Implementation And Advantages Transformational Leadership In Nursing

Implementation And Advantages Transformational Leadership In Nursing Transformational leadership is a leadership approach that brings value and positive change to the followers with the ultimate goal of transforming those same followers into great leaders. Accordingly, this style of leaderships main goal is to convert the followers into great leaders, in addition to providing guidelines for success. The leader in this style, on all occasions, has words of motivation for the followers that heightens moral for the reason of producing a higher level of performance. There are many advantageous ways of inspiring the group. To begin with, the leader is to associate with the identity of the follower. By asking to questions: Who are they? What are their goals in life? What kind of background do you have? A transformational leader finds out all the pertinent information about their potential leaders and uses those specifics to generate the transformations. For this purpose, the leader is always perceived as a good role model to the group. The leader inspires them to be the best they can be and on all occasions, challenges them when needed. All things considered, the leader understands and is aware of all their weaknesses so the future leaders can be up for the challenge and optimize their performance. In conclusion, the followers of this style must possess charisma, idealized influence and stimulation, so the end result can be the finished task. This style promotes new direction that allows the followers to successfully execute the assignments on their own. Being a transformational leader is somewhat challenging but the rewards are endless. Laissez-Faire leadership is best defined as a non-authoritative style of leadership. Laissez-Faire, is French which means allow to pass, or let go. Accordingly, this leadership explains why the leaders possess no control, as they try to have the least amount of involvement as possible. The leaders maintain the belief that if people are left alone they will excel in their own time. Consequently, these leaders allow their team to be responsible for the own outcomes, with no intervention or assistance from management. The Laissez-Faire style is only effective if the members are skilled, prideful, experienced and highly educated. In addition, this style is not for employees who need constant supervision, and always need a pat on the back for a job well done. All things considered, in the interest of nurses, the majority of the time, nurses will have no leadership or direction from upper management. In the event of an emergency, there is no time for calling for assistance or direction. The implementation of the nursing process has got to be immediate with no intervention from management until problem has been alleviated. For this reason, this style is not effective for nurses that lack experience, are unable to function on their own and need constant interaction with their preceptor. The manager, as I stated earlier, is nowhere to be found, so you must be a self started and motivated by your own means to work with this style of leadership. The first quality of a good leader is that he has passion for the craft and challenges you to be the best that you can be at whatever you do. If things are made easy or handed to you, you will not work as hard to accomplish it. You are already aware of the outcome and it is always in your favor. A good leader challenges the highest level of ability and expects the best from you. He expects you to put your best foot forward, consequently rewarding you when you have done your best. A good leader always sets a good example because he leads by example. If your leader is unprepared, unmotivated, has no confidence and has lost his passion then you will be the same way. Your leader strives to be number one, because he expects the same determination from you. A good leader finds ways to keep his team motivated and you will benefit from his experience. In addition, a good leader offers a complete explanation of the job to be done, as well as clear and concise directions so that you will successfully do a great job the first time. A good leader wants his team to be successful with every task because that reflects back on him. A good leader praises a teams good work and offers ways to improve on the jobs that were not as successful. In any case, one of the traits of a good leader is he is always visible. In order to provide strong leadership he needs to have a strong visual presence with the workers. They need to see him in the middle of a task working alongside them getting the job done. He needs to be available for questions, comments and general discussions. He needs to be in the forefront so that the followers can have him at their disposal when needed. Furthermore, another trait of a successful leader is consistency. Keeping a working, supervisory relationship is the key. People will come to you for leadership and guidance and must receive direction consistency on a daily basis. Also, it is important not to let your personal feelings cloud your decisions. Stay focused on the situation or issue, not on any one particular person. Many times leaders are connected with some workers more than others. Leaders must never let the working relationships change their response. All employees musts be treated equally with the same amount of fairness and respect. Showing favoritism hampers the fluidity of the working process. Above all, leaders must include employees in the problems solving process. When leaders include their followers in the troubleshooting process, it makes them feel like an important part of the team. By keeping all lines of communication open, encouraging input for improvement and change, will set the team apart. The leader improves the team by listening to them, discussing and challenging their skills while complementing on jobs well done. Simultaneously, setting the tone for the work environment, coming from an optimistic leader, can excite and motivate the team to perform the best job possible. Confidence, exhibited by leadership, can be contagious, as employees feed off the tone set by leadership. A good leader is encouraged to show gratitude for a job well done, and encouraged to thank all whom were involved. Incidentally, many times leaders make mistakes they are human beings just like everyone else. They, like all people, are not perfect and will make mistakes, while the good leader admits to those errors. Every team member will have more respect for the leader if they are open and honest about all events. Honesty is always and forever the best policy. By the same token, sometimes leaders make the mistake of putting business before people. A good leader always make sure his followers feel like they are a active part of the team and that all the information they present is just as important as any other member. On the contrary, my preceptor Mrs. McKenzie is a wonderful leader. She is always ready to teach you something new and has the confidence that you will do a good job. She is a good leader because she does not have the Im the teacher, youre the student attitude. She is always open to suggestions and answers the many questions that I have for her each and every time I am in clinic. When there is a code or another stressful situation she never loses control. Mrs. McKenzie is full of useful information for both me and the doctor. Ms Angela, the charge nurse over the emergency room, seems cold and stuffy but when in action she wants the students to be involved in all aspects of patient care. She goes as far as informing the medical doctor on duty that they have a student and makes sure you are in the middle of everything that comes thru the emergency room. Correspondingly, on my clinical rotations, the most positive trait brought to my attention, is one of teamwork. When a new patient is admitted, no matter who is assigned to that patient, all the nurses converge on the room and make sure the core nurse has everything she needs. For this purpose, one nurse starts the IV, one nurse disrobes the patient, one nurse applies the ECG leads and the other starts the initial assessment along with the vital signs. Nevertheless, as the student, if you dont confidently move fast and be quick on your feet, you will miss out on all important experiences. Students need positive role models and feedback to make certain that what they see and experience in their nursing rotations, make them a competent nurse throughout their entire career. The nurses on my rotation worked like a well oiled machine and made sure that the patient as well as the family had all they needed and were comfortable with the care we were providing. Many things make you a reliable nurse