⭐⭐⭐⭐⭐ 11.1 Explain The Importance Of Reassuring Children

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11.1 Explain The Importance Of Reassuring Children

Improve compliance. For months thereafter, Fulgrim would resent The Gorgon's actions, unable to 11.1 Explain The Importance Of Reassuring Children understand the altruism of Ferrus' Film Analysis: Butch Cassidy And The Humdance Kid and the loss of life his selfless act had 11.1 Explain The Importance Of Reassuring Children on his Legion. Prose narratives tend to be relatively linear regarding the time period they occur in, and are traditionally marked by its natural flow of speech as opposed to the rhythmic structure found 11.1 Explain The Importance Of Reassuring Children various 11.1 Explain The Importance Of Reassuring Children of literature such as poetry and Haikus. Late Effects of Childhood Cancer Treatment. Of course, depth is compressed into the height 11.1 Explain The Importance Of Reassuring Children width dimensions.

16 Dec: Isaiah 11.1-10 A Little Child Shall Lead Them - Pastor Dev Menon

After being snatched from the Emperor of Mankind 's gene-laboratory deep beneath the Himalazian Himalayan Mountains on Terra , Fulgrim's gestation capsule came to rest on a resource-poor Mining World known as Chemos. Chemos was a bleak, unforgiving planet warmed by a small binary star and surrounded by a thick nebula dust cloud. The result was a world that was a place forever shrouded in perpetual twilight. Chemos had been settled by humanity long before during the Dark Age of Technology as a Mining World but was isolated from its neighbours by the great Warp Storms that marked the Age of Strife. The problem was that the resources of the planet were running out and its people were not producing enough food even for their own needs. Eventually, it fell to a group of fortress factories to produce all the needed resources for Chemos.

The entirety of the Chemosian people had to work every hour of the day, maintaining the vapour mines and synthesisers. Recreation, art and leisure were sacrificed for survival. Chemos was dependent upon interstellar commerce for the provision of food, but the world was buffeted by Warp Storms that made it difficult for traders to reach the planet, thus condemning the Chemosians to a slow death, despite their attempts to impose strict food rationing and improvise other solutions for providing nutrients.

Scouts from the fortress factory of Callax's branch of the planetary police force, the Caretakers, discovered the Primarch's gestation capsule after it plummeted to the surface of Chemos and were so impressed by the beauty of the infant within that they begged the leaders of Callax, its so-called Executives, to spare his life, as orphans were routinely put to death so they would not further strain a settlement's resources. Fulgrim was spared and given into the hands of one of his rescuers, a member of the Caretakers, to raise as his own child.

Named after an ancient deity of the Chemosian people, Fulgrim in time became a new legend to the people of that suffering world. At half the age at which most of the other people of Callax went to work in the vapour mines and synthesisers, Fulgrim proved able to fulfill all the obligations of an adult labourer. He came to understand the ramshackle Chemosian mining technology with an intuitive ease that allowed him to begin to modify it with his extraordinary technical acumen, dramatically increasing its efficiency. By the time he was only 15 Terran years of age, Fulgrim had risen from the rank of a simple labourer to become one of the Executives who governed the fortress factory of Callax.

As a leader, Fulgrim learned of the terrible plight that faced Callax and all the other settlements of Chemos as their technology and population gradually declined in the face of their resource shortages. Under Fulgrim's direction, teams of engineers travelled far from Callax and the other fortress factories, reclaiming and repairing many of the most ancient and far-flung of the world's original mining outposts, many of which had not been used since before the start of the Age of Strife.

Mining production skyrocketed, and as resources began to pour in large amounts into the treasuries of the fortress factories of Chemos for the first time in millennia, Fulgrim supervised the construction of even more sophisticated and efficient extraction machinery. This industrial efficiency soon grew to the point that Chemos' mines were actually producing surpluses for the first time in solar decades, allowing the world to begin to purchase food and other needed materials in large quantities from passing interstellar traders. Fulgrim, now the recognised planetary leader, fostered the re-emergence of Chemosian art and culture, important aspects of human life that had long been sacrificed to Chemos' resource shortages and need for constant labour.

The Emperor of Mankind. Not long after this great triumph the world's isolation came to an end. From the perpetually twilit sky emerged a flight of Stormbird dropships, heavily armoured and battle-scarred and bearing the Palatine Aquila , the personal badge of the Emperor of Mankind. When he learned of the Aquila, Fulgrim found his memories stirred. Chemos had no real military forces, but the Stormbirds' landing zone had been surrounded by the Caretakers, the planetary police force of the fortress cities. Fulgrim ordered the Caretakers to welcome the strangers and take them to meet with him in Callax. In his private quarters, Fulgrim met with the heavily armoured warriors from the stars, men who represented a true civilisation that possessed all the culture and refinement that Fulgrim longed to return to his homeworld.

From amongst the Astartes stepped the shining figure of the Emperor of Mankind, and with one look upon Him, Fulgrim said nothing and simply dropped to his knees before his father and offered his sword in service. Fulgrim swore from that moment forward to serve the Emperor and the needs of the Imperium of Man with all his heart. The Emperor taught His son of Terra and of the Great Crusade He had initiated to reunite all the scattered worlds of Mankind beneath a single rule so that humanity would no longer face possible extinction at the hands of the galaxy's hostile forces.

Then it could claim its rightful place as the dominant intelligent species in the Milky Way. Imperial records do not indicate the exact date of the meeting between Fulgrim and the Emperor; all that is known is that Fulgrim's vast flagship, the Pride of the Emperor , was completed by the Mechanicum of Mars standard years before the start of the Horus Heresy in the early 31 st Millennium. But Fulgrim learned to his horror that an accident and then the viral blight had destroyed the majority of the gene-seed that had been cultivated from his DNA to implant the Astartes of the III rd Legion and that without access to their Primarch's genome, replacing it had proven to be a slow and labourious process.

Fulgrim addressed the two hundred transhuman warriors who were then all that the III rd Legion could muster. There were so few that each of them bore the banner of a company of the Legion that had either perished, or now numbered only a handful of warriors. They were unbowed and stood with pride, as if in defiance of fate. The Primarch may have seen an echo of the struggle of Chemos in his remaining gene-sons. To them he gave the sacred task of bringing the Emperor's wisdom to all the stars in the sky, "You are the Emperor's chosen, His heralds, His warriors, His children, for this is only the beginning," the Book of Primarchs relates he told them upon their first meeting.

On hearing of Fulgrim's words, the Emperor renamed the III rd Legion the "Emperor's Children", ratifying a name long known within the Legion since their defence of the Master of Mankind during the Proximan Betrayal early in the Great Crusade but now given the full legal force of Imperial decree. The Officio Militaris' College of Arms recorded the change and marked the III rd Legion's panoply as imperial purple with the eagle's talon-spur as their emblem and the unique right to bear the Palatine Aquila as executors of the Imperial will, an honour given only to the Emperor's Children until after the betrayal of the Horus Heresy.

Fulgrim was soon consumed by the idea that he and the Emperor's Children needed to live up to the extraordinary honour the Emperor had shown them by becoming shining paragons of the perfection inherent in both the Emperor's person and His vision for Imperial culture and civilisation. The drive for perfection soon consumed the Primarch and his Legion, from the military tactics they employed to the embrace of an unusually artistic Legion culture and a concern for aesthetics and their personal appearances that was unsurpassed by any of the other Astartes.

Fulgrim embodied this pursuit of physical beauty and perfection, for long silver hair flowed down his back, his wide eyes and melodic voice welcomed all who sought his counsel and his full lips often quirked into a wry smile. Fulgrim made sure that his Power Armour was of the finest quality that could be fabricated by Imperial technology and was intricately decorated in the purple and golden colours he had chosen for his Legion. Over it he usually wore a wide variety of intricately embroidered and high-collared cloaks.

Fulgrim was anxious to begin his conquest of the unknown regions of the galaxy as part of the ongoing Great Crusade, but realised that his two hundred warriors were far too few to undertake the Crusade on their own. Seeing the need to nurture the Emperor's Children's recovery now that they could create new gene-seed using Fulgrim's genome as a template, the Emperor asked the Primarch Horus to mentor his brother Fulgrim and his Legion.

