The Evolution Of The World Analysis Essay Example For Students

The Evolution Of The World Analysis Essay The Greek geographers of the later Roman time frame created systematiccalculations for the mapping and forming of the earth. Be that as it may, whatwould come to supplant these orderly counts? For what reason were theideologies of a level earth acknowledged and for what reason were those of a sphericalearth derided? The response to this inquiry is straightforward and can beanswered by one clear and brief word: Religion. Hence saith the Lord God; This is Jerusalem: I have set it in the midstof the countries and nations that are circuitous her. (Ezekiel 5:5)This stanza from the of book Ezekiel basically expresses that the city ofJerusalem ought to be in the focal point of all maps made. This eliminatedthe requirement for any scope or longitude. Prior to hand, there had been morethan 600 maps made, not one having this blessed city as thecenter. There was nothing surprising about putting the most holy spot atthe focus says Boorstin. The Hindus set Mount Meru, a mythological70,000 foot high mountain at the focal point of their guide. In the Muslimfaith, the Kabah in Mecca was the most noteworthy point on earth and thepolestar demonstrated the city of Mecca to be inverse the focal point of the sky. As one can obviously observe, numerous maps, had various focuses. Each guide had adifferent focus, each dependent on an alternate religion. Numerous years prior to the introduction of Jesus Christ, the Greeks conjectured thatthe earth was a globe. However, from that point forward, there was a period in historycalled The Great Interruption. This period was classified by acomplete quiet where individuals all in all, disregarded the issue ofwhether the earth was level or whether it was a globe. Another reasonthat brought the hypotheses of a globular world to rest was on the grounds that thepriests told the overall population that the earth was level. Ministers such asSt. Augustine and others created the Antipode hypothesis, which expressed thata world formed like a globe is unthinkable in light of the fact that items would behanging downwards and developing in reverse. By and by, religion had amajor impact in this contention that would seethe on for a long time to come. To finish up, much like the speculations of the ministers in the principal 400years after the introduction of Jesus Christ, who said that Jerusalem was thecenter of a level earth, one may have the option to relate this period in timeto a considerably more later and present day one. Preceding the French Revolution in1789, France was governed by an outright heavenly right government. Theinstitution that had the most force at the time was the Catholic church. Nobody in France could ever set out inquiry the expression of the Church. Everything the Church said must be valid and that was that. This isfurther fortified by the churchs oppression of Copernicus who lateragain hypothesized that the earth was not the focal point of the nearby planetary group. This shows 1000 years after the fact, religion remained the backboneof society, and less significantly, a similar despite everything remains constant today incertain social orders.