but I believe proper training and education play a large role in being able to perform effectively, thus increasing reliability. The negative traits that I have observed is some nurses do not want to have a student or a nurse in orientation for that matter. They forget that at one time they were a student or a new nurse on the job. They just want to have less interference as possible to make their day go by. You are not allowed to ask them any questions or be in their patients room. I have observed nurses not always using the proper techniques for different duties around the hospital. They are not washing their hands between patients, not using sterile technique when necessary and sometimes just over looking hospital protocol all together. The one negative trait that I will never possess is that I will never be a nurse because of the pay. I will always be the kind of nurse that loves nursing and that is why I do it every day. I will never forget where I came from and treat someone like they are less than me because they work in a different area than me. I will never be the type of nurse that speaks negatively about a medical doctor or a nurse in front of the patient or anyone else for that matter. I will always have respect for my leaders in nursing even when they dont have it for me. However, I will be the nurse that pulls then to the side to try to get the problem worked out instead of working with hostility daily. All things considered, I am a transformational leader. I work well with others, am trained and highly motivated with everything I do. I love to see people do well under the title they work. I always try to be a good example and promote nothing but positive attitudes in the work place. I provide the guidelines and would allow the employees to do what they do. I like this style because it utilizes the skills that you know your employees already possess, that makes them into their own leaders. My peers come to me for advice on a daily basis because they know that I really have a no-nonsense attitude when I am working towards something. I offer strong but friendly words of advice and never sugar coat anything to them. When a plan needs to be made normally I am the one who implements the stages. To my friends I am a strong leader because I get it done and take no excuses. Now will that make me a good RN? I hope so, but time will only tell. An RN has to be a strong selfless leader who never turns down a challenge unless it is unsafe for the patients. Always ready to give the right information when needed and always learning new things every day. I was never given the opportunity to be the team leader, but had it happened I am confident I would have handled it in a very professional manner. I would have made sure that I referenced back to the BON website when I was unsure about delegation and my scope of practice as a nurse. My personal philosophy is I believe that nursing is a profession that uses the criteria Pavalko used to define the eight dimensions of a profession. It shows that nursing has relevance to social values, education, self-motivation, a code of ethics, commitment to lifelong work, a theoretical framework, and there is a common identity. Additionally, how the ADN prepared professional nurse has many roles, such as a caregiver, teacher, advocate, manager, colleague, and expert. It is my opinion nursing is a remarkably rewarding profession that consists of various obstacles that are triumphed over in order to pave the way for a rewarding and honorable future. There are many significant achievements accomplished by nurses in todays society including the values instilled in our social lives, as well as the education attained by individuals in order to seize the ability to give great care to the community. I believe it takes a unique type of person with a great deal of motivation and ambition to be capable of performing as a caretaker for others. It is crucial to believe in what you are doing by always using superior judgment, and by following the Code of Ethics in each decision you make in your working institution or at home with friends and family. Using the term Career in regards to nursing seems to be an understatement of my outlook on this astounding health care position, I have always considered this opportunity as a permanent gratifying commitment not on ly to myself, but to all of those whom rely on my specialized training and care for their well being. Although maybe not suitable for each person, nursing is a profession of choice for general public to apply themselves to if they so desire. There are numerous different regulations and system policies the nurses adhere to in order to maintain safety and quality care for all people. I believe nursing colleagues may be able to unite as one group with the same values in their trade in order to work harder on leading by example, and following each others strategies as well; furthermore, overcoming the obstacles of modern day traditional standards and excelling beyond the current generations outlook of the nursing profession. Nursing leadership and management is crucial in the foundation of nursing care. There is a direct correlation between leadership and quality of care. Â   Poor nursing leadership leads to poor patient outcome and, inversely, good nursing leadership leads to excellent patient outcomes. I believe that a profession has a commitment to a lifelong work because you get involved in your establishment. It is very hard for me to think of leaving the nursing field, or the hospital I work in now, because there are so many people relying on me for my knowledge of this hospital. I have grown attached to those I work for and with. The rules of this hospital differ from others and after familiarizing myself in such depth here I could not just leave in hopes of finding another place to be so comfortable or appreciated. However, in todays generation many nurses do not feel the same way. There are many nurses that choose to work short term in one hospital and then leave to work in another facility. Due to this constant battle for hospitals and other health care provider facilities to keep continuous adequate nursing staff, the United States has had to find other means of populating our health care systems. For instance, According to the American Hospital Association, 17% of hospita ls recruit from abroad to fill nursing vacancies. New Trends in foreign Nurse Recruitment, Texas Nursing Voice, April, May, June 2008. That says to me we really need to start more nursing schools and helping the people who are already working in the medical field to move up to nursing and make a solid career move. The most important thing I learned from this paper and from my clinical experience is that every member of the team really holds the same amount of importance. There is no one person that is more important than the other. If there is no team work involved there is no team. Being a good nurse not only takes excellent training but it takes compassion for the job. There is always something you can improve and many new things to learn. This new role is going to be somewhat of a challenge but with continued hard work I know I can get it done. I have learned to never be afraid of the unknown, just do your best to figure it out and make it work in your favor. In addition I learned that being a part of a team although very important, being an individual is even more important. Do not allow other peoples negative views cloud your judgment. As a new nurse everyone is trying to recruit you to their team or to their way of thinking. My preceptor has always told me to stand on my own two feet and whatever decision I make in my career I need to make sure that I am comfortable with it and that it satisfies the job. I have learned to always keep patient safety first and treat the patient as I would want a member of my family treated. Nursing is a rewarding profession physically, mentally and in spirit. Throughout my years in the nursing profession I have observed many challenging circumstances with a wide variety of remarkable people. All individuals, at some stage in their lives, will seek medical attention. During these times of need each person desires to find comfort in the ones looking over them. People need a doctor that is aware of their si tuation and that has a plan of overcoming the quandary the patient is in. These same individuals interact with nurses recurrently and find relief in their understanding and ability to console the patients during the period of their predicament. The major social value of the contributing nurses is, at times, overpowering. With so many people all over the world constantly struggling to endure their circumstances it is evident of how valuable the medical skills are and the people who provide them.

