Partnership in Health and Social Care: Rochdale Case Study

Partnership in Health and Social Care: Rochdale Case Study Introduction Partnership relationships in health and social care exist between service users and agencies like the social services, educational institutions, their families, occupational therapists, social workers, GPs and Nurses, teachers etc. Agencies in the health and social care system are also expected to work together for better outcomes for the service users they care for. If these relationships are organized effectively the outcomes for the service users is improved. I will use the Rochdale case study to examine the nature of the partnership relationships between the agencies involved in protecting the young girls. I am going to talk about The Rochdale child sexual exploitation case that happened around 2005 to 2013, in wish which a total of seven girls between the ages of 13 to 22 were sexually exploited. A total of 100 people were arrested and questioned by the police, but only ten men ware convicted for more than 25 years each. Regarding the Rochdale case there was a lot of people involved such as, the police, the sexual health workers, the children social services, Family members, and the specialist child sexual exploitation team. The Police They failed to properly investigate child sexual exploitation when it was first reported by not recognising the extent and gravity of crimes being committed against the children and the young adults. Many of the offences were first reported shortly after it happened 10 years previous to the convictions to the police, but they didnt have enough resources to look in to the claims and there werent enough officers and the ones that were there werent qualified to conduct a proper investigation. When the victims reported they didnt listen and one of the officers even called one of the victim a prostitute. Their role as the police is to protect the citizens, in my opinion they should have pushed more to try and find out what happened specially when it involves children, tried to persuade the victims that didnt want to cooperate and pursue all the allegations regarding the case. They should have had some kind of specialist in that field looking in to the cases. At least they recognised their mistake and in 2010 more resources were put in to investigating child sexual exploitation in Rochdale and the earlier reports from the victims were reinvestigated. Due to their investigation they were able to get justice for the victims by convicting those involved. The sexual workers The sexual workers reported the problem to the children service workers to be investigated but thats about the only thing they did, they should have followed up on the case to see if it was properly investigated and also kept a close eye on the children since they knew what was happening, I think the relationship between the sexual workers and the children social services were flawed as they did not follow through with what they were supposed to do which is doing their job properly. The Children Social Services Some of the victims spoke to the support workers on more than one occasion about being abused, even giving a detailed complaint to the detectives, but the report shows that the children social services failed to act and the abuse continued, the children social services investigated the reports but concluded that there were not enough evidence to keep investigating the case. The role of the children social service is to investigate any allegations made and suggest what would be the next step needed to solve the problem and to inform the policy to start an enquiry. Later on it was found out that due to cut cost and to create a diverse work force most of the social workers for the young victims with the children social services were unqualified for the job. This is another example of how two organizations have failed in doing their jobs by not focusing on the safeguarding of the victims. I guess one of the good things that the children social services did was to focus on the behaviour a nd the lifestyle expectations of the young people but that alone was not enough. Family members There was definitely a lack of communication between the family members, the children social services and the police, when the case was reported the only thing they told the family members is that their children is hanging out with the wrong crowd. What I found strange is that in most of the cases the family members didnt know what was happening with their children. It was irresponsible of the children social services to just rely on the words of the family members that they would protect their own children when they didnt even know what was going on with their children, the family didnt protect their children. The specialist child sexual exploitation team The child social services, the police, The National Society for the Prevention of Cruelty to Children (NSPCC) and other organizations came together to create the specialist child sexual exploitation teationm to with only one aim which was to investigate children exploitation. It was a great way to show a good relationship between the organizations. Although that was a good thing, due to lack of communication and not having their roles defined by the organization it fell apart and the specialist child sexual exploitation team sometimes didnt even have the basic understanding of child sexual exploitation. After talking about the Rochdale case we can see that the organizations are not always successful in protecting people, specially children and young adults from abuse which sometimes happen because of lack of communication, but in some cases when organizations come together and work together sharing information having everyone know what their role is in the organizations they are able to help and protect those who need it[DS1]. 3.1 Evaluate possible outcomes of partnership working for users of services, professionals and organisations. Introduction In the Health and Social care sector working together in partnership with organisations, the service users and professionals is a must in order to have a broader range and ways to help the children, young adults, adults and elderly. For this task I will be using the Rochdale and Thetford healthy town case as an example of positive and negative outcomes for working together in partnership in my evaluation of possible outcomes of collaborative for users, professionals and organisations relationship. The negative outcomes for the service users Using the Rochdale children exploitation case as an example of a failed partnership working it is obvious that service users experience poor outcomes from poor quality partnerships. I could see that that the system failed the service users; the victims were neglected and ended up being exploited. As they reported the abuse but didnt get any help in return and in some cases the victim were insulted by the police as they were not well equipped to deal with those kind of situations, and due to a lack of communication between the children social services and the police the victims were left to their own fate and disempowered to do anything about the abuse. This can reduce their self esteem as it can make them feel worthless. Poor partnerships can also lead to frustration, waste of time and redu.ced health and well being of service users The negative outcome for the Professionals Poor partnerships can result in lack of competence among professionals, duplication of their efforts, money and time wasting and professional rivalry among some professionals. In the Rochdale case study some of the professionals involved in the case such as the Children Social Service workers werent even qualified to be social workers which lead led to a poor management of the case. As the sexual health workers informed the children social services of the abuse and after investigating they concluded that there werent enough evidence to send an enquiry to the policy, in this case you can see that miscommunication and professional rivalry played a big role in what happened. as The sexual Health workers didnt follow up to see what happened with the investigation and the children social services didnt inform the police as they should have regarding the allegations made by the sexual workers. The children social services and the police didnt inform the family members of what was happening with the victims. Another case of lack of communication between the professionals and the victims was that time was wasted on people that were meant to support and protect them but at the end neglected them[DS2]. The negative outcome for