Wednesday, November 27, 2019

Nursing Patient and Self-care Deficit Essay Example

Nursing: Patient and Self-care Deficit Paper Applying Dorothea Orems Self-Care Deficit Theory To Practice Dorothea Orem developed her self-care deficit theory of nursing under three interrelated theories known as the theory of self-care, theory of self-care deficit, and theory of nursing systems. Each of these theories explains concepts of basic conditioning factors to support her general theory. Orem’s theory suggests that all individuals have a need for self-care action on a continuous basis. When self-care can no longer be performed due to injury or illness the patient develops a self-care deficit and requires the assistance of the nurse to provide quality and quantity healthcare. Orem’s interrelated theories can be applied to day to day practice on the stroke unit. The theory of self-care is the patient’s ability to perform their own self-care needs to maintain life, health, and well-being. Basic conditioning factors of self-care include age, gender, developmental state and environmental factors to name a few. Stroke patients may lose their entire ability to provide self-care depending on where the stroke occurred. Basic things such as eating or even speaking may be affected. One of the first steps taken on the floor is a bedside swallow evaluation. This is very important because it determines if oral nutrition or medications can be given. Swallowing problems can increase risk of morbidity and mortality, as well as risk of aspiration pneumonia where food or fluids pass into the airway (Morris, 2009). Patients may be unable to receive necessary treatment if they have the inability to swallow and collaboration with the doctor is needed to determine whether or not other routes for nutrition or medication administration may be used. We will write a custom essay sample on Nursing: Patient and Self-care Deficit specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Nursing: Patient and Self-care Deficit specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Nursing: Patient and Self-care Deficit specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The theory of self-care deficit is the main element of Orem’s general theory. The self-care-deficit theory is acquired when individuals are unable to perform basic needs to sustain health, life and well-being. Stroke patients may only be able to use one arm, or one leg which is known as hemiparesis. The nurse is therefore needed to assist with things such as oral care and nutrition. The nurse encourages the patient to use stronger or non-affected side to eat or perform oral care. Patients want to feel independent and it’s mportant that nurses support self-care. The theory of nursing systems is how the nurse determines what the needs are of the patient. On the stroke floor nurses are constantly performing neurological checks to determine whether or not any changes have occurred or to assess for any deficits. When a patient has a deficit such as dysphagia or difficulty swallowing, nurses must assist that patient by crushing pills, making sure the patient has the proper di et and ensure the patient is always sitting upright during oral intake to prevent aspiration. Nurses are pivotal in ensuring that patients’ dysphagia needs are met and managed promptly and safely (Hughes, 2011). Dorothea Orem’s theory of self-care can be applied to clinical practice in many different ways. One area of practice Orem’s theory is used is on the stroke units as described above. Patient’s want to be independent and in charge of their own healthcare decisions. Stroke can be debilitating and patients may not be able to perform routine task such as eating or brushing teeth. Nurses must assist patient with these task and encourage patients to participate as much as possible. Nurses play a very critical role in supporting and promoting independence in patient care. Allowing patients to be independent in their self-care and assisting when patients are unable to perform tasks will create positive patient outcomes and is the basis behind Orem’s self-care deficit theory. References Hughes, S. (2011, April 2011). Management of dysphagia in stroke patients. Nursing Older People, 23(3), 21-24. Morris, H. (2009). Assessment and management of dysphagia after stroke. Assessment and management of dysphagia after stroke, 11(8), 385-388.

Sunday, November 24, 2019

Acid Base Titration Lab Essays

Acid Base Titration Lab Essays Acid Base Titration Lab Essay Acid Base Titration Lab Essay The completion of a reaction can be seen by a change in color or when the pH remains constant. The equivalence point during titration is when both solutions are present in equal amounts. The end point of the titration is when the reaction has been completed, which is usually marked by a change in color. One researchable question relating to acid/base titration would be what strengths of acids and bases react with each other during titration, and what kind of solution woo a ten two teen Tort. Strong access Ana strong oases can react, Ana teen Tort a neutral solution. Strong acids and weak bases can react, and they form an acidic elution. Strong bases can also react with weak acids to form a basic solution. Errors Improvements Adding Noah too quickly. Add the Noah one drop at a time until the proper level has been reached. The data was not properly recorded. Keep track of each pH increase for each experiment as opposed to Just initial and spikes. Beret may have been contaminated since multiple classes used the same beret without cleaning it. Clean the beret before and after each period of experimentation in order to avoid contamination.