The Bluest Eye, Toni Morrison

The Bluest Eye, Toni Morrison There are many beautiful things in this world. There are beautiful people, beautiful places, and beautiful things. When telling a story there are ways to portray beauty. Then, on the other hand there are ugly things in this world. Things like the way people look, how situations can be, or how people can be treated. In every book the author will either look to tell the good parts of a story, or to show the bad in the situation. For example, an author could take a person and tell about how fat or poor the person is, and looks to entertain by pointing out those facts. Then on the other hand the author could talk about how perfect and rich a persons life is, and looks to entertain by talking about this. Well in the novel The Bluest Eye Toni Morrison does not portray beauty, but instead shows the ugliness in the world. Toni Morrison shows that it was very hard for Pecola in everyday life. For starters, Pecola was not the richest person. In fact, she and her family where very poor and living in poverty. As stated by Toni Morrison in the novel Although their poverty was traditional and stultifying, it was not unique. (Morrison 38). This quote is talking about the financial issues if the Breedloves family. It states that it is the average poor person situation. Theres nothing too deep about the issue. Instead of Toni Morrison talking about how poor the family is, she could have just shed more light on the good things out of the situation. She shows the way Pecola had to feel every time she wakes up. Out off all of the good things going in the world Pecola has bad things happening to her. Pecola also has to deal with being ugly. In The Bluest Eye it was also stated No one could have convinced them that were not relentlessly and aggressively ugly. (Morrison 38). This quote is showing the attitude that they had about themselves. It says that they felt no one could say much to prove them as not being ugly. They didnt really think highly of themselves. Toni shows how horrible life was for Pecola and her whole family being reminded every day that they are not beautiful. Having in the back of their minds that nobody feels that they are beautiful. In the novel The Bluest Eye Toni Morrison shows how sick and cruel people can be. Racism was shown very heavily towards Pecolas father Cholly when he was caught in the woods with a white girl. Two racist white men picked the perfect opportunity to show the sickness of racism. A recent article stated and we observe Chollys humiliating and traumatic sexual experience at the hands of two white, racist hunters. (Blumenthal 118). The quote tells about a sexual encounter with Cholly. He is caught in the act by two white racist hunters. They proceeded to humiliate him. In the world today sex goes on pretty much everywhere, but it is even worse that in this particular incident a black man was caught in the act by two racist whites. And, instead of just going about their business they just had to humiliate him by forcing him to continue as they watched. The two white men showed no remorse. Also, in The Bluest Eye Toni Morrison began to shed a little light on the cruelty of a fathers relation ship. A recent article shows a readers feelings about the situation, Father will you play with Jane becomes indicative of something darker (Blumenthal 117). This quote shows hidden darkness. It shows how one phrase can become something totally different. It implies that the father is a negative character. Its just shows the sickness of how a father can go and begin to have feelings for his very own blood daughter. Toni portrays this in the novel, and in fact has an entire section in it about the father not controlling his feelings, and actually getting physical with his daughter. Toni has no problem showing how evil the minds of people can be in this day and time, and its only getting worse. Toni Morrison shows how dreams never became reality, and how a young childs is never answered in the particular situation. In the novel Pecola sees her friends and other people around her with beautiful families. She sees this and starts to get ideas about how it would be to have a family like this. In a recent article from a reviewer of The Bluest Eye it was stated she also wants a family unlike her own. (Hirsch 3). In this quote the author is pointing out what Pecola wants. She wants a family not like her own. She doesnt like the one she has. This shows that there is a real issue due to the fact that a poor little girl has to go through feeling as if her family isnt so great, and that she could use a new, more perfect like family. Also Toni Morrison begins the novel off putting in how a perfect family would be with the Dick and Jane story. She does this almost as if to tease the reader that the story will be a perfect life time story. A reviewer recorded Mother, Father, Dick and J ane live in the green -and- white house. They are very happy. (Hirsch 3). This quote shows the perfect family of Dick and Jane. It tells about the house they live in. It is also very vague on details. The reason for Toni Morrison putting this in the beginning of the book was to show you a model beautiful family. Then she writes a novel about a very dysfunctional family. She points out almost everything that could be bad about a family. She shows a daughter being raped, a little girl being inappropriately touched, and a black man being forced to continue to have sex with a girl in front of two racist men. In the novel The Bluest Eye Toni Morrison shows the difficulties and struggles people had to deal with during this time. Most of the time a person is judged only on how they look, and are treated accordingly. In the novel a woman was decribed in these exact words Paulines blackness, her pregnancy, and every other manifestation of her physicality are entirely absent from her visual and cultural intake. (Rokotnitz 396). The quote is talking about Paulines physical appearance. It says that she I basically different on the inside than she is on the outside. She may look a certain way but it doesnt mean she feels that way. Even though she has a very different personality than the way she looks, she still has to deal with those who do not know her personally. She is constantly judged off of the first look. This is just one of the many situations that where dealt with during this time. Another incident deals with a little girl feeling guilty about something that she didnt fully understand. An article for a reader mentions from the novel Claudia holds herself responsible, believing she was to blame for these premature deaths. (Rokotnitz 401). The quote shows that Claudia feels guilty. She feels responsible for the death of the babies. She is too young at the time to understand the entire situation. This shows the ugliness of the novel. A young girl feels guilty of a death. This isnt something a young child should have to go through. Just imagine the hurt she feels and how she will be scared. Toni Morrison portrays the ugliness of the world in the novel The Bluest Eye. For starters, she shows how difficult life can be for the young girl Pecola growing up. Pecola and her family where not wealthy at all. They were actually poor and nothing was unique about them, They were just another poor family, and she had to wake up and deal with this every day. Not only was her and her family poor, but they were also very ugly. No one, including themselves, felt that they were beautiful. They had no hope or self esteem for themselves. Morrison also shows the cruelties of the way people were treated with the two white racist hunters forcing Cholly to continue to have sexual relations. And also, how sick a father could be to harness impure thoughts about a very own blood daughter. Morrison also shows that nothing good happens in this girls life. She dreams of having a perfect family unlike the one she has. In the end, Toni Morrison pointed out nothing beautiful in the story.

News Broadcasting Essay -- News Analysis Essays

News Broadcasting On April 7, 1997, I watched NBC 5 News at 6. Warner Saunders (filling in for Ron Majors) and Carol Marin were co-anchors. Because I do not usually watch the news, I found myself seeing it with fresh eyes. For instance, I never before realized how little time is spent on each story within a 30-minute newscast. I knew they were brief, but I didn't know just how brief they were. The story lengths were from 20 seconds to three-and-a-half minutes. Watching the newscast from a critical perspective made me more aware of the role local television news programs play in our lives. I now see that they give people a brief overview of the day's events on the national and local scenes. Because people in today's society have many demands on their time – work, family, school, leisure pursuits – they need to get their news quickly. They rely on their favorite television news programs to keep them informed. They should be aware, however, that the time constraints of a 30-minute local newscast limit the amount of information it can give its viewers. For more in-depth coverage they should supplement the TV news with other media sources, such as newspapers, magazines, and radio news programs. As long as viewers take the inherent limitations into account while they watch the evening news, it is a quick, easy way to stay informed on daily events and unfolding or ongoing stories in their own and surrounding communities. The newscast began with a story on the impending appointment of Chicago's next archbishop and a new development in the story – the addition of Francis George, a dark horse candidate, to the list of possible replacements for John Cardinal Bernadin who died five months ago. The new development and the news that... ...go on April 7, 1997. The announcement of a new archbishop for Chicago is clearly news. So are stories that reaffirm our humanity and the resilience of the human spirit – the drowned high school student, the 13-year-old boy and the 10-year-old girl struggling to come back to life from the brink of death – and, certainly, the story of an innocent 7-year-old girl shot down during a senseless act of violence. Stories of missing boaters and heroic efforts to find them are news as well. Even stories of aberrant behavior and politicians falling from grace are news. However, as I stated earlier, it is important to supplement TV news with other sources of information, e.g., a reputable newspaper, a weekly news magazine, or a radio news broadcast, for more in-depth coverage, insights gained from different perspectives, and any stories not covered in the television newscasts.