the Organisation Organisations involved in poor partnerships are often faced with confusion, waste of financial resources and time leading to a loss of income or revenue. In the Rochdale case study, the organisations were having problems due to lack of communication between them, as their roles werent exactly clear, they didnt know what exactly they were supposed to be doing and they also lacked basic understanding of child sexual exploitation which could put in cause led to the breakdown of the specialist child sexual exploitation team, and a huge financial loss to the tax payer. Positive outcome for the Organisations Partnerships that are run well often result in positive outcomes for service users, organisations and professionals. Using the Thetford healthy town initiative as referencer I will discuss the positive outcomes of partnerships to service users, organisations and professionals. In November 2008 Thetford was announced by the Secretary of state as one of the nine towns which was awarded health town status and a share of  £30 million investment as part of the government program to tackle obesity by increasing physical activity and healthier food choices REF. To make the program work NHS Norfolk and Breckland Council gave  £900.000 of funding from the department of Health to support the healthy town initiative REF, we can clearly see that the organisations shared the same view and had the same objective, which helped make the program a success, there was a good communication between them, everyone knew what their role was, the[DS3][DS4] organisations put their efforts together to achi eve a positive outcome, they introduced the community to a healthier lifestyle by promoting healthy food and proper diet plan. The NHS and other organisations also gave the residents more programmes that promotes healthy living. Positive outcome for the service users Good Communication is the key to a good partner relationship while working together, and in the Thetford health town initiative we could see that there was a good communication between the service users, the Professionals and the Organisations, they were given information which enabled them to make informed choices, they had autonomy over what they wanted to do, they were independent to make their own choices, their lifestyle improved which empowered them to follow the plan and have a positive outcome. Positive Outcome for the Professionals We could clearly see that the professionals involved in the Thetford healthy town initiative knew what they were doing. which means They clearly knew what their role was and were well prepared for it. The service provision was well coordinated which avoided mistakes. They approached and solved the problems in a professional way and there also was a good communication between them. They avoided duplications meaning they spent less than what was given to them. The professionals also made use of all the resources given to them by benefiting from each others expertise and at the end we could see that their efforts were met with great success as they accomplished their task at the end of the program. Through both case studies we can see that sometimes partner relationship works well and in other cases it fails. Partnership working requires effort, time, commitment and resources. It involves finding new ways of working effectively together to solve problems, sharing information between them and communicating with each other. By working together we have to remember that every thing we can do to make it work matters and if you commit to something it will result in a positive outcome. 3.2 Analyse the potential barriers to partnership working in Health and Social Care. Introduction When working together there can be a lot of barriers to partnership working, so its up to the service users the professionals and the organisations to work together to overcome those barriers. Things like lack of understanding of roles and responsibilities, negative attitudes, lack of communication, not sharing information, different priorities and different attitudes and values as well as inadequate funding can cause barriers to partnership working in health and social care. Lack of understanding of roles and responsibilities When the service user, the professionals and the organisations dont know their role or what they are supposed to do, they cant help anyone. If they dont have the right training to deal with different kinds of situations they wont be able to do their jobs properly. Also, when the professionals have an unclear role in the organisations he wont have autonomy over anything, they cannot be held accountable will not take any responsibility for failure Negative attitudes When working together we have to respect those we work with. The same goes for good partnership working, for example if a professional has a bad attitude towards a service user it might make him feel threatened and he could lose his trust in the professionals and the organisation. If the professional dont share information with each other it might put in jeopardy the partnership relationship between them. Lack of communication Lack of communication is one of the most common barriers in partnership relationship, it happens because the parties involved dont share information with each other; they hide information from each other for simple reason such as they think that they are superior to the other party or they think they can do it better the person that is supposed to do It. For example if a service provider calls the GP to ask for a service users health file and there is any kind of rivalry between the professionals they will take a long time to give the file or they might not give it at all, or in other cases if someone makes allegations about something to one organisation they will investigate and decide for themselves if they will proceed, but working together they should involve other organisations to look in to it together, and all those factors contributes to a lack of communications between the organisations, the professionals and the service users[DS5]. Different priorities and attitudes When organisations working together have different priorities it will definitely cause a barrier to partnership working, organisations have different ways of working they dont all do things the same way and sometimes when they start working in partnership with someone they might not agree to the way the other organisation work or do things which will affect their relationship and it wont be beneficial to anyone. Organisations also face professional and cultural barriers. When organisations have different ideologies, values and cultures it will affect the way they work together and to things because each company has their own way of doing things on a day-to-day basis. Sometimes when workers are used to the way their organisation is run they wont like changes. For example having morning meetings in different times then they were used to, different way of planning things or even conflict over break time can affect the relationship between the organisations. Another example is if one org anisation does everything for money and the other organisation does things because they want to help even it implies not making a profit there will be conflict of interest when managing the funding which will definitely create problems between the two organisations. [DS6] An organisation working together in partnership has its advantages and disadvantages, even though there are a lot of barriers standing in their way. Its not possible to overcome all of the barriers, but they can be reduced so that the organisations can benefit from working together, After looking through all the barriers it shows that there is always room for improvement[DS7]. 3.3 Devise strategies to improve outcomes for partnership working in health and social care services. Introduction To improve partnership working between organisations you have to identify and remove all the barriers to have an effective working relationship in all aspects of the partnership. Delivering an effective partnership outcome demands a lot of work because of different factors including difference in cultures, the way each organisation function, their accountability systems, different modes of governing and problems with the performance of the management. So I will devise some strategies to improve outcomes for partnership working in health and social care services. Communication Good communication is one of the most important aspects to improve partnership working. Organisations have to be able to communicate between themselves so that they can do their jobs better.

