Essay on reality Essay Example for Free

Essay on reality Essay Recently I attended a comedy festival and chose to go see one of the comedians shows with a friend of mine. This specific comedian had based his jokes around making fun of different people in certain countries. I had found the entire show completely amusing- it was very entertaining. However, when I questioned my friend about how she found it she was absolutely bewildered. She had found the jokes very offensive and humiliating towards the people of the ethnic groups that were mocked. It was a surprise to me that her perception of the show was entirely different from mine. The same event we had both experienced had seemed to produce different reactions. The situation made me realise that the window through which we perceive reality cannot be objectively verified due to the subjectivity of a persons feelings, thoughts or memories. After youve heard two eyewitness accounts of an auto accident, you begin to worry about history, was written by an unknown author. Hence the perception of reality can be seen through many windows. This circumstance made me question the validity of an objective reality in any situation and to what degree can certain factors influence the way we perceive reality. Variations in the perception of reality can indeed be affected by the age and what has been experienced by the individual during their maturation process. Overtime one persons perception of reality changes in that their initial knowledge of reality is entirety different from the reality they may perceive years later. The difference between the perceptions of reality of a forty year old adult to a ten year old child will vary greatly. A child has not yet been subjected to or experienced any major events; so their view on reality has not yet properly matured. As an individual matures, it is evident that they have encountered diverse situations that influence the way which they recognise reality. The perception of reality of a young child is still one of perplexity which is also experienced by the young Robert whose views on the world around him are not quite developed as is apparent in the memoir, The Shark Net. Roberts perception at the time of arrival into Perth was of complete awe and excitement, Everything I saw was the great unknown, whereas Dorothys perception was, it might as well be Africa. So you see, the perception of adventure of a young boy differs significantly to that of the perception of fear and insecurity of an isolated and foreign region of an adult. Hence reality can be seen through a series of lenses. The process of growing up in a certain environment involves the introduction of moral values whereby ones view on reality begins to form. By living in that area you grow up with views and values that are first instilled into you by your parents but then later on you are open to a wide range of views you can apply to any person, place or event. As can be seen the novel To Kill a Mockingbird, the young character Scout is growing up in an environment where her father, a lawyer, is defending a black man. Therefore, the character is being subjected to certain views and values that will later influence the way in which she perceives reality. Also, Roberts environment comprised of Saturday movies, bumpers, sparrows, moral agents and boiling brains and this was all part of his reality. Indeed, these themes formed the basis of Roberts reality. So it can be inferred that peoples personal feelings and thoughts that they have accumulated in their maturation process prevent the production of an objective reality; rather the creation of multiple realities to one situation. David G. Myers of Social Psychology once wrote There is an objective reality out there, but we view it through the spectacles of our beliefs, attitudes, and values. The environment you have been surrounded by, beliefs and moral values you have held all play a pivotal role and influence the way in which we perceive reality. The past of an individual and the memories experienced during their past plays a significant role in the way in which they perceive reality. Memories and experiences basically shape our understanding of what is important to us and what is not. Hence these are the formations of different perceptions. Roberts tunnelling craze was decided by Royce that the boys habit must have been picked up from parents and grandparents, who had experience as a bomber pilot and obviously felt no harm in the situation. On the other hand Dorothys reaction was distraught and angry. She couldnt believe mothers allowed their children to go to school barefoot, much less risk suffocation by burrowing underground. This indicates that these two perceptions of the reality of the situation are fuelled by the dissimilar experiences felt by both parents. Also, considering the latest tragic reality of the bushfires; a child who had lost their home and entire possessions would now hold a different perspective on reality due to their experiences and memories to that of a bystander to the horrific events. Indeed, ones own experience can affect the way in which they perceive a certain reality. It is shown that even the same event can have two conflicting realities perceived by two different people with various experiences. Though we may encounter the same event, person or place there are external and internal factors that can influence the manner in which we perceive a specific reality. The windows that allow sight into perception have numerous layers. It is impossible to view reality from an objective perspective due to the personal life we have created around us. From being a small child to an adult has shown to be a factor influencing the knowledge of reality. Therefore, along the path of our lives we are provided with certain views and values that contribute to our home and external environment and the experiences and memories we come across make a person perceive a situation in a different lens. As Bryan Singer once said, We dont live in a world of reality; we live in the word of how we perceive reality.

Is Psychology a Science? Theories and Research Methods

Is Psychology a Science? Theories and Research Methods Is psychology a science? Discuss with reference to scientific method and bias in psychological research. Psychology can be viewed in a variety of ways as accords to the many schools of thought that pertain to psychology. From its origins in philosophy, psychology has undergone a variety of classifications. The major scientific paradigms born from philosophical enquiry were the school of empiricism and the school of rationality. Essentially, these two approaches dictated the direction that psychology must take if it was to be regarded as scientific. One of the first schools of thought in psychology was heavily concerned with its reputation as a scientifically validity enquiry. This was to be known as the behavioural approach to psychology or the behavioural perspective. The behavioural perspective was devised by Watson who used observation to determine evidence. As a consequence of according to the governing principles of objective scientific research, Watson rejected the notion of any internal psychological mechanisms as he believed that this could not be quantifiably measured (Miell et al, 2002). All Watson was interested in was the observable external phenomena, which meant the analysis of behaviour. Consequently, Watson placed an emphasis on psychology as primarily a learning phenomenon. A fundamental distinction that occurs within behaviourism is within this role of learning. Essentially, two approaches formed called classical and operant conditioning. Research into classical conditioning was defined by physiologist Pavlov who was also concerned with scientific analysis. Pavlov observed that in relation to certain stimuli dog’s behaviour could be conditioned through association (Miell et al, 2002). Using a dogs’ biological respons e to hunger, Pavlov was ble to scientifically demonstrate that there was a basic relationship between an observable stimulus and the animals learned response. Whilst in operant conditioning, Skinner was able to ascertain that there was a pre-conceived notion in the environment that led the animal to learn through a process of trial and error, which led to observable schedules of behaviour (Skinner, 1946/1990). In both classical and operant conditioning we can see that learning is defined as a scientifically observable and so provable modification of behaviour caused by association and manipulation of the environment. However, this approach clearly lacks greater insight into the role of the mind, its cognitive processes and also suffers from being based upon animal and not human studies. The cognitive approach addresses the human capacity to categorise, generalise and conceptualise certain phenomena. Primarily concerned with the functioning of the mind itself it engaged in the scientific analysis notions such as memory, perception and