Breast Cancer Pain Essay - 723 Words

Breast Cancer Pain Breast Anatomy and Physiology The breasts or mammary glands are sometimes considered a part of the reproduction system. Structurally, they are modified sweat glands. They are composed of mainly fat, breast tissue, nerves, veins, arteries, and connective tissues. The breast is usually situated on top of the pectoral major muscles covering the second rib to the sixth or seventh rib and extends from the sternum to the mid-axillary line. Breast tissue has an axillary tail which extends into the armpit region. Most breast cancer originates here. The nipple is usually level with the fourth intercostal space in men and nulliparous women. The connective tissues (suspensory or Coopers ligaments) and fat help†¦show more content†¦This system works via the five groups of axillary nodes, one group of interpectoral nodes, one group of parasternal nodes and ultimately subclavian lymph trunk. Since axillary nodes provide seventy five percent of drainage, they are usually the first to be invaded by cancer cells. Externally, each breast has a nipple that is made of erectile muscle tissue. These muscle tissue raises the nipples in response to stimulation or breastfeeding. Surrounding the nipples are the areola and areolar glands. These glands are small pumps with oil (sebaceous) glands that provide lubrication during breast feeding. Sometimes there will be hair growing on edge of the areola. This is normal especially in women on birth control pills. The breast starts forming when the fetus is about five weeks old. It begins with mammary ridge which develops along the trunk from the axilla to the groin. Then 15 to 20 branches of the solid epithelial columns are formed. These columns are then canalized before birth to form the lactiferous ducts. When a baby is born, the breasts and most of their structures have already formed. Before puberty, male and female breasts are almost alike. It consists of lactiferous ducts with no lobules (milk glands). At puberty, hormones created by the ovaries and pituitary gland cause the ducts to proliferate and form solid inactive lobes in female. HighShow MoreRelatedThe Treatment Of Breast Cancer1134 Words   |  5 PagesBreast cancer affects so many women around the world. Even with the technology and medicine we have today to treat this deadly disease, the pain a patient experiences with breast cancer is still relentless. Pain comes from either progression of the disease or a side effect from treatment. In this article they talk about the role of the WHO’s three step analgesic ladder and how the administration of opioids for breast cancer patients experiencing pain effect ones psychological state and their qualityRead MoreBreast Cancer : The Second Most Common Cause Of Cancer E ssay1612 Words   |  7 Pages Breast Cancer Part A:- According to Cancer council Australia, Breast cancer was the second most common cause of cancer death in women in 2012 whereas it is expected to be the 3rd most common cause of cancer death this year. In 2012, 15166 cases of new breast cancer were diagnosed whereas the estimated number of new breast cancer diagnosis in 2016 is about 16084 with 90% five year survival rate. (Cancer Australia â€Å", 2016). Breast cancer accounts 12.3% of all cancer diagnosis and 6Read MoreThe Perspective of Embodiment in Healthcare1142 Words   |  5 Pagesthe healthcare practitioner to understand and intervene holistically in the case of breast cancer Introduction In this essay I will discuss the perspective of embodiment, I will discuss breast cancer and its prevalence, and I will also discuss the holistic approach of embodiment in the case of breast cancer. I will outline the strongpoints and also the weak points of the holistic approach in the case of breast cancer. I will also outline the 4 bodies that make up the theory of embodiment, which areRead MoreWhy Are Mammograms Vital For One s Health?1582 Words   |  7 Pageswhy is because mammography detects breast cancer. Around 12% of women in the United States will develop invasive breast cancer (BreastCancer.Org, 2016). The most common type of breast cancer is called invasive ductal carcinoma. This type of breast cancer is found in 80% of women (BreastCancer.Org, 2015). Invasive ductal carcinoma remains to be a serious problem for men and women, and here is why. This type of breast cancer begins in the milk ducts of the breast. At first, there are normal cellsRead MoreBreast Cancer : Cancer And Cancer1372 Words   |  6 PagesBreast Cancer Disease Overview Breast cancer is a disease in which certain cells in the breast become abnormal and multiply uncontrollably to form a tumor. Breast cancer is the second most commonly diagnosed cancer in women. (Only skin cancer is more common.) About one in eight women in the United States