Triangle Love Intimacy

Triangle Love Intimacy Triangle of Love Robert J. Sternberg, psychologist and dean of the Tufts School of Arts and Sciences proposed a triangular theory of love that suggests that there are three components of love: intimacy, passion, and commitment. Different combinations of these three components result in different types of love. For example, a mixture of intimacy and commitment results in compassionate love, while a mixture of passion and intimacy leads to passionate love. Sternberg often said, â€Å"relationships built on two or more elements are more enduring that those based upon a single component† [Tufts p 19]. Sternberg uses the term consummate love to describe a combination of intimacy, passion, and commitment. While this type of love is the strongest and most enduring, Sternberg suggests that this type of love is rare. He wrote that even as a teenager he was intrigued by the mystery of why some relationships succeed while others fail. This is why early in his academic career he developed an explanation, which he calls the â€Å"triangular theory of love.† His theory is based on the observation â€Å"that love consists of three components . . . intimacy, passion, and commitment. Different combinations and strengths of those three ingredients,† Sternberg says, â€Å"produce different kinds of love.† [Tufts p. 20] Intimacy is the feelings in a relationship that promote closeness, bonding, and connecting with one another. Passion is what drives the romance, physical attraction, and sexual consummation in a loving relationship. Commitment consists of two parts.   The first is a short-term aspect in which you make the decision that you love another person and the second part is the long-term aspect in which you decide to commit to a long-term relationship and maintaining the love for that person over a long period of time [Everything2]. Sternberg also gives a detailed explanation of the types of love. â€Å"Infatuated love†, for example, is all passion, without intimacy or commitment. Romantic love has passion and intimacy but lacks commitment. â€Å"Companionate love,† he says, â€Å"results when we have only intimacy and commitment, as in a long-term deep friendship.† The kind of love that embodies all three components he calls â€Å"consummate love† [Tufts p.21]. Sternberg uses the triangle to describe different way we evolve to being in love. Each side of the triangle represents the proportion of each component with respect to the other two. The shape of the triangle that Sternberg uses is supposed to symbolize the balance between intimacy, passion and commitment, because it is equal on all sides. This is the kind of love we all hope for at one point and time. It is also the kind of love we tend to associate with living a life full of love and happiness. Sternberg acknowledges that few human relationships can maintain this perfect balance indefinitely, yet many relationships succeed in the face of enormous obstacles because both parties highly value consummate love, seek it out and work hard to maintain it. [Tufts p. 21] Sternberg wanted his theory of love to show us true love should develop, but it also meant to be used as to show us how we can develop loving and caring relationships with everyone that is apart of our life. In his study of human relationships, Sternberg discovered that â€Å"couples tended to be happier when they had more of the three components of love. And it helped if their love triangles matched in size and shape—that is, if the amount and kind of love each partner felt for the other was about the same.† [Tufts p. 21] I think that the love triangle is great. When the intensity of love shared by two people is great, so is the area of the love triangle and vice versa. However, the greater a specific component of love, like passion, the further the point from the center of the triangle will be to that component. This is why the shape of the love triangle is reliant on the strength of the different workings of love. The shape of the triangle will and should evolve over time. We may achieve such perfect forms of love as consummate love, but we all know that perfect of love is hard to maintain over time because to sustain it, we must nourish all of its components. The more a couple works on keeping the three components of consummate love in balance and nourished, the more likely such a love will be maintained for a long period of time. Love its self is so strong. I have been â€Å"in love† a few times. When I did this writing assignment I realize that I was not really in love until I met my husba nd. I took the triangle and compared the components to my past relationships and there is no comparison to what I have now. In society today, when someone mentions the word â€Å"Love† it is guaranteed that at least half the people surrounding you will shudder. Whether it is through observation or experience, people have come to learn that love is far from being the ideal state in which one should live in and, for that matter; many choose to stay away from it. It is known to break hearts, to hurt feelings and, believe it or not, it truly is not always happily ever after. Yes, Love does have its positive points. It is thrilling and exciting when youre in love, it is sometimes even euphoric but the argument here is not whether Love is good or bad for you. You and only you can make that decision. Works Cited Sternberg, Robert J. 2007. Happily ever after, Tufts Magazine 14: 3) 19-23. http://www.everything2.com/index.pl?node=emotion