categorisation (Miell et al, 2002). Unhappy at the flaws in behavioural psychology, cognitive psychologist Bruner, devised a test to see how we mentally constructed categories. Unlike the objective approach of conditioning, Bruner suggested that this was an engaging intelligent procedure that was performed by way of hypothesis testing stages of acceptance and rejection based upon trial (Bruner et al, 1956). To be valued as scientific, a test involving a variety of shapes were used in a variety of conditions. Some of these conditions shared the same number of shapes, some the same colour of shape, whilst others shared the same number of borders. No two varieties were identical. From the results of this experiment, Bruner was able to sur mise that there were tw forms of cognition that had been present. Successive scanning, which tested one hypothesis at a time and conservative scanning, which sought to eliminate classes of hypotheses (Bruner et al, 1956). Unlike the behavioural approach, we can see from the findings and classifications of these studies that an attempt is being made to understand the intelligent human mind with regards to categorisation. However, categorisation is not accepted by everyone in the field of science and its objective validity does suffer from critical enquiry. For instance, addressing the empiricism versus rationalism argument, many have argued that the categories in the study are innate rather than learned (Chomsky Fodor, 1980). This strengthens the behavioural notion that the conceptual structure of the mind is open to interpretation, and so cannot be considered an entirely scientific approach to psychology. Another school of thought within psychology is that concerned with the social aspect. This is primarily interested in the role that social influence has on our behaviour. For instance, in the findings of a test put forward by Sherif, we can see the extent to which people will use the word of others and the resource of group norms to ascertain a truth about something. This is an important concept with regards to the influence of social norms as we can observe that our psychology is influenced by our conformity to social norms (Sherif, 1936). Similarly, a test devised by Asch revealed that conformity of an individual to a norm was indicative of individual identity (Asch, 1956). Similarly, research by Baron indicated that through a lack of responsibility that an individual felt to correct and deviate from a social norm an account could be made to configure their potential to conformity (Baron et al, 1956). Essentially, these tests revealed that the role of responsibility was based upon conscriptions o social norms, attitudes, beliefs and ideologies. However, these findings suffer from being based upon social norms and cultural constructs such as identities and beliefs and so cannot be considered universal, objective principles that would accord to the main scientific schools such as physics and chemistry. Another key school of thought is psycho-analysis and developmental psychology. Stemmed from Freudian theory, psycho-analysis and developmental psychology is concerned with the development of the subject’s personality in relation to underlying motives and mainly sexually based desires and conflicts (Freud, 1917/1973). Using a notion of base primordial drives, Freud put forward various schemas of development that dictated our personality and variations in our behaviours, such as conforming to social norms. The agents at work within these drives and the accompanying stages of development were commonly referred to as defence mechanisms. Defence mechanisms were put forward as being ways in which the subject could cope with the real and disturbing psychological issues that they had to face throughout life, such as anxiety and confusion. These mechanisms consisted of such concepts as denial, projection and regression and are commonly established psychological phenomena that infor the core rationale of developmental and psycho-dynamic paradigms (Freud, 1917/1973). Although these factors are well established concepts within mainstream psychology, they still depend upon a structural paradigm to be understood. Much criticism has come in the form of humanistic approaches who have suggested that these models of development are dependent upon the objectifying of the subject and that this approach is a convenient theoretical model rather than being scientifically accurate. Another school of thought is one that actually rejects objective science at its core. The phenomenological approach to psychological study is primarily based upon perception and subjectivity. Formed as a way of countering the empirical approach to psychology that had led to the field of cognitive psychology, phenomenological psychology suggested that knowledge was learned entirely from the external environment via lessons that were encapsulated in our experience (Merleau-Ponty, 1964). Detaching from the scientific notion of tabula rasa, which had dominated the opposing stance to the rationality of science, Merleau-Ponty looked at the notion of perception and in particular how it was informed by phenomena, rather than through observation of objects taken from their natural environment. Fundamental to this approach is the notion that everything we experience accords to the phenomena in which it is presented, and so objective science cannot tell us about our psychological experience. Th is approach most ertainly rejects psychology, as well as many other enquiries, as a scientific pursuit. We can see from these schools of thought that to call psychology a pursuit of objective scientific fact is flawed. However, we can also see that there is a strong emphasis in each case placed upon validity. Even the rejection of objectively defined scientific principles shown by the phenomenological approach gives indication that validity and limitation of enquiry are paramount, which is surely the premise of scientific analysis. Bibliography Asch, S, E., (1956) Studies of independence and conformity. Psychology Monologues, 70. Baron, R, S., Vandello, J, A., Brunsman, B. (1996) The Forgotten Variable in Conformity Research. Journal of Personality and Social Psychology. 70. Bruner, J, S., Goodnow, J, J., and Austin, G, A., (1956) A Study of Thinking New York: John Wiley and Sons. Chomsky, N., and Fodor, J, A., (1980) Statement of the Paradox, in Piatelli Palmarini, M. (ed.). Freud, S., (1917/1973) Introductory lecture on Psychoanalysis. Harmondsworth; Penguin. Merleau-Ponty (1964) The Primacy of Perception London: Routledge Miell, D., Phoenix, A. and Thomas, K. (2002) Mapping Psychology 1. Milton Keynes, Open University. Sherif, M., (1936) The Psychology of Social Norms. New Yoprk: Harper. Skinner, B, F., (1946/1990) Walden Two London: Collier Macmillan. Cell membrane: Structure and purpose Cell membrane: Structure and purpose BIOPHYSICAL CHEMISTRY ESSAY: CELL MEMBRANE STRUCTURE AND PURPOSE Introduction Cell membrane is a biological barrier that separates the interior part of the cell (i.e. the Cytoplasm, nuclei and the other cell organelle) from the outer environment, thus permits cellular individuality and also gives shape to the cell. This membrane is a mixture of lipids, protein and carbohydrates, therefore is a complex structure. The membrane is semi-permeable and thus only allows selective ions and molecules to go through it into the cell or leave the cell. This is achieved by formation of concentration gradient across the membrane, which many biological processes depend upon. The movement of the biological molecules across the membrane is either passive, which happens without the input of cellular energy or active transport that requires the cell to use energy. The cell membrane also helps in maintaining cell potential. Proteins of the cell membrane form the essential component of the biological membrane since they function as pores, channels or transporters. Proteins thus have the capability of selective passage across the lipid bilayer. Some proteins that are embedded in the cell membrane act as molecular signals and therefore carry out communication. They act as receptors and receive signals from other cells or from the external environment and elicit a response in the cell. Some proteins function as markers which aid in identification of unknown cells. The membrane also aids in intercellular interactions. The lipid bilayer of the cell membrane is only a few nanometres thick and is not permeable to most molecules that are soluble in water, and hence acts as a barrier to regulate the transport of ions, proteins and other molecules through the membrane. Since the phospholipid bilayer is not permeable to many ions, it helps in the regulation of salt concentration and pH by regulating the pumping of ions in and out of the cell via proteins called ion channel pumps. The Fluid mosaic model is the most widely accepted biological membrane model that was proposed in the year 1972 by Singer and Nicolson. Floating in the phospholipid bilayer are molecules of protein, which is analogous to icebergs floating in a sea. The model is referred to as fluid because of the lateral motion of the bilayer macromolecules, and is referred to as mosaic because of the different molecular components [1][2][3][4]. Purpose of cell membrane Cell membrane performs the following functions: Membrane Transport of Small Molecules: Transport proteins present in the bilayer can transport polar molecules through the membrane. There are various types of membrane transport proteins: Uniport This simply moves the solute from one side to the other side of the membrane. Cotransport This system moves two solutes simultaneously across the lipid bilayer. They are two types of this transport-symport (solutes are sent in the same direction) and antiport (solutes are passed in opposite directions). These transports are come under the category of passive transport where no energy expenditure is involved. Here the solute moves from a higher concentration to a lower concentration gradient. Examples of this include channel proteins, which allow the solute to pass if they are of a specific charge or size. Carrier proteins bind to the solute and help in its movement through the bilayer.