.

Wednesday, October 9, 2019

David Boring by Daniel Clowes Research Paper Example | Topics and Well Written Essays - 1000 words

David Boring by Daniel Clowes - Research Paper Example Critics judge his creations with a variety of comments and in my essay I will clearly specify my own personal critical view of the writer as well as the author. Born in Chicago in 1961, Daniel Clowes is a renowned author, screenwriter and graphic artist. In his early years, he was unable to find a decent job in his field of interest that is cartooning even with a BFA degree in hand and had to start his career as working freelance and underground. His first project was the comic book series Lloyd Llewellyn, which brought him little yet significant amount of recognition and encouraged him to adopt different types of storytelling ways. His natural talent and abilities have allowed him to set outstanding standards within the field for the past seventeen years. A lonely childhood sparked Clowes’s interest in drawing. He was sent to live with his grandparents at the age of four due to some major family issues and therefore, he had little company growing up. "I spent my whole childho od not saying a word," he explained to  Guardian  writer Craig Taylor. Therefore, drawing and comic writing fascinated him as they provided a channel he could use to convey his thoughts to others simultaneously, proving to be a good solution to his boredom. He possessed a natural artistic streak and therefore, spent innumerable hours drawing and creating comic book figures and characters.   Clowes’s comics majorly revolve around themes like action – based fiction and fantasies. His most famous works came at a time when the comic writing was undergoing serious transformational changes in the 80s and 90s. One of his popular works is the mysterious murder mystery of â€Å"David Boring’, which has been recognized as one of the ten best English language graphic novels ever written. The book portrays the catastrophes that occur from time to time in the life of David, an eponymous, young, American fellow who roams around looking for his soul mate, the perfect wo man for him, and instead came across his father, a comic artist whom he never had a chance to meet. Indeed, Clowes is an impressive writer whose capability of remaining both creative and entertaining is reflected in mostly all his works. According to a critic, David Boring is an exceptional work of skillful storytelling but lacks all kinds of emotional touches (Kannenberg, 2008). From his writings, we are now conversant with calm, composed and controlled Clowes. David Boring is quite an interesting and fascinating book, and Clowes exceptional artwork and character development techniques have made it worth reading. The contextualization of drama and action has been done using varied drawing styles, which change often drastically, as the story moves from one scene to the other (Marrone, 2009). Changes in the setting and the mood have been observed to be swift but smooth and effortless. The brilliance of Clowes is depicted by his frequent use of sharp and bold sketches when creating me lodramatic moods. On the other hand, he keeps his work simple and cute at other places to maintain the ‘cartoonish’ touch of his characters. The artwork in regards to color schemes is impressive. The comic has the traditional black and white color but touches of pale blue enhance the effects greatly, by reflecting the moods of the characters in light of the events happening. Moreover, it also signifies the changes in themes of the story as the story

Tuesday, October 8, 2019

The Emergence of Modern Science Essay Example | Topics and Well Written Essays - 250 words

The Emergence of Modern Science - Essay Example Whereas it is healthy to ask critical questions, scientific proof, and evidence, accepting the scientific reality is a necessity. For instance, whereas our ancestors gladly accepted polio vaccine and eradicated polio, it is overwhelmingly difficult for present generation to accept genetically modified foods as a solution to rising food crisis. As argued by Michael Specter, healthy skepticism calls for asking the right questions, at the right time, to the right people. Pinpointing a problem is also a prerequisite to healthy skepticism. 3. A healthy skepticism requires an understanding between correlation and causation. Learning widely and gaining all round knowledge provides a basis for unbiased skepticism. Additionally, critical review of previous fundamental scientific theories makes it possible to question scientific knowledge based on scientific questions and scientific assumptions. 4. Articulate use of brains is one of the key to success in education. Understanding the unlimited relations between brain hemispheres is overwhelming. However, understanding that such relations exist makes it possible to prepare psychologically to expect, accept, interpret, and analyze wide array of knowledge. I hope to learn more about how brain hemispheres work in preparation for optimal use of brain resources. 5. Whereas it has been argued that schools kill creativity, I believe creativity starts with oneself and can be nurtured with time. Going beyond classwork and course books for search of knowledge is a prerequisite for creativity. Working in tandem with lecturers and like minded students will go a long way into cultivation creativity in my journey through UHD. 6. The first cartoon is funny because it depict a scientist in denial of scientific evidence. Whereas many scientists are looking hard for evidence to support theoretical predictions, it is funny that a scientist would disregard archaeological evidence of evolution in first the first