Hurtful Love and Foolish Hope in Death of a Salesman Essay -- Death S

Hurtful Love and Foolish Hope in Death of a Salesman A father is an important role model in a young man's life; perhaps the most important. A father must guide his children, support them, teach them, and most importantly, love them. In the play Death of a Salesman, written by Arthur Miller, an aging salesman of 63, Willy Loman worked all his life for his children. Happy and especially Biff, his two sons, where his pride and joy and his reason for living. Willy tried as hard as he possibly could to provide for them, to support them, to mold them into men; but he failed. Willy's greatest fault, perhaps, was his inability to see his sons for what they really were. Biff and Happy were never destined to be great men, yet Willy always believed in them. Although Willy's hope is touching, it is also foolish. Willy Loman's blind faith in his son Biff's abilities destroyed Biff's sense of moderation and modesty. Despite Biff's obvious incompetence and mediocrity, Willy vehemently refused to accept his son's failure to "make the grade." Biff "stole himself out of every good job since high school!" (131), yet Willy cannot accept that his son is a "dime a dozen" and declares that Biff is merely failing to spite him. "I want you to know...where ever you go, that you cut down your life for spite!" (129). By blaming Biff for his problems, Willy clears himself of all guilt. Willy cannot realize that it was his ineptitude as a father that created Biff's character. If Willy was a little more aware of his son's situation, his true character, Biff may have realized sooner that he was not "a leader of men." When asked whose fault it is that he never accomplished anything, Biff answered "...I never got anywher... ...r looked up to was nothing more than a "fake", and Biff lost all reason to his life. Everything that Willy taught him was destroyed on that one night. Every rule, every piece of advice, was nulled by that one act of adultery. Willy Loman tried his best to be a good father. He encouraged his sons, he worked all his life for them, and he tried to help them in any way he could. The only problem was, although his heart was there, Willy just wasn't a good father. Willy did his best to raise his sons, but tragically, the more he tried, the worse they became. Ultimately, Willy failed as a father, but he did try his best. He loved his children, in some cases, too much. He loved them blindly, and never once questioned their greatness. Although love like that is touching, it also harmful. Willy's delusions of grandeur for his sons hurt them more than it helped them.

Product Line Study of Wockhardt Hospital by Shezah Salam

About Wockhardt Hospital Group Wockhardt hospital, a subsidiary of Wockhardt ltd. , is India’s leading super specialty hospital chain with branches in Mumbai, Bangalore, Hyderabad, Kolkata, Nagpur, Nasik, Surat , Rajkot, Kalyan and Bhavnagar. As associate hospitals of Harvard Medical, USA in India, Wockhardt hospitals benefit from the extensive learning and experience of Harvard Medical School and its affiliated institutions world-wide. This association helps Wockhardt Hospitals to stay at the forefront of medical technology and techniques, way ahead of others. Wockhardt Hospitals, Mumbai, has become the first superspeciality hospital in South Asia to achieve accreditation from Joint Commission International (JCI), USA. JCI is the gold standard in global healthcare standards. With this, Wockhardt Hospitals joins an exclusive group of 71 hospitals worldwide, which have passed JCI’s stringent clinical quality standards. Their dedication to build a patient driven environment through the creation and exchange of knowledge is the decisive factor for their success. They constantly strive to upgrade the knowledge and competence of our human resources by constantly training with methodologies that meet global standards. Members of their medical team extensively travel to some of the best healthcare centers and teaching Institutions across the world to update their knowledge and acquire new competencies to hone their skills. The quality of healthcare services at their group hospitals in India is at par with the best centres anywhere in the world at a fraction of the cost in US, UK and Canada. Core Competencies Being a Specialty hospital, Wockardt’s core competencies lie in the following fields: †¢ Neurology and Neurosurgery †¢ Heart and cardiac care †¢ Cardio Thoracic and Vascular surgery †¢ Orthopedics and Joint Replacements †¢ Minimal Invasive surgery Wockhardt Product Line Based on the core competencies of the hospital, Wockhardt Hospitals offers the following highly specialized services known as their ‘centers of excellence’: 1. Wockhardt Heart –Care A center for excellence in interventional Cardiology and Cardiac Surgeries in the country, it has to its name a history of path-breaking procedures, be it the first-ever Conscious Off Pump Coronary Artery Bypass Surgery and Awake Heart Surgery in India. Collectively Wockhardt group hospitals have now have tremendous experience of performing over 40000 Cardiac Surgeries and 75000 interventional cardiology procedures since its inception The same expertise and care is now available across various cities of India where Wockhardt Superspecialty Hospitals have been set up and each one of them have a Wockhardt Heart Care. These heart care are also a teaching center for clinicians from the sub-continent and now a preferred destination for cardiac patients not only from India but also from all over the US, UK, Canada, Middle East and Africas. According to the Wockhardt heart care philosophy, a life isn't saved until it is fully redeemed. Which means that anyone who comes in with a heart ailment, is not healed until they go back to their normal life, exactly like it was before. This is why Wockhardt treats surgery as just another stepping stone in the complete healing process. Their post operative facilities stand testimony to this belief. Their advanced rehabilitative care included dedicated nutritionists, dieticians, fitness equipment, counselors and our infection control policies; just a few initiatives that see you through the road to recovery. 2. Wockhardt Brain and Spine Care Wockhardt Brain & Spine specialties in Bangalore and Mumbai provides advanced micro-surgical techniques to treat complex Brain & Spine disorders. This super specialty center is amongst the few in Asia equipped with most advanced Neuro-navigation and Endoscopic facilities to perform complex brain and spine neurosurgeries. Wockhardt Brain & Spine Care has a vastly experienced team of Neurosurgeons and Neurologists, backed by the most comprehensive neuro-diagnostic and imaging facilities, positions the hospital among the best in the region. Neurological services extend to the very latest in diagnostic equipment such as EEG, ENMG, and Video-monitoring, 1. 