[5] There are two main categories of transport of molecules are there in cells: Active transport Passive transport Small molecules like oxygen, ethanol and carbon dioxide pass through the membrane by simple diffusion (passive transport) down a concentration gradient. Transport of macromolecules like proteins, polynucleotides and polysaccharides is done by active transport using ATP, against the concentration gradient. There are two types of active transport : 1) Exocytosis Process by which waste substances are removed from the cell by vesicle formation and expulsion [6]. 2) Endocytosis- The molecule causes the cell membrane to bulge inward, thus forming a vesicle. Phagocytosis is a type of endocytosis where the whole cell is engulfed. Pinocytosis is another type when the external fluid is engulfed. Receptor-mediated endocytosis occurs when the material to be transported binds to specific molecules in the membrane. Example: transport of insulin and cholesterol into animal cells [6]. Cell signalling across the membrane Transmembrane signalling occurs through the generation of a number of signals like cyclic nucleotides, calcium, phosphoinositides and diacylglycerol. Specific signals of neurotransmitters hormones and immunoglobulins bind to the specific receptors on the membrane, which are mostly integral membrane proteins. This is the Ca2+-phosphatidylinositol signalling pathway which plays a major role in transmembrane signalling in a large number of different cell types. This pathway leads to the activation of G-proteins. This initiates activation of phospholipase C and the subsequent formation of DAG and IP3 which triggers the generation of repetitive [Ca2+] spikes [7]. Intercellular intractions Gap junctions are structures that allow the small molecules that are up to ~ 1200 Da to be transported from one cells cytoplasm to the other. These structures contain proteins called connexins. Six connexins form a hemiconnexin and two hemiconnexins form a connexon. These connexions in the gap junction form cylindrical bridges through which substances are transported between cells [1][8]. The Fluid mosaic Model: This model is the widely accepted membrane model. The membrane has a biomolecular lipid bilayer layer. There are proteins that are inserted in it or bound to the surface. Integral membrane protein is the proteins that are embedded in the membrane they play a key role as transporters for various molecules that cannot enter through the cell membrane. The integral proteins have an extra-cellular domain and cytoplasmic domain and are separated by a non-polar region that holds it tightly in the membrane. Proteins that are loosely bound to the to the outer membrane are called the peripheral proteins. Many of the proteins that are present and almost all the glycolipids have an externally oligosaccharides chains that are exposed outside the membrane [1][9]. The membrane fluidity very much depends on the lipids concentration in the membrane. The hydrophobic chains of the fatty acids are much aligned therefore giving it a stiff structure. The transition(Tm) is the temperature at which the transition takes place from ordered to disordered state, this is the change that happens in the hydrophobic side chain. Cholesterol affects the fluidity of the membrane. It increases fluidity below Tm and decreases fluidity above Tm. Modifications to the fluid mosaic model state that the lipids and proteins in the membrane are not randomly distributed. Randomness occurs when interaction energy of these molecules are close to their thermal energies. Since interaction energies cannot be in a narrow range due to large number of interactions, there is very less chance for randomness to occur. Hence the model was found to be more mosaic than fluid [10]. The modified view of membrane model is shown in figure 7[10]. Specialised structures in the membrane: There are some special features in the membrane like lipid rafts, caveolae, tight junction, desmososmes, adherens junctions and microvilli. These are found in the recent years of research. Lipids Raft is the area in the membrane that has relatively higher concentration of cholesterol, sphingo-lipids and some proteins, than the other parts of the membrane. It plays a major role in cell signal transduction. This is under research that if we increase the amount of this and clustering them closely may increase the overall efficiency of the cell. Caveolae are special types of lipid rafts. Many of them have protein called caveolin-1 that is involved in the process. They were observed under electron microscope and were found to be flask-shaped. Proteins that are detected in this also play a role in signal transduction, example is insulin. Proteins found in this also play in role in folate receptor. This field is a growing interest for research. Tight Junctions are present on the surface of the membrane and their major function is to prevent diffusion of macromolecules between cells. They are present below the apical surface of the epithelial cells. They are made up of various proteins including occludin, various claudins and junctional adhesion molecules [1]. Desmosomes also called macula adherens are the specialised cell structures for cell to cell adhesion. Their function is to resist shearing force. They are mostly found in simple and stratified squamous epithelium [11]. Adherens junctions are the proteins that usually occur at cell- cell junction .They are made up of proteins like cadherins, ÃŽÂ ²-catenin, ÃŽÂ ±-catenin and sometimes delta catenin. Their function is to provide strong adhesion between adjacent cells. They hold the cardiac muscle cells firmly together as the heart beats and do not allow it to collapse [12]. Microvilli are very small finger like structures found on the cell membrane. They are mainly found on the epithelial cells, they increase the surface area of the cells therefore increasing the absorptive capacity of the cells. Actin filament extends from the end of these microvilli [13]. Components of cell membrane Cell membrane is a complex structure and is composed of proteins, carbohydrates and lipids. Different cell membranes have different compositions. Lipids Phospholipids: There are two major class of phospholipids out of which in the cell membrane the phosphoglycerides are the most commonly found ones. Phospholglycerides are esters that are made up of two fatty acids, phosphoric acid and a trifunctional alcohol. Phosphoglycerides with sphingomyelin have Sphingosine backbone instead of glycerol. They play a role in signal transduction. They are prominent in myelin sheaths [1]. Glycosphingolipids: These are sugar containing lipids that are present in the membrane. They have a backbone made of ceramides. These are amphipathic molecules consisting of a ceramide lipid anchor linked to an oligosaccharide chain of variable length and composition [1]. They are required for proper functioning of nervous system. Determining their function will help to understand neurodegenerative disorders, cancer, immune function and diseases of metabolism [14]. STEROLS The most import sterol in the membrane is cholesterol. Proteins in cell membrane Integral membrane proteins: also called intrinsic proteins t has its some part of the protein embedded in the phospholipid bilayer. Most of these proteins have hydrophobic side chains that interact with membrane phospholipids fatty acyl groups. They are called transmembrane proteins if they one or more membrane spanning domains. The transmembrane proteins of the membrane spanning domains are made up of ÃŽÂ ± helices or multiple ÃŽÂ ² strands [8]. These proteins are made up of two hydrophilic and one hydrobhobic region. The hydrophobic region traverses through the bilayer. They are asymmetric in nature. The