Monday, October 7, 2019

Child labor in the U.S. and around the world Research Paper

Child labor in the U.S. and around the world - Research Paper Example On the other hand, in sub-Saharan Africa this age stands at 18 years in most countries. This age is normally enshrined in the law of a given country and employers are expected to consider it when providing employment opportunities. Nonetheless, employers capitalize on the cheap labor provided by children leading to abuse and exploitation. This development has triggered many international human rights organizations to protest about the practice as it is both inhumane and exploitative (Whittaker, 2004, p. 13). History of Child Labor in U.S Child labor in the US dates back to the 18th and 19th centuries when children provided labor in family farms, industries, mines, and plantations. This was most rampant during the industrialization process when industries needed large labor supply. Industrialization implied that adult strength was no longer a per-requisite to the operation of the machines (Child Labor in U.S. History). Factory owners realized that they could effectively and economical ly utilize the services of children in their factories in order to cut down on the cost of production. This is because hiring children was much cheaper as compared to hiring adults (Hindman 25). Plantation farming and mining were other economic sectors attracting child labor. By the mid of 19th century, child labor was widespread across the world. Children were used mainly to provide labor in farms and factories. Most of these children worked for estimated 12-18 hours per day, six days a week, as a way of earning income. In addition, it most of these children began working before they attained the age of 10 years. They engaged in activities such as tending of machines in spinning meals or hauling heavy loads. At this time, most of the factories had not implemented... Child labor in the U.S. and around the world Economic disparity between the rich and the poor has pushed many children out of school in a bid to secure some income for their families. It is currently estimated that there are 215 million child laborers globally. Of this total, 114 million (53%) are in Asia and Pacific, 14 million (7%) are in Latin America, and 65 million (30%) are in sub-Saharan Africa (ilo.org). These working conditions violate the minimum age laws in the affected and involve abuse such as child trafficking, forced labor, and illegal activities. Children providing labor are deprived the opportunity to engage in children activities such as play and education. Child labor is fuelled by rising cases of poverty, which forces children to look for alternative sources of income. This draws them to provide labor especially in commercial agriculture, mining, domestic service, manufacturing, and fishing. Illegal activities involving child labor include prostitution, child soldiers, and drug trafficking. In this research paper, I seek to explore on the child labor as a practice. My primary objective is to indicate that child labor is both inhumane and less significant to economic growth and development and, therefore, should be discouraged at all costs. Child labor is inhumane and should be discouraged at all costs. It remains an illegal activity that every individual should stand up in arms against. It deprives the children the right to education in addition to lowering their self-esteem.

Sunday, October 6, 2019

HR and CSR connection Essay Example | Topics and Well Written Essays - 1000 words

HR and CSR connection - Essay Example The employees, staff, and other personnel make up the bulk of the organization. The HR department serves as the glue that binds all employees together to form one strong team. Without the HR department, the company would definitely fall apart. In addition, the HR staffs ensure that what the organization projects in public is consistent with how the employees are being treated internally. More often, people are seeking for a company that â€Å"walks the talk†. For employees to remain working for the company and forge a sense of loyalty for the organization, their basic employment needs such as timely release of pay checks, health benefits, provision for salary increments, and the like must be attended to. Rewards and compensation packages for those who show outstanding performance must be offered. This way, it is easier for the company to encourage the employees to adhere to the organization’s CSR goals. CSR policies serve as the company’s guiding principles for the proper compliance to legal, ethical, and social standards in delivering services to the public. By ensuring that every employee acts and works according to the CRS policies of the company, the mission and vision of the organization will be realized. Since CRS policies must be acted upon by the staff and employees of the organization, the HR department is seen as an indispensable body in making sure that these policies are being followed by the employees. By showing to the staffs that they are appreciated and recognized, their efforts can easily be directed towards achieving the company’s CSR