5 Tesla MRI and 64-Slice CT Scan. 3. Bone and Joint Center The Wockhardt Bone & joint Care has evolved as the Centre of Excellence for joint replacement surgeries and is equipped to treat all types of musculo-skeletal problems ranging from surgeries to minimally invasive Arthroscopic surgeries. The Wockhardt Bone and Joint Care is equipped to treat all types of musculo-skeletal problems ranging from Trauma Surgery to Minimally Invasive Arthroscopy Surgery. The hospital also specilalises in surgery for joint replacements, sports medicine, ligament repair, knee surgery, spine surgery and physical therapy for rehabilitation. Wockhardt Bone & Joint Care has complete technology and advanced skills to perform Microscopic Lumber & Cervical Discectomy, Endo-scopic Spine Surgery and Arthroscopic surgeries such as Ligament Reconstruction in the knee, Subacromial Decom-pression in the shoulder. 4. Minimal Access Surgery The Wockhart Minimal Access Surgery Hospital is equipped with High-end technology to perform precision surgery in this newly developed modality of surgical treatment, which until recently required large incisions on the human body. It encompasses operative procedures for the nervous system, ENT, thorax, abdomen, urinary tract, reproductive system and joints. This technology not only minimises surgical trauma, pain and blood loss but also shortens hospitalisation and improves aesthetics. Traditionally surgeons had to cut wide and deep (Incision) to reach (Access) organs for large incisions caused pain, were prone to infections/ hernia and often rendered poor cosmetic results. These factors were the underlying cause of significant mortality and morbidity. Minimal Access Surgery (MAS) makes it possible for surgeons to reach (Access) various organs in the body cavities through small incisions (Minimal). Wockhardt Minimal Access Surgery Hospital has acquired complete State-of –the-art range of endoscopic technology required for carrying our minimal access surgery. These include: Endovision Tricam SL, Harmonic Scalpel, Medical grade monitor, CO2 Insufflator and a wide range of high precision instruments. 5. Hip-resurfacing centre Wockhardt provides high quality and cost effective hip replacement surgery services. Their Minimally Invasive Hip Resurfacing/ Replacement Surgery: Removes only unhealthy bone and replaces it with a metal on metal articulation. †¢ It preserves the normal bone of the hip – patients can squat, sit cross-legged without the risk of dislocation. †¢ Everlasting – based on 35-year history in Birmingham of metal on metal implants. †¢ Excellent restoration of full function. †¢ Femo ral head remains viable after BHR surgery. It does not sacrifice normal bone during primary surgery. †¢ Activity restriction not required after surgery, as there is hardly any risk of dislocation. Patient can indulge in full sporting activities without risk of dislocation. Patients have gone back to sports like competitive Judo and Squash after surgery. †¢ Overall 99% success rate – ideal option for the younger or more active patient 6. Women Care Wockhardt Hospitals Woman Care program is a culmination of strengths derived from our association with HMI, and conceptualized in line with the world renowned Harvard associated Brigham & Women’s Hospital. A 30, 000 sq ft area is exclusively dedicated to Woman care with consultation suites, delivery rooms, operating rooms, dedicated to obstetrics, a 12-bed neo-natal ICU & a nursery. Our Woman health care programmes, besides minimal access gynaecological services, also include preventive clinics (early diagnosis of breast, uterine, ovarian and cervical cancer), Infertility clinics & Menopausal clinics. Other services offered by Wockhardt: †¢ Liver Transplant and Digestive Diseases †¢ Joint Replacements †¢ Women and Child Care †¢ Trans Nasal Brain Tumor Surgery †¢ Urology and Andrology †¢ Obesity Surgery †¢ Dental Care †¢ Surgical Oncology †¢ Parkinson's Disease Surgery Product Mix |Heart Care |Brain and Spine | |A. CARDIO – THORACIC AND VASCULAR SURGERIES |Spinal Surgeries | | |[pic] | | |Microscopic lumbar discectomy or decompression | | | | |[pic] |[pic] | |Beating Heart Bypass Surgery (Off – Pump Coronary|Microscopic anterior cervical discectomy | |Bypass Surgery) | | |[pic] | |[pic] |Endoscopic discectomy | |Conscious Off Pump Coronary Artery Bypass Surgery| | |- COPCAB (Awake Coronary Artery Bypass Surgery |[pic] | |-ACAB) |Spinal decompression with or without fusion | | | | |[pic] |[pic] | |On-Pump Coronary Artery Bypass Surgery |Endoscopic fusion of spine | | | | |[pic] |[pic] | |Redo Bypass Surgery |Percutaneous Endoscopic Lumbar Discectomy | | | | |[pic] |Degenerative Disc Disease | |Valve Surgery |[pic] | | |Minimally-invasive spinal fusion and advanced instrumentation | |[pic] | | |MVR with Correction of Atrial fibrillation using |[pic] | |Maze III Procedure |Total disc replacement surgery | | | | |[pic] |[pic] |Vascular Surgery |Spinal deformity corr ection and stabilization | | | | |[pic] |[pic] | |Thoracic & Pulmonary Surgeries |Endoscopic fusion of spine | | | | |[pic] |[pic] | |Adult & Paediatric Open Heart Surgeries |Percutaneous Endoscopic Lumbar Discectomy | | | | | |Osteoporosis of the spine | | |[pic] | | |Vertebroplasty | | | | |B. INTERVENTIONAL CARDIOLOGY PROCEDURES |[pic] | | |Kyphoplasty | | | | | |[pic] | |[pic] |Spondylolisthesis | |Coronary Angiography & Angioplasty (both Femoral | | |& Radial Approach) |[pic] | | Posterior spinal instrumentation | |[pic] | | |Angiogram & Angioplasty of arteries of Neck, Leg |Abnormal curvature within the spine-scoliosis | |, Arm, Kidney | | | | | |[pic] |[pic] | |Permanent pacemaker (Single & Double Chamber) |Thoracoscopic deformity correction | | | | |[pic] |[pic] | |Valvuloplasty |Posterior correction of Scoliosis or Kyphosis with instrumentation | | | | |[pic] | | |EP Study Diagnostic & Ablation | | | |Other spine surgeries | |[pic] |[pic] | |ASD closure with device |Tuberculosis of Spine – Thoracoscopic Spinal Surgery with Para spinal abscess | | |drainage | | | | | |[pic] | | |Spine Tumor Surgery | | | | |C. CARDIAC REHABILITATION PROGRAMME |[pic] | | |Spine Trauma | | | | | |Brain surgeries | | |[pic] | | |Microsurgery for Brain Tumors | | | | | |[pic] | | |Endoscopic Brain Surgery | | | | | |[pic] | | |Trans Nasal Endoscopic Brain Tumor Removal | | | | | |[pic] | | |Skull Base Surgery | | | | | |[pic] | | |Brain Trauma Surgery | | | | |[pic] | | |Congenital Cranial Deformity | | | | | |[pic] | | |Stereotactic Brain Surgery for Tumor and Functional Neurosurgery | | | | | |[pic] | | |Craniofacial Surgery with FMS (Facio-Maxillary Surgery) | | | | | |[pic] | | |Brain Surgery for Abnormal Blood Vessels | | | | | |[pic] | | |Brain Surgery for Epilepsy | | | | | |[pic] | | |Brain Surgery for Removal of Blood Clots | | | | | |[pic] | | |Interventional/ Neuro-endovascular Therapy