So it was that for over a solar decade the Emperor's Children and the Luna Wolves fought side-by-side. The bond of brotherhood and trust forged in battle between Fulgrim and Horus, unalike as they were, became unbreakable. So also did their Legions grow close. Just as unalike as their respective Primarchs were in temperament but equal in skill, both Legions and their Primarchs seemed to complement one another. Where Horus was swift and intuitive, Fulgrim was patient and considered.

Where the Luna Wolves were direct and brutal, the Emperor's Children were flexible and subtle. When eventually the Emperor's Children broke away to stand on their own, they had become oath brothers to the Luna Wolves; it was a bond that treachery one day would twist into a chain that shackled their souls. Eventually, over the course of several decades, the Emperor's Children's ranks were swelled by new Astartes who had been recruited from both Terra and Fulgrim's homeworld of Chemos, where the Legion had established its fortress-monastery at the old factory fortress of Callax.

When the Emperor's Children were judged to have reached an appropriate size, Fulgrim was given command of the 28 th Expeditionary Fleet of the Great Crusade and set off on his own course of conquest, returning dozens of human-settled worlds to the rule of the Emperor. Among them was the advanced xenos world of Laeran , where Fulgrim's fate would be sealed. The brotherhood shared by the Primarchs Fulgrim and Ferrus Manus , the Phoenician and the Gorgon, was well known in the Imperium at the time of the Great Crusade, as the two superhuman leaders formed an instant connection upon their first meeting. This initial encounter occurred on Terra , beneath Mount Narodnya, the greatest forge of the Urals, where Ferrus Manus was busy toiling with the forge-masters who had once served the Terrawatt Clan during the Unification Wars soon after his arrival from Medusa.

The Primarch of the Iron Hands had been demonstrating his phenomenal skill and the miraculous powers of his liquid metal hands when Fulgrim, the Primarch of the III rd Legion, the Emperor's Children, and his elite Phoenix Guard , had descended upon the sprawling forge complex. Neither Primarch had yet met the other, but each had felt the shared bonds of alchemy and science that had gone into their making. Both were like gods unto the terrified artisans, who prostrated themselves before these two mighty warriors as though fearing a terrible battle might ensure between them.

Ferrus Manus later told the tale to the Astartes of the X th Legion claiming that Fulgrim had declared that he had come to forge the most perfect weapon ever created, and that he would bear it in the coming Great Crusade. Of course the Primarch of the Iron Hands could not let such a boast go unanswered, and he had laughed in Fulgrim's face, declaring that such pasty hands could never be the equal of his own living metal appendages. Fulgrim accepted the challenge with regal grace, and both Primarchs had stripped to the waist, working without pause for weeks on end, the forge ringing with the deafening pounding of hammers, the hiss of cooling metal, and the good natured insults of the two demigods as they sought to outdo one another. At the end of three solar months' unceasing toil, both warriors had finished their weapons.

Fulgrim had forged an exquisite warhammer -- Forgebreaker -- that could level a mountain with a single blow, and Ferrus Manus a golden bladed sword -- Fireblade -- that forever burned with the fire of the forge. Both weapons were unmatched by any yet crafted by Man, and upon seeing what the other had created, each Primarch declared that his opponent's was the greater. Fulgrim declared the golden sword the equal of that borne by the legendary hero Nuada Silverhand, while Ferrus Manus had sworn that only the mighty thunder gods of Nordyc legend were fit to bear such a magnificent warhammer. Without another word spoken, both Primarchs had swapped weapons and sealed their eternal friendship with the craft of their hands.

The weight of the formidable warhammer Forgebreaker was enormous and unbearable for anyone but one of the Emperor's Astartes. Its haft was the colour of ebony, elaborately worked with threads of gold and silver that formed the shape of a lightning bolt, and the head was carved into the shape of a mighty eagle, its barbed beak forming the striking face and its tapered wings the claw.

Anyone who looked upon the mighty warhammer could feel the power radiating from within it and know instinctively that more than just skill had gone into its forging. Love and honour, loyalty and friendship, death and vengeance According to legend, Ferrus Manus was commonly referred to as "The Gorgon. The Gorgon was a beast of such incredible ugliness that its very gaze could turn a man to stone. Many would be outraged at the disrespect in the implication of such a term when referring to a Primarch, but those who knew him best believed that Ferrus Manus quite enjoyed the name, because in any case, that was not where the name originated. It was an old nickname Fulgrim had given his brother after their initial meeting.

It is said that after the two Primarchs met at Mount Narodnya, they returned to the Imperial Palace where the Primarch Sanguinius of the Blood Angels Legion had arrived bearing gifts for the Emperor, exquisite statues from the glowing rock of Baal , priceless gem-stones and wondrous artefacts of aragonite, opal and tourmaline. The lord of the Blood Angels had brought enough to fill a dozen wings of the Palace with the greatest wonders imaginable.

Of course, Fulgrim was enthralled, finding that another of his brothers shared his love of such incredible beauty, but Ferrus Manus was unimpressed and said that such things were a waste of their time when there was a galaxy to win back. Fulgrim laughed and declared Ferrus a "terrible gorgon," saying that if the Primarchs did not value beauty, then they would never appreciate the stars they were to win back for their father. After that time the name stuck, and forever after Ferrus Manus was often referred to as The Gorgon. A passionate intensity filled the Emperor's Children from the moment Fulgrim knelt in humility before them as their new commander.

It was as if the achievements of the past counted for nothing to them, only the future mattered, a future in which they could countenance no failure. They pursued all matters with total dedication and focus, and the skills of war were chief amongst their concerns and they would accept nothing that another could better. When another Legion excelled in any detail of warfare the Emperor's Children would set out to learn those skills. They channelled themselves completely into their training and study, allowing it to consume them completely until mastery was achieved.

Once mastered, a method would be evaluated and refined. The Emperor's Children believed that the only measure of true achievement was to measure oneself against others. When another Legion was honoured, it was said that the III rd Legion took these accolades for their brothers as both a spur to do better and a wound to their own pride. When they failed to reach the quality of another it created jealousy. When they did excel it bred contempt for those they had risen above. And no matter how high they rose, no matter how much they achieved, it was never enough. The achievements they had gained in the past were dead to them. The Emperor's Children's hunger for perfection was without limit, and could never be sated.

The atrocities that would come later demonstrated the truth of this assessment, but the signs of the III rd Legion's hidden darkness were there long before they fell. The point at which Fulgrim and the Emperor's Children embraced darkness is not known. Some amongst those who serve the Emperor pointed to Fulgrim's cleansing of the dangerous xenos known as the Laer as the event that finally doomed him, as there are indications that the malign forces of Chaos used this event to ensnare Fulgrim and begin the rapid corruption of the Emperor's Children.

It is believed that Fulgrim first fell from the Emperor's grace on the xenos planet called Laeran , officially designated as Twenty-Eight-Three, being the third world the 28 th Expedition had brought to Imperial Compliance. Though the resource-rich Ocean World of Laeran would be of immeasurable value to the Crusade of the Emperor, its alien inhabitants did not wish to share what blind fortune had blessed them with. They had refused to see the manifest destiny that guided Mankind through the stars and had made it abundantly clear that they held the Imperium in nothing but contempt.

The III rd Legion's diplomatic advance had been rebuffed with violence, and honour demanded that they answer in kind. During the ensuing campaign, the III rd Legion's Chief Apothecary Fabius discovered upon examining some of the corpses of the Laer that the serpentine creatures had been engaged in extensive genetic engineering to perfect their species, creating a multitude of different castes who were genetically designed to best serve their intended function in Laer society. Bringing his findings to his Primarch, Fabius explained that the Laer were not so dissimilar to the Emperor's Children in their approaches to perfection. He put forward the hypothesis that what the Emperor had made was incredible, but what if it was but the first step on a longer road?