will develop invasive breast cancer in her lifetime. Researchers estimate that more than 230,000 new cases of invasive breast cancer will be diagnosed in U.S. women in 2015. Cancers occur when aRead MoreBreast Cancer; Saving the Girls 959 Words   |  4 PagesBreast cancer is the second most prominent cause of cancer deaths in women. About 1 in 8 American women living in the U.S. will be diagnosed with invasive breast cancer sometime during the course of their life. About 39,620 of those women will die from it. â€Å"Breast cancer occurs when cells in the breast divide and grow without their normal control† (Komen). There are two main types of breast cancer. Ductal carcinoma, the most common type which starts in the tubes that transport milk from the breastRead MoreBreast Cancer : A Disease That Comes Unexpectedly Essay1072 Words   |  5 PagesBreast cancer is a disease that comes unexpectedly; many people tend to overlook the symptoms. There are different types of breast cancers that require treatments and surgery. The course of treatment varies from patient to patient because there are many factors that can contribute to a patient’s treatment plan. Once the plan is in place, there are many things that will need to be done in order to ensure that the cancer will not return. Trying to beat cancer can be a long, extraneous, and in someRead MoreTaking a Look at Breast Cancer1758 Words   |  7 PagesIntroduction Breast cancer is the most common cause of cancer-related death among females in the world. It is known for â€Å"have both a genetic and non-genetic etiology† (Milne et al., 2010). It involves a combination of several factors- such as â€Å"genetic, environmental and behavioral risk factors†- that are unique to each individual (Nickels et al., 2013). This type of cancer is represented by a malignant tumor manifested in breast cells such as the line duct and line lobules cells, just to name a fewRead MoreBreast Cancer : A Dangerous Disease799 Words   |  4 Pages I can explain so much about breast cancer because I have had family members die from this disease. Being around a person with cancer will heart your heart so bad. My cousin and uncle had it. Seeing them in so much pain hurt me so bad, but all I could do was pray. I would like to inform others aboutRead MoreBreast Massage For Greater Breast Health And Cancer Prevention By Moving The Lymph791 Words   |  4 PagesBreast Massage for Greater Breast Health and Cancer Prevention by Moving the Lymph By Melissa Gallagher | Submitted On September 28, 2012 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Melissa Gallagher

Essay on Emotional Intelligence - 1339 Words

Abstract Emotional intelligence has been coined by many theorists and had been the subject of much literature, controversy, and scrutiny. Emotional intelligence is defined as â€Å"a set of competencies that distinguishes how people manage feelings and interactions with others. It is the ability to identify one’s own emotions, as well as those of one’s co-workers or employees† (Goleman, Boyatzis, McKee, in Pierce Newstrom (Eds.), 2008, p. 180). The author will review the definition and attributes of a successful, emotionally intelligent, morally competent leader. Comparisons will be made between leaders which demonstrate emotional intelligence to those which are void of moral intelligence. The conclusion is that leaders who act with high†¦show more content†¦It is this recognition of meaning, love, compassion, self-esteem, and connection that ties in with the theory of emotional intelligence or the ability to be self aware. Not only do effective leader need to possess emotional intelligence they must also be resonant leaders. Resonant leaders are described by Goleman, Boyatzis, and McKee (2008) as being attuned to people’s feeling and help to move themselves and the group into a positive direction. According to Kouzes and Posner (2007), true leaders â€Å"tap into people’s hearts and minds, not merely their hands and wallets† (p.174). An emotionally intelligent leader can make work more meaningful for their constituents by connecting with them on an emotional level which creates a more nurturing and supportive work environment. (Goleman, Boyatzis, McKee, 2008). According to Dr. Deepak Chopra in his interview with Knowledge@Wharton, â€Å"people resonate to people who connect to them emotionally.