Iron deficiency Essay

Iron deficiency is a decrease in the number of red blood cells in the blood due to a lack of iron. Iron deficiency anemia is the most common form of anemia in children. You get iron through certain foods, and your body reuses iron from old red blood cells. Iron deficiency (too little iron) may be caused by; an iron poor diet (this is the most common cause) the body not being able to absorb iron very well. Lilly is a 4-year old Caucasian female she suffers from a disorder called Iron Deficiency anemia disorder. This occurs when there is not enough iron in the body. The reason Lily has Iron Deficiency disorder is because of her diet. Iron is the major component of hemoglobin and is essential for its proper function. Hemoglobin is a part of the red blood cells; it carries oxygen throughout the body without enough iron the body produces less and not as many red blood cells form. Lily is a picky eater and only drinking fruit punch and eating starchy foods is a contributing factor to her condition. Some of the symptoms to Iron Deficiency Anemia are blue-tinged or very pale whites of the eyes, blood in stool, pale skin color, and weakness. Lily shows signs of some of these. Even though Lily’s mother is single and on a low budget, there are things, she can do to prevent this. There are iron supplements that can be taken by mouth or given by injection into a muscle or vein. The most important thing in preventing this disorder or or correcting it is to eat iron rich foods such as raisins, meats, (especially liver), fish, poultry, eggs, soup beans, and whole grain bread. Prognosis with change in supplements or iron rich diet most cases the blood counts will return to normal within a couple of months. Davon is a 5-year-old African American whose mother carries the sickle cell trait. Sickle Cell disease is an inherited blood disorder that affects red blood cells. The sickle cell gene causes the body to produce abnormal hemoglobin. In sickle cell disease, the hemoglobin clumps together, causing red blood cells to become stiff and develop C-shaped (sickle) form. These sickled red blood cells can block blood vessels, reducing blood flow to many parts of the body. This process can result in tissue and organ damage.. Hemoglobin and Iron; each red blood cell contains about 280 million hemoglobin molecules. Hemoglobin is the most important component of red blood cells. It is composed of protein (globulin) and a molecule (heme) which binds to iron. You can understand Darvon’s mothers concern since about 70,000-100,000 Americans- mostly African Americans have Sickle cell disease. About 2 million Americans have sickle cell trait. Sickle cell is inherited and people at risk for inheriting the gene for sickle cell descend from people who are or were originally from Africa or parts of India and the Mediterranean. Blood test can determine whether an individual has sickle cell trait or sickle cell disease. Prevention and lifestyle changes general precautions to prevent and reduce the severity of long-term complications of sickle cell disease, several precautions may be helpful. Have regular physical examinations every 3-6 months. Have periotic and careful eye examinations. Have sufficient rest, warmth, and increase fluid intake. These are critical precautions for reducing oxygen loss and the risk of dehydration. Avoid crowds that increase the risk for infection. Spencer suffers from a condition called Thrombocytopenia. Thrombocytopenia is a condition in which there is a deficient number of circulating platelets. Platelets are parts of the blood that help blood to clot. Thrombocytopenia often divided into three major causes of low platelets: Low production of platelets in the marrow increased breakdown of platelets in the bloodstream and an increased breakdown of platelets in the spleen or liver. Spencer has noticed over the last several weeks an increase in ecchymosis, which is the passage of blood from ruptured blood vessels into subcutaneous tissue marked by a purple discoloration of the skin or bruising. Some of the causes of Thrombocytopenia are accidental eye injury, anorexia nervosa, cirrhosis and liver disease. Treatment depends on the cause of the condition. In some cases, a transfusion of platelets may be required to stop or prevent bleeding Prevention would depend on the specific cause.