Saturday, October 5, 2019

Information Security Issues Associated with Internet Connectivity Essay

Information Security Issues Associated with Internet Connectivity - Essay Example The report presents some recommendations such as apply some policy, training their employers and employing softwares for security checks. With the advanced technology that we have right now, security issue has become an essential problem for any organization, which uses the Internet, around the world. As stated by Charles and Shari (23, 2002), the security of an organization is important to protect it from any criminal damage. The software vulnerabilities and social engineering in an organization system that cyber-criminals target is the most important issue in security measures. The aim of this research is to investigate how to protect an organization that uses Internet connection from being targeted because of the vulnerability of their system. This report will discuss general issues related to Internet connectivity, software vulnerabilities, social engineering and specific vulnerability which is Cross Site Scripting (XSS). It will also provide a discussion and recommendation that will help organizations against hackers and other criminal activities directed in breaching their security. Hacking a system or a database is the largest threat to network security for most organizations. IP addresses can easily be obtained through search engines like Google and Yahoo. As a result, the Internet gives easy access to an organization’s system or database for millions of unknown users in the world. And because the users are unknown, it creates additional challenges to the security departments. In addition to the countless unknown users, the links of different systems and database between organizations through the use of the World Wide Web makes it easier for one to access the linked systems. Moreover, the linked access introduces a considerably magnified potential for virus spread. The vulnerability of the system is the primary weakness of an

Friday, October 4, 2019

Pips distress at the end Essay Example for Free

Pips distress at the end Essay Thus Pip pleads with Ms. Havisham explaining the reasons why he cannot play. He begs Ms. Havisham to empathize with him. We can already see the reasons of Pips distress. He has entered an unfamiliar and frightening environment against his will. He is afraid of Ms Havisham and although he is awestruck by Estellas beauty, he is to some extent afraid of her scorn and her arrogance. Ms Havisham then asks Pip to call Estella, when he tells her he cannot play. Ms. Havisham instructs Estella to play cards with him. Estella is reluctant to do so, she thinks of Pip as beneath her and refers to him as a common labouring boy. Estella mocks Pip for referring to the knaves as jacks. She also derides his coarse hands and thick boots. Pip respects Estella since he feels that she is a part of high society. Pip like most people is concerned with wealth and wants to become rich. Later in the story we can see his obsession with becoming a gentleman. However Pip feels that all members of the elite classes and the prosperous are meant to be idolized and their opinions or judgments valued. This causes him to agree with Estella. As Pip says- I had never thought of being ashamed of my hands before; but I began to consider them a very indifferent pair. Her contempt for me was so strong, that it became infectious and I caught it. Here Pip is humiliated and mocked by Estella. She makes him feel that he is coarse, common and unfit to be in a noble house. This further reduces Pips self-confidence. Ms. Havisham then asks Pip for his opinion of Estella, to which he replies that she is proud, pretty and insulting. He tells Ms. Havisham that he would like to go home. Ms. Havisham consents and tells Pip that he can have something to eat. She asks Pip when he will come again. He tells her that the present day is Wednesday. She interrupts him and tells him that she knows nothing of the days of the week and tells him to come again after six days. Here, too Ms. Havisham rebuffs Pip. She seems to suggest that knowledge of the days of a week is superfluous. Although her view is blatantly eccentric, Pip who regards the genteel as always right is more ashamed of himself and his commoness. Estella the leads Pip down to the courtyard. She rudely tells Pip to wait in the courtyard while she gets something for him. Pip says- She came back, with some bread and meat and a little mug of beer. She put the mug down on the stones on the stones of the yard, and gave me the bread and meat without looking at me, insolently as if I were a dog in disgrace. I was so humiliated, hurt, spurned, offended, angry, sorry- I cannot hit upon the right name for the smart- God knows what its name was- that tears started to my eyes. After Estella leaves Pip breaks down and weeps. He does so because he has been scorned, embarrassed and derided by the genteel, people who he now thinks of as admirable. Pips self-confidence has been destroyed. He feels that he is common and trivial. Pip realizes that someone he has admired all his life, is actually not respect-worthy. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Great Expectations section.