Thursday, November 21, 2019

Health record structures in computer-driven formats Essay

Health record structures in computer-driven formats - Essay Example In addition, this structure enables me to perceive of the likely effect of reorganizing health records and any associated medical narrative. Many healthcare institutes, particularly public ones, cannot meet the expense of lowering open medical language to mere postscripts in the strategy of EHRs. EHRs with computer-driven formats is an essential movement towards information system structure that employ natural language dispensation as a major innovation for translating it from unorganized to organized representations (Davis and LaCour, 2014). Health record structures in computer-driven formats are applicable in my work area, systems science, in terms of standardization, organization, and easy control. For electronic health records to exhaust all their potentials and purposes, this data has to be made uniform, structured, and simple to control. This data often includes patients’ symptoms, diseases, allergies, clinical histories, family backdrops, and even billing information (Davis and LaCour, 2014). If this type of data is unstructured and unstandardized, treating these patients with utmost efficiency and economy becomes difficult. Additionally, my work area facilitates paperless offices, a factor that computers today are greatly attributing to. Computer-driven formats will enable me to save time while at work while sharing confidential data regarding a given patient at any given time. Computer-driven formats process workflow in my field at a high rate in contrast to manual, paper formats. The benefits of health record structures in computer-driven formats are more efficiency, lower medication and nursing errors, structured data, and effective medical decision-making processes (Davis and LaCour, 2014). There is a significant drive in the course of doing away with conventional medical transcript and converting the clinical documentation

Wednesday, November 20, 2019

Discussion Board Essay Example | Topics and Well Written Essays - 250 words - 7

Discussion Board - Essay Example It is actually at this point that the women begin acting as detectives. Mrs. Peters made inferences on a loaf of bread left in there, as well as on the possibility that Minnie Wright was actually preparing a quilt and that she was actually making nervous sewing patterns on it, which was a sign of a possible mental problem or anxiety. The rising action continues until the part where both female characters find an empty birdcage and finally a bird in the sewing basket whose neck was wrung. The falling action is the part of the play where the men return from their search while the women pretend not to know anything especially about the dead bird with a broken neck. The men still make fun of the women as they overhear them talking whether Minnie Wright was going to quilt it or knot it. The men thought that the women were just discussing trifles but what they did not realize was that it was the actually the most important piece of evidence they needed. Basically, it is the female characters’ actions and curiosity that advance the play’s plot. Had Mrs. Hale and Mrs. Peters not been curious or inquisitive enough, they would not have started looking around the kitchen among Minnie Wright’s things for anything that could satisfy their curiosity. This eventually led them to the bird with a broken neck. Moreover, the indifference of the men towards the women – by regarding them as merely interested in trifles – somehow helped advance the plot too, for, had they been different, they would have searched the kitchen first and the play could have ended there if they had found the bird

Sunday, November 17, 2019

Odyssey by Homer Essay Example | Topics and Well Written Essays - 1000 words

Odyssey by Homer - Essay Example It is therefore the epic is regarded as one of the most alluring and splendid works the world has ever produced. The poet has elaborated that maintenance of dignity and valor was the most imperative phenomenon for Greeks, on which they could not make any compromise altogether. Similarly, the politeness and modesty during speech and actions was also highly significant object for the society, and use of eloquent, apposite and sophisticated words during social interaction was regarded as the sign of being cultured and modest. Moreover, the people of the city were also munificent and generous, and always treated the guests with open arms and happy heart. Consequently, dignity, politeness and hospitality served as the most dominant features of the ancient Greek civilization of Homeric era. The verses depict the valor, pride, ego, prestige and strength of the major characters including the protagonist King Odysseus of Ithaca and his son Telemachus. Similarly, the loyalty, fidelity and dedi cation of Penelope, and the love and affection of the Ithacan subjects for their King Odysseus are also the distinguishing aspects of the ancient Greek life. The play reveals the very fact that the honor, prestige and dignity were regarded as the most prominent aspects of social life among the ancient Greek people, and they did not make any compromise on these issues altogether. ... The issue of pride and shame also appears at the eve of the challenge made by Euryalus, the handsome and strong Phaeacian youth, to Odysseus after the latter’s attending the Phaeacian assembly. Euryalus asks Odysseus to participate in the athletic contest along with the other Athenian youth. (Book 8: lines 178-182) However, Odysseus refused to comply with the same. Consequently, Euryalus passes insulting comments on him by declaring him as a sailor trading back and forth  in a ship with many oars, as well as a captain in charge of merchant sailors (Book 8, lines 200-202) In response to these awkward words, Odysseus made a thought-provoking speech in which he laments over his present state of affairs that is not suitable for the participating in athletics. However, he throws discus so powerfully that no one can do the same. Consequently, Athena encourages him to participate in other competitions too, which he does and wins the same. Hence, he obtains the opportunity of provin g his worth in discus throwing and wrestling. Thus, cunning speeches made by the protagonist character made situation uncomfortable, and the King announces the end of the games for the day. Odysseus is determined to fight against rival generals, sea monsters, court intriguers and hypocrites in order to display his bravery on the one hand, and to sustain the status of a dignified ruler on the other. It is therefore he sets out to fight war against the Trojan army just for the sake of enjoying the status of the most gallant and respectable person of the city. At the beginning of the Trojan War, he appears to be the father of an infant of one month only, departing from him