Fabius suggested that if they were to look upon their own flesh they could find new ways to improve upon it and bring it closer to perfection. The Apothecary may very well have signed his death warrant by speaking so frankly, but the possibilities that might be opened up were worth any risk. To attempt to unlock the secrets of the Emperor's work in creating the Astartes would be the greatest undertaking of his life. Fulgrim inquired if Fabius truly believed that he could enhance the gene-seed of the Astartes. The Apothecary admitted that he didn't know for certain, but he believed that they had to at least try, for by doing so they would move closer to perfection -- and only by imperfection would the Emperor's Children fail the Emperor.

The Primarch agreed with the Apothecary's proposition and gave Bile free leave to do what needed to be done. Fulgrim's 28 th Expeditionary Fleet of the Great Crusade conquered Laeran for the Imperium, exterminating its hostile native reptilian species, the Laer. Laeran was a water world, its continents having sunk beneath its oceans' waves centuries before when all of its ice caps and glaciers melted. The oceanic world was home to a native sentient species known as the Laer who were reptilian and serpentine in form but also engaged in extensive genetic engineering to perfect their species, creating a multitude of different castes who were genetically designed to best serve their intended function in Laer society.

Having no land area, the Laer, whose technology equalled or even exceeded that of the Imperium in certain areas, had moved their entire society onto hundreds of floating coral islands that circled a central nexus in the planet's atmosphere. Each coral island was held aloft by an anti-gravity generator. The central nexus point that all of their coral islands orbited was actually a massive temple dedicated to the Prince of Pleasure at the heart of which lay a potent Chaos Artefact, a beautifully crafted, single-edged Daemonblade, that served as the physical vessel for a Greater Daemon of the Prince of Chaos. The Laer evinced all the signs of what later generations of the Imperium would recognise as Slaaneshi corruption, including a need for constant extreme sensory inputs, such as riotous colours and constant sound, and the deriving of pleasure from only the most extreme of sensations, including their own deaths.

Completely unaware of the real dangers he and his Astartes Legion faced on the Chaos-corrupted world, Fulgrim ordered the Emperor's Children and the other forces of the 28 th Expeditionary Fleet to assault the planet and conquer it for the Imperium within a single Terran month, completely eradicating the Laer species in the process. Emperor's Children Devastator Marine Squad. The Council of Terra had decided that the subjugation of the Laer would cost too many Imperial lives and would take too long.

Some estimates indicated that an attempted Imperial Compliance would take as long as ten standard years. There had even been talk of making Laeran a protectorate of the Imperium. Primarch Fulgrim would not countenance such talk, for by refusing the Emperor's beneficence, the Laer had effectively sealed their doom. During the final slaughter of that serpentine xenos race, Fulgrim and his Astartes discovered the great temple dedicated to Slaanesh that lay on the central floating coral island of Laeran. The Imperium , ignorant of the existence of the Chaos Powers at this time and holding to the extreme rationalism and atheism of the Imperial Truth , did not realise the significance of such a find or what they had really discovered.

The expedition led by Fulgrim began to be unwittingly corrupted by the temple's potent and malign influence. After defeating the temple's fanatical Laer defenders, Fulgrim discovered what the Laer were so fiercely protecting -- at the centre of the chamber of the unholy temple was a circular block of veined black stone, and embedded within was a tall silver sword with a gently-curved blade and a crude amethyst gem set in the pommel. This sword was not only a potent Slaaneshi artefact but also the physical vessel of a Greater Daemon of Slaanesh. Once Fulgrim had claimed the blade as his own, the daemon within it began whispering in his mind and corrupting his soul towards the service of Slaanesh.

He began to wield the daemonblade more often than his prior weapon, the great sword Fireblade that had been forged for him on Terra by his fellow Primarch and most favoured brother, Ferrus Manus. Thinking the whispers in his mind was only his own subconscious speaking to him, Fulgrim began listening to what it offered. Eventually, he discovered these were actually the whispers of the daemon that existed within the blade. After a lot of persuasion from his brother Horus , himself already corrupted by the Ruinous Powers after his injury on the moon of Davin , Fulgrim gave himself over to Chaos, and found his particular patron in the Prince of Pleasure, who offered the Primarch a route to the ultimate perfection he so craved for himself and his Astartes, free of all morality and dependent upon the pursuit of ultimate self-obsession.

With the end of the war on Laeran, the steady stream of wounded and dead to the Apothecarion slowed, leaving Chief Apothecary Fabius more time to devote to his researches. To ensure the secrecy his experiments demanded, he had relocated to a little-used research facility aboard the Andronius , a Strike Cruiser under the authority of Lord Commander Eidolon. Its facilities had been basic at first, but with Eidolon's blessing, he had gathered a bewildering array of specialist equipment.

Eidolon had taken a personal interest in Bile's work, though he disapproved of his methods. Fulgrim had told the Lord Commander of the scale of what he was to attempt, for his work would enhance the physiology of the Astartes. Eidolon informed the Apothecary that when he returned from his more laborious duties, Bile would begin his experimentation on him.

Through the Apothecary's genetic enhancements, the Lord Commander hoped to become Bile's greatest success, faster, and more deadly then ever before. He wished to become the indispensable right hand of the Primarch. During the latter part of the Great Crusade, the Iron Hands Legion encountered a nomadic, fleet-based civilisation composed of both humans and xenos known as the Diasporex.

The Iron Hands shared the Imperial Truth of the Emperor of Mankind and offered the human members of the Diasporex the opportunity to separate from their alien allies and to join the newly forged Imperium, but they declined the Astartes' offer. Their offer rejected, the Iron Hands passed judgement, and in the following months the Iron Hands fleet attempted to annihilate the Diasporex, but they proved to be highly skilled and experienced in the realm of naval warfare, and managed to easily evade crucial battles and even to severely damage the Iron Hands' Strike Cruiser Ferrum.

The Emperor's Children of the 28 th Expeditionary Fleet were called in as reinforcements, and so, a joint Imperial strike force composed of both the Iron Hands and forces from the Emperor's Children Legion launched an all-out assault against the willful Diasporex. Though the Diasporex knew that a powerful fleet of warships was hunting them and sought their destruction, they refused to leave the sector and move on to someplace safer. The Iron Hands' scout ships soon discovered the truth -- the Diasporex used hidden solar collector arrays to collect fuel for their vessels from a star. This was the reason why the Diasporex remained within the sector. Attacking these vital fuel stations, the two Imperial Expeditionary Fleets drew the Diasporex fleet out into open battle as the human-alien alliance sought to avoid utter annihilation at the Imperials' hands.

During the massive naval battle that ensued Fulgrim's personal gunship, the Firebird , came under heavy attack and soon found itself in trouble. Rushing to his brother's side, Ferrus Manus' flagship, the Battle Barge Fist of Iron , came rushing to the rescue of his beleaguered brother. To restore his wounded pride, Fulgrim led a brief shipboarding action where the Emperor's Children wreaked bloody havoc on the troops of the Diasporex. But ultimate victory was robbed from him when the enemy ship's bridge was taken by one of his subordinate commanders.

For months thereafter, Fulgrim would resent The Gorgon's actions, unable to truly understand the altruism of Ferrus' deed and the loss of life his selfless act had incurred on his Legion. Under the malignant influence of the daemon -possessed Laer blade that he wore at all times, Fulgrim could only see self-aggrandisement in his brother's action, instead of the the heroic deed it had truly been. Ferrus' critical comments, the wounding darts that Fulgrim believed were meant to undermine him, were in actuality only jests designed to puncture Fulgrim's self-importance and restore his humility.

What Fulgrim perceived as Ferrus' prideful boasts and rash actions had been deeds of courage that he spitefully dismissed as the influence of Chaos began to claim the Phoenician's soul. The more tightly it is grasped the more imperfect it beomes. The fall of all those who turned against us are all bitter tragedies in their own right, but the fall of the Emperor's Children is a tragedy in the greatest and oldest sense.