for Cerebro-vascular Diseases and Tumor| | | | | |[pic] | | |Interventional/ Neuro-endovascular Therapy for Cerebro-vascular Diseases and Tumor| | | | Product Mix (contd. ) Bone and join t care |Minimal access surgery |Women Care |Hip Replacement |Other Specialties | |Arthroscopic surgery:Key hole | |The NEST – Bithing Services |Minimally invasive hip |Liver Transplant and | |surgery for disorders of knee and | | |replacement surgery |Digestive Diseases | |shoulder |[pic] |LDRP birthing suites, Private | | | |Minimal Access Spine surgery |DIAGNOSTIC ENDOSCOPY |deluxe, Twin-deluxe and multi-bed | |Joint Replacements | |Hip Resurfacing | |Painless deliveries | | | |Paediatric Bone & Joint Surgeries |[pic] |Management of high risk | |Women and Child Care | |Fracture Treatment |Upper GI Scopy |pregnancies/Late pregnancies | | | |Sports Medicine | |The Lamaze Classes | |Trans Nasal Brain Tumor| |Speciality Clinic for Arthritis |[pic] |Ante-natal classes | |Surgery | |Trauma & Pain Management |Colonoscopy | | | | |Osteoporosis | |Clinics | |Urology nd Andrology | |Lifestyle Modification Programme |[pic] | | | | |(Rehabilitation) |ERCP |Menopause Clinic | |Obesity S urgery | |Patient Education Programme | |Infertility Clinic | | | |Total Knee Replacement |[pic] |Adolescent Clinic | |Dental Care | |Unicondylar Knee Replacement |Bronchoscopy | | | | |Total Hip Replacement | |Minimal Access Gynaecological | |Surgical Oncology | |Hip Resurfacing / Surface | |Surgeries | | | |Replacement Arthroplasty | | | |Parkinson's Disease | |Shoulder Replacement |[pic] |Laproscopic hysterectomy | |Surgery | |Neck & Elbow Replacement |EMERGENCY LAPAROSCOPY |Laproscopic tubectomy | | | | | |Laproscopic overectomy | | | | |[pic] | | | | | |LAPAROSCOPIC PROCEDURES |Operative Gynaecological Surgeries | | | | | | | | | | |[pic] |Hyserectomy | | | | |Hernia procedures |Ovarian cysts | | | | | |Malignancies | | | | |[pic] Surgeries on the fallopian tube | | | | |Gallbladder stones and liver |Removal of fibroids | | | | |procedures: | | | | | | | | | | | |[pic] | | | | | |Procedures on esophagus/ | | | | | |myotomy | | | | | | | | | | | |[pic] | | | | | |Nissen fundopli cation | | | | | | | | | | | |[pic] | | | | | |Procedures on the stomach | | | | | |cancer | | | | | | | | | | | |[pic] | | | | | |Procedures on the small | | | | | |intestine | | | | | | | | | | |[pic] | | | | | |Procedures on pancreas | | | | | | | | | | | |[pic] | | | | | |Procedures on other organs | | | | | | | | | | | |[pic] | | | | | |Hepatic Resection for | | | | | |Malignant Liver | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |[pic] | | | | | |VIDEO ASSISTED THORACIC | | | | |SURGERY | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |[pic] | | | | | |LAPAROSCOPIC COLONIC | | | | | |CANCER/RECTAL CANCER SURGERY | | | | | | | | | | Product Hierarchy Product analysis: Wockhardt Heart Care With its latest technological advances and ethical management practices Wockhardt pledges to provide international standard cardiac care to its patients. Wockhardt Heart Care, with the best Cardiac Surgeons, Cardiologist & Medical Staff delivers wor ld standard heart care with the highest degree of convenience, care and compassion at a reasonable cost. ore Branding Strategy: â€Å"Heart is Wockhardt† is how Wockhardt Hospital and Heart Institute has come to be known as since the past 17 years. A center for excellence in interventional Cardiology and Cardiac Surgeries in the country, it has to its name a history of path-breaking procedures, be it the first-ever Conscious Off Pump Coronary Artery Bypass Surgery and Awake Heart Surgery in India. The Wockhardt branding strategy concentrates on depicting an image of overall heart care. According to the Wockhardt philosophy a life isn’t saved until it’s completely redeemed. This is why they treat surgery as just another stepping stone in the complete healing process. Another facet in the 360 degree care they offer. Pricing Startegy: With Wockhardt Hospitals, even the most cost-sensitive traveler can get the best and most specialized services and luxury amenities. Procedure / Treatment |Wockhardt Hospitals, India ($) |USA ($) |UK (GBP) | |Open Heart |8,500 |100,000 |20,000 | |Surgery (CABG) | | | | |Total Knee |7,000 |48,000 |15,000 | |Replacement | | | | |Hip Resurfacing |8,500 |55,000 |15,000 | |LA Hysterectomy |4 ,500 |22,000 |6,000 | |Lap Cholcystectomy |4,500 |18,000 |4,000 | |Spinal Decompression Fusion |8,500 |60,000 |32,100 | |Obesity Surgery |9,800 |65,000 |12,000 | |(Gastric Bypass) | | | | Product Level [pic] Points of Parity of Wockhardt heart care and other hospital chains †¢ Well experienced doctors †¢ Latest technology †¢ Luxurious Ambience †¢ Large variety of surgeries Points of Difference of Wockhardt Heart Care and other Hospital Chains †¢ Rehabilitation Centers (Including dietician, gyms, etc. ) †¢ Greater heart surgery specialties †¢ Tie up with Harvard Medical Association †¢ World Class Services and Facilities †¢ Joint Commision International Accreditation †¢ Ground Breaking Medical Breakthroughs: The Four Prong Strategy: Nobody wanted to treat a 12 year old girl with a congenital cardiac defect of criss-crossed ventricles and arteries. Medication could only do so much and a temporary fix of the valves would only buy time. T he team at Wockhardt Hospitals wanted more for the girl; we wanted to give her a normal life of a 12 year old. It took a whole year of tests and scans and 4 high risks surgeries to re-arrange the girls heart; but it the end we challenged the odds and emerged successful. o The Radio Maze Therapy: Heart specialists at Wockhardt have found an extremely advantageous procedure surgical procedure which will offer a permanent solution during atrial fibrillation – An abnormal fast beating of the heart caused by disturbed electrical discharges. The surgery uses the technique of irrigated radio frequency modified maze procedure, which is performed to treat atrial fibrillation along with an open heart surgery for valve replacement. o Wake-up to a new world: A 78 year old patient walked into Wockhardt Hospitals with chest pain. An emergency angiogram indicated the urgent need for a bypass. The problem ? He was a smoker and affected lungs meant that he could not tolerate general anaesthesia. And he had other complications, like diabetes and renal problems which eliminated heart lung machines. In most other hospitals, this would have been the end of the story. But our team came up with a medical plan to perform a minimally invasive coronary bypass without general anaesthesia or a ventilator support, using the technique called high epidural analgesia. The operation lasted 45 minutes and was a success, and the patient was awake all through. o The Brains behind the heart: A 22 year old was brought to Wockhardt Hospitals with a rare condition. He has a cancerous tumour in his heart. Something that is