Friday, November 15, 2019

Advantages Of Effective Communication

Advantages Of Effective Communication Effective communication is the act of using correct word in order to get your message across and keep in mind who is receiving it. For example most people often use up to date slang when with friends as a mean of talking effective considering the best way to get their message to that person. Advantages of effective communication The fact is that while you already know how to communicate, learning a some simple principles that can be used at once will make you an effective communicator and give you enormous advantage in todays extreme competitive business world. Conflict is reduced. Conflict can arouse from the smallest word or action and can cause destructive responses and behaviours .Unsolved or poorly navigated conflict can harm and even ruin relationships.   Most conflict is cause by misunderstood communication. When you turn out to be an effective communicator, you can solve conflict and create harmony by bridging the communication gaps that create conflict. You can even use your skills to resolve conflict between other people. Effective communication skills provide a key role in successfully resolving conflict, both in the home and in the workplace. Help people  to  adopt your ideas.   Knowing how to persuade and getting people adopted to your idea require you to nudge hard and do things that will piss people off to make them adopt your ideas. Effective communication is not about you and getting what you want it is about becoming aware of what other people want and need and then adapting your presentation to match their needs. As you practice and develop your skills, you will find that people easily  adopt your ideas because you have cleverly helped them to notice them for themselves rather than telling them about them. Have stronger relationships. A keen, healthy relationship can be best achieves in your life. Good relationships enhance every part of your life, supporting your health, mind, and your connections with others. Some relationships are special and people often come all together for several reasons. Effective communication builds strong business and personal relationships and allowing you understand exactly what people want  and how to give it to them. At the same time, it allows you know how to communicate your thoughts and emotions in ways that people we automatically understand at an unconscious level. Lead to successful career. Effective communication provides people great advantage in getting good jobs which they had passion for, balancing their mood of life both in academic, moral aspect and bring out the out of life. People will like you better. People grow very accustomed to a certain manner in life. We like to celebrate individuality in the world and also discriminate against to that are dissimilar to us. Gratefully, effective communication shows us that we dont need to decide between these two polarities. We can communicate in a way which is similar to other people while still keeping the honour of our individuality. In order to be unique easily express what you want to express (say what you want to say and do what you want to do but in a way which is familiar and understandable to other people. Using effective communication will aid you to understand other people well and when you understand them, you will relate to them well. When you relate well, people will like you more. Get more of what you want out of life. It means you have to be assertive to get the best out of life. Assertiveness is an act of self-control. It involves understanding what we want, believing in our right to want it, and asking for it without requiring that we have our way, not violating other people right in every life activities. When you learn to communicate effectively in  ways that people automatically understand, they will be delighted to help you and provide you with the resources that you need to achieve your goals and dreams. Reference to this site:www.maximumadvantage.com Provides Clarity Effective communication give clarity in order to stay away from any confusion. Without clarity, messages can be unclear, lacking purpose and definition. Misunderstandings usually take place as soon as people could not understand precisely what is expected of them or being communicated to. Clarity happens by means of effective communication: questioning and repeating messages to the sender. Disadvantages of effective communication Manipulates Persuasion is an effective way of influencing people. When we use effective communication to persuade people in a manipulative manner, it might let them make decisions they might not really want to make. Example, suppose salesperson visit you at home and uses well organized persuasive method to market you products that you could not afford, it can let you come across financial problem. Reference to this site: http://www.ehow.com/list_6714762_advantages-disadvantages-effective-communication.html Being talkative when people over explain a details, the audience or listener might feel very bored leaving them more confuse and loosing focus of what is being communicated,It might let them not getting the point and going off on point which are not relevant. Vocal intonation and body language Sometime in life people might want to say or express their ideas but communication could be completely different by means of vocal intonation and body language. This might cause the receiver to pick out between vocal and nonverbal section of the message and might not really help to get the messages to receiver, this is because the receiver mostly like to pick out the nonverbal part. Reference to this site: http://www.preservearticles.com/201107309616/294-words-essay-on-effective-communication-skills.html Importance of effective communication Effective communication are very essential in every part of life, either in relationship or business. People in organization might naturally spend most their time in associating with people. Hence is of no amaizement that at the basis of a big number of organizational difficulty is inadequate communication. This very observable in cross-cultural situations whereas language is an issue. But it is normal among people of the same culture. Effective communication occur as an important part of organizational success either it is at the interpersonal, intergroup, organizational or external levels. Furthermore in developing social relationships like father, mother