Their tragedy is not that they fell from perfection, but that it was never in their power to attain it, for they were always flawed, broken things. They reached for a distant light that would forever be out of their grasp and in reaching they fell so far that the flawed magnificence they had so painfully achieved would rot in our memories. The flaws were there, my lords. They were always there. We were blind to them. Now we must see both the glory that was and the ruin it became -- we have that duty. Asuryani Farseer Eldrad Ulthran. Certain members of the Inquisition who have studied the fragmentary Imperial records of this time now believe that the Laeran daemonsword began to exert a powerful Chaos influence over Fulgrim, and that the Emperor's Children forces he had deployed against the Laer may also have been tainted by their exposure to the concentrated Chaos corruption of that serpentine race, who had fully sworn themselves to the service of Slaanesh.

Even while wrestling with his own Chaos taint, the primarch of the Emperor's Children soon found himself at the center of the events that would bring on the Horus Heresy. The wounding had allowed the Chaos Gods to gain a purchase on the Warmaster's soul and he was already turning to their service as he recuperated from the nearly-mortal wound the Kinebrach blade had given him at the hands of Temba on the Nurgle-corrupted moon of Davin. Fulgrim reacted with violent outrage at the Farseer's accusations due to his close friendship with his brother Horus , as his bond with the Warmaster was second only to that he shared with Ferrus Manus , the Primarch of the X th Legion.

This outrage was further enhanced by the influence of Fulgrim's daemonblade, which wanted the Primarch to reject the Aeldari's truth and it led Fulgrim to launch an unprovoked and furious attack on Eldrad and his retinue alongside his Emperor's Children Captains and his personal Phoenix Guard. In the battle that ensued, the Emperor's Children slew both the revered Aeldari Wraithlord Khiraen Goldhelm and a potent Avatar of Khaine , which forced the Farseer and the other Aeldari troops to sorrowfully withdraw, as they realised that Chaos had already claimed yet another of the Mon-Keigh 's Primarchs.

Yet they had succeeded in killing all of Fulgrim's elite personal Phoenix Guard before their departure. Believing the Eldar had proven themselves a treacherous race that sought to divide and conquer the Imperium by spreading such lies about its leaders, Fulgrim, again under the increasing influence of the daemonblade, ordered the destruction by the 28 th Expeditionary Fleet of several other beautiful Eldar Maiden Worlds using hideous virus bombs. Whilst the exact timing of this meeting remains unknown in Imperial records, it is known that Fulgrim soon met Horus in person after the Aeldari had provided their warning about the Warmaster's turn to Chaos, and Fulgrim demanded a personal account of his actions.

Instead, Horus, deploying every ounce of his immense charisma, proved able to sway Fulgrim to his cause and the service of the Ruinous Powers. Fulgrim's respect for Horus allowed Chaos to find its own way into Fulgrim's heart, destroying Fulgrim's once rock-solid loyalty to the Emperor, and replacing it with the burning desire to destroy the man who he now believed held humanity back from the perfection Fulgrim so craved and that Horus convinced him only the Chaos Gods could truly provide. Only when Mankind had fully embraced Chaos could it know true perfection, Fulgrim came to believe, and the Emperor and His false Imperial Truth stood directly in the way of his and the rest of humanity's attainment of that perfection.

In recognition of the trust Horus put in his brother, he gifted him with the potent Chaotic blade known as the Kinebrach Anathame. Only the two brothers shared the secret of the poisoned blade's true power, as it was the weapon blessed by the Plague God Nurgle that had almost killed Horus on Davin 's feral moon. Fulgrim was next ordered by Horus to meet with Ferrus Manus , the Primarch of the Iron Hands Legion and Fulgrim's greatest friend amongst his brother Primarchs, aboard his flagship the Battle Barge Fist of Iron in the hope that he could be swayed to the side of Horus and the other Traitor Legions who now served Chaos.

Great bonds of friendship and brotherhood had long existed between them, and Fulgrim felt that he could convince Ferrus of the righteousness of Horus' cause. Fulgrim's hope proved disastrously wrong and the meeting of the two Primarchs in Ferrus' private inner sanctum in his flagship's Anvilarium did not go well, as Ferrus was outraged that his brothers would turn against their father the Emperor. The meeting ended in violence as The Gorgon made his difference of opinion over continued loyalty to the Emperor known to the Phoenician with his weapons, and he was determined to stop Fulgrim's betrayal of the Imperium before it could begin. Ferrus used his silvery necrodermis hands to destroy Fulgrim's Power Sword Fireblade , but the explosion knocked him out.

Fulgrim intended to kill his brother with his own weapon, the warhammer Forgebreaker , but proved unable to kill his oldest friend despite the promptings of the Slaaneshi daemon that now throttled his soul. Fulgrim successfully fled the Iron Hands' expeditionary fleet in his personal assault craft, the Firebird , when he ordered his flagship, the Battle Barge Pride of the Emperor and its Escorts , to open fire upon the ships of the 52 nd Expeditionary Fleet. This surprise attack crippled them and provided a distraction while Fulgrim and the forces of the III rd Legion fled into the Warp to rendezvous with the rest of their 28 th Expeditionary Fleet in the Istvaan System. With their allegiance now settled and their path forward determined, the Chaotic corruption of the Emperor's Children spread quickly throughout the III rd Legion, from Fulgrim to his chief lieutenants, the two Lord Commanders of the Legion, and then to its company captains and squad sergeants and finally to all but a small minority of Emperor's Children Astartes who followed the dictates of Slaanesh rather than remaining loyal to the Emperor.

The III rd Legion's once-laudable quest for excellence and perfection had been corrupted into a desire to achieve perfect hedonism and constant, self-absorbed, sensual excess. After another successful Compliance action was conducted on the Imperial world designated Twenty-Eight Four, Lord Commander Eidolon underwent elective augmentative surgery under the knife of Chief Apothecary Fabius. The Apothecary implanted a modified tracheal implant that bonded with the Lord Commander's vocal chords, allowing him to produce a nerve paralysing shriek similar to that employed by certain warrior breeds of the Laer. When the Apothecary explained the nature of the new organ implanted into the Lord Commander's throat, Eidolon was outraged that Bile would implant xenos filth within him.

Enraged, he ordered the Apothecary to halt the surgery and release him from the medicae table. But Fabius refused the Lord Commander's orders, for Fulgrim himself had authorised his work and Eidolon had insisted that the Apothecary work on him upon his return. The Lord Commander would later make use of this new ability whilst leading his 1 st Company in concert with the Death Guard Battle-Captain Nathaniel Garro and his 7 th Company against traitorous forces on Istvaan Extremis, the outermost planet within the Istvaan System. Flying into space with the Matrix, Prime unleashed the full measure of Primus's power, destroying Unicron.

On the Edge of Extinction! Though the Transformers were technically victorious, this victory came with a price. With Primus dead, and with the grievous wounds inflicted on Cybertron itself, the planet threatened to come apart. The Transformers made plans to flee it. Ultimately, this was averted by the Last Autobot , who put into motion the planet's recovery, allowing the Autobots, who had finally won the civil war, to return to their home. End of the Road! When asked why Rodimus Prime looked like Primus and if it was because he was changed by the Creation Matrix , Grimlock agreed with this speculation and stated that Primus "recreated Hot Rod in his own image, calling himself Rodimus Prime".

Grim Grams In an alternate future , Unicron had destroyed Cybertron by the year Rhythms of Darkness! However, Primus was not killed but rather his essence was dispersed among his children, now mostly represented by the Cybertronian Empire , which experienced a moral reformation. Autobot, Decepticon, and Cybertronian would later go on to unite as one and vanquish Unicron. The Primal Scream was heard multiversally, and awoke Unicron from his own slumber as well.

Vector Prime: In the Beginning. The Last Autobot created a race of tiny beings, Mini-Cons , to rebuild and restore Cybertron so that it would be ready for the Autobots' return. Part of the Mini-Cons' job was to excise certain evolutionary throwbacks, remnants of Primus's earlier experiments, such as the Mutants , and this alarmed one Mini-Con. He suspected that one day that Primus would consider the Mini-Cons surplus to requirements as well, and he instigated an insurgency against their Creator and his followers.

The New World. After being transported to the prehistoric Earth of another universe , Ultra Mammoth led his force to secure the legendary Origin Matrix. While his teammates occupied a rogue security system in the Matrix's underground hiding place, Ultra Mammoth entered the Matrix's chamber. Upon doing so, the system scanned Mammoth's mind and projected a hologram of Primus, who was held in esteem by Ultra Mammoth. The Primus simulacrum declared that the Origin Matrix would decide if he was worthy or not. Apparently the Matrix did, as Ultra Mammoth claimed it and used it to neutralize the security drones.