Thursday, October 3, 2019

The Mental Health Nurses Role Social Work Essay

The Mental Health Nurses Role Social Work Essay Care planning, provision and management are essential parts of the mental health nurses role. Ongoing interaction and assessment of clients needs creates a basis for providing and organising care that is inclusive, effective and adaptive through evaluation and review. The creation of a framework of care established on the premise of recovery, as it is viewed in mental health terms, can not only provide for a clients basic needs but can also allow them to continue to grow as an individual and lead a fulfilling life even in the presence of a mental health problem or illness (Hall, Wren Kirby, 2008). This case study will explain and discuss the nursing care of an individual that has a mental health problem. A plan of care will be outlined including the reasoning and evidence base that prompted such direction. Parahoo (2006) reminds us that all nursing practice should be based on sound principles and processes that stem from reliable sources. Firstly we will look at the specifics of the scenario and set up some working premises which will then allow us to further speculate on the development and implementation of a structured care plan. The case study is based around a 69 year old female named Simone. After recent lapses in memory, orientation and changes in mood were disclosed to her GP she was further assessed and consequently diagnosed with early onset dementia. Simone lives with her 40 year old daughter in a semi detached bungalow in a quiet suburban area. Simones daughter has paraplegia after an accident ten years ago. She is able to care for herself to a certain extent but does require occasional assistance from Simone. Simones daughter also recently experienced bouts of depression which lasted several months. Recently Simone had an incident when she became disorientated on a trip to the local shops and had to be escorted home by a neighbour. The role of the nurse in this case study is that of a community psychiatric nurse working with older adults. After meeting Simone and carrying out an initial assessment there are several pertinent pieces of information to continue with: Simone appears to be physically well and her home is clean and well equipped for both her and her daughter; She seems to understand where she is but at times can become flustered when unable to answer certain questions; Her daughter reports that, on a few recent occasions, Simone has burned food while cooking; She has no other family living locally and has lost touch with many of her friends since looking after her daughter; Simone states that she does not require any assistance at this time as she feels that she will be able to cope, however, she seems to be very anxious about her diagnosis and the consequences for her and her daughter and whether they will be able to continue managing to live at home. To be able to begin to make any kind of conjecture on what plans of care may be suitable for Simone we have to make several key assumptions about the skill of the nurse. For this we will use some of the attributes identified by Gerard Egan (2010) in his skilled helper model. Firstly we must assume that through accomplished communication skills and core empathic values a working therapeutic relationship is possible to establish. Also that the care plan proposals which are being put forward are ones that have been discussed and accepted by all involved parties as suitable to Simones preferences after reviewing alternatives. Finally, we must presume that through encouragement, motivation and reasoning, Simone will consent to nursing, psychiatric and other agency involvement. From the initial assessment it would seem that Simone has an apparent need for information pertaining to her condition as well as emotional support and counselling. She may require psychiatric input in terms of ongoing assessment, medication prescribing and monitoring. It also seems as though Simone may need some sort of support or assistance in certain daily activities, this could be direct support or the creation of systems and routines which enable her to perform tasks independently. A growing level of social isolation looks to be occurring and Simone may benefit by having assistance to address this. Simone may need access to support groups relating to her diagnosis of dementia, her role as a carer but also to her social and personal interest or activities. These could promote social inclusion as well as cognitive enhancement. Simone has also stated that she has concerns over the wellbeing of her daughter if she should be unable to perform the duties for her that she has up until this point. This may require a level of involvement within Simones care for her daughter, to learn about Simones condition and also to look at possible ways in which she can assist, perhaps by considering some form of support for herself or by means of being actively involved in the care plans. Therefore, with these needs in mind, we can begin to