbruch, L., Hertogh, C.M., de Boer, M.E., Hughes, J.C., Larkin, P., Francke, A.L., Jnger, S., Gove, D., Firth, P. and Koopmans, R.T., 2013. White paper defining optimal palliative care in older people with dementia: a Delphi study and recommendations from the European Association for Palliative Care.Palliative medicine, p.0269216313493685.