Shattered Balance. In ages long past, Primus created the Demons as a test run of his creation powers. The Demons created a primitive society based around the worship of Primus only for their free will to cause them to turn on each other and destroy their civilization. Displeased, Primus enacted a cataclysm that rendered the Demons virtually extinct. In their place, Primus created the Transformers. Natural Selection, Part Four. Primus was destroyed in the battle with Unicron when his avatar, Xaaron , was blown to pieces by the Chaos-Bringer.

His death left a vacuum in Zero Space , which was filled by the malevolent Dark Matrix creature. The Dark Matrix posed as Primus on several occasions following that, in order to manipulate Primus's children to its benefit. The rogue senator Jhiaxus had a low opinion of Primus, scoffing at the idea of the creator's grand plan, instead choosing to bring about order on his own terms. Within the realm of Zero Space, Optimus Prime revealed to Rodimus that Primus still lived but that the destruction of his avatar had banished him from their reality. As Primus prepared to create a new universe based on the optimum aspects of all the others, the Dark Matrix entity sought to corrupt the new universe only for Rodimus to sever his reality from the larger multiverse , killing the entity and saving Primus's plan.

Cut off from Primus however, the Cybertronians of that universe turned mortal and eventually passed of old age. In addition to its occasional invocation in prayer or in righteous anger by the Beast Warriors, Bad Spark Primus's name was also lent to a set of prophetical datatrax, known as the Covenant of Primus. From this document, the Megatron of this era took his name, and the scriptures foretold the events which completed the Beast Wars. Nemesis Part 2. Before Primus became Cybertron, he plotted to create robotic life that would ultimately defeat Unicron, but first he needed to do a test run.

He created twelve beings, the Covenant , on a small moon named Protos. These twelve would watch the Transformers from afar and only intervene when necessary. Their intervention would become necessary when Shokaract used Unicron's essence, the Decepticon Matrix of Conquest , to conquer the future, threatening the end of all things at an important historical crossroads dubbed Point Omega. Though the Covenant's ranks were halved in the battle against Shokaract on prehistoric Earth during the Beast Wars , they were ultimately able to discover a way to defeat Shokaract and his Unicron-fueled power.

The remaining Covenant members returned to their original Primus-spawned energy forms and entered Shokaract's Matrix of Conquest. Reconstituting as an astral form of Primus, they severed Unicron's link with Shokaract, leaving him vulnerable to attack. Dispatched to an ice world in the far reaches of the galaxy by the orders of the Oracle , Primal Prime 's Wreckers encountered the exiled Quintesson known as Al-Badur , who revealed to them the full extent of his race's connection to Cybertron and Primus.

Al-Badur explained that, millions of years ago, the Quintessons sought to exploit the power of Primus for profit, and to that end, invaded Cybertron and set up numerous barriers to separate Primus from the Transformers. Their first attempt, the Plasma Energy Chamber , met with failure; next, the Quintessons targeted Vector Sigma itself, surrounding it with a shell program that acted as a barrier between the Transformers and the power and guidance of Primus. Disclosure Realizing that the Oracle itself was the Quintessons' shell program, Primal Prime began to fear that all that had come about as a result of its guidance—including Optimus Primal 's mission to restore a techno-organic balance to Cybertron—was all part of a Quintesson plot, but Alpha Trion assured him that Primus worked in mysterious ways.

The Wreckers soon returned to Cybertron, discovering that in their absence, Optimus Primal had achieved his goal of recreating the planet as a technorganic world. In the wake of this overwhelming transformation, the Quintessons had invaded the planet, but they were not the only threat to Cybertron's safety: The Wreckers were also faced with Cryotek , who had used the legendary Divine Light to tap into the power of Primus and transform himself into a living god. During the course of the battle that ensued, Primal Prime and Apelinq were struck by a blast of Primus's power by Cryotek, which wound up merging them into Sentinel Maximus.

At Al-Badur's direction, Sentinel Maximus steered the battle to an interdimensional portal chamber far below the planet's surface, where Matrix Templars Rodimus and Cheetor began draining Primus's power out of Cryotek. To stop them, Cryotek shattered the Divine Light and absorbed Primus's energies directly into himself, where they could not drain it, but as he grappled with Sentinel Maximus, the fused Autobot forced them both through the portal, into a shapeless interdimensional void. Although unable to drain Primus's power any further, Cryotek was sustained in the void by the power he had absorbed, and he was ready to carry on the battle until Primus himself—now unshackled thanks to the destruction of the Oracle in the final stages of Optimus Primal's quest—took an active hand, spiriting Sentinel Maximus away to partake in another battle elsewhere in the multiverse.

While all of this was happening on Cybertron, elsewhere in the universe, on New Quintessa , Primus briefly possessed the body of Icebird so that he could address the Quintesson leader Judge Heirodyus. Primus shocked the Quintesson by revealing that he had allowed all that had transpired to occur, and he "thanked" Heirodyus for his race's role in the scheme, promising to call upon them again if he ever needed an "evolutionary crisis" to drive his children forward.

Wreckers: Finale Part II. In the wake of the repulsion of the Quintesson invasion, Unicron began gathering Transformers from across the multiverse, forcing them to fight and harvesting the sparks of the losers to restore his power. With each spark devoured, Primus was weakened, and so, communing with Alpha Trion, he chose to summon Optimus Primal back from the Allspark, restoring the Maximal commander to life. Abduction Primal was charged with re-securing the battling captives from the Pit of Unicron and leading a team of multiversal warriors to put a stop to this soul-stealing scheme before it could cause the Allspark to collapse. Primus allowed Optimus Primal to choose any Transformer who ever existed—living or dead—for his army.

This required considerable amounts of Primus's power, so Primal was told to choose sparingly. Primal chose his departed former troops Rhinox and Depth Charge. Homecoming Ultimately, however, Unicron's defeat came not as a result of their efforts, but as a consequence of another battle, happening in another corner of the Transformers multiverse. Revelations Part 2. In a universe where Optimus Primal led the Autobots and Reptilion led the Decepticons , a ship arrived once a year, when the Transformers' civil war reached a fever pitch. The ship abducted every Decepticon it could find and promptly left.

These Decepticons were brought to Unicron, who was preparing them for an eventual, ultimate battle for the universe. But unknown to even Unicron, Primus, the sentient core of Cybertron, was amassing an army of Autobots that rivaled Unicron's army of Decepticons. Could Primus meet Unicron's challenge, or was the universe doomed? The One , a harmonious fusion of chaos and order, was witness to the beginning of the universe.

Seeking to learn more of this new world, The One created Unicron , and then divided him into Unicron and Primus. Both creations "spread their entirety across new planets, throughout many realities, seeding the future". However, Primus came to realize his brother had become a force of Chaos and destruction. Primus took on the mantle of Order, protecting the universe by attacking Unicron with the powers granted to him by The One. Like his nemesis, Primus had a planet mode and a robot mode, although he preferred to remain in planet mode and leave the transformation to his own creations, the Transformers. He also possessed a separate astral form that resembled Rodimus Prime and his essence was contained within the Matrix of Leadership. In one war with Unicron, Primus created 13 Transformers to optimize his defensive and tactical options in planet mode.

However, one betrayed his master and attempted to sabotage Primus on behalf of Unicron, but ended up joining his new master in a black hole. The Ultimate Guide. When The Fallen's foul essence took root within Jetfire 's spark, the Autobot became plagued by numerous visions. Among the events he bore witness to was Primus deconstructing The Fallen with a wave of his hand. The Enemy Within. Finale Part 2 As leader, Primus received the Silver Matrix that could absorb the Star Power from the seven other Matrices possessed by the leaders of the individual orders within the Vanguard. Acting as his personal pet was Primacron , who acquired intelligence by his proximity to Primus and plotted against his master.