Haemorrhagic Shock In Trauma Health And Social Care Essay

Fluid resuscitation is a critical constituent in the direction of haemorrhagic daze in injury. Recently, important promotion has been made in our apprehension and attack to this critical therapy. Traditional big volume fluid therapy is being replaced by a more conservative restricted volume attack purporting to better endurance rates in trauma patients showing with hemorrhagic daze. Haemorrhagic daze is one of the prima causes of preventable decease due to traumatic hurt, accounting for between 20 % and 40 % of trauma mortality. As such, betterments in the protocol for unstable resuscitation can hold considerable effects on the results for injury patients. Table 1 high spots some of the chief alterations in resuscitation methods from the last century and the benefits seen in trauma mortality. Table 1: Improvements in Resuscitation and the altering epidemiology of trauma deceases Shock occurs when circulative abnormalcy consequences in unequal tissue perfusion and oxygenation. In the bulk of instances this is as a consequence of bleeding. The purpose of intervention is to keep blood force per unit area and tissue perfusion until the bleeding can be brought under control. The focal point of unstable resuscitation developments has centred around three of import inquiries, when to give, how much and what sort of fluid. Since the mid 1960 ‘s, based on the plants of Shires and Wiggers, big volume crystalloid resuscitation has been favoured. The end of intervention has been to return blood force per unit area to normal values or even above normal. In the last few decennaries this attack has come under increasing examination, research has shown aggressive early fluid resuscitation to increase bleeding and mortality due to break of coagulums and dilutional coagulopathy. This has led to the debut of ‘permissive hypotension ‘ as portion of harm control resuscitation intervention to antagonize these issues.Advanced Trauma Life Support ( ATLS ) GuidelinesThe ATLS programme was developed by the American College of Surgeons. Its purpose is to supply consistent, standardised and effectual protocol for the direction of traumatic hurt. Their guidelines have become internationally recognized and adopted by many states. Between the 2004 and 2008 published guidelines a cardinal alteration was made to the protocol sing unstable resuscitation. Whilst the 2004 version advocators aggressive early fluid resuscitation to return blood force per unit area to normal values, urging extract of 2 liters of Ringers lactate in response to marks of acute blood loss, the 2008 guidelines suggest restricted usage of colloids and detaining unstable resuscitation to keep a lower blood force per unit area in the patient. This is known as ‘permissive high blood pressure ‘ and purposes to diminish the hazard of hemorrhage and dilution coagulopathy associated with aggressive fluid resuscitation. It should be noted nevertheless that permissive hypotension is perfectly contraindicated where traumatic encephalon hurt is suspected as care of intellectual perfusion is critical in this scene. Which is the best attack nevertheless is still a point of contention. A recent Cochrane reappraisal found that there was uncertainness as to the optimal volume and timing of unstable resuscitation and a deficiency of grounds for or against the different schemes.Traditional Fluid Resuscitation and the Evidence for ChangeTraditional fluid resuscitation has centred on the 3 to 1 regulation whereby the volume of unstable replacing is equal to three times the blood loss. This stemmed from by several surveies that determined there was a survival advantage obtained by utilizing big volume crystalloid extract to replace both the intravascular and interstitial fluid lost during bleeding. Concerns sing the possible harmful effects of aggressive fluid resuscitation began to emerge in the 1980 ‘s. A reappraisal by Cotton et al high spots increased happening of acute respiratory hurt syndrome ( ARDS ) , cardiac disfunction, increased bleeding and a possible hazard factor for developing abdominal compartment syndrome. Overall