† These are the deep, profound relationships that result in organization effectiveness and success and each successful leader has captured some aspect of being emotionally intelligent and resonant. Examples include Gar y O’Hagen, Colleen Barrett, and Lynda Barness. Effective Leaders Gary O’Hagen Lennick and Kiel (2005) discus the morally and emotionally attachedShow MoreRelatedEmotional, Emotional And Emotional Intelligence1666 Words   |  7 PagesEmotional intelligence is ‘the ability to perceive emotions, to access and generate emotions so as to assist thought, to understand emotions and emotional knowledge, and to reflectively regulate emotions so as to promote emotional and intellectual growth’ (Mayer Salovey, 1997). Emotional Intelligence is the ability to understand, accept and recognize our own emotions and feelings, including their impact on ourselves and other people and to use this knowledge to improve our own behaviours as wellRead MoreEmotional Intelligence: Emotional Intelligence Essay1344 Words   |  6 PagesWhat is Emotional Intelligence: Emotional Intelligence, or EI, is defined as the ability or capacity to perceive, assess, and manage the emotions of ones self, and of others.ï ¿ ½ Arriving at the Emotional Quotient is the standard means of measuring the Emotional Intelligence of an individual. | The importance of EQ in the workplace: In recent times behavioral scientists around the world have arrived at the conclusion that IQ alone is not the primary factor that leads to better performing managersRead MoreEmotional Intelligence. I View Emotional Intelligence As1238 Words   |  5 PagesEmotional Intelligence I view Emotional intelligence as being able to keep my emotions in check, making sure they are appropriate, and that I am handling situations in the best emotional manner possible. Our emotional intelligence or lack there of, can significantly impact our future work relationships, and personal relationships. How we emotionally interpret information we are given and then process it for each situation we face is totally up to us. I encountered a situation last semester thatRead MoreEmotional Intelligence3151 Words   |  13 PagesEmotional Intelligence? Organizational Behavior Tamara Ramsey August 12, 2012 Abstract This paper examines how emotional intelligence and cognitive intelligence are associated with academic success and job performance. Emotional intelligence continues to pick up momentum in the world of business and academia. More and more research supports the concept that emotionally intelligent employees, managers, leaders, and companies produce noticeable business results. Employers are now lookingRead MoreEmotional Intelligence1914 Words   |  8 PagesEMOTIONAL INTELLIGENCE `ABSTRACT Emotional Intelligence is a way of recognizing, understanding, and choosing how we think, feel, and act. It shapes our interactions with others and our understanding of ourselves. It defines how and what we learn; it allows us to set priorities; it determines the majority of our daily actions. Research suggests it is responsible for as much as 80% of the success in our lives. The Effective leader requires a high degree of Emotional Intelligence. In this studyRead MoreEmotional Intelligence15079 Words   |  61 PagesAn investigation of the employee perceptions on the relationship between employee job satisfaction and the leader’s emotional intelligence among the workers of Eskom in Alice Town 1 INTRODUCTION For organisations to survive in today’s changing world they should maintain their competitive advantage through the use of the whole workforce. In order for the change to take place, the employees, and the leaders should be adaptive to the environment, effective working and the continuous improvement ofRead MoreEmotional Intelligence7706 Words   |  31 PagesESSAY No. 19: EMOTIONAL INTELLIGENCE This assessment pertains to my personal emotional intelligence. This assessment aims to examine the four dimensions of my emotional ability and capacity based on Tapia’s emotional intelligence inventory chart. This assessment also aims to pinpoint the strong and weak points of my personal emotional behaviors especially in my daily encounter with the people inside and outside my organization. Based on the chart my scores for the four emotional dimensions are:Read MoreEmotional Intelligence And Physical Intelligence1655 Words   |  7 PagesEmotional Intelligence 2.0 In today’s society, there is a lot of emphasis placed on getting along with others. When working in a healthcare environment, this is especially important. We must be able to work well with a wide variety of personalities. Whether dealing with a difficult patient, a hostile coworker or handling our own emotions, it is necessary to be able to keep our own thoughts and emotions in check in order to have successful outcomes. I have decided to learn more about EmotionalRead MoreEmotional Intelligence And Interpersonal Intelligence1478 Words   |  6 Pagessituations regarding emotional intelligence. More specifically, the emotional intelligence faced between the employee and employer relationship. Emotional intelligence can be best defined as the ability to control and express one s emotions in a professional manner. In other words, emotional