In the course of Primus's leadership, the Vanguard fought against the Specters , but, due to their enemy's nature as "inversions" of the lights they utilized, they came up short in permanently defeating them. They decided to shine their Matrices at their maximum power to extinguish all shadow, but this had the secondary effect of unifying the seven universes into one. This universe would come under attack itself, this time by the Vok , who sought to restart reality to their liking. Using the Black Legendisc to peer into the future, Primus saw the next universe as filled with death and cruelty and realized the origin of the Vok as the Specters thought fully defeated.

While dismayed at the thought of defeating them again only for them to ascend even further, Primus was confronted by Primacron, who revealed that he had extracted Angolmois Energy from the Silver Matrix and had plans to become the master of the next universe. Realizing that Primacron had created the next universe, Primus had a breakdown and concocted a plan to beat everybody to the punch and restart the universe himself for a glorious future. His ravings repelled away the commanders and marshals of the Primus Vanguard, who kept their Matrices with them. Lost, Primus came upon a realization—he could use warriors forged in the fires of the future universe as pawns for his plan to correct the future.

Finale Part 1 Using the Golden Age , a group of golden-hued warriors and his own direct hand, Primus gathered the worn-out Silver Matrix from the next universe, Abominus comic 2 Halfshell 's Seacons , and Turtler 's Seacons. God Neptune comic 2. To defeat the Vok and gather the seven Star Powers, Primus collected Optimus Prime and Galvatron as he could interface with the Vok's energies from in the next universe. Star Convoy comic Primus gave Optimus Prime the future Silver Matrix Super Megatron comic 1 Finale Part 1 After revealing their deaths that would take place soon in their native spacetime, Primus sent Optimus and Galvatron to deal with the Vok attack on the Blue Planet and disappeared from their presence.

Star Convoy comic. Primus made his reappearance after Galvatron upgraded himself into Ultra Megatron, and his battle with Star Convoy forced him and the Blue Order to intervene. He filled in Star Convoy as to what the true nature of the universe they were in was—that its end would birth the next universe— Super Megatron comic 2 and warned the other orders of the Primus Vanguard to protect their respective Matrices after Ultra Megatron stole the Blue Matrix. After the Blue Order was destroyed by Straxuses ' betrayal the two sought to destroy the Primus Vanguard and end Primus's ambitions , Primus gathered the fallen blue warriors' sparks into his Golden Noah , stating that they would be reborn in the next universe.

The golden one explained that the Seacons were altered by Angolmois Energy brought here within Galvatron, prompting Primacron to show up and accuse the Oracle for using his creation and causing it to proliferate throughout the past universe. The smaller alien demanded to know what he was planning, God Neptune comic 1 to which Primus answered that he was out to stop Primacron's plans of using Star Power to control the birth of the next universe and become a god. To add to his convoluted machinations, Primus summoned the Primitive God Neptune comic 2 Dinobots from the of the next universe.

Volcanicus comic 1. Aboard the titanic robot, Primus arrived to the confrontation between Megatron Omega and God Neptune, eventually revealing them all to be pawns in his grand scheme. After asking Star Convoy to join him and getting the expected rejection, Primus revealed his Silver Matrix, the one native to this time, and used it to absorb the necessary Star Power from God Neptune, Purple Convoy, and the older Silver Matrix.

With all seven lights under his control, Primus called for the universe to be recreated Finale Part 1 However, Primacron was quick to act and used Neo Primus to trap Primus in a vision of his fated beginning in the next universe. The former pet forced Primus to shed his golden shell, revealing the diminutive Oracle underneath. Initially dejected by his future existence of being constantly used by others, the Oracle was encouraged to persist by his former subordinate Convoys and Primes. With the Silver Matrix, Gold Megatron sought to become the new Primus and even created a doppelganger Primus Vanguard to fulfill this goal. Seeing the dire straits they were in, the Oracle ordered the Golden Age to transform Star Convoy into Gold Primus Convoy so that he could fight against his equally golden nemesis.

Thanks in part to Vector Sigma in the very far future commanding Lio Convoy to send the spark of the good Megatron of back to the Precursor World, Gold Megatron was eventually defeated and reverted to Galvatron. The Oracle brought them back to their native time, assisting Optimus Prime in defeating the resurrected Unicron with his positive Angolmois Energy. Thanking Optimus for making him realize the importance of preserving history, the Oracle promised to always protect life from evil Angolmois Energy. The Oracle sent all of the future visitors to their proper times and erased 's Optimus Prime and Galvatron's memories of their experiences in the Precursor World. However, the Oracle was captured by Straxus and kept in a stasis tank at Darkmount , Finale Part 2 where he was spotted when Magna Convoy invaded the base for the Matrix Sword , seemingly unaware of the trapped being's significance.

Cybertron Magna Convoy prequel comic. However, the planet was later colonized by the Quintessons using a mechaforming ray , and the Oracle was sealed into the supercomputer known as Vector Sigma. Using both the key and the Matrix, the Quintessons, led by It , were able to control the Oracle's life-imbuing energies. Through the Quintessons' machinations, the Oracle was able to experiment on the union of mechanical and organic life, which he considered necessary for universal peace. After his first creations, the Trans-Organics , were deemed a failure, he created an advanced computer that would carry out the mission in his place.

This computer would end up controlling the transtector factory in G Nebula Eventually, the Quintessons would use Vector Sigma to create what could be considered Primus's true children: the Transformers. In the following millions of years, Primus became known in Transformer mythology for his prophecies such as through the Covenant of Primus and was worshipped. Super Megatron comic 2. In , seeking to combat the Autobots ' rule of the roads, Megatron created the Stunticons and brought them to Cybertron with the intent of having Vector Sigma program them with true cybernetic personalities. Requiring Vector Sigma's activation key to bring the computer online, he stole it from Alpha Trion and successfully completed his plan. The Key to Vector Sigma, Part 1 In retaliation, Optimus Prime constructed his own new team, the Aerialbots , but Megatron had already returned to Earth with the key still in his clutches, leaving the Autobots unable to reactivate Vector Sigma.

As a first-generation product of Vector Sigma, Alpha Trion shared the mega-computer's computation matrix, and sacrificed himself by merging his lifeforce with it. This action reactivated the computer long enough for Optimus Prime to instruct it to program the Aerialbots with life. The Key to Vector Sigma, Part 2. In , Grimlock downloaded Vector Sigma's knowledge, in the process becoming a genius. It was with this knowledge that Grimlock was able to make the intelligent Technobots without Vector Sigma's direct intervention. Volcanicus comic 2. In , one year after Optimus Prime drained the energies of the Matrix to cure the Hate Plague , the loss of the Matrix's energy caused Vector Sigma to destabilize, threatening Cybertron with destruction.

The Decepticons—their forces bolstered with the recent addition of Headmaster warriors from the planet Master —sought to take advantage of the chaos that ensued, seeking to gain control of the unstable computer, thereby bringing Cybertron under their dominion again. Four Warriors Come out of the Sky. Determined to save the planet at any cost, Optimus Prime fought his way through the tunnels leading to Vector Sigma's chamber, led by the ghost of Alpha Trion, while Hot Rod and a group of Autobot Headmasters began searching for the Matrix, which had been left on Earth to recharge itself using the planet's natural energy.

The Mystery of Planet Master Although they were successful in their mission, and the Matrix was even recharged by Alpha Trion, they were not fast enough to re-stabilize Vector Sigma with it, forcing Optimus Prime to sacrifice his life again by merging with the computer and restoring it to normal. Birth of the Fantastic Double Prime. Not long thereafter, Vector Sigma began a series of experiments to create a new super-alloy. Soundblaster and his cassettes were able to penetrate Vector Sigma's chamber and learn of the experiments, which in turn prompted Galvatron to launch an all-out attack on Cybertron to secure the new alloy, Cybertonuron , for himself. Cybertron Is in Grave Danger, Part 1 However, Galvatron's ally, Headmaster leader Scorponok , was not enthused at the idea of Galvatron acquiring such a powerful weapon, and determined to keep the metal out both his hands and those of the Autobots through means most drastic—the total destruction of Cybertron itself.

