Bullying And Victim Problems Among Middle School - 977 Words

Bullying is a big issue that occurs more often then it should. People who bully don’t think about the consequences of their actions and the effects. A person is being bullied when he or she is exposed, repeatedly and over time, to negative actions on the part of one or more other persons .(Boulton, M.J. Underwood, K.(1992)†Bullying/Victim Problems Among Middle School Children,† British Journal of Educational Psychology, 62, 73-87) People bully for different reasoning some reasons would be money, race, different body types, as well as disabilities. Studies show that bulleys self esteem is normally higher whereas the victims is lower. Bullying has an negative effect on teenagers because it lowers their self esteem, raises their stress levels, and ruins reputations. Running head: The Effects of Bullying Studies show the dangers in bullying and how it is on the rise especially with use of the internet. People can be bullied in their own homes no where is safe at this point. Boulton and Underwood explain the hazard of middle school bullying. It is not just in schools anymore due to the technology that is offered to us daily. Teenagers are bullied through text messages, facebook and emails.Show MoreRelatedBullying.1393 Words   |  6 PagesThe Damaging Effects of Bullying, Why It Needs to Stop, and How to Stop It There are many problems in our school system today, but the number one problem, in my opinion, is bullying. â€Å"An Analysis of School Anti-Bullying Laws in the United States,† written by Maryellen Kueny and Perry Zirkel, states that â€Å"bullying has been a persistent problem in middle level and high schools.† According to Kueny and Zirkel’s article, â€Å"an early national study found that among sixth through twelfth graders, 56% ofRead MoreAdolescent Bullying Using A Liquid, Best Policy Practice Approach Essay1499 Words   |  6 PagesReassessing Adolescent Bullying Using a Liquid, Best Policy Practice Approach Bullying is defined as the prolonged malicious act of harming peers by abusing their own--or an existing imbalance of--power, and has become one of the most common sources of trauma among adolescents. One report shows that one of three children were victims of bullying during some point in their life, and that 10-14% of all adolescents were victims of chronic bullying for at least six months prior to conducting the surveyRead MoreProposing a Solution Essay Bullying767 Words   |  4 PagesSolution: Bullying Bullying among American elementary, middle and high school students is a growing problem. Bullying has been defined many ways, by many people. One definition is unwanted, aggressive behavior among school aged children that involves a real or perceived imbalance of power. (stopbullying.org). Bullying is a very negative act and honestly needs to be stopped. This essay will provide my solution for the growing bullying problem in our schools. Over the years, bullying has becomeRead MoreEssay on Persuade to Stop Physical Bullying860 Words   |  4 PagesPhysical Bullying Physical bullying is a serious problem, affecting not only the bully and the victim, but also the other students who witness the bullying. Parents, teachers, and other concerned adults and young people should be aware of what physical bullying is and some of the ways to handle it. There are many types of negative physical interactions that can occur between young people, including fighting, practical jokes, stealing, and sexual harassment. These things are not considered physicalRead MoreThe Effects Of Substance Abuse On Children1364 Words   |  6 Pagesis familiar with bullying, it’s almost like a rite of passage for most Americans; we see it in movies and are all-too familiar with it. We typically don’t think about the consequences of bullying, but studies have shown that students who are bullied at school in grades 7-12 are 50% more likely to abuse substances (Promises Treatment Center). Bullying is the act of physical or verbal tormenting over a set amount of time, usually targeted at one person or a group of people. Bullying is an internationalRead MoreNegative Effects Of Bullying1232 Words   |  5 Pages Bullying is a continuing problem that has affected individuals from their childhood and continuing well into adulthood. Consequences of bullying are vast in their potential to negatively impact the person s physical, emotional, and psychological state of well being. The poor management of stress brought by the onset of bullying affects social health both short term and long term foreshadowing numerous potential risk factors and actions. Prevalent issues in victims include higher chances of mentalRead MoreTeenage Parents And Rape : Adolescence Friendship And Bullying956 Words   |  4 PagesTeen Live-streamed Her Friends’ Rape: Adolescence Friendship and Bullying Even though people may think that teens are still children, but they are much maturer than we might imagine and can do things that people may never expect them to do. In a recent Broadly report (Kazdin, 2016), I read that on February 27, 2016, Marina Lonina, who was 18 at that time, live streamed her friend being raped by a 29-years-old man on Periscope app. She didn’t call the police and she claimed that she was doing it toRead MoreBullying