and children, communication skills are most essential. Proper communication skills lets people understand one another and working together pertaining to a goal. While learning these effective communication skills, you can well connect with your kids, friends, relations, spouse and coworkers. According to this Authors: Lawrence Robinson, Jeanne Segal, Ph. D., and Robert Segal, M.A. Last updated: March 2013. RFERENCE TO THIS SITE: http://www.helpguide.org/mental/effective_communication_skills.htm TASK04 A. What is research skills A research is the act of gathering information and carefully finding out new fact about it. While research skills are those skills we have or acquire to make decision when carrying out any kind of research process. Research skills are essential in all aspect of life be it in School, Organization, and Countries e. t .c. Having goods research skills before conducting a survey or any kind of research process will give you clear understanding about the research you are to conduct and well organize information on how you go with the research .When you have better understanding of the research and you will be able to have effective ideas and good answer that really help your research. Often people became confuse when it comes to conducting a survey or any kind of research process because dont know how to go about it and where to start from. By you having good research skills you will be able to do research more effectively, accurately and with enough confidence. And it would even help saving your time, reducing frustration and anxiety as well doing the research perfectly. Likewise it would even help you to encapsulating most what you from read books, internet searcher engine in your mind in other to develop your own idea because it is highly believed that anything you develop from the mind is one the greatest advantage ones can ever think of ,rather than just using someone else idea for all. And make your research very awesome with solid introduction than anyone else. Research skills are very crucial and important because it assist the researcher to create new idea, knowledge and understanding by means of problem solving, critical thinking, analysis and dissemination of facts .Research skills are more wide than just finding out fact and several focus than reading widely around a subject. When you acquire some basic skills, you would be able to find good resource for any kind of research process. Example; Critical Thinking By means of critical thinking skills you would be able to bring up important idea about problems that might occur when conducting a survey or any kind of research process. At the same time, you would able to evaluate and gather information related to the research and coming up with accurate conclusion. Critical thinking would also assist you knowing how to figure out fact base information during research process. STAGES OF A SUCESSFUL RESEARCH .Analyzing your assignment .Generating topic ideas .Refining your topic .Formulating your research questing .Conclusions For example; .Analyzing: It means careful read the assignment as not to do the wrong answer. A lot people do research without looking back on how the question is been asked. .Refining your topic: There is no way you can get around fact search for information. Unfortunate a lot effort and time would be waisted if you not spent enough time to investigating and refining your topic. Good research occur from the early work you have done when carrying out a research. In conclusion, if my research is very successful I would have be one of the happiest person on earth, full of excitement and giving thanks to God for helping me through the wrong and right I experienced during research. TASK04 B. IMPORTANCE OF HAVING TRANSFERABLE SKILL Transferable skills are those skills we have and that skills are transferred or being used in carrying out some other works. It is awfully essential to have transferable skills because it assists us carrying out new work. Example if you are a good team player you can transfer that your skill in job which would really benefit us very much because in work place we meet different type of people and different people think differently so we should be able to work together with other people to run org. properly. Likewise if somebody is a manager in a workplace then he should be able to lead the people otherwise there may be a problem and the management cannot go smooth. Likewise if we have good mass communication skills then we can impress people by our words and thoughts. And we would be able to express ourselves to the world. If we have good skills in reading and learning then we will be able to know others ideas and with the benefit of those ideas we have created new several ideas. Example Newton had created three laws which are used in science for doing many different things. So it has helped science in many ways. Similarly, we need to have transferable skills like Self-motivation Grooming employees to do some work willingly Self-regulation Self assurance Time management Use the time efficiently If we have self motivation skills, it will always lead us to development. Example when we are in school, if we dont get good grades at first then we need to have self motivation skills to study more seriously so that we can get good result next time. And if we are able to acquire this skills then we can transfer this skills in different place in workplace so that we would be able to do bring possible changes and receive benefits from it. In other hand, time management is very important skill that everybody should possess because if we cant be able to manage time then we cant do anything. Example in a student life activities, we need to manage time for studying extra curriculum activities .This is equally important fou knowledge personality development. As well as if we can be able to manage time then it will help us in the future. As well as everyone knows time doesnt wait for anybody and once the opportunity is gone then the same opportunity never comes back again. And to be success ful in life we need to be able to know the important of time. Example when we have top attain some meeting and we if we dont be able to be in time we wont be able to discuss about the subject and conclusion. So it is very to have transferable skills and which would benefit us and to other people as well. Reference:www.ukessay.com/essays/edution/demonstrate-and-deliver-a-range-of-transferable-skills-education-essay.php