normally found in the brain. A condition like this is so rare that there isn't even enough medical literature about it. But that didn't stop our team. In an epic surgery that lasted longer than 6 hours, they successfully removed the tumour and literally rebuild a large part of his heart. o The 900gm Miracle: Most hospitals wouldn’t operate on Jonathan. He was four months old and weighed 900grams. He was almost the size of a palm. Jonathan's heart was just one-inch–long and had a one –centimetre fungal mass in the right chamber, which had infected his blood. An open heart surgery was his only chance of survival, but was risky, considering his loss of weight. A risk that most hospitals were not willing to take. They wanted to wait till Jonathan gained more weight, which meant they needed more time. Time is what he did not have. But the team at Wockhardt had belief. Belief in their skills and belief that they would save Jonathan's life. The six hour surgery was a success. Jonathan was reborn. ———————– Marketing Management: A product line study of Study by Shezah Salam Roll no: 2120

Sir Robert Peel and American Policing

Sir Robert Peel and American Policing Kristi Pursley CJA/214 August 15, 2011 Don Redden Sir Robert Peel and American Policing The history of policing dates back several thousand years ago when there was no order or peace and inhumane acts upon citizens was the norm with religious, political, or military police acting as the law. Policing was unstable and unorganized. Citizens took the law into their own hands and served as judge, jury, and executioner. There was not such a thing as being â€Å"innocent until proven guilty. If the community believed an individual was guilty of a crime then the community would handle the offense themselves. American policing stems from the English heritage; crime prevention and control, preventive patrol, and the quasi-military organizational method became the policing structure. The English colonists brought a criminal justice system as part of their cultural baggage (Walker & Katz,  2008,  p. 24). In addition, American policing also used other f eatures from the British system. A member of England’s elite social and political class fought to improve the structure of the law enforcement for more than 30 years. History expresses itself and acknowledges this member as the â€Å"father† of modern policing, otherwise known as Sir Robert Peel (Walker & Katz, 2008, p. 25). After the collapse of the England law enforcement in the early nineteenth century, Sir Robert Peel took a stand to control order and organization in the law enforcement system. He fought for many years for this and finally convinced the English Parliament to create the London Metropolitan Police in 1829. The officers became known as â€Å"Bobbies† in honor of Sir Robert Peel. The London Police Department set in motion three new elements that became the structure for modern policing; mission, strategy, and organizational structure. The mission was to prevent crime before it started rather than to respond after the crime has already taken place, known as crime prevention. The strategy was to have officers continually patrolling the fixed â€Å"beats† and allow them to be noticed to deter crime, also known as preventive patrol. The organizational structure came from the London military introducing, uniforms, rank designations, and the authorian system of command and discipline, otherwise known as Quasi-military style. Although Sir Robert Peel was not an officer of the law, he directed London’s police department with â€Å"Peel’s Nine Principals. † These principals were to act as the basis to control the police force in England and help to restore peace to the citizens. Peel believed it was better to try to prevent crimes and reform criminals. Peel’s Nine Principals read as follows: 1) The basic mission for which the  police  exist is to prevent crime and disorder. 2) The ability of  the police  to perform their duties is dependent upon public approval of police actions. ) Police must secure the willing co-operation of the public in voluntary observance of the law to be able to secure and maintain the respect of the public. 4) The degree of co-operation of the public that can be secured diminishes proportionately to the necessity of the use of physical force. 5) Police seek and preserve public favor not by catering to public opinion but by constantly demonstratin g absolute impartial service to the law. 6) Police use physical force to the extent necessary to secure observance of the law or to restore order only when the exercise of persuasion, advice and warning is found to be insufficient. ) Police, at all times, should maintain a relationship with the public that gives reality to the historic tradition that the police are the public and the public are the police; the police being only members of the public who are paid to give full-time attention to duties which are incumbent on every citizen in the interests of community welfare and existence. 8) Police should always direct their action strictly towards their functions and never appear to usurp the powers of the judiciary. ) The test of police efficiency is the absence of crime and disorder, not the visible evidence of police action in dealing with it (Bloy, 2011). The United States admired Sir Robert Peel’s principals of policing and therefore adopted it to incorporate into their legal justice system of law enforcement. The government tried to incorporate Sir Robert Peel’s Principals into different cities with no luck or gratitude. In 1838, Boston became the first city to incorporate these principals and have the first organized policing in the United States. In 1845, New York City followed suit. Soon thereafter, Philadelphia followed suit but it did not follow the principals, destroying different forms of policing. Finally, Philadelphia collaborated their policing style to be organized and uphold order by way of Sir Robert Peel’s Nine Principals. Sir Robert Peel, known as the ‘father’ of modern policing, set the foundation for organization and structure in modern day policing in London. The United States followed behind shortly thereafter to enlist a police force for order, organization, and service. Peel set up â€Å"Peel’s Nine Principals† which the United States still abides by to this day. The ‘father’ of policing has helped our government to overcome harsh judgment, corruption, and harsh actions, and has made it possible for citizens of this society to bond with local law enforcement. This has allowed our law enforcement to handle situations appropriately and incorporate bigger agencies to handle more diverse problems throughout the country. References Dr. Bloy, M. (2011, January 6). The Peel Web. Retrieved August 9, 2011 from www. historyhome. co. uk. Walker, S. , & Katz, C. M. (2008). The Police in America  (6th Ed. ). New York, New York: McGraw-Hill.