Is A Common Problem Among Children And Adolescents996 Words   |  4 PagesBullying is a common problem among children and adolescents (Wang, Nansel, Lannotti, 2011). Bullying takes different forms include physical (hitting), verbal (name-calling), and rational (social isolation) which are typically known as traditional bullying or cyber bullying which occurs on the internet (Wang, Nansel, Lannotti, 2011). The purpose of the paper is to examine the situations and contexts that promote cyber and traditional bullying by reviewing studies that suggest (1) increased technologyRead MoreCyber Bullying : Bullying And Bullying1290 Words   |  6 PagesModern Literature 5 May 2014 Bullying Bullying is like a disease, it stays within the schools, and community and people are trying to stop it. It destroys the victims that get bullied. Bullying has always been around and there are people trying to prevent it from happening. Bullying is being prevented by clubs and by people taking action. Bullying damages the victims and the computers can cause cyber-bullying also the victims have problems after being bullied. Cyber bullying and it keeps people hookedRead MoreBullying And Its Effect On Children1144 Words   |  5 PagesBullying is found in elementary, middle, and high school all around the world. School bullying occurs at similar rates such as cultures, countries and educational settings. It can take many direct and indirect forms, like physical violence, name calling, taunting, teasing, horrible rumors, and social exclusion. Since the late 90’s, several school shootings committed by the victims of the school bullying have brought media attention to the issue. First, bullying depends upon imbalance of power,

World War II And Its Impact On The World - 1593 Words

What first comes to mind when you hear about World War II? Is it how it greatly affected different societies or how scary it is to think that a terrorist like Hitler gained so much power over so many countries? Well, the real question that we should be really thinking and learning about is what is World War II about? In general, World War II was a war that involved many countries that started after the First World War. It started in 1939 and ended during 1945. It was a very important war to all people, involving many countries such as Germany, Britain, France, Italy, United States, etc. I guess in a way if we did not have WWII, some revolutionary industrial products would not have been designed for advancements in warfare technology that we use today. This war was the war to end global wars for good, which shows how much of an impact WWII had overall. World War II was important because of its global impact on the people during this time, the revolutionary industrial advancements, a nd it still affects us today as a whole. Many events happened to lead up to this global six year war. Before World War II began, it was the end of the First World War. At this time, the League of Nations formed the Treaty of Versailles, which failed to stand not so long after. Germany was against the Treaty of Versailles because it put them into a very bad depression period because of the huge debt they had to pay after their loss in the First World War. The countries associated with theShow MoreRelatedImpact Of World War II On The World Essay2341 Words   |  10 Pages Impacts of World War II Felicia M. Vucko 10/08/2016 U.S Social History Since 1865-22289318 â€Å"The world the American people had tried to exclude after the First World War could not forever be kept at bay.† (The Great Depression and World War II;Kennedy, David). World War II began in the year 1939 and lasted until 1945. (history.com,Pearl Harbor) Many of the issues that arose during the Second World War was initial baggage from the First World War. The Treaty of Versailles was theRead MoreWorld War II And Its Impact On Japan1513 Words   |  7 Pages After World War II, new influences and ideals started to make an impact on Japan like never before. Japan’s defeat resulted in westernization, and the country started to transform into what it is known for today—modern manufacturing for countries all over the world. Many traditionalists disapproved of this idea of transitioning into being iconic for materialistic and bourgeois ideologies and now felt isolated within their own country because their views were extremely different from theRea d Moreimpact of World War I and World War II on the United States1631 Words   |  7 Pagesï » ¿Compare the impact of World War I and World War II on the United States Introduction: The First World War was battled from: 1914 to 1918 and the Second World War was battled from: 1939 to 1945. They were the biggest military clashes in the history. Both wars included military organizations together between diverse gatherings of nations. The Second World War had a much more prominent effect on American culture than the First World War did. One noteworthy effect of the Second World Wars was the developmentRead MoreTechnology And Its Impact On World War II1219 Words   |  5 Pagestechnological advancement, World War II was usually marked as the turning point of technological advancement. It was known for its strong influences on dramatic changes in technology. Although World War II caused enormous casualty, the weaponry