this method was seen to increase mortality. At this clip military research involvement tried to place the ideal resuscitation scheme. A 1999 study highlighted the insufficiency of the current resuscitation schemes and potentially harmful effects of current protocol. A follow up study in 2001 determined clinical triggers for when to implement resuscitation every bit good as ends for therapy. The trigger points were systolic blood force per unit area less so 80mmHg, diminishing blood force per unit area or altered consciousness in the absence of head hurt. The mark of therapy was to keep a tangible radial pulsation. These studies highlighted that aggressive fluid should be avoided due to the negative effects and that hypotension in the patient was allowed provided a radial pulsation was tangible. This led on to the permissive hypotension scheme advocated by the ATLS guidelines which forms portion of the harm control resuscitation attack to traumatic hurt.Damage Control Resuscitation ( DCR )DCR is a modern attack to the direction of traumatic hurts. DCR began life in the armed forces and has expanded to be a cardinal constituent of civilian injury direction. Its purposes are to battle the physiological upsets associated with bleeding, specifically the combination of acute coagulopathy, hypothermia and acidosis known as the ‘lethal three ‘ . This deadly three is initiated by decreased tissue oxygenation as a effect of daze, this leads to anaerobic metamorphosis which increases lactate production doing metabolic acidosis. Anaerobic metamorphosis besides reduces endogenous heat production declining hypothermia. This ‘lethal three ‘ has been shown to worsen bleeding and increase mortality. Permissive hypotension is a major constituent of DCR to pull off the deadly three.Permissive HypotensionPermissive hypotension is a scheme to aim hemorrhagic daze through limited fluid therapy. This is achieved by either cut downing the volume of infused fluids or detaining disposal. This method allows for a limited period of decreased terminal organ perfusion until equal control of the bleeding has been achieved. This scheme has developed in response to increased apprehension of the harmful effects of big volume crystalloid resuscitation. The 3:1 method of unstable resuscitation was developed from the survey of controlled bleeding in animate beings whereby a fixed volume of blood was removed before bleeding was stopped and the animate being resuscitated. It became clear that this did non accurately represent existent life injury hurt where hemorrhage may be ongoing or re-start if blood force per unit area is raised or coagulopathy worsens. The thought of permissive hypotension began with Cannon et Al in 1918. This survey noted the increased hazard of bleeding if blood force per unit area was returned to normal anterior to adequate bleeding control. This is believed to be due to break of the organic structure ‘s natural defense mechanisms to blood loss, in peculiar the formation of coagulums and vasoconstriction. A 1994 survey by Bickell et Al was a cardinal minute in the development of permissive hypotension. They found that by detaining resuscitation in patients showing with perforating injury increased endurance to 72 % from 62 % in patients treated with traditional aggressive fluid therapy. Similar consequences have been found when volume of fluid has been surveies. Tisherman compared the survival rates of patients having 2.5L of fluid to patients who received less than 0.5L. The consequence showed a survival rate of 70 % for the lower volumes versus 62 % for the higher volumes.DiscussionThe updated ATLS guidelines mark an of import promotion in the direction of haemorrhagic daze and the development of unstable resuscitation. This represents an increasing organic structure of grounds foregrounding the negative effects of high volume fluid resuscitation every bit good as improved endurance rates in instances where fluid volume has been restricted. However, as highlighted by the Cochrane reappraisal there is still limited grounds as to which unstable resuscitation scheme is best in the hemorrhage trauma patient.

