Essay on DR Smelly: A Short Story

The element that makes the short story an appropriate literature for fantastic approach is the nose itself. A man wakes up and discovers that his nose is gone. He looks for it and was surprised to see that his nose is now human- size, walks and talks like him, and is dressed in an official's clothes. The nose even became a minor celebrity in the town.Few days later, a cop went to his house to tell him that he has his nose. He said that it was caught while trying to escape to the city. The man tried to stick his nose to his face again, but it wouldn't. A doctor went to his house and asked if he could buy the man's nose. When the man looked at the doctor, he was surprised because it was his nose.

I never predicted this beautiful trip ending up as a nightmare in my existence. I drove for approximately 40 minutes and my partner shared the driving for an additional 40 minutes. We were driving my friend mom’s

If your doctor has prescribed you medications, you need to find a way to take them. Taking the medications that were prescribed to you shows that you are taking all the steps necessary to manage your condition. It is one of the best ways to show that you are actively trying to improve or at least maintain your health and well-being.

If an individual expresses that they want to discontinue their medication and becomes non-compliant with their medication then it is my role to identify the risk they are currently posing and update their risk assessment; inform their CMHT and let the citizen know of the consequences to them not taking their medication and reiterate that it is their choice, as long as they have all the information to make a decision (wise or unwise). It is important to emphasise that not all individuals understand information the same way, therefore I have found that the use of internet, booklets, music, audio recordings, talking group therapy and pictures can be applied to explain a situation to a resident if they are unsure of particular consequences to their health.

Relocating from Florida back to Arizona was quite the journey. We went through terrible weather changes and and other dreadful like things on the trip. On the day we took off to board the greyhound we found out that the train had been experiencing some difficulties performing like the rest of them, but we had been told that the problems were fixed and that we shouldn't be worried. So we trusted in this man and what he had told us and i see now that was a big mistake, so we boarded the train took off our bags and we were all excited and could'nt wait to get back to see granny the rest of the family. Finally the train took off and the journey began I took a seat and felt relieved and calm but at the same time I felt uneasy and i just couldn't

When we were leaving to Maryland, I was sad to leave my dog but we had no choice. Our trip to Maryland was about 12 hours long but we took about 14 or 15 hours. We left at 3 in the afternoon, and we did get lost a few times but we had a GPs. We passed by Ohio and it was so long. We also passed by Columbus and it was beautiful. We passed by a lot of cities. When we were in West Virginia my dad almost ran over a drunk man and he even looked to see if there were any cars but he just walked! The ride was so long but my brother and I couldn't sleep, all 4 of us pulled an all nighter.

Some of the factors that patients do not adhere to when their healthcare provider tells them too is due to patients being too busy. Often times life is very busy as we all know this but forgetting to take of yourself can have detrimental effects to your health. Some people think they can get better on their own without the help of a doctor so they feel like they will be fine or able to handle any health complication on their own. Another reason is that often people do not understand or they forget what the doctor is telling them about their prescribed treatment regimens and other patients decide to simply not follow it. As stated in the article by Sklar, Min Sen Oh & & Chuen Li, 2008 “Poor communication with healthcare providers was also likely to cause a negative effect on patient’s compliance (Bartlett et al 1984; Apter et al 1998)”. Miscommunication between a doctor and patient is at the root of most adherence problems. Often times patients leave their doctors office not knowing or having the slightest clue to what they should be doing. Instead of asking for help or clarity they just leave. Communication needs to be clear and effective for both the patient and the doctor. Non-adherence is wide spread when it comes to patients not adhering to what professionals tell them. Many patients will have significant risks because they forget,

“The odds of having good health outcomes are 2.88 % higher when patients are adherent” ( DiMatteo, Haskard-Zolnierek & Martin, 2012, p. 75). Nonadherence occurs for many reasons and may or may not be intentional. Nonadherence is defined as the failure to follow prescribed medical advice. Examples of actions considered to be medical advice are: to take medication as prescribed, make behavioral changes such as diet and exercise, keep appointments, and have screenings/testing done. Nonadherence, also called noncompliance also causes frustration of providers and patients, and wastes resources. Rates of nonadherence can be as high as 70% with complex regimens (Martin, Williams & DiMatteo, 2005). Factors in compliance with medical advice include: severity of disease, complexity of regimen, patient knowledge and beliefs, costs incurred by the patient, resource availability, availability of social support, psychological problems, and rapport and communication with healthcare providers.