advancement advanced technology that could also be used in everyday life and thereby improved post war society. Though nuclear fission technology was first invented in the 1895, its potential was not revealed until the end of World War II. Nuclear experiments wereRead MoreTelevision And Its Impact On The World War II2562 Words   |  11 Pageswould have on the opinions and attitudes of the people of the world. Television represented a new opportunity to bring not only audio like radio but to place an image in every home. Along with the work of many other inventors television was soon to become a viable medium of entertainment and news but it did face many setbacks. At first television was a novelty, completely overshadowed by the established medium of radio. Before World War II very few homes contained a television and broadcasters mostlyRead MoreThe Impact of World War II on the United States674 Words   |  3 Pages World War II had an extensive impact of the United States. In spite of all the battles being fought off America mainland, the war affected all aspects of American life back h ome. World War II may be known as the worst war in history, but a lot of good came out of it. If it was not for World War II many economic changes, social changes, and political changes may have never happened. Prior to WWII the economy was in bad shape. The U.S. was in a depression. Unemployment was at twenty five percentRead MoreThe Impact Of World War II On The United States1633 Words   |  7 PagesWorld War II was one of the most traumatic events that happened in the mid 1900’s, spanning from September 1, 1939 – September 2, 1945. It damaged families and alliances, eradicated loved ones, and drastically changed the U.S. economy. Because of these economic changes, the United States has suffered many hardships, but they have also experienced great opportunities of wealth and great success. Some of the hardships and successes include: war bonds, the manufacturing of wartime and military weaponryRead MoreHitler s Impact On The World War II1636 Words   |  7 PagesIn the year 1940, many Germans stood at a square, saluting and chanting Hitler s name. World War II has begun and many Germans hope for improvements in the economy. Their leader is Adolf Hitler. Adolf Hitler, dic tator of Germany in World War II, was a powerful speaker who caused over 5 million deaths in concentration camps. Though Hitler s impact can be felt in modern times, the roots of his atrocious behavior began at childhood—more specifically—high school. Years before Adolf Hitler was bornRead MoreWomen s Impact On The World War II1361 Words   |  6 PagesIn the years after the Second World War, people created uncountable numbers of historiographical research on various topics related to the war, such as military tactics in battles, individual groups of men during their time in service, and other such subjects. Not much surprise exists then, that women’s actions in World War II eventually would also gain interest and publication for the public, though it did not gain an undivided focus until the advent of women’s and social history grew momentum.Read MoreJapan s Impact On The World War II Essay2066 Words   |  9 PagesOn December 8, 1941 President Franklin D. Roosevelt received approvement from congress to declare war on Japan due to their horrendous attack on Pearl Harbor and other actions such as taking over parts of China. On December 7, 1941 hundreds of Japanese fighters launched a surprise attack on an American Naval base in Oahu, Hawaii just before 8:00 a.m. that morning. On that horrible day, about 2,300 Americans died because of the attack, and even more were injured. The attack lasted about two hours

Stress, Dieting, and Periodontal Disease Free Essays

Christine Dursunian Principles of Dental Hygiene II Professor Willis Research Paper Stress, dieting and periodontal disease and to compromised systemic health. Stress, dieting, cultural diversity, foundation of health and periodontal disease: The average person would never think that all four of these topics would coincide with one another. They do, each affecting the other as stepping stones towards periodontal disease. We will write a custom essay sample on Stress, Dieting, and Periodontal Disease or any similar topic only for you Order Now Periodontal disease, including periodontitis and gingivitis, are chronic, bacterial infections and inflammatory diseases affecting the periodontium (tissues that support the teeth). Periodontal diseases are the most prevalent chronic diseases affecting children, adolescents, adults, and the elderly. The periodontium is a complex, highly specialized, shock-absorbing and pressure-sensing system consisting of four interrelated tissues supporting the teeth: cementum, periodontal ligament, alveolar bone and junctional and sulcular epithelia (1). Periodontal disease can affect one or many teeth. It can also lead to progressive bone loss around teeth, which can lead to loosening and possible loss of the teeth if left untreated. There are many factors to periodontal disease that have been proven to be directly related to this growing disease, in certain populations and cultures that have been proven to stand out more than others. Through research and advanced studies with guidelines of evaluation, stress