Powerful bombs were planted in Vector Sigma's chamber, and although the Autobots learned of the plot, they were unable to stop it, and Cybertron was reduced to a burnt-out husk. Cybertron Is in Grave Danger, Part 2. In , the Oracle directed Grimlock to forge Magma Blades from the Angolmois of the Earth, knowing they would be necessary to defeat Neo Primus when the Dinobots were transported back in time to the Precursor World. In the aftermath, the broken form of Vector Sigma was discovered by the Autobot Disaster Relief Team in the planet's wreckage. Still functioning, the supercomputer granted them new bodies and abilities to help rebuild the planet.

Ten years later, Vector Sigma had found a new chamber and aided Ratchet in resurrecting Optimus Prime. They were interrupted by the arrival of the vengeful Roller , which led to a battle between Sky Reign and Grand Galvatron. Sky Reign Chapter Vector Sigma succeeded in reviving Optimus Prime during the battle, but because of Prime's repeated deaths, the computer's best efforts were only able to grant him one week's worth of life.

Megatronia Chapter As Unicron attacked Cybertron, Vector Sigma restored the Disaster Relief Team's combiner joints so that they could join the other combiners in fighting him off. Ruination Chapter, Part Two. At some point, Vector Sigma was stolen by The Fallen , who wished to absorb its power to create new life into himself. The orb rejected The Fallen's efforts, transforming into a robot mode as the Oracle. The Oracle lent its brilliant light to Overdrive and his Quantum Dial , allowing the Omnibot to summon new defenders from outside space and time to protect Vector Sigma. Overdrive vanished, but six new warriors appeared in the skies to battle The Fallen. Train Wars. These warriors were not enough to stop the new combined form of The Fallen, however.

Apparently too drained for further resistance, the Vector Sigma orb was claimed by The Fallen, who began to assimilate its properties. Shouki used his partner Daniel Witwicky as an electrical bow to shoot Vector Sigma free of The Fallen, and Goshooter then kicked the spherical node right in The Fallen's stupid face. Alpha Trion merged with the power of Vector Sigma to empower Shouki into a "train bazooka" mode that Goshooter used to deliver the ultimate attack against The Fallen, defeating him. Train Wars 2. Three hundred years after the end of the Great War between the Autobots and Decepticons, Vector Sigma had again changed form, this time taking up the "Oracle" moniker again. It was rediscovered by Optimus Primal and his small band of Maximals while they were on the run from Megatron , who had conquered the entire planet.

To protect Primal's Maximals from the effects of the transformation virus Megatron had used to conquer Cybertron, the Oracle reformatted them into new technorganic forms. Resurrection of the Legend. Communication between clinicians and patients is a multidimensional concept and involves the content of dialogue, the affective component i. In oncology, communication skills are a key to achieving the important goals of the clinical encounter. Effective and supportive communication can assist the patient and his or her family in navigating a successful transition to palliative care.

In this summary, unless otherwise stated, evidence and practice issues as they relate to adults are discussed. The evidence and application to practice related to children may differ significantly from information related to adults. When specific information about the care of children is available, it is summarized under its own heading. Use our advanced clinical trial search to find NCI-supported cancer clinical trials that are now enrolling patients.

The search can be narrowed by location of the trial, type of treatment, name of the drug, and other criteria. General information about clinical trials is also available. Most studies of provider-patient communication have focused on primary care or general internal medicine settings. Although many of the findings may be applicable to oncology, several unique elements present in oncology are not present in many other medical settings. Cancer is a life-threatening illness. Although recent treatments have increased the hope for cure or at least the arrest of the disease, the diagnosis of cancer results in significant fear, uncertainty, and commitment to often arduous, expensive, and complex treatments.

Cancer care can also be emotionally taxing on the oncologists who must frequently give bad news and deal with dying and death. Communication research in oncology has begun to change this landscape by demonstrating the association of good communication skills with the following:[ 4 ]. The scientific study of communication skills in oncology, however, is still in its infancy. Three key concepts have nonetheless emerged in defining the importance of interpersonal and communication skills in the interaction of providers with cancer patients and their families:. Several reports provide an overview of these issues. These skills are especially important in highly charged emotional situations such as transitioning the patient to palliative care and at the end of life.

Imparting information to the patient can serve the following key functions:. Many patients actively seek information and identify acquiring information as a priority. In one study,[ 14 ] with 12 specific information and support topics listed, patients chose information as their greatest need. Patient needs may, however, shift to an emphasis on support immediately after the first consultation. Although many patients have high information needs, some patients want less information about their cancer. Research increasingly supports clinical experience in clarifying that patients differ in the amount of information they want and need about their cancer care.

Research has attempted to characterize different information styles in a variety of ways. One of these is monitoring and blunting. For example, one study [ 24 ] found that having a monitoring style was related to a preference for detailed information, participation in medical decision making, and patient question-asking. Thus, patient information style may greatly affect patient communication preferences and patient interactions with health care providers. This area warrants additional study and has implications for how patients adjust to their cancer experience. Participation style in decision making represents how much patients want to be involved in the decision-making process related to their cancer.

Studies of patient desire to participate in treatment decisions have yielded conflicting results, largely depending on how participation in decision making is defined. Participation can range from the patient actively engaging in the decision-making process, to the patient wanting the doctor to make the ultimate decision. Patients with an internal locus of control seek information to control their own destinies, whereas those with an external locus of control tend to passively accept their lot.

Because research shows that a range of patient decision making exists, increasing participation for all patients may not be the most effective strategy. One study [ 27 ] categorized patients with early-stage breast cancer into the following groups:. Passive decision makers allowed directive physicians to make treatment choices for them. They responded more to the caring attitude of their provider and the need to have someone to believe in rather than to an opportunity for autonomous decision making.

Women with breast cancer using an avoidant style of decision making refused to actively confront their diagnosis or participate in planning their cancer treatment. Panicked patients were so fearful when confronted with a diagnosis of cancer that they could not participate in decision making, whereas rational decision makers were able to control strong feelings of fear and engage fully in decision making. Results of another study found that whereas most well people preferred to play an active role in decision making, very sick people preferred the doctor to make decisions,[ 14 ] suggesting that seriously ill people may prefer a degree of paternalism in their care because an active role in decision making may take more physical and mental energy than these patients can afford.

Alternatively, there may be a limit to the amount of negative and pessimistic information people can absorb before their capacity for coping is seriously compromised. Although the categorization of patients into various participation styles appears to offer some useful predictive power for defining communication patterns, the issues are complex. It has been suggested that to match the provision of information and support with the expressed needs of patients, patients should ideally be queried frequently about their needs.

Patient satisfaction reflects how well patient health care needs, expectations, or preferences are met. The measurement of satisfaction with patient care is complicated by a patient bias to skew responses in favor of high satisfaction scores. In oncology, some studies support the concept that communication skills are related to patient satisfaction in several areas.

Specifically, several studies relate patient satisfaction to psychological adjustment, including patient satisfaction with the amount and kind of information provided at the time of diagnosis;[ 1 ] clinician willingness to discuss treatment options;[ 2 ] patient perception of the oncologist as caring, attentive, or emotionally supportive;[ 3 - 5 ] and patient rating of communication with the physician. Basic communication skills have also been related to satisfaction in other studies,[ 6 , 7 ] which have demonstrated that among gynecology and medical oncology patients, satisfaction was associated with attentiveness, interest, and friendliness and with providing information.

These findings among oncology patients parallel those found in other medical specialties. Informed decision making is an essential component of the ethical practice of prescribing cancer treatments and conducting research. However, fully involving patients in clinical decision making is a challenging task for physicians, who nonetheless have been urged in recent years to take a less legalistic and more interactive approach with patients in explaining treatments. There are few data to describe how oncologists practice informed consent, and there are inadequate guidelines for communicating with patients about treatment decisions.

For example, treatment of breast cancer for patients on clinical trials cannot begin until the patient has signed the informed consent form. This requirement effectively compels physicians to reveal information to patients soon after the diagnosis is confirmed. Sixty-one percent of the physicians in one study [ 16 ] explained that they would have preferred to tell patients about their diagnosis and prognosis in small increments. They argued that patients need time to absorb the shock of the diagnosis before hearing a detailed description of the uncertainty of treatment options but that the need to obtain informed consent constrained their schedule for disclosure to patients.