Assessment Of A Nursing Health Assessment - 1895 Words

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What Is The Difference Between Normative And Technical...

Part A: What is the difference between normative and technical rationality? Moral dimension in leadership is depend on normative rationality. Normative rationality is a rationality based on what we believe and what we consider to be good. Technical rationality is a rationality based on what is effective and efficient. Both normative and technical rationality have value however when they are in conflict, normative rationality should always be used. Normative rationality is center of the moral dimension. Normative rationality is relying on beliefs and what one considers to be good. On the other hand, technical rationality is relying on bureaucratic authority and psychological authority. Normative rationality is relying on beliefs and what one considers to be good. In the technical rationality, position based on research findings such as data, but there are reasons for one’s position in the normative rationality. 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Paper Towels And Its Effects On The World - 891 Words

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The Return Shadow Souls Chapter 41 Free Essays

string(28) " that had brought it about\." â€Å"Stefan!† Elena screamed and knew that she sounded like a madwoman when she screamed it. There was no answer. She was running. We will write a custom essay sample on The Return: Shadow Souls Chapter 41 or any similar topic only for you Order Now Following the light. â€Å"Stefan! Stefan!† An empty cell. A yellowed mummy. A pyramid of dust. Somehow, subconsciously, she suspected one of these things. And any one would have caused her to run out to fight Bloddeuwedd with her bare hands. Instead, when she reached the right cell, she saw a weary young man, whose face showed that he had given up all hope. He lifted a stick-thin arm, rejecting her utterly. â€Å"They told me the truth. You were exported for aiding a prisoner. I’m not susceptible to dreams anymore.† â€Å"Stefan!† She fell to her knees. â€Å"Do we have to go through this every single time?† â€Å"Do you know how often they re-create you, bitch?† Elena was shocked. More than shocked. But the next moment the hatred had faded from his face. â€Å"At least I get to look at you. I had†¦I had a picture. But they took that, of course. They cut it up, very slowly, making me watch. Sometimes they made me cut it. If I didn’t cut it, they would – â€Å" â€Å"Oh, darling! Stefan, darling! Look at me. Listen to the prison. Bloddeuwedd is destroying it. Because I’ve stolen the other half of your key from her nest, Stefan, and I am not a dream. Do you see this? Did they ever show you this?† She held out the hand with the double fox ring on it. â€Å"Now – now – where do I put it?† â€Å"You are warm. The bars are cold,† Stefan said, clutching her hand and speaking as if reciting out of a children’s book. â€Å"Here!† Elena cried triumphantly. She didn’t need to take the ring off. Stefan was holding her other hand, and this lock worked like a seal ring. She placed it straight into a circular depression in the wall. Then, when nothing happened, she turned it right. Nothing. Left. The cell bars slowly began to lift into the ceiling. Elena couldn’t believe it and for an instant thought she was hallucinating. Then when she turned sharply to look at the ground she saw that the bars were already at least a foot above it. Then she looked at Stefan, who was standing again. Both of them fell back to their knees. They would have both gotten down and wriggled like snakes if necessary, the need to touch was so great. The horizontal struts on the bars made it impossible for them to hold hands as the bars lifted. Then the bars were over the top of Elena’s head and she was holding Stefan – she was holding Stefan in her arms! – appalled to feel bones under her hands, but holding him, and no one could tell her he was a hallucination or a dream, and if she and Stefan had to die together, then they would die together. Nothing mattered but that they not be separated again. She covered the unfamiliar, bony face with kisses. Strange, no half-grown, gone-to-the-wild beard, but vampires didn’t grow beards unless they had them when they became vampires. And then there were other people in the cell. Good people. People laughing and crying and helping her create a makeshift litter out of stinking blankets and Stefan’s pallet and no one screamed when lice jumped on them because everyone knew that Elena would have turned and ripped their throat out like Saber. Or rather, like Saber, but as Ms. Courtland had always said, with feeling. To Saber it was just a job. Then somehow – things had begun to become disconnected – Elena was watching Stefan’s beloved face and gripping his litter, and running – he didn’t weigh anything – up a different corridor than the one she’d fought and shouldered and pushed and floundered in on her way in. Apparently all the Shi no Shi’s salmon had chosen the other corridor to swim up. Undoubtedly there was a safe place for them at the end on that side. And even as Elena wondered how a face could be so pure, and handsome, and perfect, even when it looked almost like a skull, she was thinking, I can run and stoop. And she bent over Stefan and her hair made a shield around them, so that it was just the two of them inside it. The entire outside world was shut out, and they were alone, and she said in his ear: â€Å"Please, we need you to be strong. Please – for me. Please – for Bonnie. Please – for Damon. Plea – â€Å" She would have gone on naming all of them, and probably some over and over, but it was too much already. After his long deprivation, Stefan