and dieting has been shown to be associated with periodontal disease(2). These additional factors involve diet, lifestyle, cultures, also including collective types of strains in ones everyday life. Periodontal disease is an infection of the tissues that support the teeth. These infections are associated with specific pathogenic bacteria that colonize the subgingival area. When the teeth are being supported by the gingiva; the gingiva does not attach to the tooth firmly as one might think. Part of the tooth’s anatomy consists of a shallow v-shaped gaped called the sulcus which exists between the tooth and the gingiva. Periodontal disease affects this gap causing the tissue supporting the tooth to break down. Periodontal disease transitions through different levels to become what it is. Research studies indicate that a specific set of guidelines during evaluation of the association of stress and periodontal disease are important. When proposing experimental approaches, specifically in psychosocial stress and periodontal disease; present studies and future experiments show the next six factors to be very useful. Periodontal disease is measured as unique disease outcome and should not be included in a composite index with other oral diseases(3). Validated instruments are assessed for stress, distress, and copying behaviors. These helpful instruments, validated by prior studies, also on the population for each applied for research. Indications of compliance with oral health organization system should measure at-risk behaviors. Including oral health behaviors such as preventive dental visits, regulations of oral hygiene regimens, and an assessment of plaque, gingivitis, and other existing disease. By rigorously establishing psychosocial factors such as stress distress, and coping behaviors are true risk factors for periodontal disease case studies and case-control series generate hypotheses (4). These hypotheses are over large cross-sectional and longitudinal epidemiological studies. Studies in which mechanisms of psychosocial stress or distress show the application of periodontal disease The necessity to show relationship and correlation of applying different assessments such as biochemical mediators of stress, immune functions, or neurological and endocrine alterations as well as behavioral changes are significant in these cases(5). Lastly are randomized controlled trial methodology, the intervention of studies using stress management to establish efficacy of modification of stress as modality of stress-associated disease. Managing these controlled trials allows to reduce stress or distress. Periodontal disease has been associated for years with risk factors such as oral environment, age, female hormones, family factors, smoking and nicotine, and diseases associated with periodontal disease. When discussing oral environment the first issue that comes to mind is lack of oral hygiene. Lack of oral hygiene encourages bacterial buildup and plaque formation, which puts the oral cavity into a very susceptible position for periodontal disease. Inadequate contoured restoration has also created rise to periodontal disease for its restorations of fillings and crowns. By poor dentistry the restorations help trap for debris and plaque because of its defect in contour. Anatomical tooth abnormalities are influential risk factors just as poor restorations would be, because of these abnormalities the teeth are not aligned in their natural state causing food particles to build up to the ladder of periodontal disease causing plaque and bacteria formation. Lastly would be the anatomy of the third molars, also known as the wisdom teeth. This tooth especially is a known to be a major breeding ground for bacteria, by reason of its location and patients finding difficulty reaching posteriorly to the mouth while brushing. Other studies of this particular tooth show the unique tissues surrounding this molar region has been destructed of the plaque formation and the tissue becoming more sensitive when the third molar is impacted, meaning when the tooth is wedged between another tooth and the jaw. Next commonly associated risk factor with periodontal disease is age. Another problem in aging, comes the increase of obtaining periodontal disease. Studies have shown that thirty percent of the adults in America have periodontal disease and mostly found in people over the age of seventy years old, eighty-six percent have periodontitis (6). Rare cases it has been shown for young adolescents who are subjected to this disease. Adding to this is family factors, periodontal disease often occurs to members of the same family. A mixture of factors belong to this title, such as intimacy, genetics and hygiene. A considerably important factor is smoking and nicotine. Being the most significant factor, causing bone loss and gingival recession and inflammation by reducing the amount of oxygen present in the gingiva tissue. When nicotine combines with oral bacteria, the production levels expectations are greater. Lastly are diseases associated with periodontal disease, such as diabetes, type one and two, osteoporosis, herpes related gingivitis, human immunodeficiency virus associated with gingivitis, autoimmune disease (7). Others diseases of genetic disorder