intelligence is the ability to communicate one s emotions in a manner that is both professional and productive. From this definition we can begin to make connections as to how emotional intelligence could cause problemsRead MoreEmotional Intelligence And Interpersonal Intelligence912 Words   |  4 PagesEmotional Intelligence Picture a world where humans could not understand each other’s feelings. It looks pretty bleak, right? Luckily, humans do have the ability to comprehend others’ facial and body expressions, emotions, and language. Since this is such a beneficial and amazing power that we hold, it has been labeled as a sort of intelligence- emotional intelligence. The ability to control and express our emotions, as well as understand, recognize, and response to others’ emotions is essential

Crisis Management Dealing Of Nokia - Myassignmenthelp.com

Question: Define the Crisis Management for Dealing of Nokia. Answer: Objective(s) of Nokia in dealing with the crisis While managing the crisis related to BL-5c battery, the organizations objectives were, To understand the severity of the situation To communicate with their customer base in order to start damage control process To understand the effect of product recall on Nokias brand image To figure out the steps that should be followed during product recall process To analyze whether Nokia would be able to regain trust of its customers or not Literature review on cases similar to the crisis In the year of 2007, nearly 46 million batteries of Nokia turned out to be defective. Due to overheating while charging, the batteries of model number BL-5c were exploding and were creating a lot of chaos among the customers. It not only raised customer safety issues but also hampered the brand image of the company (Elliott 2014). For a company like Nokia where they were the pioneers of establishing friendship and trust, this crisis came as a huge blow. Volkswagens emission cheating scandal was a similar situation where the organization misused the trust and loyalty of its customers. Volkswagen cheating emission scandal The Volkswagen emission scandal, which is also known as Emissionsgate or Dieselgate, erupted in the year of 2015. Environment Protection Agency or EPA sent a notice for not following Clean Air Act to the German car manufacturer organization (Reitze 2016). This incident happened when it was found that the organization had deliberately programmed turbocharged express injection diesel engines to control certain emissions only throughout emission testing in laboratories. As a result of this programming, Volkswagen vehicles meet the standards of Nox output of US during regulatory testing (Lando 2014). However, in real life those vehicles used to release up to 40 times more Nox. This encoding was added in more than eleven million cars worldwide (Hoekman, 2016). After this scandal was public, the automaker organization became the target of regulatory investigation in several countries. Stock prices of the organization fell in value by a third in the days instantly after the news. The first step that the organization took was to suspend Audi RD head Ulrich Hackenberg and Porshe RD head Wolfgang Hatz. However, this was not the end as the higher authority of Volkswagen had to implement an effective crisis management plan to deal with this critical situation (Anwar 2014). Their crisis management plan of Volkswagen had some objectives such as, To admit its transgressions To admit full responsibility for their mistakes To issue an explicit apology To oblige with regulators and investigators To assure is customers that the company will fix the cars as soon as possible To replace its leadership including CEO Some steps by Volkswagen taken to manage the crisis The major step taken by the public relations department of the German automaker organization was to launch a public campaign. The aim of the campaign was to rebuild its reputation following the hugely damaging revelation of its scandal. It was their first pan-European campaign since the emission scandal. A little nostalgia was included in the campaign with a hope to connect with the customers once again. Their advertisement showed that a young lad in the rear seat of a Volkswagen Beetle. The lad was looking out of the glass and saw an elder version of him in a newer Volkswagen car (Dung et al. 2016). This condition continued though the years viewing he started a family of his own, before ending on the son of the real boy cuddling the similar teddy bear and looking out from the window of a brandnew Volkswagen car. The advertisement was released with a background song Ill be your home by Phillip LaRue. The campaign carried a message of Then, Now, Always. Besides, Volkswagen also recall ed all its affected vehicles unconditionally and promised that they will