transmembrane region of many integral membrane proteins is made up of a bundle of hydrophobic ÃŽÂ ±-helices [7]. Their major role is as transporters, and are also structural membrane-anchoring domains. They function by transporting hydrophilic molecules through the membrane. Many Integral Proteins Contain Multiple Transmembrane ÃŽÂ ± lpha Helices [8]. Examples: Insulin receptor, Glycophorin, Rhodopsin, CD36 and GPR30. Peripheral membrane proteins: They are also called as extrinsic proteins; they do not interact with hydrophobic core of the membrane phospholipid bilayer. They are bound to the membrane by interaction with the intergral proteins or are bound to the bilayer outer lipids polar heads groups. They are only present in the cytosolic region of the cell membrane. They play an important role in signal transduction. Some peripheral proteins are localized to the surface of the plasma membrane, these are called exoplasmic proteins. Peripheral enzymes are involved in the synthesis of different membrane components like lipids , cell wall oligosaccharides , or proteins. Membrane peripheral proteins are of five types: Structural proteins, channel proteins, transport or carrier proteins, enzymes and receptor proteins. Carbohydrates: Carbohydrates are attached to membrane lipids and proteins as short oligosaccharide chains. Proteins attached with sugar molecules are called glycoproteins and lipids attached with sugar molecules are called glycolipids. The carbohydrates form a protective coat called glycocalyx around the cell, which helps in cell recognition. Glycoprotein Glycoproteins are formed by glycosylation of proteins. There are two types: N-glycosylation (sugar links to nitrogen atom of asparagines residue) and O-glycosylation (sugar attaches to hydroxyl group of serine or threonine rsidues). Examples of glycoproteins found in the body are mucins, collagens, transferrins, immunogloulins, etc. Glycolipids Glycolipids are lipids linked to oligosaccharide chains. Examples include glycosphingolipids which contain a hydrophobic ceramide, N-acylsphingosine and saccharides. They are generally located on the outer membrane surface. The composition of the carbohydrate chain depends on the type of the cell and development of the organism.[9] Refrences: [1] Harper [2] http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/C/CellMembranes.html [3] http://www.emc.maricopa.edu/faculty/farabee/biobk/BioBookCELL2.html [4] http://www2.estrellamountain.edu/faculty/farabee/biobk/biobooktransp.html [5] http://library.thinkquest.org/C004535/cell_membranes.html [6] http://library.thinkquest.org/C004535/molecule_transport.html [7] Chay, Lee, Fan, 1995 Appearance of Phase-locked Wenchbach-like Rhythms, Devils Staircase and Universality in Intracellular Calcium Spikes in Non-excitable Cell Models [9] The Fluid Mosaic Model of the Structure of Cell Membranes Cell membranes are viewed as two-dimensional solutions of oriented globular proteins and lipids. S. J. Singer and Garth L. Nicolson [10] http://www.cytochemistry.net/cell-biology/membrane3.htm [11] http://en.wikipedia.org/wiki/Desmosome [12] http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/J/Junctions.html [13] Krause J. William (July 2005). KrauseHYPERLINK http://books.google.com/books?id=cRayoldYrcUCpg=PA37HYPERLINK http://books.google.com/books?id=cRayoldYrcUCpg=PA37s Essential Human Histology for Medical Students. Universal-Publishers. pp. 37-. ISBN 9781581124682. Retrieved 25 November 2010. [14] ] Glycosphingolipid functions: insights from engineered mouse models, doi: 10.1098/rstb.2003.1268 Phil. Trans. R. Soc. Lond. B 2003 358, 879-883 [15] [16] Endosytosis image: http://php.med.unsw.edu.au/cellbiology/index.php?title=2009_Lecture_6 excoystoisis http://cellbiology.med.unsw.edu.au/units/science/lecture0805.htm figure 1 Gap junction pic: http://www.cytochemistry.net/cell-biology/membrane3.htm cell membrane pic http://www.microscopy.fsu.edu/cells/plasmamembrane/plasmamembrane.html

How Standard English Differs From Malaysian English English Language Essay

How Standard English Differs From Malaysian English English Language Essay Communication is one of the most important aspects in our everyday activity. In fact, most of the activities we do are directly or indirectly related to communication. More than 300 million people in the world speak English and the rest sometimes seem to or are trying to. At the same time, English is spoken in many different varieties in dependence to the country, as what it is known throughout as the World Englishes. The British introduced English to Malaysia more than two centuries ago. It became the most important language for generations and it is often associated with power and prestige. However, in post-British era, when Malaysia became independent in 1957, English was made the second language in conjunction with the promotion of Bahasa Malaysia as the national language. Then, in the 1990s, spurred by the governments objective to push the nation into globalization, the importance of English increased. Today, Malaysians speak Standard English and Malaysian English. But here what is actually meant by Standard English and Malaysian English and how exactly it differs? What actually counts the Standard English will depend on both the locality and the particular varieties that Standard English is being contrasted with.  As a whole, Standard English is also known as Standard Written English or SWE, is the form of English most widely accepted as being clear and proper. It is regarded as the most appropriate and most commonly used form of English around the world and is acknowledged as the model of speech and writing of educated speakers. While on the other hand, Manglish is a Malaysian speaking style, just like the Singaporean English, Singlish. This is a distorted use of English that is mainly spoken between the locals and sometimes is also referred to as a rojak language. So, how is Standard English differs from Malaysian English? In Malaysia, we regard Malaysian English as bahasa rojak. (Johnleemk, 8 Mac 2007). Rojak is a malay word, loosely translated actually means a mixture of. Same goes to in Malaysian context. We regard our English as rojak English. Malaysians, are very lucky to have many different races speaking many different languages and still staying together peacefully under one nation. The variety known as Malaysian English has, among various factors, the local languages as one of the ingredients that colour this variety. These local languages mentioned being basically Malay, Chinese and Tamil. Such indigenized varieties are most often used in an informal communicative variety. This means  using  the English language with a mixture of the Malay words, Chinese dialects and Tamil. For example, in an informal communication, people more often than not used the word lah , aaah and aiyoo. Lah is used to emphasise, Aaah is usually followed by a question mark and Aiyoo is often accompanied by the excl aimation mark. For example, Aiyoo, why you so late one huh? and faster lah. This kind of Manglish spoken sentences are only understood by Malaysians and not tourists. Recently, I read an article where, an English spoken tourist who came to Malaysia commented on the Malaysian English. It sounds curiously like English, but I couldnt understand what was being said. How is the tourist going to understand if the English is spoken in this manner, My car, 4 months never pay. The finance people are going to pull already. Myself, where got money. Aiyoo! Die lah like that. This actually means I have not paid up my car installments in 4 months. The finance company is going to reposess it soon. I dont have the money. Argh! Im done for. The main point on how Malaysian English differs from Standard English is the words spoken which are used in the speaking of English language. In Standard English we use words which can be understood by everyone whereby in Malaysian English, we mix all the languag e into English whereby only Malaysians can understand the whole meaning of the sentence. Besides that, Standard English differs from Malaysian English in terms of pronunciations of words. As I have explained in the above context, Malaysia is a well diverse country with the Malaysians speaking many different dialects. So, English is a second language in this country. If compared to the British, the one main language spoken there is English. Here, in Malaysia, the English spoken here is mixed with many different dialects spoken by the different ethnics in Malaysia. Thus, one thing we need to bear in mind here that most of the pronunciations mistake relates to mother tongue interference. For example, this piece is taken from the Start Online, There are many points in Hussainis article that I can comment on, but Ill just choose two examples he gave as wrong pronunciation of English words, head and said, which he claimed were mispronounced as had and sad.  