Jimi Hendrix and His Life Accomplishments Essay Example for Free

Jimi Hendrix and His Life Accomplishments Essay Jimi Hendrix was one of the most compelling and skilled performers of the twentieth century, and through his work he made awesome music what it is today. His ability with a guitar was what made him so famous time permitting. The explanation he turned into an awesome legend in the twentieth century was a direct result of his new style, absurd exhibitions and his ground-breaking verses which enthralled his crowds. His new style of music included, the broad use yet delicately nuanced utilization of input, contortion, and other electronically controlled audio cues. (Hendrix, Jimi). Some saw the exhibitions he put on as insane or crazy, yet his fans saw them as motivating. In any case, The genuine intensity of his virtuoso lay in his melodic and expressive openness. (Fricke). On November 27, 1942 at 10:15 Johnny Allen Hendrix was conceived in King County Hospital. Johnnys name was changed 4 years after the fact to James Marshal Hendrix, the name he is better know by today. Only a couple of months after Jimi turned 16 his mom Lucille passed on. Jimi got his first guitar later in the time of his moms demise. (Course of events) Many individuals thoroughly consider his awfulness his moms passing is the reason Jimi went to the guitar and composing music on the grounds that, At its center, Hendrixs music was about the blues. (Fricke). After a year in 1959 Jimi played in his first show with The Velvetones. At that point Jimi dropped out of secondary school to join the military. He was uniquely in the military for around 3 months since he got harmed during a strategic was released. Not exactly a year in the wake of being released from the military Jimi started to play on the R B circuit. After around 4 years of that Jimi framed his own band called Jimmy James and The Blue Flames. In this band is the place he was found by a man named Chas Chandler. (Jimi Hendrix Biography) Then on October 6, 1966 Jimi Hendrixs most well known band was framed, Jimi Hendrix Experience. Through the span of around 2 years the Jimi Hendrix Experience discharged their first, second and third singles. They likewise visited in the UK, US, with the Monkeys and Jimi had his now incredible execution at the Monterey Pop Festival. In late 1968 and mid 1969 Jimi got Artist Of The Year, Performer Of The Year, and World Top Musician grants. Jimi Hendrixs vocation at that point started a ruin as the Jimi Hendrix Experience separated and Jimi got captured in Toronto. Jimi framed his last band called Band Of Gypsys and they played a couple of enormous shows in 1970. At that point Jimi played hisâ biggest show before 500,000 individuals at the Atlanta Pop Festival on July 4, 1970. Jimi Hendrixs last show was at the Isle of Fehmarn in Germany. Jimi passed on September 18, 1970 and simply the day preceding Jimi composed his last melody entitled The Story of Life. (Timetable) There were numerous incredible performers in the twentieth century, and a few people accept that they have had a more prominent impact than Jimi Hendrix on rock today. There were the Beatles, Elvis Presley, the Rolling Stones and numerous other astounding performers. Every one of these specialists likewise created somewhere in the range of 10-30 collections in their professions and, in his life time Jimi Hendrix authoritatively discharged just three studio collections (Fricke) With so little music delivered for the open how might he have affected stone in any capacity by any means. There are additionally others who think Jimi Hendrix was an awful impact. Jimi Hendrix ran into numerous issues with the law including his utilization of medications and his displeasure issues. A few people feel that in the event that somebody persuasive is utilizing drugs or submitting fierce acts this is impacting fans and supporters in a wrong and conceivably hurtful manner. There are likewise individuals who presumably just didnt like his music. The stir Hendrix made upon his appearance on the London pop scene was uncommon. (Fricke) His new style of utilizing loads of electronic audio effects was altogether different and new, and to certain individuals presumably it just seemed like a lot of clamor. On the off chance that anything, some felt his impact changed stone for the more regrettable. It is unquestionably obvious that there were numerous extraordinary performers that had an impact in affecting awesome music and making it what it is today. Those artists additionally composed a bigger number of collections and had more mainstream tunes than Jimi Hendrix. Be that as it may, having numerous collections and well known melodies isnt what truly affected the advancement of exciting music or the individuals who played and composed awesome music. What truly impacts something is another and interesting style, and that is actually what Jimi Hendrix gave. He, didn't fit in with British dreams of sharpdressing soul belters grizzled old bluesmen, who played stone move guitar (Fricke). The manner in which he took control during a show utilizing his unadulterated ability with a guitar and the new style he had in his heart, changed the manner in which shows were to be performed until the end of time. Jimi Hendrix had a couple of imperfections as a part of his character, however that doesnt change his impact in theâ slightest. His impact came straightforwardly from his music and this piece of him was perfect. essentially hauling sounds out of the air and restraining them into one consistent entire, achieving it with unassailable brave. (Mitchell) Jimi Hendrix was one of the most persuasive and gifted artists of the twentieth century, and through his work he has made exciting music what it is today. The mix of that innovative drive with his shocking procedure, sonic creative mind and cunning, painterly abuse of impacts like wah-wah, input, mutilation and sheer earthquaking volume changed stone roll and its essential instrument, the electric guitar until the end of time. Hendrix left a permanent, wildly singular imprint on mainstream music, quickening rocks effectively unique pace of progress in the late Sixties with his progressive amalgamation of guitar viciousness, improvisational nerve, spacey melodic dreams and a confession booth force conceived of the blues. (Fricke) In spite of the fact that Jimi Hendrix didnt influence some other fields other than awesome music straightforwardly, his impact on exciting music keeps on affecting the present reality. Numerous individuals have different angles to their character and Jimi Hendrix was certainly one of them. On his one side he had genuine medication and outrage issues. This side of him, clearly the terrible one, was not the side his fans thought of when they saw his banner on their divider. They thought of his faultless opposite side in which he was an astonishing guitarist, musician and entertainer. Jimi Hendrix wanted to compose music and play his guitar more than all else on the planet, For Hendrix it was the substance of life. (Fricke). Work Cited Fricke, David. Jimi Hendrix: The Greatest Guitarist of All Time. Drifter. February 6, 1992 Hendrix, Jimi. The Columbia Encyclopedia, sixth ed. New York: Columbia University press, 2003. Jimi Hendrix Biography. Well Always Remember Jimi Hendrix. (1 December, 2003) Mitchell, Elvis. Jimi Hendrix Again, Going Out With a Bang. New York Times. October 6 2001, :A20 Course of events. Jimi Hendrix Online Archive. (3 December, 2003)