are also at high risk for periodontitis. Contemporary conceptualization of the stress process supports the evaluation of stress at three levels. Stressors, moderating and mediating factors, and stress reactions. These three factors have emphasized the process and the unity stress can have on periodontal disease, including emotions and coping(8). These stress responses would be determined primarily by the process that makes personalized perception of a stress indicator or a threat to ones health. The aim of each study is to unfold influential factors such as personality traits, coping strategies, and experimentation of referenced information (9). The resolution of all studies suggested that depression, stress, and salivary cortisol are important correlates of periodontal disease. Therefore, it is likely that periodontitis is related to immunologic and behavioral changes related to psychologic states. Salivary cortisol seemed to have different associations with periodontal disease, because of the outcomes in models involving stress compared to models involved with depression. Periodontitis is indicated when addressing depression or stress. By strongly suggesting that stress, distress, and inadequate ways of handling difficult situations of coping are important risk indicators for periodontal disease. Furthermore, it is likely that systemic disease associated with periodontal disease such as diabetes, cardiovascular disease, preterm delivery and osteoporosis may share psychosocial stress as a common risk factor. During these early beginnings of study and research, requirement for one to fully understand the molecular and cellular basis of the role of stress, and in turn these studies may lead to effective intervention strategies that minimize or negate stress as a contributor to periodontal disease. Research has also proven within certain limitations this systematic review showed a positive relationship between stress and psychosocial factors and periodontal disease. However, caution should be used when interpreting this review because the different methodologies used in the included studies may have an impact on the results of the reports. The difficulties inherent is isolating the variable of stress, the lack of a reliable standardize   psychological analysis to quantify and define most psychiatric disturbances, the individual ability of patients to cope with negative life events, and the different types and clinical parameters used to determine periodontal tissue breakdown may cat as a confounding biases and cause result distortion at several stages. lthough a positive relationship was observed between stress and periodontal disease, further representative research is need to determine the impact of stress and psychological factors as risk factors for periodontal disease. Reference: Ng SKS, Leung WK. A community study on the relationship between stress, coping, affective dispositions and periodontal attachment loss. Community Dental Oral Epi demiol 2006; 24: 252-66 Page RC, Kornman KS. The pathogenesis of human periodontitis: an introduction. Periodontol 2000 1997; 14 9-11 Robert J. Genco, Alex W. Ho, Jeffrey Kopman, Sara G. Grossel, Robert G. Dunford and Lisa A. Tedesco. Models to Evaluate the Role of Stress in Periodontal Disease. Department of Oral Biology, Periodontal Disease Research Center, School of Dental Medicine, State University of New York at Buffalo. Vol. 3, No 1, 288-302 July 1998. Amy E. Rosania, Kathryn G. Low, Cherly M. McCormick, and David A. Rosania. Stress, Depression, Cortisol, and Periodontal Disease. Department of Psychology, Bates College, Lewiston, ME. Volume 80, Number 2:260-266 February 2009. Breivik T, Thrane PS, Murison R, Gijermo P. Emotional stress effects on immunity, gingivitis, and periodontitis. Eur J Oral Sci 1996; 104:327-334 Green LW, Tyron WW, Marks B, Juryun J. Periodontal disease as a function of life-events stress. J Human Stress 1986;12:32-6 Annsofi Johannsen, Gunnar Rylander, Birgitta Soder, and Marie Asberg. Dental Plaque, Gingival Inflammation, and Elevated Levels of Interleukin-6 and Cortisol in Gingival Crevicular Fluid From Women with stress-related Depression and Exhaustion. Volume 77 – November 8 2006; 77:1403-1409 Genco RJ, Ho AW, Grossi SG, Dunford RG, Tedesco LA. Relationship of stress distress and inadequate coping behaviors to periodontal disease. J Periodontol 1999;70;711-23 Daiane C. Peruzzo, Bruno B. Benatti, Glaucia M. B. Ambrosano, Getullo R. Nogueria-Fiho, Enilson A. Sallum, Marcio Z. Casati, and Franciso H. Nociti Jr. A Systematic Review of Stress and Psychological Factors as Possible Risk Factors for Periodontal Disease. Volume 78- Number 8. 2007;78:1491-1504 Kaufman E, Lamster IB. Analysis of saliva for periodontal diagnosis- A review. J Clin Periodontal 2000; 27: 453-465 Arowojolu MO, Onyeaso CO, Dosumu EB, Idaboh GK. Effect on academic stress on periodontal health 2006;29:9-13 How to cite Stress, Dieting, and Periodontal Disease, Essay examples

Reflective Accounts