compensate their customers as early as possible (volkswagen.com 2016). Target public in this crisis Target public in this crisis was the customers of the organization all over the world who were affected because of the companys carbon emission scandal. Besides, the company also wasted to assure the rest o the customers that to keep their faith on the company as nothing like this will take place in the future. Communication Strategy-channels used to reach out to public (internal and external) While managing the Bl-5c battery crisis, Nokia did not hide anything from the media and from the consumers. The CEO of Nokia conducted a worldwide conference where he asked for apology from the customers who were affected. The conference was shown in all the news channels across the globe (Nokia 2015). Radios installed in the mobile phones were also used by the organization to communicate with the public. Mobile radios had its coverage even in remote areas. Thus, the public relations team of the organization could easily reach to a wider audience. Information communicated using media: As pointed by Newsom, Turk and Kruckeberg (2012), media plays the most vital role in communication at the time of crisis management. According to Coombs and Holladay (2013), using media in a correct way helps in remodeling the opinion of people. If media is used in the correct way, it helps to propagate any message to the targeted group of people and can make people aware of the crisis. Immediately after acknowledging the fault from their end, the management used different media platforms to disseminate the information related to the crisis. The primary message sent by Mark Squires, head of Nokias communication in the UK, was to aware people of the crisis that occurred as a result of engineering defect. By the time, Nokia recognized the problem of the battery, there were many users who were not aware of the problem. Therefore, primarily, Nokia made people aware of the problems and assured them for rapid recovery from the current crisis situation. Nokia used social media that was already popular in countries like America to reach Nokia users. In this respect, it has to be mentioned that India was also an important market for Nokia at that time. However, at that time, social media was not popular in India. It is for the same reason, Nokia selected traditional approach of connecting with people. The management called for press conference and stated that every user will be served with a new battery (Wearden, 2007). Key messages: In 2007, Nokia issued a warning over its BL-5C batteries across the world with the message that the battery is overheated while charging. Every Nokia phone user with a BL-5C battery will be provided with a new battery if the user reach out to the nearest Nokia customer care centers. This was the key message from the management of Nokia. The management also added that one should not panic about the condition of the battery and apologized heartily for the major inconvenience caused by the company (Cox 2012). It was exclaimed that due to over usage and frequent charging of the battery, it is being deformed. However, there is nothing to panic because the Company can manage the crisis. The message was delivered with the intension of creating a faith on the product and service of an experienced telecom company. Response from the organization and other publics: Nokia at that time had truly ubiquitous connectivity. The company has emerged as a world leader in the mobile technology. Position of Nokia was undoubtedly moving towards making their vision successful of creating a connected world. The goodwill and service that Nokia provided with its mobile handsets generated loyalty among its users. Therefore, the users trusted on the approach undertaken by the management of this telecom company and it was found that people cooperated with the unfortunate engineering defect (Coombs 2014). Outcome of the crisis management: Nokia had already established customer care outlets at various locations. It was observed that the users who were facing this crisis rushed to the nearby customer care outlets and queued to get their batteries replaced. Nokia did not compromise in providing a helping hand to its users and replaced the batteries of the sufferers. This made people retain their loyalty towards the Company. Although the Company had to spend a good sum of money in replacing about thousands of batteries, it helped them to keep their image strong in the market (Austin and Pinkleton 2015). Position of Nokia at the end of crisis: As per 2007 statistics, Nokia had almost 36% of mobile market worldwide (Wray and Wearden 2007). Therefore, it cannot be denied that majority of people relied on the service of the company. The crisis management went for quite a long time. It took