Anthropology and ORal Tradition Paper Research Example | Topics and Well Written Essays - 1500 words

Humanities and ORal Tradition - Research Paper Example This exposition will inspect the idea of oral convention the setting at, which it is told and the job that it plays in the general public. Performing verbal customs is an occupation that is exceptionally specific where the network holds some extraordinary entertainers whom they respect to be watchmen of aggregate memory. Since oral custom is passed by the verbal, articulations and oral convention vary essentially in their appearance of the oral customs. Stories are an amalgamation of numerous issues that vary from setting to setting, type to sort and from performer to performer of act of spontaneity, propagation and creation. The amalgamation of the accounts makes them vivid and lively type of articulation (Benton-Banai, 2010). The accounts are delicate on the grounds that their practicability relies upon a consistent chain passing their traditions starting with one associate of narrator then onto the next. Numerous social orders, for example, the Aboriginal and Native Americans have depended upon the oral convention on the transmission of stories, exercises, accounts and other information. They have proceeded with this custom to keep up their chronicled record and support their characters and societies. The Iroquois are a Native American people group that is wealthy in their oral custom and they are glad for their way of life and conventions. In North America, the American Indians were the main individuals living there before the Europeans investigates chose to choose their territory in the seventeenth century. The Native Americans accepted that they purchased all kind of weapons and ailments that brought about mass passings. The Europeans treated Native Americans gravely where they even took their territory mishandling and murdering the individuals in the general public (Hartz, 2009). The enduring of the Native Americans carried oral stories to assist them with detecting if the world. This is on the grounds that the occasions that occurred in the country appeared to be arbitrary, for example, regular

Biological Effects Of Hirosima Atomic Bombing - Free Essay Example

Introduction The atomic bombing which happened on August 1945 during World War II in Hiroshima resulted in a dreadful loss to the people of Hiroshima and even to the entire world. For past seventy years after the Hiroshima atomic bomb explosion, there have been numerous research studies carried out on the biological effect of the atomic bomb to human beings, animals and even plants.1 These research studies have been mainly conducted by scientist and researchers mainly from Radiation Effects Research Foundation, biology and nuclear department of the Hiroshima University, and Atomic Bomb Casualty Commission. The atomic bomb of Hiroshima was made up of a unique gun-type device which consisted of uranium. The Hiroshima atomic bomb was nicknamed Little Boy. The atomic bomb caused numerous biological effects on both human beings, animals and plants. Some of these atomic biological bombing effects had a long-term effect while others were characterized by short terms effects. An atomic bomb can be described as a bomb which acquires its powerful destructive energy from expeditious nuclear energy release through massive nuclei atomic fission resulting destruction due to released radioactivity, blast and heat. Biological effects can be described as a particular occurrence of various health effects due to ionizing radiation exposure. The biological effects are determined by various factors such as the radiation type exposed, dose size received, body parts exposed, individual age and biological differences. The ionization radiation effects are classified into two major groups namely non-stochastic and stochastic. The Hiroshima atomic bombing was characterized by numerous biological effects whereby some were short-term while others were long-term. Depending on the critical factors of biological effects determination, the more the amount of radiation exposure, the more the rate of biological health effects and vice versa were felt. Also depending on the age, young people were more prone to biological health effects as compared to other age stages. In addition, depending on the biological differences, certain individuals were more sensitive to radiation hence increasing the rate of biological effects to them as compared to other people who were less sensitive. This paper discusses the resulting biological long-term effects of atomic bomb together with short terms effects in Hiroshima atomic bombing.The short-term biological effects of Hiroshima atomic bombing There are numerous short-term biological effects of atomic bombing in Hiroshima. According to the biology and nuclear medicine department of the University of Hiroshima, the atomic bombing resulted in various biological acute effects. The enumerated acute effects have been grouped into mechanical injuries, radiation injuries and finally thermal injuries. Radiation played a critical role in causing various short-term biological impacts on the atomic bomb survivors. For examples, some of the survivors from the atomic bomb died five weeks after the explosion due to radiation. The survivors body tissues experienced numerous sensitivity variations as a result of apparent ionization in the body tissues. The survivors bone marrows were induced to radiations effects which led to depletion of the bone marrow resulting in loss of lives. The damage of bone marrow due to radiations exposure led to an increase in the rate of blood-related problems such as thrombocytopenia, hemorrhagic tendencies and leukopenia among other infections. Besides, the ionizing radiations of the Hiroshima atomic bombing affected spermatogenesis of the atomic bomb survivors as they are discussed below in this paper.