Question: Write the reflective account followingthe Gibbs model of reflection. Answer: Reflective accounts Here to write the Reflective accounts I am following the Gibbs model of reflection (Lawrence et al., 2013). This is the Gibbs model of reflection (1988). The report is written by following the model. Description Dr. A is practicing from last year. He lives with his family. He is a complete family man and he lives with his family. He has faced a patient few months ago, Mr. B. He was 65 years old. He has faced Dementia a few months ago (Incorrect Description, 2013). When he came to my chamber he was complaining that he is forgetting things frequently and this thing is giving him a severe headache. He is facing this from last few weeks. He is weak person by heart. So, it is well enough to frighten him. He entered in chamber with a threatened face and with a mild ache in his head. The family doesnt have that kind of diseases. He is first person in his family who is having such problems. He was forced to come to my chamber. His son said that Mr. B is forgetting few things and he was now not that able to think and make perfect plans. Mr. B was ignoring this signs but his is son is aware about the disease and he forced him to visit the doctors chamber. I discussed the social situation with him and I came to know that he was a retired person. He has a married son. But he was working in an organisation to help the needy people. For this purpose he had to make some effective plans. He was not able to make those plans though he was an expert in making those plans. Last thing which I came to know is that he had lost his wife a few months before. While examining Mr. B I pointed out the problems. Being a doctor I knew that the dementia is increasing day by day. The higher population of the older people made that count larger. This disease doesnt show its negative aspects in earlier stages but it gives its worst result at last. So, my main motive was to identify the primary symptoms. I found that Mr. B is having some mental problems. They are- Mr. B is losing his memory (Announcement, 2015). He is having some difficulties in communicating with people. He was losing his mental ability to pay serious attention to any project. He was very good in such works but he was not able to do those works. He was in a post where he had to make decisions, give judgements. He was not that expert in our first meeting (Value judgements, 2011). He was losing his visual power which is natural after a certain period, but here in this case i thought that it is a symptom of dementia. Feelings The symptoms I got from his daily life. This is not that disease which gives the patients too much headache or stomach ache or any kind of pain. This disease increases in the brain slowly and makes its worst result with the time. Mr. B often forgot to take his wallet. He was facing some difficulty while talking to me. I asked few questions to him for which he had to think properly. He didnt make that. Last thing what I did, I took an examination of his eyes. I noticed that he is facing some disability in that part also (Barile, 2014). Looking in the symptoms and at the present condition in Australia I thought that it is case of dementia. I felt that I have made a proper diagnosis and the next thing hic hi had to do the proper treatment of the patient, Mr. B. This was the first case of dementia to me. So, it was a challenge to me that I had to the best possible treatment which a doctor can give to his patients. Evaluation While giving treatment to Mr. B I faced both type of experience. Sometimes I felt like I was in heaven and sometimes I thought this is the worst thing which I am facing right now (Evaluation Sources, 2015). Good experience I prescribed some medicine and some therapy to Mr. B. Sometimes they worked properly. The sign of this thing is he entered my chamber with a smile. After that what he he picked out his wallet and used to say me that he didnt forget to take his wallet that day and any prescribed medicines were working properly. That smile was the real fees to me. Some recovery was done according to me (Jing, 2015). The good thing to any kind of professional that they are doing the appropriate thing what they have leant from the past. They are here to apply those studies in real life. The best experience in that case was I detected the disease at the very earlier stage. This helps me in the treatment very much. Apart from that Mr. B was getting busy in his daily life. There was a time where he lost himself but he is coming back into his normal life. Though it is a disease which cannot be cure properly, it can be reduced only. I think I did my best to reduce the effect of this disease. Bad experience The bad thing in this case what I experienced the violence of the patient. This decease make the patient to forget the bad memories and the patients only remembers the good things in their life. Often Mr. B forgets that his wife was no more. He thought that my treatment makes him to stay away from his wife. Some times when the decease shows its presence Mr. B wants to meet his wife and when he didnt find his wife he used to say bad words to me. It was not his fault. The decease forced him to do such things. But still when you are helping someone and he is saying bad words to you it hurts (Vestal, 2012). Analysis In this part of the analysis of the whole part is done. What I have experienced what steps I have taken to make the diagnosis. While examining Mr. B I pointed out the problems. Being a doctor I knew that the dementia is increasing