create an all encompassing, holistic care plan which is not purely based on the historical medical model that you are ill and we can cure you, or even the more modern social model that purports that you have needs and we can meet them but is instead more firmly based on the progressive view of recovery which states that you may have a problem but with help you can grow beyond it (Hall, Wren Kirby, 2008). This positivity in the face of such adversity may go against the grain of traditional treatment of dementia sufferers but the goal of restoring and maintaining mental health to its achievable optimum capacity, even when it may be in inexorable decline, should remain exactly the same as in all other areas of mental health treatment (Hughes, 2006). For care plans to be efficient they also have to be specific, measurable, achievable, realistic and timed (SMART), as this allows a flexibility to the planning process because effectivene ss can be evaluated and appropriate changes can be made as required (Brooker Waugh, 2007). So for this particular case study, the initial care plan would comprise of tasks for the nurse to complete, either as a direct care provider or as a care manager. These tasks would hopefully address the current needs of Simone over an interim period, whilst improving relations, knowledge, involvement and empowerment which could help to provide her with a greater amount of control over her current situation. The tasks will firstly be detailed in a basic format and then what each task entails will be comprehensively discussed thereafter. As care provider: Weekly home visits Liaise with psychiatrist, monthly psychiatric appointments Family work Risk assessment Creation of advanced statements As care manager: Link in with multidisciplinary team Signpost, assist to access support/interest groups Being able to have face to face communication with an individual on a regular basis is the cornerstone of effective nursing practice (Ewels Simnett, 2003). As Simone had stated that she did not feel that she required any external involvement at this time, even when we are working on the assumption that she will accept it, it would be important not to initially overwhelm her. She may be feeling very frightened and vulnerable. A study of older independent living people in 1998 identified dementia as a primary fear, rating higher than cancer (Mackinlay, 2006). General awareness of dementia issues is relatively low even though it is a common enough condition to affect more than 1 in 100 people aged over 65 (Alzheimers Scotland, 2010). A bombardment of too much input or information may cause her to be defensive and withdraw her engagement with CPN services. Starting off with a planned weekly visit of around one hour in length which follows up on the preliminary visit and assessment would perhaps not seem overly intrusive. During this time the nurse can provide much needed emotional support and counselling, building up a more robust working relationship. Information about Simones diagnosis, such as how her dementia developed to this point, how it may progress in the future, what to expect, how to prepare, what options are available and any other pertinent questions can be answered as and when Simone feels ready to discuss such things. Overtime Simone can start to identify weaknesses to focus on and strengths which can be utilised and begin to compile her own plans and goals which she can work on in a more independent fashion. These can be more specific goals such as taking up a new hobby or interest or could even be to plan how to visit the local shops and return home safely or cook a meal without the worry of burning it. These goals can then be broken down into achievable tasks for Simone which she can carry out with minimal support. Increased independence can ofte n involve an element of therapeutic risk and it is important not to confuse care with control (Watkins, 2009). Weekly visits give the opportunity to provide tangible support and to continually assess the progress of Simones dementia, mental health, general health, the continuing suitability and condition of her residence, activity levels, relationships and inclusiveness in the wider community. Informal and also formal rating scales, such as the MMSE (Mini Mental State Examination), MADRS (Montgomery Asberg Depression Rating Scale) as well as clinical observations can be regularly recorded to monitor any developments, patterns or trends. Frequent visits allow more effective methods of communication techniques to be developed which suit Simones personality and current capabilities. Care becomes not only person centred but also relationship centred and this bond can foster trust and relieve anxiety, stress and agitation (Innes, 2009) The community psychiatric nurse would work in tandem with a designated psychiatrist, reporting to them weekly. The psychiatrist that originally assessed Simone and made the diagnosis of dementia would be most preferable to aid continuity of care. For this commencement period of Simones involvement with