Extenuating circumstances - from Germany to the United States Essay

Extenuating circumstances - from Germany to the United States - Essay Example I knew much of the language, able to speak it but with a unique accent. I always imagined settling in United States, attending its colleges and participating in American sports activities, especially football, which is my passion. Upon arriving in Texas, I was lonely at first, lacking family, friends and any one to share my sorrows with. At school I was undetectable while at home, radio was my companion. Coming to Texas gave me sadness, at the loss of my friends in Germany and it gave me hope, at the prospects of making new friends. Building relationships was a problem; this was due to my English accent. Thoughts filled my mind every day, tormenting me on how to muster American accent and thus improve the conditions of my life. I come to realize I was in fantasy; I dreamt of how life could get better than trying to work on those improvements. Noticing this, I became an aggressive individual and focused on the current events and striving to turn ideas into achievements. I began communicating without minding any embarrassment arising from my accent. Once upon coming late to class, the student supervisor said hallo to me. Not wanting to humiliate myself, I gave a short answer, "Nothing." Immediately there was la ughter across the classroom; I also laughed. At the end of the studies, I gathered courage and asked the supervisor why the laughter. I was eager to learn though confusing or embarrassing. I stopped concentrating on the impacts of my accent on the surrounding and started communicating; as I realized this will remove feelings of remorse from my life. These ideas motivated my growth and helped me to gain confidence. In addition to this, I started writing poetry in my spare time, praising the wisdom of God and at night, I observed the stars, the moon and the clouds. This was meant to encourage me on the workings of God and view myself as a creation of God, made to perfection. I made an outline of my strengths and this gave me courage to make friends and

Clinical assessment for Paramedics Essay Example | Topics and Well Written Essays - 250 words

Clinical assessment for Paramedics - Essay Example It is normally non-server and can last between 30 minutes to several days. This type is linked to things like stress, dehydration, poor posture or skipping a meal. Tension headache really causes nausea and vomiting and may not interfere with the activities of daily living. Migraine headache; is a less tense headache. Usually felt as throbbing pain at the front side of the head. Cluster headache; occurs in clusters for a month or two at the same time of the year. Cluster headache is the most server type with the descried as having a burning sensation or a piercing/ throbbing quality. The pain is usually located behind one eye or in the region of the eye without changing sides (Gladstone & Dodick, 2004, pp. 304–314). Mixed headache; is also called transformed migraine. This is a combination of tension and migraine headache and is experienced by both adults and children. Inferring to case 1, the patient is suffering from a tension headache with the pain rated at 5/10. The patient presents with the headache following stressful episodes and the pain feels like a tight band around the head make the type of headache in case one fit the diagnosis of a tension headache. Ordinary painkillers such as paracetamol and ibuprofen, lifestyle changes and hydration are important for its management. Despite the headache being, non-severe the patient will be followed up after discharged, as the headache may be a symptom of an underlying condition. In the process of discharging the patient, neurological test would be necessary to rule out diseases that might cause the headache like multiple sclerosis, epilepsy cerebrovascular diseases. Mental status examination (MSE) would be done to assess the orientation of the patient to person, place and time as an indication of fitness of his/her neurological status (Loder et al., 2008, pp. 88-92). Gladstone, J.P. & Dodick, D.W., 2004. Revised 2004 International Classification of