almost a couple of months time to replace the batteries of the prospective users. The crisis resulted in wiping off of almost half a billion pounds from the Nokias stock market when the company announced that 46 million products are at the risk of overheating. The company had to knock down about 557 million pounds off its market capital. Nokia had lost 1% of its share on the very same day. The incident marked on the reputation of the Company. Evaluation of the crisis management: As stated by Austin and Pinkleton (2015), Nokias battery blast incident was handled with great care by the company and created an example of effective crisis management on a global platform. The incident occurred before the advent of smart phones. Nokia had a good position in the market due to its product durability and longevity of battery power. The crisis was managed with full efficiency. In the viewpoint of Coombs (2014), crisis is a part of any business. Managing the crisis shows the efficiency of the management of a company. A company might get drowned in major crisis but selecting the best avenue to come out of the crisis is what matters the most. In case of Nokia, the crisis was a major one. Nevertheless, the management had come up with right avenues to come out of the crisis. Informing people and replacing the batteries and taking the responsibility of the crisis over themselves proved to be really fruitful to retain customer loyalty over the company. If the same kind of situation was to be handled by me as a Public Relation Officer, I would have used the communication platform like television and internet. It has to be understood that every problem has to be dealt with different approach depending upon the region of operation. As observed by Dozier, Grunig and Grunig (2013) that a mobile user is expected to rush to the dealer from whom the purchase is made. Therefore, another approach might have been made at that time. The dealers would have been given the authority of replacing the batteries rather than using only the customer care stores. This would have made the situation less chaotic and the approach that was made to provide new batteries would have been made easier and faster. Conclusion In the end, it can be said that the BL-5c battery crisis of Nokia put them in serious troubles. The company lost a huge amount of customers in no time. However, thanks to a brilliant and apt crisis management strategy allows the organization to rectify their faults and regain the loyalty and trust of its customers. References Anwar, C.M., 2014. Rationale to the Crisis of Nokia Smartphone Portfolio.International Journal of Management, Economics and Social Sciences,3(3). Austin, E.W. and Pinkleton, B.E., 2015.Strategic Public Relations Management: Planning and Managing Effective Communication Campaigns(Vol. 10). Routledge. Coombs, W.T. and Holladay, S.J., 2013.It's not just PR: Public relations in society. John Wiley Sons. Coombs, W.T., 2014.Ongoing crisis communication: Planning, managing, and responding. Sage Publications. Cox, R., 2012.Environmental communication and the public sphere. Sage publications. Dozier, D.M., Grunig, L.A. and Grunig, J.E., 2013.Manager's guide to excellence in public relations and communication management. Routledge. Dung, L.R., Yuan, H.F., Yen, J.H., She, C.H. and Lee, M.H., 2016. A Lithium-Ion Battery Simulator Based on a Diffusion and Switching Overpotential Hybrid Model for Dynamic Discharging Behavior and Runtime Predictions.Energies,9(1), p.51. Elliott, D., 2014. Disaster and crisis management. InThe Handbook of Security(pp. 813-836). Palgrave Macmillan UK. Hoekman, S.K., 2016. Comment on Damages and Expected Deaths Due to Excess NO x Emissions from 2009 to 2015 Volkswagen Diesel Vehicles.Environmental science technology,50(7), pp.4135-4136. Lando, A.L., 2014. The Critical Role of Crisis Communication Plan in Corporations' Crises Preparedness and Management.Global Media Journal,7(1), p.5. Newsom, D., Turk, J. and Kruckeberg, D., 2012.Cengage Advantage Books: This is PR: The Realities of Public Relations. Cengage Learning. Nokia,. 2015. Nokia | Nokia. Nokia. Retrieved 19 August 2016, from https://www.nokia.com Reitze, A.W., 2016. The Volkswagen Air Pollution Emissions Litigation.Environmental Law Reporter,46, p.10564. volkswagen.com,. 2016. Volkswagen International. En.volkswagen.com. Retrieved 19 August 2016, from https://en.volkswagen.com/en.html Wearden, G. 2007.Nokia hit by battery fears. [online] the Guardian. Available at:https://www.theguardian.com/business/2007/aug/14/mobilephones.money[Accessed 19 Aug. 2016]. Wray, R. and Wearden, G. 2007.Fears of 500m faulty battery recall hits Nokia reputation. [online] the Guardian. Available at: https://www.theguardian.com/business/2007/aug/15/mobilephones.technology [Accessed 19 Aug. 2016].