psychiatric services to have a monthly appointment with a psychiatrist would be both realistic and achievable. This would be an opportunity to receive further support and review ongoing mental health and mental state assessments such as the MMSE or the more comprehensive ACE-R (Addenbrookes Cognitive Examination Revised). A psychiatrist would be able to provide any ongoing prescription support if required or provide access to relevant psychosocial therapies. The NICE-SCIE Guidelines for Dementia Care (2006) states that this would depend on the results of cognitive tests and perceived cognitive functioning. Using the MMSE as an example, it is recommended that only people with a score b etween 10-20, denoting moderate Alzheimers type dementia should begin courses of acetylcholinesterase inhibitors such as donepezil, galantamine and rivastigmine. The effectiveness of these drugs for individuals scoring lower than 10 points drops dramatically. For people with mild to moderate Alzheimers type dementia, scores over 20, should be given the opportunity to participate in structured group cognitive stimulation programmes and alternative therapies. In the journal article, Dementia: Symptoms, Diagnosis and Management, Salama (2008) recognises the effectiveness of these programmes and therapies for the management of cognitive symptoms such as agitation, anxiety, depression and aggression. It would seem from the needs outlined from the scenario this type of intervention would be beneficial to Simone. It is always important to remember that often people with dementia do not exist solely in isolation and inevitably family members and friends will become involved in their journey. Innes (2009) talks about the importance of a partnership between the nurse and individual diagnosed with dementia and states that these partnerships can extend to close family members or carers creating a triad of care. With Simones consent, sessions could include her daughter, helping to educate and inform her therefore better preparing her to cope with the possible demands of continued cohabitation with her mother. The NICE- SCIE Guidelines for Dementia Care (2006) state that people living in the community diagnosed with dementia should be supported to remain living in their own homes for as long as possible rather than being uprooted to an unfamiliar environment. Also if Simones dementia is seen to have a possible genetic link her daughter should be briefed on the risk of developing the condition hersel f. Simones daughter may be able to inform of ways in which she may be able to assist, however, the information provided in the case study suggests that due to Simones daughters disability her ability to support her mother in some aspects of care may be limited. Studies have consistently shown that stressors faced by family members of people with dementia are amongst the most difficult to cope with of all chronic illnesses and this can lead to an increased risk of depression, loneliness and self injury (Keady cited in Norman and Ryrie, 2009). As Simones daughter is already prone to depression a recommendation of how to assist her mother could be to receive more direct support herself subsequently alleviating some of the caring duties for Simone. The importance of relationships and friendships should not be underestimated. The emotional support from an extended social network can be invaluable and Simone should be encouraged to renew links with family and friends to strengthen existin g relations and reduce isolation. Leff and Warner (2006) identify social inclusion as one of the key factors to maximising mental health in dementia. One of the most important duties of the community mental health nurse is to ensure the health and wellbeing of the client, their family and wider community. In order to do this they have to assess the risks involved within the situation. For Simone, her recent dementia symptoms pose new risks, to herself and others, which consequently have to be identified and managed. The most appropriate way to assess risk is in conjunction with the individual you are working with, even though their view of the risks involved may vary from yours. This collaboration means that any decisions feel agreed rather than imposed and are therefore more likely to be conformed to whilst also enhancing the therapeutic relationship between the individual and nurse (Ramsay et al, 2001). From the case study we can see that there are possibilities for Simone to inadvertently bring harm to either herself, her daughter, her neighbours or even the wider community through a number of negative eventualities such as wan dering, causing fire hazards or lapses while driving if she does indeed drive. However, although assessing risk can highlight the dangers a situation or condition can cause it can also help to recognise positive skills and strengths which may be utilised. As part of a recovery focused care plan therapeutic risk must be considered and encouraged in order for Simone to maintain the sense that she is still author to her