At I essentially am not in madness Essay

â€Å"That I essentially am not in madness, But mad in Craft† Consider the importance of pretence and acting in Hamlet. Do you entirely agree with Hamlet’s claim? The idea of a character feigning madness is commonplace in great literary works; many authors use it to show the sanity of a character. Shakespeare has used this idea throughout the play, Hamlet. In this masterpiece, there is much debate around the protagonist, Hamlet, and whether his madness was real or feigned: literary scholars have debated this for more than four hundred years. Shakespeare uses a theme of madness in this play to illustrate how one must use deception in order to deceive others to reach the truth. Thus, in this play, the tragic hero contemplates his own moral judgements and in the process is considered mad. Hamlet claims to feign his madness, as he says to Horatio and Marcellus in Act 1 Scene 5, â€Å"How strange or odd some’er I bear myself- As I perchance hereafter shall think meet To Put an antic disposition on. † This quote illustrates how Hamlet intends to pretend to be mad in order to reach the truth within this court, which Hamlet describes as, â€Å"out of joint,† which once again highlights the disordered state of affairs. However, society has an even greater effect on Hamlet because his madness could be a sign of his inability to determine between right and wrong and to make appropriate decisions in the context of his society. Towards the opening of the play, in Act 1 Scene 2, Hamlet says to his mother, Gertrude, â€Å"Nay it is. I know not what ‘seems’. † Thus, Hamlet is saying he does not what it is to pretend because he only knows what it is to be. This quotation is ironic because it is the crux of the scholarly dispute: if Hamlet only knows what it is to be, then his madness must be genuine. In Shakespearian society, it was commonly believed that when an individual told a lie they ended up believing it so strongly that they eventually started to live that lie. In this way, Hamlet is a young man who has suffered a series of unfortunate circumstances that could have propagated a descent into madness. Initially his attempt to feign madness could be considered as a method by which he can camouflage his inability to find an emotional catalyst to thrust him into a frenzied state of revenge: his response to the ghost’s revelation is relatively passive considering the repercussions it will have within the court. Thus, it would seem that perhaps his feigning of madness actually manifests itself in reality, as Hamlet struggles to distinguish between all the lies he is forced to tell and enters the spiralling mendacity within the court. In contrast to Hamlet, Ophelia subsequently develops a certainly genuine sanity due to the death of her father. Throughout the play, Ophelia is manipulated by Shakespeare, as a symbol of innocence because she is not part of the scheming, manipulative court; thus, her madness illustrates the effect on the innocent by those manipulating power. Ophelia herself says, â€Å"I was the more deceived,† talking with Hamlet of their love. Her madness may also be, to some degree, a product of her seemingly unrequited love for Hamlet. In Act 3 Scene 1, the parted lovers each illustrate their frustrations with the world and their argument may be responsible for sending both further into madness. Ophelia says, â€Å"O, what a noble mind is here o’erthrown,† which alludes to Hamlet’s emotional unbalance that has been poignantly reflected via Shakespeare’s change from his regular verse for Hamlet’s preceding tirade. This could be demonstrative of a whirlwind within Hamlet’s mind that causes him to abandon all rhyme and reason both mentally and in his expression of his thoughts. His rudeness and the confused emotions, which he presents before Ophelia may also lead to her later insanity and therefore, Hamlet may feel some guilt that further enhances his own mental instability. Hamlet’s claim in Act 3 Scene 4 to his mother, â€Å"That I essentially am not in madness, But mad in Craft,† would suggest that Hamlet still retains his purpose and motivation and has not started to live his lie. However, it could also be the ramblings of a lost and confused man, caught up in a spiral of emotions. The use of the word â€Å"craft† implies Hamlet’s cunningness in his approach to revenge. He appears to think he has manipulated himself so that he retains the upper hand: this can be reinforced by Shakespeare’s use of a play within a play in Act 3 Scene 2. The concept of a play within a play reinforces the idea of pretence and seeming. Hamlet’s directions to the players serve to illustrate the subtle balance acting and being. Hamlet feels that the â€Å"purpose of playing† is â€Å"to hold as ’twere the mirror up to nature: to show virtue her feature. † Therefore, acting in Hamlet’s eyes would be replicating emotions exactly, as though they were real. This is where Shakespeare manipulates the audience because Hamlet’s definition of successful playing may, also, therefore, be reflected in his pretence of madness. In order to feign madness, he must reflect nature exactly and it is here where the distinction becomes blurred because Hamlet himself is treading a fine line, as he attempts to sustain a pretence and thus, it becomes increasingly difficult to determine whether or not he is in fact still pretending as the play progresses. Shakespeare’s choice to make Hamlet conduct his own play is clearly an attempt to demonstrate Hamlet’s manipulative abilities and to a certain degree to still suggests that he has retained his sanity because it allows him to gauge the response of King Claudius before engaging in revenge. Therefore, this would suggest that Hamlet is a sly and slightly devious character, perhaps as much so as the rest of the court: however, fundamentally, it might indicate that he is acting logically and methodically via the theatre as his chosen medium. This innate subtly of his manipulation would suggest there is a certain â€Å"craft† to his revenge that is carefully calculated and thus, it is only his method which may seem extreme and it is not a reflection of his sanity. A defining scene that stimulates much scholarly dispute is Act 3 Scene 4, where the ghost reappears to Hamlet in the presence of his mother. The source of the dispute lies in whether on this occasion the ghost is real or simply a figment of Hamlet’s imagination because it is evident that Gertrude cannot see the ghost, â€Å"This is the very coinage of your brain. This bodiless creation ecstasy Is very cunning in. † Shakespeare could here be using Gertrude as a mouth piece, to lead the audience into believing Hamlet is now no longer feigning his madness. However, an important contrast with Ophelia’s madness is that she rambles and appears to have no rhyme or reason in the words she utters, whereas Hamlet maintains purpose and retains his factors of motivation, such as his resentment towards his mother and women in general. This scene is poignant in leading the audience towards their interpretation of Hamlet’s mental disposition and it is important to recognise that this can also be manipulated by the actors themselves and the way they perform this scene. It is a very emotionally charged scene and the use of dramatics and theatrical stage devices will have a certain influence on how Hamlet’s madness is perceived. In conclusion, Hamlet is an unbalanced individual thrown into a state of turmoil, as he has had his fears confirmed by the appearance of his father’s ghost. However, it would seem that Shakespeare, perhaps intentionally, has left a large degree of the interpretation of Hamlet’s â€Å"antic disposition† to the audience and to the artistic licence of the actors. Whilst this may not have been Shakespeare’s intention, as he is renowned for his perfectionism and influence on the performances of his plays, it has created a play that is still subject to much literary discussion and intense analysis, in order to settle one of literature’s greatest disputes: one that is likely never to be settled. However, by studying the text it seems that Hamlet is feigning his madness throughout the play but his exuberance and authenticity progresses along with the play. It is an insight in a mind filled with a whirlwind of emotions and Hamlet’s use of a play would appear to simply reflect his preference to use words rather than actions, as can be seen my many of the play on words he uses in his speech. Hamlet himself says that acting must be an accurate reflection of nature and therefore, Ophelia’s insanity may have provided inspiration, rather than sending him even further into his own madness. The most influential aspect of the play that has lead to this personal response is the contrast between Hamlet and Ophelia’s madness. Throughout the play he maintains a high level of thought and emotional complexity and responds to all the actions of those around him, which would suggest that he is not in a world of his own created by insanity. Instead he is continually able to refute allegations of insanity when he wants be listened and adhered to, â€Å"My pulse as yours doth temperately keep time, And makes as healthful music. It is not madness That I have utter’d. † Thus, it is difficult to reach a resounding decision on his â€Å"antic disposition† due to Shakespeare’s accurate portrayal of a complex web of emotions; however, ultimately, it would seem he desired to reflect the potential for confusion of emotions whilst maintaining the coherency of his tragic hero. Bibliography â€Å"Hamlet† by Shakespeare, edited by Roma Gill, M. A. Cantab. , B. Litt. Oxon. Published by Oxford University Press, 2002. Aniela Baseley 13Fo English Coursework 2005/6.