Process of Becoming a Climax Community

A climax community is a relatively stable and undisturbed biological community of animals, plants, and fungi that have evolved into a steady state of development which secures the stability of all the collective  communities. Through a natural successional  process of instability, all individual  organism ecosystems simultaneously transition  through a series of more stabilizing stages where they all finally maintain their individual positions in the community and where they become stable from egg and seed to maturity. So, all biotic communities on earth engage in a forward-moving evolutionary process that takes place in several major defined steps or stages. Until climax completion, these transitional  stages are each called a serial stage or a  sere.  In other words, a sere is an intermediate stage found in  ecological succession  in an ecosystem advancing towards a particular organisms  climax community. In many cases, there is more than one serial stage to pass through before  climax conditions are attained. A serial community is a name given to each group of biota within the succession. A  primary succession  describes primarily the plant communities that occupy a site that has not previously been vegetated. These plants can also be described as the vegetative  pioneer community.   Defining Plant Succession To understand a climax plant community, you must first understand plant succession which is simply the replacement of one plant community by another. This can occur when soils and sites are so harsh that few plants can survive and takes a very long time for plants to establish a root-hold to begin the process of succession.  When destructive agents like fire, flood and insect epidemic destroy an existing plant community, plant establishment can happen very rapidly. Primary plant succession starts on raw unvegetated land and usually  exists as a sand dune, an earth slide, a lava flow, a rock surface or a retreating glacier. It is obvious that these harsh conditions for plants would take eons for this type of exposed earth to decompose to support higher plants (with the exception of the earth slide which would start plant succession fairly quickly). Secondary plant succession generally starts on a site where some disturbance has set back a previous succession. The sere  can be continually setback which then lengthens the period to a potential  final plant community climax condition. Agricultural practices, periodic logging, pest epidemics, and wildland fire are the most common agents of secondary plant succession setbacks. Can You Define a Climax Forest? A plant community that is dominated by trees representing the last stage of natural succession  for that specific locality and environment, to some, is considered a climax forest. The name usually given to any particular climax forest is the name of the primary existing tree species and or its regional location. To be a climax forest, the trees growing within a particular geographic region should remain essentially unchanged in terms of species composition for as long as the site remains undisturbed. But, is this really a climax forest or just another late sere  that has avoided disturbance the longest. Do foresters who only manage trees over decades know enough to determine a climax forest and assume it to be the equivalent of late-stage succession? Should speculative ecologists conclude that there can never be a climax forest because cyclical disturbance (both natural and human-caused) will always be a constant in North American forests? The Climax Debate Is Still With Us The first published discussion(s) on the existence of climax communities started nearly a century ago with foundational papers written by two ecologists, Frederick Clements, and Henry Gleason. Their ideas were debated over decades and definitions of a climax changed with a greater understanding of a new science called ecology. Political winds also confused the topic with terms like virgin forests and old-growth forests. Today, most ecologists agree that climax communities are not common in the real world. They also agree that most exist in space and time and can be observed on large  time scales of many decades and on wide ranges of an  area, from a dozen acres to thousands of acres. Others believe that there can never be a real climax community because of constant disturbance over time. Foresters have adopted a silviculturally practical approach when managing large stable communities of climax tree species. They use and name a climax forest to be the final sere in terms of the stabilization of major tree species. These conditions are observed on a human timescale and can maintain specific tree species and other plants over hundreds of years. Examples of some of these are:   The coniferous forests of the Pacific Northwest.The wetlands  in North America.The redwood (Sequoia sempervirens) forests.Beech-maple of the North American Northeast.