The Longman Dictionary of Contemporary English  and other mainstream dictionaries give the pronunciation of the words as /hed/ and /sed/, using the International Phonetic Alphabet system and hence they would actually sound almost like had and sad but with shorter vowel sounds. Perhaps Hussaini thought head should sound like /heÄ ±t/ and said like /seÄ ±d/, which are actually Malaysian English pronunciation of the words. Some other words Malaysian pronounce differently are their (Malaysians read it as thee-ya but its actually is there) , Wednesday ( Malaysians pronounce it as wed-nes-day but its actually wenz-day), question ( Malaysians read as ques-tion but its actually ques-chen), procedure ( Malaysians pronounce it as prou-si-dear but it is pre-si-jer) and many other words. At the same time, In Malaysian English, the last syllable of a word is sometimes not pronounced with the strength that it would be in British English. So, here we can see Malaysian English differs in terms of pronunciation of words, whereby it is mostly affected by the interference of the different dialects in Mal aysia. Standard English also differs from Malaysian English in terms of grammar. There are many Manglish grammatical structures taken from Chinese dialects and many claim that the structure is also borrowed from the malay language. For example, the phrase Why you so like that one? in standard English it means Why are you behaving in that way. In Cantonese, a similar phrase would be rendered as Dà ­mgà ¡ai nà ©ih gà ¡m ge? or literally Why you like that? The one in the sample phrase does not literally mean the numeral one; instead it is used more as a suffix device. It is also sometimes rendered as wan.One other characteristic is  anastrophe  and omission of certain prepositions and articles. For example I havent seen you in a long time in standard English becomes Long time no see in Malaysian English. Not only are those, even to the certain extent the words used in Standard English and Malaysian English also different. With the variety of influences Malaysian English is gradually fo rming its own vocabulary. Typically, these words are based on other English words but most of the time the Malaysian speaker is unaware that these words are not the words from the standard use of English or even from British or American English. For example, one of the most used words in Malaysia is hand phone but it is actually a mobile phone or a cell phone. Malaysian use brinjal, but the right use of that vegetable is eggplant or Aubergine, the standard word for MC is actually sick note and gostan which is used in Malaysia is actually reverse or to go backwards in Standard English. Moreover, some of the same words found in Standard English and Malaysian English have different meaning. For example, bungalow. In Standard English it means a small house or cottage usually having a single storey and sometimes an additional attic story that is free standing, i.e. not conjoined with another unit. But in Malaysian English it means a mansion for the rich and/or famous; or a fully detached house, regardless of the number of floors it has. (absolute astronomy). Currently, many different English varieties, which are called World Englishes, are spoken all over the world. Malaysian English, one of the World Englishes, has an important role as an inter-ethnic lingua franca in the Malaysian community. Since language is closely related to identity, even if the Malaysian government carries on the language policy which ignores the relationship between language and identity, the policy will have little effect on Malaysian language use and attitudes. At the same time, I believe that it is not wrong using Malaysian English, we should always minimize the usage and avoid speaking Malaysian English in formal situation. On the other hand, standard English should always be uphold and given the highest priority as English is becoming the highest medium of communication everywhere around the world. Thus, the difference between Malaysian English and Standard English can be lessened if there is a commitment from every individual to improve the standard of Engl ish in Malaysia.

Platonic Paradox :: essays research papers

To research Plato's paradox in the Meno, we can first consult the definition of what platonism is. Websters defines platonism as "actual things are copies of transcendent ideas and that these ideas are the objects of true knowledge apprehended by reminiscence." For this essay, we will assume that trancendency is- "that which is beyond comprehension", and reminiscence as "past experience". The Meno is a dialogue between Socrates, a scholar and Meno, who eventually became an explorer. For this essay, however, we will assume that Meno is at the time of the dialogue, an upper-class citizen of average to better than average intelligence and superior stubbornness. The piece, according to the translation by G.M.A. Grube is thought to have taken place in approximately 402 B.C. in Athens, Greece. Late in the text, a third character, Anytus, a politician, who would eventually be an accuser of Socrates, joins in the dialogue. In the text, Meno in trying to define virtue accidentally slips in to a paradox or contradictory statement, which Socrates immediately refutes. It is the purpose of this paper to recognize the paradox, examine how Socrates disproves the paradox through argument and evidence. Socrates also brings up a key distinction between true opinion and knowledge, relating to the paradox, which will too be examined. Socrates then gives basis for more argument regarding the paradox, and why he does this will also be examined. The initial argument takes place when Socrates challenges Meno to define virtue. Meno does not realize here what he has started. Meno has before inquired whether virtue is a quality that can be taught or if it is a natural trait, that men are born with. Socrates, in method true to form, twists the question and re-poses it to Meno to see if Meno can answer it all on his own. Meno lists what he thinks are virtuous qualities, and is content at that simple definition. Socrates then says: "I seem to be in luck, Meno, while I am looking for one virtue, I have found you to have a whole swarm of them."Meno's frustration begins to set in. He tries theatrical metaphor to define virtue, as well as relating to physical philosophy and philosophers such as Empedocles.Meno at this point gives up and hands the philosophy to Socrates. Socrates presents Meno with a paradox:"....He cannot search for what (a debater) knows- since he knows it, there is no need to search- nor for what he does not know, for he does not know what to look for.

Superficial Love in Shakespeares A Midsummer Nights Dream :: Midsummer Nights Dream Essays

Superficial Love in Shakespeare's A Midsummer Night's Dream In the first soliloquy of Shakespeare's A Midsummer Night's Dream, Helena talks primarily of a love that contains depth, a love that looks at who a person is, personality-wise, as opposed to nothing more than their appearance. Helena explains, "Love looks not with the eyes, but with the mind" (1.1.240). In the shallow culture in which Helena lives, and even in today's society, it is difficult for people to look beyond the outer shell and follow a deeper perception. The concept of the "perfect person" is constantly drilled into people's minds. In Helena's day, this was through expectations taught to children from their parents. Today, this type of expectation comes mostly from the media and entertainment industries. Helena describes love as the "admiring of his qualities" and as possessing the ability to "transpose to form and dignity" (1.1.238-240). Though this may not be a perfect definition, it is much closer to the Biblical definition as described in 1 Corinthians than most common definitions of Helena's day. Because of the strong influence of the shallow culture in which Helena lives, she, too, finds it difficult to keep society's pressure out of her definition of love. One of the first things she points out in her soliloquy is the fact that, "Through Athens I am thought as fair as she" (1.1.232). She then proceeds to explain how she wishes Demetrius would think she is as fair as Hermia. If Helena believes so strongly in love coming as a result of admiration of one's personality, one must question why she loves this man who focuses merely on the appearance of women and pays no regard for who they are as a person. Then, again, the number of men in her day who didn't found their love on such superficial characteristics was probably pretty low, if not zero. Either way, Helena's perception of love is not perfect, her thoughts are still influenced by the surrounding culture. Helena's interpretation of love, as a deep, powerful emotion is virtually unseen in the rest of the play. Rather, the opposite, superficial love, plagues most characters of the play. Theseus, Demetrius, and Lysander constantly offer comments about females. Rather than focusing on who these women are, these comments pertain to the appearance of the women.