own story. Barker (2009) promotes the idea that personal growth and development through new or continued experiences does not stop with a diagnosis of mental illness or dementia but should be encouraged to continue unabated. Another consideration which could be brought to Simones attention is advanced statements. These are personal statements of preference in terms of the types of treatments a person with a mental illness may or may not wish to have in the future in the event of a decline in their mental health. These wishes and preference must then be upheld under Part 18 of the Mental Health (Care and Treatment) (Scotland) Act 2003. Simone may not feel ready to start compiling these statements straight away but if she is aware of them, over time, her preferences can be documented. Under Part 17 Chapter 2 of the same mental health act Simone also has the right to independent advocacy which she may wish to utilise to create any advance statements or to reinforce them if required. If Simones dementia does decline to the stage where she is no longer deemed to have adequate capacity for appropriate decision making she would come under the legal realm of the Adults with Incapacity (Scotland) Act 2000. In tim es of better mental health Simone may wish to select a named person to act on her behalf should this be required in the future. All decisions made on Simones behalf must be to her benefit and be the least restrictive option. With these factors in mind, part of the community psychiatric nurses role would be to promote the use of advance statements in order that Simone may continue to be cared for in a manner of her choosing, even after the possible loss of capacity, thus maintaining a sense of self and control over her own treatment. Both of these elements are identified by Pilgrim (2009) as being key points in aiding recovery in mental health treatment. Multidisciplinary team and multiagency working is an essential part of modern health care provision (Brooker and Waugh, 2007). Community nurses can appear to be working autonomously but are often supported by and linked in with a number of other health professionals and social care workers such as physiotherapists, dieticians, occupational therapists, social workers, general practitioners, psychiatrists and care assistants to name but a few. Norman and Ryrie (2009) claim that the effectiveness of this way of working lies in the diversity of skills and experience which is able to be drawn upon to facilitate more effective care for specialist needs or requirements. In the case of Simone any identified needs that would be unable to be met by the community nurse or that would be more effectively met by other workers could be referred on. In this way Simones care becomes collaborative, with her at the centre and people with the specific knowledge and skills being utilised around her. As well as engagement with health and social care professionals there are numerous charities, agencies, groups and organisations that offer external support. For Simone this could be in the form of local support groups for issues that affect her, such as dementia, stress or being a carer, or could perhaps be more focused on activities that suit her general interests. The community psychiatric nurse could possibly assist Simone to source, access or even in the short term, attend these kinds of pursuits. Interacting with others in groups or focusing on enjoyable tasks has the therapeutic benefit of enhancing both social and cognitive proficiency for a person diagnosed with dementia (Gilhooly et al 2003). Leff and Warner (2006) also stress the importance of social inclusion by naming it amongst their four key areas for improved quality of life alongside independence, health and choice. So in summary, we have outlined the case study scenario of Simone, identified her needs and created a plan that is intended to meet these needs. In addition to meeting the identified needs, a deeper analysis of the plan depicts how it will benefit Simone in a more holistic sense. By keeping the notion of recovery firmly in mind, the overall aim is to build up Simone, the person, as a whole and not purely to assist with the symptoms of dementia. For Simone to recover she must be supported to live a full life in the existence if her dementia, be able to remain independent for as long as possible, be included in the community, plan for the future and enjoy a quality of life that she finds gratifying. As this care plan created for Simone progresses, being updated and augmented as required, it should mean that her dementia should become to be viewed as illness which is being managed and not as a defining characteristic of her personality. Paraphrasing from a letter written to the notable neurologist Oliver Sacks: A person does not consist of memory alone. They have feeling, will, sensibilities and moral being, matters of which neurology cannot speak. It is here, beyond the realm of an impersonal psychology, that you may find ways to touch them, and to change them (Luria cited in Sacks 1985).