Autism in the Media Essay - 2151 Words

Autism in the Media Weepinbell, w-e-e-p-i-n-b-e-l-l; Tentacool, t-e-n-t-a-c-o-o-l ; Geodude . . . , yelled Connor. We were playing his favorite game - identify and spell the names of all 156 Pokà ªmon characters. Connor is a three-year-old boy I worked with as part of the SonRise therapy that his mother organized after he was diagnosed with autism. During my thrice-weekly Connor-directed playtime visits, I entered his world instead of making him enter mine and encouraged eye contact to strengthen Connors connection with others. I begin this critique of autism depiction in mass media relating my relationship with Connor because he informs my understanding of autism and colors my critique of media†¦show more content†¦Currently, seventeen in every 10,000 children is diagnosed with autism, and reported rates of autism are increasing.3 Experts disagree about what causes autism.2 Genetics appear to play an important role-autistic individuals have a series of documented brain structure abnormalities (see Grandin, 1995)--but environment is also important. Teasing apart the specific etiology of this disorder is difficult, because genetics and environment play off one another. For example, infants with a genetic predisposition to pull away from touch and refuse eye contact tend to receive less stimulation.2 Developmental deficiencies that result could therefore be attributed to either genetics or environment because their effects are intertwined. Parents of autistic children, eager for a cure, drive much of the current research on autism. To date, research has focused on the identification of autism genes, and the furthering of the effectiveness of human gene therapy. Until such genes are fully characterized, serious questions remain about appropriate medication of autistic children and more broadly about social definitions of normal behavior.Show MoreRelatedThe Media And Its Effects On Children Essay957 Words   |  4 PagesScience Media 9455 Word Count:961 The media can be a powerful tool to get a message across. The media have been around for a while now, and in some cases it can be a useful tool to catch up with current events. In other cases it can be a total misrepresentation of the truth when it comes to controversial topics. The media use some controversial topics in order to get more and more people watch, read, and listen to their source. 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According to Finke, Hickerson, McLaugh-lin (2012) nearly 445,000 students, between the ages of 6 and 21 years old, diagnosed with au-tism are served in schools in the United States. Hall (2012) reported the contributions by re- nowned geneticist and autism pioneer, Michael Wigler. Wigler’sRead MoreHealth Of The Medi Using The Models Of Health1349 Words   |  6 Pages Health in the Media: Using the Models of Health to Assess Media Articles about Health Topics Catherine Stratton HST209: Introduction to Health, University College, University of Toronto Table of Contents Abstract†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3 Paper†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.4-7 Works Cited†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.8 Abstract The effect of having constant access to media is that consumers are overwhelmed with information, whichRead MoreComparative Essay : The Night Time, By Mark Haddon, And The Curious Incident Of The Dog1021 Words   |  5 Pages(Haddon, M, p. 20.) Autism as defined by the Oxford dictionary as: â€Å"A developmental disorder of variable severity that is characterized by difficulty in social interaction and communication and by restricted or repetitive patterns of thought and behaviour.† (Oxford Dictionaries | English, 2017) This definition is a small view into the complexity of the autism spectrum. The world is finally beginning to understand autism and how it affects those who have it. As our knowledge of autism expands, the integrationRead MoreThe Prevalence Of Autism And Autism Essay921 Words   |  4 Pages2000, the prevalence of autism has increased by nearly 120 percent: According to the Centers for Disease Control and Prevention (CDC), this makes autism the fastest-growing developmental disability in the U.S. http://www.autism-society.org/what-is/facts-and-statistics/ A March 27, 2014 announcement http://www.cdc.gov/media/releases/2014/p0327-autism-spectrum-disorder.html from the CDC states that autism impact s 1 in 68 children across the nation. First Responders and Autism Awareness Every day,