Administer Medication to Individuals, and Monitor the Effects Essay

The Medicines Act 1968 This act is an Act of Parliament of the United Kingdom and it governs the manufacture and supply of medicine. This act outlines three categories of medicines: †¢Prescription of medicines (POM). These are only available from a pharmacist if they are prescribed by an appropriate doctor. †¢Pharmacy medicines (P). These are available from a pharmacist without a prescription. †¢General Sales List (GSL). These are medicines which can be bought from any shop without a prescription. The Medicines Act 1968 controls the supply of drugs it covers. It does not outline any offence of simple possession as it is only an offence if the drug is also controlled under the Misuse of Drugs Act 1971. The Misuse of Drugs Act 1971 and amendments 1985, 2001 The 1971 Act outlines those activities which are illegal in relation to the drugs it controls (this is why certain drugs are called controlled). Such activities include: †¢Possession of a controlled drug unlawfully †¢Possession of a controlled drug with the intention of supplying the drug to another person †¢Supplying or offering to supply a controlled drug (this includes giving, selling, sharing, bartering etc.) †¢Allowing premises you occupy or manage to be used for unlawfully for the purpose of producing supplying controlled drugs Health & Safety at Work Act 1974 The Act lays down general principles for the management of health and safety at work, enabling the creation of specific requirements through regulations enacted as Statutory Instruments or through codes of practice. The objectives of the act are securing the health, safety and welfare of persons at work, protecting persons, other than persons at work, against risks to health or safety arising out of or in connection with the activities of persons at work and controlling the keeping and use of explosive or highly flammable or otherwise dangerous substances, and generally preventing the unlawful acquisition, possession and use of such substances. Control of Substances Hazardous to Health Regulations (COSHH) COSHH is the law that states general requirements on employers to protect employees and other persons from the hazards of substances at work by risk assessment, control of exposure, health surveillance and incident planning. 2.1 Common Types of Medication and their Effects and Potential Side Effects Antacids Used to aid the digestion such as burning acids and sometimes flatulence Side Effects: Milk-alkali syndrome is one of the worst side effects of antacid overuse. The excess of calcium accumulates in the blood and can lead to kidney failure. Other side effects could include a chalky taste, mild constipation, increased thirst, speckling or whitish discoloration of stools, stomach cramps. Analgesics These are commonly used to relieve pain such as a headache. Side Effects: Common side effects include nausea, vomiting, drowsiness, dry mouth, urinary retention, constipation, miosis (contraction of the pupil) and orthostatic hypotension (blood pressure lowers upon sudden standing). Less common side effects include confusion, hallucination, delirium, hives, itch, hypothermia, bradycardia (slow heart rate), tachycardia (rapid heart rate), raised intracranial pressure, muscle rigidity and flushing. Anti-histamines These are used to stop the side effects of an allergy Side Effects: Sedating antihistamines could may you feel sleepy although this may improve after taking them for a few days. Non-sedating antihistamines rarely cause drowsiness. Less common side effects, mainly from sedating antihistamines, include headaches, difficultly in passing urine, blurred vision, feeling sick or vomiting, and dry mouth. Laxatives These are used to aid bowel movement when constipated Side Effects: Wind and bloating can be caused by bulk-forming laxatives. Stimulant laxatives can cause abdominal pain and if used for long periods of time can result in a weakened or ‘lazy’ bowel. Osmotic laxatives can cause abdominal pain, bloating and wind. Stool softener laxatives can cause abdominal cramps, nausea and a skin rash. Anticoagulants These are used to aid blood thinning Side Effects: The most common side effects are itching, rashes, easy bruising, increased bleeding from injuries and purplish spots on the skin. The purplish spots are caused by small amounts of bleeding under the skin and bleeding from wounds can be difficult to stop. 2.2 Medications which Demand the Measurement of Physiological Measurements Anti-hypertensives to treat high blood pressure Blood pressure is a physiological measurement and would need specific measurement for the prescribing of anti-hypertensives Insulin for diabetics Blood glucose needs to be tested to ensure the blood glucose is not too high or too low to determine how much insulin is needed. Warfarin (a blood thinning drug) Warfarin requires the blood be checked regularly to monitor how effective the drug is, i.e. is the blood becoming too ‘thin’, which could cause an internal bleed or if the Warfarin dose is not effective enough leaving the patient at risk of blood clots. 2.3 Common Adverse Reactions to Medication Adverse reactions to drugs are common and almost any drug can cause an adverse reaction. Mild adverse reactions include drowsiness, dry mouth, dizziness, skin rashes, constipation and diarrhoea. Sometimes, individuals starting treatment with new or unfamiliar drugs may experience a loss of appetite and weight. The individual’s doctor can be made aware of any mild adverse reactions. Serious adverse drug reactions can involve anything from bleeding ulcers to liver or kidney damage. Other more serious reactions include difficulty breathing, wheezing, fever and joint pain. With serious adverse reactions the individual’s doctor should be contacted. A serious drug reaction might produce anaphylactic shock which severely affects the body functions. Some of the most common symptoms include swelling of the eyes and lips and difficulty breathing, confusion and even fainting. In the case of anaphylactic shock emergency care must be sought immediately. 2.4 Different Routes of Medication Administration Epicutaneaous – this is application onto the skin and can be used for local effect for allergy testing or as a typical local anaesthesia. It can also be used as a systemic effect where the active substance is introduced to the body by spreading through the skin. Subcutaneous – this is where the medication is injected into the skin, .e.g. insulin for a diabetic. Nasal administration – this is where the route of administration is through the nose. Decongestant nasal sprays can be taken up along the respiratory tract through the nose or some substances can be inhaled e.g. inhalational anaesthetics. Intravenous – intravenous means ‘within a vein’. This is where medication or fluids are introduced to the body through a needle or tube inserted into a vein. Intramuscular – many vaccines, antibiotics and long-term psychoactive drugs are injection directly into a muscle. It is one of several alternative methods for the administration of medications Examples include Codeine, Morphine, Diazepam, Penicillin, Vitamin B12, Rabies and Influenza. Suppositories – A suppository is a drug delivery system that is inserted into the rectum (rectal suppository), vagina (vaginal suppository) or urethra (urethral suppository), where it dissolves or melts inside the body to deliver the medicine. They are used to deliver medications for local effect and systemic effect. The general principle is that the suppository is inserted as a solid, and will dissolve or melt inside the body to be received by the many blood vessels that follow the larger intestine. 3.1 Types, Purposes and Functions of Materials and Equipment needed for the Administration of Medication Medication administration charts – these need to be used when administering medication so you know who needs the medication, how much and when. The medication charts must be signed after administering medication and be kept safe and secure. Disposal bags – disposal bags are used to return any medication not used to the pharmacists. These should be clearly labelled. Drugs trolley – this is needed to store all medication and must have a lock on it for when it is not in use. It should be large enough to hold all medication securely and to organise medication as appropriate. Medication pots – these can be used to measure out medication in liquid form for the person to drink from. These can also be used to transfer medication in tablet from the blister pack to the person taking the medication. Spoons – these can be used to deliver liquid medication and to transfer tablets from the medication pots to the mouth so that your fingers do not touch the tablet. Water jugs and drinking glasses – it is always a good idea to have water jugs and drinking glasses with you so tablets can be swallowed with the water or for a drink after taking liquid medication to clear away the taste or texture of the medication. Bottles and packets – All medication needs to be enclosed in clearly labelled bottles or packets to keep it protected and to ensure medication is identifiable and ensuring the medication gets to the correct person. 3.2 Medication administration charts must have the full name, age and date of birth of the person receiving the medication so that you can ensure that you are administering to the correct person. They must also have the dosage required and name of medication so that you can compare this to the bottle or packet of medication to ensure you have the correct medication and dosage and that you administer this as required. The medication administration chart should have the date of issue and date of expiry of the medication so that no medication is administered after its expiry date as this could cause adverse effects. 