was in no mood to be contrary. His head darted up and Elena felt more than the usual pain because he was at the wrong angle, and Elena was glad because Stefan had struck a vein down its length and blood was flowing into his mouth in a steady stream. They had to go a little more slowly now, or Elena would have tripped and colored Stefan’s face maroon like a demon’s, but they were still jogging. Someone else was guiding them. Then, very suddenly they stopped. Elena, eyes shut, mind locked on to Stefan’s, would not have looked up for the world. But in a moment they were moving again, and there was a feeling of spaciousness all around Elena and she realized that they were in the lobby and she had to make sure everyone knew. It’s on the left side of us now, she sent to Damon. It’s close to the front. It’s a door with all sorts of symbols above. I believe I’m familiar with the species, Damon sent back dryly, but even he couldn’t hide two things from her. One was that he was glad, actually glad to feel Elena’s elation, and to know that it was he, in the main part, that had brought it about. You read "The Return: Shadow Souls Chapter 41" in category "Essay examples" The other was simple. That if there was a choice between the life of himself and the life of his brother, he would give his own life. For Elena’s sake, for his own pride. For Stefan. Elena didn’t dwell on these secret things she had no right to know. She simply embraced them, let Stefan feel them in all their raw vibrancy, and made sure there was no feedback to tell Damon that Stefan knew. Angels were singing in heaven for her. Black Magic rose petals were scattering around her body. There was a release of doves and she felt their wings. She was happy. But she was not safe. She only learned it as she entered the lobby, but they were very lucky that the Dimensional Door was on the side it was. Bloddeuwedd had methodically destroyed the other side until it had collapsed into a mound that was nothing but splintered wood. Elena and Bloddeuwedd’s feud might have started out as a quarrel between a hostess who thought her guest had broken the house rules and a guest who just wanted to run away, but it had become a war to the death. And given the way vampires, werewolves, demons, and other folk down here in the Dark Dimension reacted, it had created a sensation. The Guardians had their hands full keeping people out of the building. Dead bodies lay strewn on the street. Oh, God, the people! The poor people! Elena thought, as this at last came into her field of view. As for the Guardians, who were keeping this place clear and fighting Bloddeuwedd on her behalf – God bless you for that, Elena thought, envisioning a standing-room-only lobby as they tried to race with Stefan across the floor. As it was, they were alone. â€Å"Now we need your key again, Elena,† Damon’s voice, just above her, said. Elena gently pried Stefan off her throat. â€Å"Just for a moment, my darling. Just for a moment.† Looking at the door, Elena was confounded for several moments. There was a hole, but nothing happened when she put the ring in it and pushed, jammed, or twisted left or right. Out of the corner of her eye she saw some dark shadow above her, dismissed it as irrelevant, and then had it come screaming at her like a dive-bomber, steel talons reaching for her. There was no roof. Bloddeuwedd’s talons had methodically ripped it away. Elena knew it. Because somehow Elena suddenly saw the whole of the situation, not just her part in it, but as if she were someone outside her body, who understood many more things than puny little Elena Gilbert did. The Guardians were here to prevent collateral damage. They could or would not stop Bloddeuwedd. Elena knew that, too. All the people running down the other corridor had been doing what an owl’s prey normally does. They had been dashing for the bottom of their burrow. There was an enormous safe room there. Somehow, Elena knew it. But now, blurrily but definitely, Bloddeuwedd saw the ones she had been after in the first place, the nest robbers, the ones who had forever put out one of her huge round orange far-seeing eyes, and cut her so deeply that the other eye was filling with blood. Elena could feel it. Bloddeuwedd could see they were the ones who had caused her to smash her beak. The criminals, the savages, the ones she would tear to pieces slowly, slowly, a limb at a time, switching from one to another as she clutched five or six in one set of claws, or as she watched them, unable to run from lack of limbs, writhing beneath her. Elena could sense it. Beneath her. Right now†¦they were directly beneath Bloddeuwedd. Bloddeuwedd dove. â€Å"Saber! Talon!† shouted Sage, but Elena knew that there would be no distraction now. There would be nothing but killing and tearing, slowly, and screams echoing off the single lobby wall. Elena could picture it. â€Å"It won’t open, damn it,† shouted Damon. He was manipulating Elena’s wrist to move the key in the hole. But no matter how he pulled or pushed, nothing happened. Bloddeuwedd was almost upon them. She accelerated, throwing telepathic images before her. Sinew stretching, joints cracking, bone splintering†¦ Elena knew – NOOOOO! Elena’s cup of rage ran over. Suddenly she saw everything she needed to know in one great sweeping epiphany. But it was too late to get Stefan inside the door, so the first thing she shouted was â€Å"Wings of Protection!