Tuesday, November 12, 2019

All of Childhood is Essentially Preparation for Adulthood

It is said that all of childhood is essentially preparation for adulthood. Children, during the precious few years they spend without the responsibility, awareness and experience to be considered adults, watch and mimic the world around them, for it is by mimicking that they learn to become adults themselves. Both â€Å"Werewolves in Their Youth†, by Michael Chabon and â€Å"The Man in the Well†, by Ira Sher, promote the supposition that all of childhood is preparation for adulthood, by revealing characteristics and attitudes in young children that show glimpses of the world and environment in which they were raised and by which they were shaped.Both stories, additionally, give insight as to what it is that separates adults from children, both by contrasting adult and child characters and by leading the reader to a directed realization of what characteristics of behavior define adulthood. In â€Å"The Man in the Well†, Sher begins by having the nine year old chil d, whose name is the only one among all of the children that we never learn, state that although he remembered that the children had made the decision not to help the man stuck in the well, he didn’t remember if they’d given themselves a reason for not helping.(Sher, 1) The act of making a decision without giving a reason is both very childlike and very adult-like. Children, without the ability to make critical decision and employ as rational thought as adults, often make decisions without reasons, functioning mainly on impulse. Will I swing on the swings or ride the slide? Slide it is – but why? But failing to give a reason for a decision can also be a very adult-like quality. After all, hasn’t everyone heard their mother voice the statement â€Å"I don’t need a reason, I’m your mother†?Adults and especially parents will often make a decision without giving a reason to enforce that they are beyond needing to give a reason and should not be questioned by virtue of their status as adults. So while the children’s decision not to help the man in the well was not supported by a reason, and while that may have only been a sign of childhood impetuousness, it can also be a sign of imitating the adults that have provided the examples to follow in their lives.The next sign in â€Å"The Man in the Well† the childhood is essentially preparation for adulthood is in the children’s unwillingness to give their names to the man in the well, exhibited by the careful way in which they talk and the embarrassment felt when one child’s name is accidentally revealed. (Sher, 3) This, like making decisions without giving reasons, can also be seen as both an adultlike and a childlike trait, bridging the behaviors of one generation to the next. Remaining nameless is a way to hide, and in a situation where the children are already a bit fearful and unsure of their own actions, hiding is natural instinct.Indeed, when the boy whose name has been revealed decides to reveal the names of all of his friends who have also ignored the plight of the man in the well, the protagonist compares the faces of the children clustered around the well as their names are announced to the faces of â€Å"spectators in the freak tent when the circus† comes to town. (Sher 5) This comparison shows an awareness of behavior that is startling adult in nature. As Aaron brings everyone out of hiding by announcing names, they begin to see themselves as if watching a carny at the fair. Without the cloak of anonymity to hide behind, awareness is built.This is a very adult-like reaction, in that roles are often carried out anonymously in the adult world, to protect at times and to cloak in others. How many accused criminals know the names of the jurors in whose hands their fate is held? How many American citizens know the names of the cabinet members and advisors that the president uses to make decisions that will impact both the country and the world? There is safety in anonymity. Similarly, in â€Å"Werewolves in Their Youth†, the children, Timothy and Paul, find safety in creating roles and identities for themselves beyond those by which their parents, teachers and friends know them.Both children have suffered difficulties at home and at school. Timothy seems to have lost a father to Vietnam and Paul’s own father seems to be on his way out of his life, the result of an imminent divorce. (Chabon 2, 4) Both mothers are depicted as frazzled women trying to do their best. And both Timothy and Paul have attended the same doctor, implied to be a psychiatrist, perhaps as a result of their home lives or perhaps a result of the teasing they face in school and the perception that they are each other’s only friend.