Mother Teresa Essays (2660 words) - Superiors General, Humanitarians

Mother Teresa Agnes Gonxha Bojaxhiu was born August 26, 1910; baptized August 27 in Skopje, in Macedonia. When Agnes was 9, her father died. It was 1919 and Drana had to raise her three children, Aga (1904), Lazar (1907) and Gonxha (1910) alone. They prayed every evening, went to church every day, prayed the rosary every day in may and assisted the service for the Holy Virgin. A great and warm attention went also to the poor and needy who came to knock at the door. During the holidays a stay in the pilgrimage place of Letnice, where Our Lady was venerated, was a custom for the family. Agnes liked to be in church, she liked to read and to pray and to sing. Here mother also took care of an alcoholic women in the neighborhood. She went to wash and feed her twice a day and she also took care of a widow with 6 children. When Drana could not go, Agnes went to do this charitable work. And when the widow died, the children were raised in the house as if they were family. Lazar won a scholarship in Austria , Aga followed commercial school and Agnes went to the Lyceum. (Mother Teresa); A great part of their time also went to the Legion of Mary. She helped a father, who had difficulties with the language, to teach catechism and read a lot about Slovenian and Croatian missionaries in India. At twelve she felt for the first time the desire to spend her life for Gods' work, to give it to Him and to let Him decide. But how could she be sure? She prayed a lot over it and talked about it with her sister and her mother. And also the father to whom she confessed she asked: "How can I be sure?" He answered: "through your JOY. If you feel really happy by the idea that God might call you to serve Him, Him and your neighbor, then this is the evidence that you have a call." And he added: "the deep inner joy that you feel is the compass that indicates your direction in life". At 18 it is the day. The decision was made. The last two years she assisted several religious retreats in Letnice and it was clear to her that she would be a missionary for India. On Assumption day in 1928 she went to Letnice to pray for Our Lady's blessing before leaving. She was going to join the Sisters of Our Lady of Loreto, who were very active in India. September 25 she leaves, accompanied to the station by the whole community: friends, schoolmates, neighbors, young and old and of course her mother and her sister Aga (who will be later a translator and a radio speaker). And everybody weeps. (Mainly from the book: "A life: Mother Teresa, Lush Gjergi, Albania). She travels over Zagreb, to Austria, Switzerland, France to London and then to the abbey close to Dublin where the mother house of the Loreto Sisters is. Gonxha learns to speak English and is trained in religious life. She receives the clothes of a sister and chooses the name of Sister Teresa, in memory of the Little Teresa of Lisieux, where they stopped on the way to London. In the mean time her papers get ready and 1928 on December the 1st the crossing to India starts: the country of her dreams. It is a long and tiring jo urney. Some more sisters are on board but the main group is anglican. For weeks they cannot attend mass or receive communion. Not on Christmas either. But they make a crib, pray the rosary and sing Christmas songs. In the beginning of 1929 they reach Colombo, then Madras and finally Calcutta. The journey continues to Darjeeling, at the feet of the Himalayas, where the young sister will accomplish her training. On may 23, 1929 she is accepted as a novice and two years later she makes her first vows. Immediately after that she is send to Bengali to help the sisters in the little hospital with the care for sick, starving and helpless mothers. She is touched by the endless misery which is there. (A