† Bloddeuwedd, barely six feet away, slammed into a barrier that a nuclear missile could not have harmed. She slammed into it at the speed of a racing car and with the mass of a medium-sized airplane. Horror exploded beak first against Elena’s wings. They were clear green at the top, dotted with flashing emeralds, and shading into a dawn pink covered with crystals at the bottom. The wings enwrapped all six humans and two animals – and they did not move by one millimeter when Bloddeuwedd smashed into them. Bloddeuwedd had made herself roadkill. Shutting her eyes, and trying not to think of the maiden who had been made of flowers (and who had killed her husband! Elena told herself desperately) with dry lips, and wetness trickling down her cheeks, Elena turned back to the door. Put the ring in. Made sure it was flush. And said, â€Å"Fell’s Church, Virginia, USA, Earth. Near the boardinghouse, please.† It was well after midnight. Matt was sleeping on the bunker’s cot, while Mrs. Flowers slept on the couch, when they were suddenly wakened by a thump. â€Å"What on earth?† Mrs. Flowers got up and stared out the window, which should have been dark. â€Å"Be careful, ma’am,† Matt said automatically, but couldn’t help adding, â€Å"What is it?† – as always, expecting the worst and making sure the revolver with the blessed bullets was ready. â€Å"It’s†¦light,† Mrs. Flowers said helplessly. â€Å"I don’t know what else to say about it. It’s light.† Matt could see the light, throwing shadows on their bunker floor. There was no sound of thunder, and hadn’t been since he woke up. Hastily he ran to join Mrs. Flowers at the window. â€Å"Did you ever†¦?† exclaimed Mrs. Flowers, lifting her hands and dropping them again. â€Å"Whatever could it mean?† â€Å"I don’t know, but I remember everybody talking about ley lines. Lines of Power in the ground.† â€Å"Yes, but those run along the surface of the earth. They don’t point upward, like – like a fountain!† Mrs. Flowers said. â€Å"But I heard that wherever three ley lines come together – I think Damon said – they can form a Gate. A Gate to where they were going.† â€Å"Dear me,† said Mrs. Flowers. â€Å"You mean you think one of those Gateway things is out there? Maybe it’s them, coming back.† â€Å"It couldn’t be.† The time Matt had spent with this particular old woman had made him not only respect her, but love her. â€Å"But I don’t think we should go outside, anyway.† â€Å"Dear Matt. You are such a comfort to me,† Mrs. Flowers murmured. Matt didn’t really see how. It was all her stored food and water they were using. Even the fold-up cot was hers. If he had been on his own he might have investigated this†¦extraordinary thing. Three spotlights shining out of the ground at an angle so that they met just about at the height of a human being. Bright lights. And getting brighter every minute. Matt sucked in his breath. Three ley lines, huh? God, it was probably an invasion of monsters. He didn’t even dare to hope. Elena didn’t know if she had needed to say USA or Earth, or even if the door could take her to Fell’s Church, or if Damon would have to give her the name of some gate that was close to it. But†¦surely†¦with all those ley lines†¦ The door opened, revealing a small room like an elevator. Sage said quietly, â€Å"Can you four carry him if you have to fight, too?† And – after a second to unravel what this meant – three shrieks of protest, in three different feminine tones, came. â€Å"No! Oh, please, no! Oh don’t leave us!!† – Bonnie, begging. â€Å"You’re not coming home with us?† – Meredith, straight-from-the-shoulder. â€Å"I order you to get in – and make it quick!† – Elena. â€Å"Such a dominant woman,† murmured Sage. â€Å"Ah, well, it seems the Great Pendulum has swung again. I am only a man. I obey.† â€Å"What? Does that mean you’re coming?† Bonnie cried. â€Å"It means I am coming, yes.† Gently, Sage took Stefan’s wasted body in his arms and stepped into the little cubicle inside the door. Unlike the first keys Elena had used today, this one seemed to work more like a voice-activated elevator†¦she hoped. After all, Shinichi and Misao had each only needed one key for themselves. Here, a number of people might want to go to the same place at once. She hoped. Sage back-kicked Stefan’s old bedding away. Something rattled on the ground. â€Å"Oh – † Stefan reached helplessly for it. â€Å"It’s my Elena diamond. I found it on the floor after†¦Ã¢â‚¬  â€Å"Plenty more where that came from,† Meredith said. â€Å"It’s important to him,† Damon, who was already inside, said. Instead of crowding farther into the elevator, the little room that might disappear at any second, that might be gone for Fell’s Church before he could turn back, he walked out into the lobby, looked closely at the floor, and knelt. Then, quickly, he reached down and then got up and hurried into the little room again. â€Å"Do you want to hold it or shall I?† â€Å"You hold it†¦for me. Take care of it.† Anyone who knew of Damon’s track record, especially with regards to Elena or even an old diamond that had belonged to Elena, would have said Stefan had to be a madman. But Stefan wasn’t mad. He clasped his hand over his brother’s that held the diamond. â€Å"And I’ll hold on to you,† he said with a faint, wry smile. â€Å"I don’t know if anyone is interested,† Meredith said, â€Å"but there is a single button on the inside of this contraption.† â€Å"Push it!† cried Sage and Bonnie, but Elena cried more loudly, â€Å"No – wait!† She’d spotted something. Across the lobby, the Guardians had been unable to stop a single, apparently unarmed citizen from entering the room and crossing the floor at a high-paced graceful glide. He must have been over six feet tall, wearing an entirely white tunic and breeches, which matched his long white hair, alert foxlike ears, and the long flowing silky tail that waved behind him. â€Å"Shut the door!† bellowed Sage. â€Å"Oh, my!† breathed Bonnie. â€Å"Can someone tell me what the hell is going on?† snarled Damon. â€Å"Don’t worry. It’s only a fellow prisoner. A silent fellow. Hey, you got out, too!