Venlafaxine in Treatment of Depression †Free Samples to Students

Question: Discuss about the Venlafaxine in Treatment of Depression. Answer: Introduction In this report, I will discuss provide an overview of a 28 year old male Mr. John Gray, explaining the reason for his admission in the hospital, his medical symptoms, nursing problems associated with his treatment, required nursing care and an evaluation of decision making factors that may help his recovery following Levett-Jones clinical reasoning cycle (Levett-Jones, 2013). In the final section I will contemplate my learning from the experience. Mr. John Gray is 28 years old male and single who had been admitted to the ward a week ago following an episode of self harm. John belongs to the farming community, north of Brisbane and his father is a grazier. He expects to take over the family farm soon. He is facing several issues like bruise marks on his legs and arms due to failed suicide attempts. He does not take part in any activities management and is quite reluctant to socialize. Therefore, he has been admitted to treat his depression. Depression is a state of disordered mood and aversion to any form of activity that affects the health and well being of a person (Karp, 2016). Mr. Grays farm appears to have suffered a great deal owing to the present drought conditions in his district. He has a rope burn mark on his neck. On evaluation it has been found that the mark is a result of breaking of a rope, which he presumably used to hang himself. He has several bruise and broken skin on his legs and arms. They have occurred due to subsequent fall after his attempt to hang. However, he did not suffer any serious physical injuries. The areas where his skin got broken were covered with a tape and some nonadherent dressing. The occupational therapist reported John was reluctant to take part in any individual activity or small group games. When I went to introduce myself, he was lying on the bed with the covers pulled up high. He did not want to engage in any conversation. When I addressed him, he began to grunt and turned away from me and faced the wall. On medical assessment it was found that he had a normal blood pressure of 125/75, respiratory rate of 18 breaths per minute and a body temperature of 36.3 C. Respiratory rate is the number of breath taken by a person per minute. The normal adult respiration rate is12 to 20 breaths per minute. His pulse recording was 66 beats per minute. A normal heart rate while sitting or relaxing should be between 60-100beats per minute. Depression is generally classified as a form of common mental disorders. It is characterized by loss of interest, sadness, low self-worth, guilt feelings, loss of appetite, tiredness and lack of concentration (Solomon, 2014). John exhibited similar kind of a behavior on his admission to the hospital. Studies suggest that any form of financial loss can act as a risk factor and make a person vulnerable to depressive disorder. In this case study, Johns farm has suffered huge financial loss due to drought. This financial stress eventually brought about a sense of worthlessness and a feeling of despair in him (Greenberg, 2017). Evidence suggests that depression is one of the major risk factors for suicide. Patients who experience a delusion of poverty have a five times higher likelihood to commit suicide compared to those without such delusions management. His financial condition is probably responsible for previous suicide attempts (Crowe Butterworth, 2016). He had a loss of appetite. H e reluctantly went for lunch on compulsion but ate almost nothing and soon returned to his bed (Sowislo Orth, 2013). The proves that he is suffering from dysthymic disorder, which is characterized by poor self esteem, low energy, poor appetite and feeling of hopelessness. Identify problems or issues John is on a medication of 75mg venlafaxine twice a day and not subjected to any other medication or psychotherapy. It has been established that monotherapy is not sufficient to reduce depressive symptoms. This is the first issue in his treatment (Vel'tishchev, 2015). He needs a higher dose of the drug in conjunction with other medicines. Another issue is his eating habit. I was informed that he had again skipped breakfast. Studies provide evidence on the relationship between potential changes in appetite and food preference and depression. John was compelled to go for lunch but did not have it. The idea of force feeding is controversial in such eating disorders. It makes a patient more aggressive and violent. The third issue found related to the case study was his repeated suicide attempts. Suicidal ideation arises from hopelessness and continuous frustration. Unrealistic expectations make several patients determined to end their life (Riumallo-Herl et al., 2014). The mark around hi s neck and the bruises on his body provide evidence that