Some reasons for non-adherence are common across all types of illnesses. These include side effects, cost, forgetfulness, and not feeling the need to take the drug (Wegmann, n.d.). Adherence rates decrease even more when an illness is chronic, in part due to the additional complexities of these illnesses. Multifaceted treatment regimens, multiple physician involvement, and lack of understanding about medications are common reasons for this increase in non-adherence. Moreover, people who have chronic illnesses often feel that they do not need medication when they are feeling asymptomatic (Brown & Bussells, 2011). Chronic psychiatric disorders, especially severe ones, can come with their own reasons for non-adherence. These can include anosognosia (an unawareness or denial of a neurological deficit), and feeling “enslaved” to the medication (Colom et al., 2005). Even the very nature of bipolar disorder can lead to noncompliance. Both the seductive nature of mania, and the apathy of depression can lend themselves toward medication non-adherence (Black Dog Institute, 2013). In fact, 90% of people with bipolar disorder have seriously considered stopping their medication therapy at some time during their life (Colom et al., 2005). Given the multitude of reasons listed above, is not surprising that bipolar disorder has

Mr. Skelly’s coal-stained hand twisted and turned, came and went, and cut my baby-skin like hooves. Sweat mixed with soot covered his Frankenstein-face and slopped down it like thick, black streams of sorghum molasses. His neck twitched. His face went grayish black, then emptied like whatever it was that had been pinned up inside of him for eons, suddenly was out.

The alarm woke us up at 8:30am again even though we would like to keep sleeping we had another big drive this time back to Shelbyville. We had a light breakfast of cereal and toast and after eating so many heavy meals it was a nice change. We checked out of the Econolodge which was only cost $60 per night which is so cheap and fitted our needs fantastically. We made our journey up the I75 and stopped at Burger King for a toilet break where I got a whopperurrito, which seemed like a normal burrito. We exited the state of Tennessee and went into Kentucky for about 100 miles until we briefly entered Indiana as we across the Ohio River. We were only in Indiana for a couple of minutes as we crossed into Ohio and 3 minutes later back into Indiana,

For example, we sent a young girl to our state hospital in March (she is 23 years old and suffers from bipolar but her impulsive behaviors had become so severe we had to send her to longer term, she was throwing herself out of moving cars and was being life-flighted frequently to the nearest trauma center with serious injuries each time). She was discharged from the State Hospital a week ago and she was admitted to our unit last night. Her mother told me she has not been compliant with her medications. One of the lectures I give all my patients is; in order to feel the full effects of your medication you need to be taking it on a consistent, as prescribed basis. I tell them just missing one dose can start their spiral into relapse and within a few days they are back to square one again. I also tell them if they want to go off medication see their psychiatrist and they will work with you. One aspect of my job is I have to schedule a patient before they leave with a psychiatrist and therapist to follow with outpatient for aftercare (I am in

Have you ever read Mr. Stink? David Walliams’s novel of masterpiece? David’s fiction figure, Chloe was really like to bullied by her school friends. They said that Chloe was a loser.

takes a puff of his cigarette before turning his head slowly, gazing directly at tanner. Germs didn't like his tone or what he said, this was clearly offensive to the crew's captain. Germs strongly inhaled then released the smoke from his mouth into Tanner's Face.

Rosamund lay back in her bouncer sucking on her fingers as she seemed to be watching Sherlock who had an eyebrow lifted at her in return, ‘’Do you know how many germs are contaminating your fingers? How many diseases you could receive by doing that?’’ Sherlock stood and walked over to the bouncer kneeling down to grab a ladybug patterned pacifier that hung from a built in string from the bouncers bar he looked rather annoyed but surprisingly gentle when he pulled Rosie’s fingers from her mouth and popped in her pacifier only when he stood up once more she spat it out immediately her fingers were sucked on once more. Sherlock kneeled down once more grabbing the pacifier and wiping it upon his sleeve before moving it around, ‘’This is what