4.2 It is important for medication to be administered at the correct times. You should always check the medication administration chart to see when the medication has to be administered through the day and when the medication was last administered. If you don’t’ leave enough time between doses this could result in an overdose and adverse reactions. If you have left too long a time between doses the medication may become less effective as it has had time to wear off. Medications must be given within half an hour of the time that is listed on the medication administration chart. This means that you have half an hour before the medication is due, and half an hour after it is due to administer the medication in order to be on time with medication administration. This does not apply to PRN medications. 5.3 If there were any immediate problems with administration of medication I would report the mistake or error to my Manager or Senior Team Leader straight away. The GP of the resident or pharmacy would be consulted and if they advised to call emergency services this would be done. The individual would be accompanied to hospital by a member of staff. An internal investigation would take place which may include the local council or health authority, or the health and safety executive and the appropriate actions would be put in place. 5.5 It is necessary to confirm that the individual actually takes the medication and does not pass the medication to others to ensure that the individual is taking the correct prescribed dose for the medication to work. The medication may be an essential drug to the individual’s health and if not taken could endanger their life, for example, medication for diabetes or heart medication. If the medication is passed on to another individual this could endanger their health as they could be allergic to the medication or if they end up taking a medication not prescribed for them, e.g. Digoxin, which lowers the heart rate, when not needed, this could endanger their life if they have other health problems which could be affected. Once the resident has taken the medication I must then sign the medication administration chart to confirm I have administered the medication and the resident has taken it. 5.7 As my place of work is a residential care home which offers personal care they are included in an exemption under the Controlled Waste Regulations 1992 and our waste, classed as ‘household’, is not subject to the Special Waste Regulations 1996. Whereas under the Controlled Waste Regulations 1992 clinical waste, excluding domestic properties, and clinical waste from care homes providing nursing care is classified as ‘industrial’ waste and is subject to the Special Waste Regulations 1996. The Special Waste Regulations 1996 classifies all prescription medication as special waste and must be handed over to a suitably authorised waste management facility and a retail pharmacy is not very likely to be authorised. As my place of work is not subject to the Special Waste Regulations 1996 we can return any out of date or part used medication to the pharmacy who arrange and deliver our medication to us. We can also return out of date or part used controlled drugs to the pharmacy. Any out of date and part used medications must be documented in medicines returns book. The returned drugs must be counted and itemised in the returns book. The pharmacist must sign the returns book when collecting the medications. When returning medication, the Boots returned medication book should be used as a receipt. When returning medication the ‘Returned’ section of the medication administration chart must be completed Administer medication to individuals, and monitor the effects Essay Outcome 1 Understand legislation, policy and procedures relevant to the administration of medication 1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001 Outcome 2 Know about common types of medication and their use 1. describe common types of medication including their effects and potential side effects Below are outlined 3 types of common medications. Analgesics: i.e. Codeine, used for pain relief, side effects can be light-headedness, dizziness, nausea, vomiting, shortness of breath, and sedation. Codeine can also cause allergic reactions, symptoms of which include constipation, abdominal pain, rash and itching. See more:  Manifest Destiny essay Antibiotics: i.e. Amoxicillin, a penicillin based antibiotic which fights bacteria in your body. It can only be taken if you are not allergic to Penicillin and do not have asthma, liver or kidney disease, or a history of diarrhoea caused by antibiotics. It is used to treat many different types of infections, such as ear infections, bladder infections, pneumonia, and salmonella however it can cause side effects including sores inside your mouth, fever, swollen glands, joint pain, muscle weakness, severe blistering, peeling, and red skin rash, yellowed skin, yellowing of the eyes, dark colored urine, confusion or weakness, easy bruising, and vaginal itching. Anti-hypertensive: i.e. Lisonopril used for lowering blood pressure, it is also effective in the treatment of congestive heart failure, and to improve survival after a heart attack. Not to be used by people with liver or kidney disease, diabetes, rheumatoid arthritis. Side effects can include feeling faint, restricted urination, stomach swelling, and flu like symptoms, heart palpitations, chest pains, skin rash, depressed mood, vomiting and diarrhoea. 2.2 Identify medication which demands the measurement of specific physiological measurements. Answer Drugs like insulin (blood has to be taken from a pinprick so that glucose can be measured before the insulin can be given); warfarin to thin the blood – again blood levels must be checked regularly; digoxin to slow and steady the heart (pulse should be checked prior to administration and advice taken if the pulse dips below 60 beats per minute) Administer medication to individuals, and monitor the effects Essay Outcome 1 Understand legislation, policy and procedures relevant to administration of medication. 1. The current legislation, guideline policies and protocols relevant to the administration of medication are. Medicines Act 1968 & amendments. Categorises how medicines are provided and sold. Misuse of Drugs act 1971 (Controlled Drugs) and amendments. Health and Safety at Work Act 1974. 5 elements of risk assessment. COSHH. Storage and who has access. Health and social Care Act 2008. Receipt, storage and administration. Access to Health Records Act 1990. Access to your own records. Data Protection Act 1998. Confidentiality. Hold relevant records for7 years. Hazardous Waste Regulations 2005. Sharps, controlled drugs, unused medication. Outcome 2 Know about common types of medication and their use 1. Describe common types of medication including their effects and potential side effects. Antibiotic – To treat infection. Can be specific or broad spectrum. Amoxicillin. Penicillin. Oxycycline. Trimethoprim. Common side effects rashes, headaches, anaphylactic shock, GID Gastro intestinal disturbance i.e. sickness. Analgesic – Pain relief: paracetamol Common side effects: long term side effects include liver damage. Anti-histamine – To treat allergies such as hay fever, reaction to insect bites. Piriton. Antacid – To combat excess acid. To calm stomach. Gaviscon. Rennies. Settlers. Peptobismol, omeprazole. Common side effects: GID, dry mouth, insomnia, drowsiness, rash Anti-coagulant – To thin blood and avoid unwanted clotting. Warfarin, Heparin. Common side effects: haemorrhage, hypersensitivity, rash, alopecia jaundice. Psychotropic medicine – To alter state of mind. Loperimide. Risperidone. Chlorpromazine. Common side effects: rashes, GID, paradoxal effects, extrapymidial side effects rolling of the tongue, drooping of the face, parkinson’s Symptom,  Laxative – To soften stool and encourage bowel movements. – Sennocot. Lactulose. Movacol. Common side effects: GID, a tonic bowel   Diuretic – To treat water retention and encourage urine flow through kidneys. Frusemide, Bendrofluazide. Common side effects: mild GID, hypotension, electrolyte Anticonvulsant- To control seizure activity for epilepsy. Sodium valproate, Diazepam. Midazolam. Common side effects wait gain and loss, abnormal sensation in limbs GID, rashes, dizziness, amnesia, and headache. Cytotoxic medicines – Cancer treatments. Chemotherapy. Highly toxic. Vincristin Common side effects: hair loss, constipation, low blood counts, abdominal cramps, weight loss, nausea and vomiting, loss of appetite 2. Insulin used in the treatment of Diabetes requires finger prick blood testi ng for sugar levels. Warfarin Used to thin blood or prevent unwanted clotting. Fluid Retention. Fluid output measurements. Blood pressure may need to be taken for certain medication that moderates BP or heart function. 