† Stefan was smiling and that was enough for Elena. And the intruder was holding out something to him that – well, it couldn’t be what it looked like – but it was getting quite close now and it looked like a bouquet of flowers. â€Å"That is a kitsune, is it not?† Meredith asked, as if the world had gone mad around her. â€Å"A prisoner – † said Stefan. â€Å"A THIEF!† shouted Sage. â€Å"Hush!† said Elena. â€Å"He can probably hear even if he can’t speak.† By then the kitsune was upon them. He met Stefan’s eye, glanced at the others and held out the bouquet, which was heavily sealed in plastic wrap and some kind of long stickers with magical-looking inscriptions on them. â€Å"This is for Stefan,† he said. Everyone, including Stefan, gasped. â€Å"Now I must deal with some tiresome Guardians.† He sighed. â€Å"And you must press the button to make the room go, Beauty,† he said to Elena. Elena, who had momentarily been fascinated by the whisking of a fluffy tail around silken breeches suddenly blushed scarlet. She was remembering certain things. Certain things that had seemed very different†¦in a lonely dungeon†¦in the dark of artificially formed night†¦. Oh, well. Best to put a brave face on it. â€Å"Thank you,† she said, and pushed the button. The doors began to close. â€Å"Thank you again!† she added, bowing slightly to the kitsune. â€Å"I’m Elena.† â€Å"Yoroshiku. I am – â€Å" The door shut between them. â€Å"Is it that you have gone crazy?† Sage cried. â€Å"Taking a bouquet from a fox!† â€Å"You’re the one who seems to know him, Monsieur Sage,† Meredith said. â€Å"What’s his name?† â€Å"I do not know his name! I do know he stole three-fifths of the Seine Cloister Treasure from me! I know that he is expert, but expert at cheating at the cards! Ahh!† The last was not a cry of rage but an exclamation of alarm, for the little room was moving sideways, plunging downward, almost stopping, before it resumed its former steady motion. â€Å"Will it really take us to Fell’s Church?† Bonnie asked timidly, and Damon put an arm around her. â€Å"It’ll take us somewhere,† he promised. â€Å"And then we’ll see. We’re a pretty able set of survivalists.† â€Å"Which reminds me,† Meredith said. â€Å"I think Stefan looks better.† Elena, who had been helping to buffer him from the dimensional elevator’s motion, glanced up at her quickly. â€Å"Do you really? Or is it just the light? I think he should be feeding,† she said anxiously. Stefan flushed, and Elena pressed fingers to her lips to stop them trembling. Don’t, darling, she said voicelessly. Every one of these people have been willing to give their life for you – or for me – for us. I’m healthy. I’m still bleeding. Please don’t waste it. Stefan murmured, â€Å"I’ll stop the bleeding.† But when she bent to him, as she had known he would, he drank. How to cite The Return: Shadow Souls Chapter 41, Essay examples

Examining Attitudes to Death

Question: Describe about the Examining Attitudes to Death? Answer: Introduction: Attitude toward death it is true for survival people need air, food, shelter etc but on other hand they also need relationship. Grief here it is an important process which we experience and it occurred when some important relation ended either through death, theft, divorce etc. A grief however like a life-span has a course to run and as the duration of life varies with the individual so does the duration of grief.1) Grief is mainly a reaction to loss, or anticipated loss, but it also includes our distress on half of the person who has died or who is dying. It is a natural response to loss and it is a very emotional situation where someone loves is taken away. Grief is related to death and it is familiar to most of the people (Granek et al., 2014). Grief is a measure of our love and dependence and is the price that we pay for loving.The two parts of grief reactions are: Actual loss of the person or things in our live. And the symbolic loss of the event which will not occur in future d ue to actual loss.There, are some stages of grief reaction that is shock denial, Pain, Anger and bargaining, Depression, reflection and loneliness etc.2) Chaos of grief, However grief is not simple, a chaos of grief can be at the same time overwhelming and a refuge to retreat into. Under the chaos process of grief, under this the person who are suffering there is no consolation and those around them words prove appallingly inadequate (Strang, 2015). Chaos is when we experience a strong grief we increased chaos in our lives. We come out from our daily routine our habits and move to the place which seems to be chaotic and unpredictable.3) Wordens four phases of grief:According to the J W Worden in grief counseling and grief therapy are the following, the first phase is numbness (accept the reality of the loss), second phase is yearning (pain of grief), third phase is Disorganization and despair (adjust with the world without the deceased) and the last phase is Reorganized behavior (t o find an enduring connection and embarking on a new life) (Malkinson and Bar-Tur, 2005).4) According to Worden envisage passage through these phases, it is not possible for the people to pass through every individual phase in isolation and as per moving on one which is finished onto the next but rather these phase can be overlap, repeat and are seldom distinct. On the other hand is broadly in agreement on the general type of task and they also divide the grief crisis into four phases that is the shock phase, the reaction phase, the repair phase and the new-orientation phase (Hogan, Worden and Schmidt, 2006).5) Wordens assertion that the intensity of grief is determined by the intensity of love by this statement they want to describe that a people always need to communicate, whatever they feel or whatever going on their mind, the people who are suffering from