The Bad Boyfriend, the Decent Boyfriend

When it comes to types of boyfriends out there, guys fall into three categories the bad boyfriends, the decent boyfriends, and prince charming. The bad boyfriend is the guy that doesn't treat his girlfriend the way she deserves to be treated and tends to go after girls with low self-confidence because honestly he couldn't get any other girl. He does many things to her including cheating, lying, abusing, using, and not meeting her needs. He cheats on her over and over knowing she will take him back. He might mentally or physically abuse her making her feel bad or sad.He uses her for what she can offer him and almost expects it in a way. A lot of bad boyfriends don't meet their girlfriend’s needs. He doesn't pay attention to her needs, like, or wants. He does all this because he simply does not care for her. This type of boyfriend is the lowest of all boyfriends, and if you are this guy then you need to understand that she will eventually get a backbone and dump you. The next ty pe is the decent boyfriend; this is the boyfriend that tries sometimes. He tries to understand what she wants and needs and tries to give it to her.He doesn't know exactly what she wants but tries to please her with whatever he does know. He loves her but wishes she was less nagging and gets upset with it instead of trying to fix the problem. He gets along with some of her family and friends. The decent boyfriend would rather watch TV or play video games then talk or hangout with his girlfriend. He may not be very romantic and he will hardly ever surprise her with things or occasions. He doesn't like expectations put on him by her and he tries not to do anything so that she will not start to expect stuff.This type of boyfriend pleases her to some degree but doesn't really get her and put effort into understand her. This guy makes women question a lot of things and go through moods of feeling good and feeling angry. The confusion shows itself as anger or tears mostly which makes him more confused and hurt her more. If you are this guy you need to start rethinking on how you go about relationships. You are never going to be in a healthy and good relationship with a girl until you start communicating properly and understanding her needs and meeting them. The last type of boyfriend would be prince charming.Obviously this guy is a catch and women would love to have him as a boyfriend. He's not without some faults but when it comes to their relationship he puts more effort in then the other guys. His traits would include: he understands what she needs emotionally, he communicates well which includes both talking and listening, he doesn't lie or use her but instead shares his life with her, he is patient with her and her emotions and he is always there for her to lean on. He surprises her with things that show her how much he cares about her, he doesn't let her get down on herself and instead lifts her up.And last he views her as a lover and a best friend. This guy g ets his woman and if he doesn't get her then he figures out how to please his woman. He's not a pushover but he's genuinely a nice guy who cares about her and her feelings. Of course there are many other types of boyfriends but these are the main three that I have found that my past boyfriends have fallen under, except prince charming. I have not yet found him but one day I'll know exactly who he is from dating the other type of boyfriends. Every girl goes through having a bad boyfriend and a decent boyfriend but you only date one prince charming.

Pressure Ulcer Prevention Methods Vs. Attitudes Of The Nurse

THE FINAL DRAFT PICOT STATEMENT AND RESEARCH CRITIQUES: In Hospitalized Patient that are immobilized does the knowledge of the Registered Nurse on pressure ulcer prevention methods Vs the attitudes of the nurse towards pressure ulcer prevents clients from developing pressure ulcers throughout their length of stay in the hospital. Introduction Presently, 1.3-3 million adults in the United States are affected by pressure ulcers, costing $37,800 to $70,000 per ulcer (Smith, 2013). This cost the United States 11 billion dollars annually (Smith, 2013) The reviewed Picot Statement; In Hospitalized Patient that are immobilized does the knowledge of the nurse on pressure ulcers prevention methods Vs the attitudes of the nurse towards pressure†¦show more content†¦(Lydner, et al n.d,) Pressure ulcers can develop when capillaries supplying the skin and subcutaneous tissues are compressed enough to impede perfusion, leading ultimately to tissue necrosis. Pressure ulcers can develop within 2 to 6 hours. Therefore, the key to preventing pressure ulcers is to accurately identify at-risk individuals quickly, so that preventive measures may be implemented. One of the literature reviewed was based on Pressure Ulcer (PU) prevention and how nurses perform, document and reflect on this in Clinical Microsystems and on hospital wards. Pressure Ulcers cause great morbidity and can be very expensive to health care cost. The implementation of guidelines in health care organizations can be challenging. Per Promoting Action on Research Implementation in Health Service (PARiHS), states successful implementation, is favored by following specific factors. (Kitson et al. 2008). Populations at risk for PU development includes older adults, persons with diabetes, patient with dementia, and any person with conditions of immobility example spinal cord injury, cerebrovascular accident. Methods The research began by Using the library database such as CINAHL, to six peer-reviewed research article, ensuring that they were both qualitative and Quantitative. Then the writer was given the opportunity to review one done by a quantitative and a qualitative method. The quantitative studyShow MoreRelatedThe Patient Who Fell Through The Cracks2658 Words   |  11 Pagesconcerning patient’s right to deny care and how the nurse handles the situation as an advocate for this client. Many studies displays ways and strategies that nurse can implement to help improve care that is given to this 48 year-old man weighing over 380 pounds, and exhibiting stasis ulcers on both legs. The American Nurses Association Code of Ethics along with other professional nursing journals and studies shows a great inside on how nurses should implementation care for clients. Beside the ethicalRead MoreQuality Assurance And Performance Improvement1414 Words   |  6 PagesServices [CMS], n.d.). 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