(Chabon, 8) Therefore, it is in the roles that they create for themselves, similar to the anonymity in â€Å"The Man in the Well†, that they find safety. This, a t first, can seem to be a very childlike reaction – two children entering into a land of make believe in order to shelter themselves from the outside world. However, it is a very psychologically profound reaction that shows their tendencies toward adulthood. We see in Paul’s behavior his imitation of his mother, even in his role as â€Å"Ant-Man†. His mom, apparently a realtor, is his basis for the behavior he exhibits when showing ants around in the village he has created for them.(Chabon, 1) He perceives his mother’s role as a realtor as a powerful one, apparently, because in transforming into his role as Ant-Man, he exhibits power over the ants. One of the clearest examples of childhood as preparation for adulthood occurs towards the end of â€Å"Werewolves in Their Youth†. Paul has been extremely reluctant to be lumped in with Timothy and exhibits defiant behavior when they are in the office together, turning his back on what he has already ack nowledged is his only friend. Mrs.Gladfelter, the children’s teacher, has tried valiantly to convince Paul to help Timothy come out of the character he has assumed and used to terrorize girls on the playground: that of a werewolf. Paul, caught in the trap of childhood, tries to convince himself that he sees signs that Timothy is actually a werewolf, seeing a â€Å"werewolf glint† (Chabon, 7) in his eyes and the â€Å"thin, dark down of wolfish hair† upon his cheek (Chabon, 9). He struggles to make adult sense of this, however, and is torn by his desire to distance himself from this friend and the desire to help.He finally makes his decision: he will help. Donning the persona of the professor that Timothy has repeatedly referred to him as, he plays into Timothy’s fantasy that he’s not yet found an antidote for his werewolfism. As he’s being lead out of the office and back to class, he stops, turns around and with his imaginary gun, takes care ful aim at Timothy, telling him that he’s going to shoot him with a dart filled with antidote and tranquilizer. He then pretends to shoot at Timothy, and Timothy, well within this fantasy world himself, proclaims himself cured.(Chabon, 10) To the bystander, it might appear that these are simply two kids playing a game, but Paul has the adult awareness to see that his teacher is looking at him approvingly for his actions. This is not different from how many parents cope with the ills their children suffer – engaging in fantasy to heal wounds and distract from pain. Both Chabon and Sher clearly show in the characters they have created that the actions and reactions children work through during childhood is an imitation of the adult world in which they live.Because of that imitation, the children are forming their future selves for the adults that they will someday become – preparing for adulthood starts young. By looking at the short stories by these authors, trai ts are shown that differentiate children from adults. The key trait, beyond age and experience, that separates adults from children is awareness. In the Chabon story, Paul becomes aware at the end that he must take actions to help his friend Timothy, and that without those actions, Timothy might not be able to battle his own demons and get back to acting in a normal fashion.This awareness is a giant leap for Paul towards the responsible adult that he will become. In the Sher story, we leave off with the adult feeling of guilt – the nameless protagonist leaves the well for the final time and vows never to return. (Sher, 6) The child has become aware that his actions have been shameful – he and his friends have left a man in the well to die, instead of obtaining help that is so readily available. He is also aware that all of the children feel equally guilty, as upon their last trip from the well, they could not look into each other’s lives. This character has also taken a giant leap towards adulthood.Many children mess up while young and commit deeds for which they later feel sorry, but few contribute to a man’s pain and suffering and assumed death in such a way that it will haunt the rest of their lives. This situation will either impact the child to lead a respectable life later on, to make up for his actions, or will go on to commit later actions in a similar vain, having rationalized his childhood experience. Either way, he has begun his preparation for adulthood. References Chabon, Michael. â€Å"Werewolves in Their Youth†. Random House: 1999. pp. 1-10. Sher, Ira. â€Å"The Man in the Well. † Chicago R