he has tried to inflict self harm upon himself. Moreover, when I went to his room to introduce myself and build a rapport, he had the covers pulled up high, grunted and turned away. A suicidal tendency can make him attempt such a self harm for another time while being isolated in his room and can create devastating consequences (Shah et al., 2014) Therefore, constant monitoring needs to be done to ensure his safety. I attempted to contemplate on a questioning technique to achieve a sound understanding of his problems. I asked myself questions like, what was theproblem, how severe is his mental illness and what can be done to provide relief. A psychiatric nurse is expected to identify probable outcomes specific for individual patients. The ultimate goal was to improve the status of his health. The outcomes should have been mutually and distinctly identified. I wanted to determine the efficiency of probable therapeutic interventions (Gunasekara et al., 2014). Clarification of goals is an essential step in the therapeutic procedure. Goals should be measured in behavioural terms. I wanted to realistically describe the changes I intended to accomplish within a time frame. I wanted to establish short term goals for his betterment. My short term goals were to ensure that John will come out of bed and participate in small group games and individual activities at the end of two weeks. I wanted to ensure that he does not encourage suicidal thoughts, the sense of wellbeing gets established and he starts eating properly (Choon et al., 2015). This will involve an assessment of his family and medical history, the factors responsible for the condition and involving his family for a better care provision. Research studies state that a patient taking multiple classes of antidepressants are likely to have better prognosis. A combination of bupropion (75-400mg per day) with venlafaxin can be used as a first line treatment method (Laib et al., 2013). Gradual administration of a combination of these two drugs will synergistically act to reduce depressive symptoms and will increase social function. Psychotherapy and cognitive counseling will also prove effective (Karyotaki et al., 2016). A trial, which involved more than 400 people with depression, found that a combination of these therapies and medication successfully treated depressive disorder in patients. Cognitive counseling, assisting him with personal hygiene and self care, initiating gradual conversation, encouraging him to write down his feelings on suicide, educating him on depression, constant supervision on his eating and sleeping patterns and providing a detailed information on the need for medical compliance can help in promoting wellness. Evaluate outcomes The treatment plan should be customized for him based on thorough assessment of his symptoms and an analysis of the side effects and therapeutic benefits. Comprehensive primary healthcare services are needed to promote optimal mental health in patients. Providing emotional support would ensure his safety, reduce helplessness and increase his trust in the staff (Driessen et al., 2015). Furthermore, the use bupropion in conjunction with venlafaxine can lead to a sudden increase in blood pressure and extreme sweating. Thus, there should be a constant monitoring on his vital signs. Furthermore, a high dose of the two drugs may lower the seizure threshold in the patient and increase its occurrence (Furukawa et al., 2014). The dosage of the medicines should be immediately reduced if the patient exhibits such an episode of seizure. After I reflected on the incident, I was able to build a rapport with John and attend to his needs. I understood that the financial stress and family responsibility made him afraid and distressed. He was unable to devise a way of covering the monetary loss and felt embarrassed on his failure. This led to development of suicidal tendencies. I also realized, on appropriate interventions like empathy and emotional support, his self-esteem was rebuilt. It became difficult when he did not respond. I further reflected that it is necessary to employ interpersonal skills and non verbal stimuli (Renner, Cuijpers Huibers, 2014). Combination of the two drugs as learnt from evidence based practice significantly lowered his symptoms. I learnt that such patients need continual therapy and counseling based support to recover. Conclusion Depression is a mood of disturbance, which is characterized by grief and sadness occurring due to personal tragedy, monetary loss or lack of interest in some activities. Providing treatment to a depressed patient is a significant job for a registered mental healthcare nurse in practice. This report analyzed and reflected on the techniques I used to assess Johns bio-psycho-social needs and the probable treatment goals that I intended to achieve. 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