day by day. The higher population of the older people made that count larger. This disease doesnt show its negative aspects in earlier stages but it gives its worst result at last. So, my main motive was to identify the primary symptoms. I found that Mr. B is having some mental problems. I have experienced both good and bad experience. Mr. B was getting busy in his daily life. There was a time where he lost himself but he is coming back into his normal life. Though it is a disease which cannot be cure properly, it can be reduced only. I think I did my best to reduce the effect of this disease (Analysis Title Page, 2014). In this step I have done some tests to know the actual condition of my patient. There are some tests which are very much essential to do. These tests took only 5-15 minutes to complete. These help me to monitor my patient and to prescribe him he needs. I have done three tests mainly. These are Mini Mental State Examination (MMSE), Abbreviated Mental Test Core (AMTS) (Lam, Wong and Woo, 2010) and the Modified Mini Mental State Examination (3MS) (Karch, 2015). These were the prime tests which I have done. I have done other tests like Cognitive Abilities Screening instrument (CASI), the Trail-making Test and the Montreal Cognitive Assessment (MOCA) test. These tests helped me to reach at a better conclusion. Among the tests the MOCA is the test which used to make some screening test. It is a liable test too. The MMSE test is a common test which is done every where dementia found. These tests are to check the sensitivity of the patients and to identify the exact problematic area. All the tests were done successfully (Rosa da Silva, 2010). Apart from this I had know the daily habits of Mr. B. Because of that I made a questioner which I gave to Mr. B to fill that up. The Questioner helped me a lot to know about the daily life of my patient. This process is called Informant Questioner on Cognitive Decline in the Elderly. This is tool of this treatment and this is a successful tool. A survey said that in 90% case the tool has made an effective result (Clements and Stoye, 2014). There are some laboratory tests also like routine blood tests (Lab on a Chip 200th Issue, 2014). This test is done to know about the vitamin level in the blood. The decease occurs because the brain doesnt get its food and become ill. So, it is necessary to know about the vitamin levels in the blood (Shankar, 2013). This ensures that the brain is getting its food and no further damage is done. The blood test includes vitamin B12, folic acid test, full blood count, TSH, calcium, renal function and the lever enzymes. These entire tests are done. Another reason of the blood test is to monitor that the prescribed medicines are harmful to the body or not. Is the medicines are harmful. Monitoring the small steps assures that the worst result will not come soon (Mastilovic, 2010). I have done the CT scan and the MRI scan to the Pressure hydrocephalus. Is the pressure is normal. . The change doesnt show the neurological problems it is done to know the above mentioned pressure is normal or not. This pressure is a main reason of the decease. So, it was obvious to check the pressure, if it is normal or not. The test shows that which type of dementia the patient have (Rahme and Bojanowski, 2010). There are so many tests like the SPECT and the PET test. These are also the clinical tests but I felt that these are not necessary. From the above tests I have got all of my information. These are done to examine the carbon-11 (Kenny and Kelly, 2003). I prescribed some medicine to maintain the normal vitamin level in the body. By analysing his questioner I prescribed him to make some change in the daily life. I told him to medicate. Not only that I guided him in some healthy computerised training. I thought this process will help my patient in improving his memory. I put my best effort to make my patient out of this decease (Baarda, 2012). Palliative care For this kind of treatment palliative care is most important. These help the patient to improve mental condition. This dementia leads the patients to a mental and physical loss. So, care is very important in this case. They have to treat with great care. They need mental support in this stage. By way of counselling I did my best and I thought that the result will be positive and it was a positive outcome. From the questioner from I came to know about the goals of my patient. This helps me to make the counselling more effective (McKenna and Clark, 2015). Psychological therapies The therapy includes the music therapy, reminiscence therapy etc. These type of therapy helps to give a better atmosphere to the patient. I prescribed it also. This improves the mental condition of the mental condition to the victims. So, I referred this also. The abnormal activity of the persons in reduced in this process. The music therapy also helps to maintain the pressure of the patients. It helps the patients to control their anger. My patient often remembered his dead wife and this not possible to produce her in front of him. At that time my patient acted like a wild animal. He was on fire at that time. Even my counselling was ineffective at that particular time. So, I prescribed music therapy to my patient. It helps me a lot in