grief they need consolation, sympathy or they have to bear loneliness, here a person may feel lonely from his own family. The intensity of your grief is indirectly associated to the strength of your affection to what was lost.Support: Allocate and discuses about your loss are an important part of curing. Speak and express your feeling with somebody who listens without giving their opinion, and also lets you talk about anything you need to discuss, and accept you where you are, and doesnt try and make you feel in a different way. Talking with someone helps you begin to recognize the truth of your loss. Express youre Feelings: Accept the intention of all feeling that is okay and is both a regular and essential part of remedial. Recognize your feelings, name them, speak about them, and inscribe about them. The greatness of your feeling can make you feel out of control and overpower your normal coping strategy. The feeling of grief is like the influence of the sea. At times youre feeling may be small and at a time it may be high, whereas sometime youre feeling are calm and sometime they are stormy.6) The goals of bereavement counseling help the client to let go of someone he does not want to let go of, or someone he must let go of in order to carry on living. It also helps you to accept the loss and help you to talk about the loss. The bereavement counseling also help you to express your feeling related to the loss like blame, angry etc. The overall goal of counseling is to help the supervisor complete any unfinished business with the deceased and to be able to say a final goodbye (Ha ll, 2014).7) Grief work is the way to put your loss into perspective and to weave your loss into the fabric of your life (Pomeroy, 2011). A grief work is not something a person plans, but it is something he does. A grief work is also help you to remember your good times and the bad and getting them in perspective. 8) The four area of confrontation and conflict the bereaved person experiences are: Death, here we know intellectually that one day we will die and however it takes an outer event for most people to make this an emotional reality. Freedom, most of the people claim that value of our freedom and yet arrange our lives within a set of relatively narrow boundaries. Isolation, here we also know that we are born alone and that we are die alone. Meaninglessness, Life is not having a simple meaning each person has to face a sense of emptiness and meaninglessness in their life and also emerge with the simple solution.It is this previous conflict, which even though at some time in ou r lives we all move violently with and after the loss of someone who are close that become harder to tolerate. Death brings home the bareness of life and reinforces the feeling which we all have from time to time that life has no significance. And many questions arise at that point like why we are here? Why did you leave me etc?Rationally, we know that in all chances our parents will die before us, but death has no reverence for intelligence. Lose someone we love is about sensation, not thinking. Our parents have always been there. Sensitively we have thought that they would always be. Unexpectedly they are gone and quite often we are even denied the chance of saying goodbye9) Friends and relative sometimes tend to avoid a recently bereaved person because; they dont have time to console the bereaved person due to their busy schedule. Secondly they dont know how to console the bereaved person and lastly the relationship with them are not good.10) In todays society, our attitude to de ath are, our insensible is just as unapproachable to the beginning of our own death, just as much disposed to kill the stranger and just as divided or unsure towards the persons we love as was primeval man. For our entire claim to society, it is most obvious that our attitude to death is less healthy and can cause more pain and distress to the bereaved, because we rejected the truth that death is a part of life, is that there is a time to die and that there is a time when it is good to die. Now days we have to understand these things, we want to put out of sight death away, to imagine that it does not occur. We have priests who are nervous and uncooperative in the presence of death. We have doctors who cannot face what seems to them to be a individual breakdown on their behalf. We have nurse who walk past the door of a dying person. And when they do ultimately die? We employ cosmeticians to make them look as though they are still alive.If a bereaved feels that we can at least recogn ize and sympathy with him in the task that he sets for himself is there much likelihood that he will be able to convey the feelings that are satisfied within him like he is angry, he is against his own guilty self, his yearning for the return of the lost figure. References Braverman, A. and Meiran, N. (2014). Conflict control in task conflict and response conflict.Psychological Research, 79(2), pp.238-248.Granek, L., Bartels, U., Scheinemann, K., Labrecque, M. and Barrera, M. (2014). Grief reactions and impact of patient death on pediatric oncologists. Pediatr Blood Cancer, 62(1), pp.134-142.Hall, C. (2014). Bereavement theory: recent developments in our understanding of grief and bereavement. Bereavement Care, 33(1), pp.7-12.Hogan, N., Worden, J. and Schmidt, L. (2006). Considerations in Conceptualizing Complicated Grief.OMEGA - Journal of Death and Dying, 52(1), pp.81-85.Malkinson, R. and Bar-Tur, L. (2005). Long Term Bereavement Processes of Older Parents: The Three Phases of Grief. OMEGA - Journal of Death and Dying, 50(2), pp.103-129.Pomeroy, E. (2011). On Grief and Loss. Social Work, 56(2), pp.101-105.Strang, D. (2015). Sensitive Chaos. Leonardo, p.150114061300002.