3. Describe the common adverse reactions to medication, how each can be recognised and the appropriate actions required. Unexpected adverse reaction can potentially happen from any medication that an individual is taking. Someone can have an adverse reaction to penicillin i.e. anaphylactic shock, the signs for this can be the person has problems swallowing or the lips or face ballooning, a skin rash and the individual may also stop breathing, leading to total system collapse and if not treated with adrenalin death may occur. This is why it is important that all information about an individual’s medical records must be up to date and in their care plans, also in their MAR Chart. You don’t come cross anaphylactic shock often, but you still have to be aware. Other severe adverse reactions that could include a fever and skin blistering; these usually occur within an hour of the medications being administered. Sometimes adverse reactions can develop over a few weeks, they may cause damage to the kidneys or liver. If adverse reactions are not treated they could be fatal. When individuals experience adverse reactions to medicines my workplace policy is to inform the GP and explaining in detail the adverse reactions, the staff member will then inform the individual/ team. GP advise and guidance will then determine if the medication is to be stopped. If the reactions are so serious then an  ambulance should be called my responsibility is that I have duty to continue to observe the individual and monitor their vitals, speaking to them and looking at any changes, so as to ensure that the individual is not deteriorating. All adverse reactions and following advice given, must be recorded in full in the individual’s clinical note and refer enced in their daily report also MAR’s chart. 4. Outcome 3 Understand procedures and techniques for the administration of medication. 1. Explain the different types, purpose and function of both materials and equipment that may be needed for the administration of medication via different routes. Type; Syringe The purpose; To administer medication such as insulin into the blood stream. The function; Enables subcutaneous/ intermuscular administration in correct and measured dosage into the blood stream. Type; Spacer The purpose; To add to an inhaler The function; To enable correct dosage of inhaled medication when patient is not able to use the inhaler on its own Type; Medication pot The purpose; To contain medication when being dispensed with non-touch technique The function; To enable people to take medication cleanly and safely without contamination and in some cases to promote active participation and inclusion/independence 2. What information must be included on a prescription? Doctor’s name and signature Date of issue Patient’s name and address Patient’s date of birth Name and dosage of medication Quantity and form of medication. e.g. 30 tablets Strength of medication How many times a day Duration of treatment Method and route of administration Hospital number Outcome 4 Be able to prepare for the administration of medication 1.  wash your hands  gather your equipment required i.e. medication pots, spoons, water, gloves, mar sheets, aseptic wipes aseptic equipment if required   establish who the medication is for   ensure the environment is suitable for the safe administration of medication sharp box if required 2. Establish on the mar sheet that no medication has been given recently and that it is time to give medication as per mar sheet instructions. To ensure the spacing between medication is appropriate and as per guidance. Ensure dosage is spaced evenly as per therapeutic range and ensure therapeutic range is achieved. 3. Consent is through implied consent or objective consent and if consent is not achieved then it will have to go best interested decision. All s/u that I support will have a risk assessment in place that identifies individual’s capacity issues. Furthermore individual s/u have a PDP that specifies how an individual receives their medication. This will say the process if the s/u declines to receive their medication. If the s/u declines to take their medication then it is my responsibility to insure I have within the best of my abilities attempted to explain and divulge the information that is within the realms of the individuals understanding. This is to develop a knowledge and therefore capacity to make informed decisions. If unsuccessful then I’m to contact the GP to seek advice and refer for a best interest decision. Any issues around consent must be recorded and be communicated to the individuals who are significant in the administration of medication to that person. 4. Outcome 5 Be able to administer and monitor individual’s medication 5.3 I always pay attention to ensuring I maintain individuals’ dignity, choices and preferences. Sometimes individuals refuse their medication, this is  their right to as I cannot legally and according to our medication policy administer their medication without their consent. I listen to why they are refusing sometimes because they can’t understand why they need to have their medication, other times because they can’t swallow tablets. I explain what their medication is for and their eï ¬â‚¬ects and also give them information about how medication is available in liquid form which they would ï ¬ nd easier to swallow. If the client refuses their medication I have to record it on their MAR and in their support plan and client notes and get advice from the GP or 111 then inform my Manager. This may involve a medication review to see what else can be oï ¬â‚¬ered. Sometimes when individuals leave the home or stop taking their medication because it is not agreeing with them then the home is left with out-of-date and part-used medications. Under the care home standards, the hazardous waste regulations and the medication policy it is a requirement for all medications to be disposed of safely. At work we have a medication returns book where the medication that is to be disposed of is entered in here, then packaged up and placed in the medication cupboard securely until the pharmacy collect this this usually happens when the new medication is delivered these are signed for and recorded. 5.5 To make sure that the individual is taking their prescribed medication and that their condition does not deteriorate. It is our workplace policy to check that medication is taken by the individual. If the individual passes it to others, this could result in other individuals overdosing, taking medication that is not prescribed for them, and this can cause them to feel ill or can be fatal. If medications not taken and left out then others might misuse this too which is abuse and neglect. If I was working in mental health settings I would also be aware of Individuals distributing certain medication that has a value. 5.7How do you dispose of out of date or part used medication ensuring that you comply with legal and organisational requirements? All unused or out of date medication should be disposed of via the pharmacy, placed in clear individual bags clearly labelled with details of the medication, dose, name of s/u and stored in an appropriate manner i.e. locked box in a locked room. Record must be kept in the s/u notes and also a returns book. Records should  be signed by person initiating the disposal if these returns are collected, or by the person taking medication for disposal if taken to pharmacy. Records must be signed by the pharmacist or their representative on receipt of the medication. Medication should not be put down the toilet or drain or put into household waste.

Moped-Room 101

The irritating high pitched whining going on in the back of your ear, going back and forth like a mosquito that needs to be swatted. These are the crippling parasites of today’s modern transport system, loud, slow and pathetically small. These are the major corruptions in today’s youth, not drugs or alcohol, but mopeds, we get taught in school about what harm drugs and alcohol can do, but not mopeds, can a shot of vodka cause your brains to come out of your ears? The only people who really ride mopeds are ‘chavs’ because ‘chavs’ have no real conception of respect and self-humiliation.Mopeds are poorly designed; the majority of mopeds fail on style, speed, and respect. Mopeds should be replaced with motorcycles, motorcycles have brakes, they have proper engines, and most importantly, they have style, strength and agility. People who ride mopeds on roads, like children who ride bicycles on pavements, deserve to be run over, not for pure hatred, a lthough that subconsciously plays a part in it, but for fun, if they choose to use an incomplete motorcycle they should be duly punished.They are loud and inconvenient to other people, causing pain in the ears, and sound pollution. Don’t buy a moped when your 16, buy a bus pass, then stick with it until your 21, old enough to ride a proper motorcycle and not a hairdryer. Mopeds are insolent, toe dragging scooters, which derived from a bicycle rider who was too lazy to pedal, but not brave enough to go fast. Mopeds are normally defined by limits on engine displacement, speed, power output, or transmissions, or by a requirement for pedals.In some countries, the legal driving age for a moped is lower than for larger motorcycles, and consequently mopeds are popular among the youth. Typically, mopeds are restricted to 30–85 km/h (18–53 mph) and engine displacement less than 50 cc. Any modification to the engine size to make it larger will cause it to be classified as a motorcycle, which will then increase tax, and allow the user to be criminally charged for driving without a license.Ask yourself this, do you respect moped owners? The answer will most likely be no, unless you own one yourself. If you were to be confronted by both a motorcyclist and a ‘mopeder’ who would you listen to, and move out the way for, 99% of` the time it would be the motorcyclist, this very simple question depicts the realistic social hierarchy from riding a moped. Helmets were designed to prevent injuries to the head, however, statistics say that most high speed rashes consist of a rider fatality, this is often at a speed of over 50mph and hit by a car going over 50mph also, thus theoretically meaning the crash was at 100mph. But, unfortunately, even though this is a sad statistic, all moped fatalities happen at under 53mph, and in the UK, 30mph. most are actually below that, more around the 5mph figure, where they attempt to do stunts, and end up falling off and breaking their necks. The other minorities are from being hit by another vehicle.