this case. By listening the music the rude behaviour was reduced a lot. Thus I got help from that therapy (Maguire, 2012). Conclusion In the above part I have made described what I have done earlier. In this part of Gibbs model of reflection (1988) I will discuss what steps were there which I could take. As I said before there are so many tests like the SPECT and the PET test (Krause, 2008). These are also the clinical tests but I felt that these are not necessary. From the above tests I have got all of my information. These are done to examine the carbon-11. I didnt think that the test is required. Eating difficulties My patient often makes trouble while eating. This was vey injurious to his physical and mental health. Lack of vitamins in the body allows the decease to make his appearance in a better way. It was possible to feed him with feeding tube. But I didnt do that. I thought it can injure him. The tube could increase the vitamins and it could improve the health also. But I didnt (Richardson et al., 2015). Pain This is a common thing that the old aged people face a severe pain in their body. Like all other older people my patient was also suffering from this. Like all other he was also avoiding this and at time of treatment he didnt tell me that. That can happen that he is suffering from the decease dementia, and this decease kill the felling of pain. So, he didnt have that idea that he is suffering from pain. So, I prescribed him some therapy to take on. I didnt think that he took those therapies. I think that I could have done much better in this particular case (Bowsher, 2005). Action Plan In this part of the Gibbs model of reflection (1988) it is said that the future measurement plans in case of the decease come again (Allergy action plan, 2013). If the decease come again I shall take the authentically steps of treatment. I will not take any kind of steps which is injurious to the patient or which is not acceptable according to me. I shall take the following steps. Step 1 I will make proper diagnosis to know the actual reasons behind this. I shall look for those particular points of dementia. The symptoms are Mr. B is losing his memory or not (DOE's Losing Gamble, 2002). Is he having some difficulties in communicating with people? Is he losing his mental ability to pay serious attention to any project? Is he giving a fare judgement or is he doing his works with full attention? Is he was losing his visual power than before? Is his body is feeling the pain like a normal old man? Step 2 After that I shall make the tests and analyse the previous reports and compare the new test reports with the older one. The tests I shall prefer these steps to know the actual condition of my patient. There are some tests which are very much essential to do. These tests take only 5-15 minutes to complete. These will help me to monitor my patient and to prescribe him what he needs. I shall make three critical steps. These are Mini Mental State Examination (MMSE), Abbreviated Mental Test Core (AMTS) and the Modified Mini Mental State Examination (3MS). These are the prime tests which I have to do. I have to done other tests like Cognitive Abilities Screening instrument (CASI), the Trail-making Test and the Montreal Cognitive Assessment (MOCA) test. These tests will surely help me to reach at a better conclusion. Among the tests the MOCA is the test which used to make some screening test. It is a liable test too. The MMSE test is a common test which is done every where dementia found. T hese tests are to check the sensitivity of the patients and to identify the exact problematic area. All the tests will have to done (Gao, 2012). If I feel I will make a questioner. I shall make a questioner which will give to Mr. B to fill that up. The Questioner will help me a lot to know about the daily life of my patient. This process is called Informant Questioner on Cognitive Decline in the Elderly. This is tool of this treatment and this is a successful tool. There are some laboratory tests also like routine blood tests. This test is done to know about the vitamin level in the blood. The decease occurs because the brain doesnt get its food and become ill. So, it is necessary to know about the vitamin levels in the blood. This ensures that the brain is getting its food and no further damage is done. I have to know about the health condition of Mr. B. So, I have to prescribe the blood test. The blood test includes vitamin B12, folic acid test, full blood count, TSH, calcium, renal function and the lever enzymes. These entire tests are done. Another reason of the blood test is to monitor that the prescribed medicines are harmful to the body or not. Are they helpful? Monitoring the small steps I hope I will protect my patient from severe injury (Pacholok and Stuart, 2005). Step 3 In this step I will take help from my previous experience. I faced a mixed type of experience. I have face the good experience and as well as the bad one also. I will take help from the past test report. I will analyse the past reports again and compare the new report with the new one. I will go through the precious prescribed medicine and the result also. If I feel that I have to change those medicines I will do that. 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