The reason that eligible patients decline participation in clinical trials has been explored in several studies, which reflect many of the issues surrounding inadequate communication. In one study, patients were found more likely to participate in clinical trials when their physicians were cordial, able to establish trust and rapport with the patient, and attentive to patient concerns. Interventions to improve the informed consent process also show that having a study team member or educator spend more time talking one-on-one with the patient to improve understanding of clinical trials are more successful than the use of multimedia or enhanced consent forms.

A small number of physicians appears to generate a disproportionate number of lawsuits. These interpersonal aspects include the following:[ 25 ]. Other but more scarce research has suggested that communication skills are also related to patient retention, compliance with treatment, practitioner burnout,[ 26 ] collaboration among oncology teams,[ 27 ] and increased difficulty in transitioning to palliative care. An important area of communication problems centers on the differences in communication between doctors and older women versus doctors and younger women. Better patient-physician communication has been associated, particularly for older and disadvantaged patients, with the following:[ 1 ].

A study examining health care disparities in older patients with breast cancer found that older age and Latina ethnicity were negatively associated with physician provision of interactive informational support; these patients received less interactive informational support from their physicians than did younger patients. Research suggests that older patients with breast cancer who receive less-than-definitive care have higher recurrence rates and higher mortality rates than other women and remain at greater risk for receiving less-than-definitive treatment.

In one investigation, patients aged 80 years and older reported receiving markedly less information about treatment options than did younger patients, were less likely to state that they were given a choice of breast cancer treatment, and were less likely to initiate communication or to perceive that their surgeons initiated communication. Investigators found that although older women obtained information regarding breast cancer from different sources, they relied most heavily on their physicians for information.

Despite this expectation, the knowledge about the importance of patient-physician communication, and the increasing use of breast-conserving surgery BCS , older breast cancer patients undergo BCS less frequently than do younger women. In addition, within older populations, radiation therapy is sometimes omitted after BCS. Even though many factors could explain these patterns of care,[ 4 ] it is possible that the quality of communication between older patients and their oncologists contributes to the observed treatment variability—although the traditional medical standard of care might account for physicians who do not recommend BCS,[ 4 ] in addition to a possible geographic preference for recommended treatments.

Several studies have investigated the relationship between race and communication in oncology. One study of newly diagnosed cancer patients reported that physicians spent more time in relationship building with white patients than with nonwhite patients. Younger and more educated patients are most likely to take an active role in medical decision making. Some researchers have observed that low-income women who are not as well educated do not communicate as well with their physicians about their treatment preferences or concerns and fears. Transportation to and from a radiation therapy facility is another impediment.

Additionally, research data suggest that differences in physician-patient communication patterns could contribute to variance in BCS rates among income strata. Developing an awareness of cross-cultural practices regarding cancer disclosure issues allows the clinician to become more sensitive to the expectations of culturally and individually diverse cancer patients.

When discussing diagnoses and treatment options with patients from different cultures, it is important for clinicians to consider how to balance a commitment to frank discussion and a respect for the cultural values of the patient. In general, patients whose dominant culture is derived from a Western philosophy subscribe to certainty, predictability, control, and obtainable outcomes. One such assumption is the principle of self-determination and its importance in enabling patients to make autonomous treatment decisions. On the other hand, patients in Italy, China, and Japan;[ 14 ] patients in Spain;[ 16 ] patients in Tanzania;[ 17 ] and Korean Americans and Mexican Americans believe that there is a positive value inherent in nondisclosure of diagnosis and of a terminal prognosis.

Navajos feel that order and harmony are disrupted by receiving negative information;[ 14 ] receiving an unfavorable diagnosis and prognosis is seen as a curse. In some cultures, the negative stigma associated with the word cancer is so strong that the use of the word can be perceived as rude, disrespectful, and even causal. A study investigating the puzzling factors and solutions of family-related barriers to truthfulness with patients who have terminal cancer was conducted through a nationwide survey conducted in Taiwan. The results showed that families believe it is unnecessary to tell aged patients the truth, and patients can be happier without knowing the truth. Often, phrases such as malignant tumor or growth are less inflammatory and are more readily accepted,[ 16 ] as is approaching loaded topics indirectly.

Thus, it is essential to assess and consider patients cultural beliefs when communicating with them about their cancer. A study of the breast cancer experience of Asian American women [ 20 ] found that a lack of knowledge about breast cancer, cultural factors related to beliefs about illness, gender role and family obligations e. As described above, cultural background greatly influences many aspects of the communication process. Although some cross-cultural descriptive studies have been conducted, especially on the views about disclosure of the diagnosis, relatively little is known about the specific influence of culture on the interaction between patients and their health care practitioners.

Families can help patients make better decisions about their care. Health care professionals are valued when they establish a structured and ongoing dialogue with family members about the following:[ 22 ]. Caregivers report that specific and tailored direction is supportive and reduces the uncertainty they experience as they provide care. Unless directly invited, many patients are often reluctant to ask important questions about their disease and its treatment. Some researchers have found that indirect cues signaling informational and emotional needs are far more common from patients than direct requests for information or support.

Concomitantly, doctors readily respond to direct expressions of need but find it difficult to detect and respond to indirect behaviors cueing patient needs. The indirect forms of communication that are particularly difficult for many doctors to detect and respond to include the following:[ 24 ]. They perform key functions at almost every stage of the cancer trajectory.

Clinic and inpatient nurses are frequently the first clinical contacts for patients and family members and, through their initial interactions, set the tone for the support the patient will receive throughout his or her care. Nurses are important sources of information about procedures, treatments, and other aspects of patient care. Nurses must also attend to patient and family emotional needs after bad news is given and deal first with other emotionally draining situations, such as angry patients or family members or patients who are withdrawn and depressed. Advanced practice nurses provide direct patient care, often acting as physician extenders and managing much of the day-to-day care of the patient.

The application of basic communication skills to a number of oncologic challenges—including breaking bad news, shared decision making, and dealing with depression and challenging patients—has been outlined. Clinicians should remember that many patients are anxious about medical visits. As one study [ 3 ] found, the first few moments of the interaction are especially important in forming lasting impressions; a friendly handshake and making eye contact are important first steps in creating trust and rapport.

Sitting down puts the health care provider at patient eye level and invites discussion rather than one-way conversation; asking the names and relationships of others in the room acknowledges their potential role as allies in the care of the patient. Not interrupting while patients are talking and acknowledging the importance of their concerns conveys respect for their point of view. Giving bad news is a frequent and significant communication challenge for oncologists. Moreover, a typical oncologist in practice may give bad news thousands of times over the course of a career. Increased cancer survival now means not only that information regarding the state of the disease and its response to a multitude of treatments over time must be communicated effectively to the patient, but also that adverse information related to irreversible and potentially irreversible side effects, complications of the illness, and the treatment and diminished prospects for the future must be disclosed.

This process is made difficult by the following factors:[ 4 - 9 ]. When there was little in the way of effective anticancer treatment, physicians shied away from disclosing the cancer diagnosis for fear it would send a patient into a mental tailspin. The reluctance to truthfully disclose a terminal prognosis persists in southern Europe, including Italy and Spain. On the other hand, open discussion of the diagnosis decreases uncertainty, improves participation in decisions about care, allows access to psychological support, encourages self-care, and allows the patient to begin planning for the future.

Although honest disclosure can have a negative emotional impact in the short term, most patients will adjust well over time. Gratitude and peace of mind, positive attitudes, reduced anxiety, and better adjustment are some of the benefits that patients report from having been told about a diagnosis of cancer. Because uncertainty is a major cause of emotional distress for patients, relief from uncertainty can, in itself, be therapeutic;[ 14 ] some believe that over time, patients achieve a psychosocial objective correlative of order within the context of chaos theory. Not being told about the severity of their condition or not having the opportunity to express their fears and concerns may lead patients to believe that nothing can be done to help them or may prevent them from understanding their disease.

Being told that there is nothing more to be done can engender feelings of abandonment. Significant predictors of patient satisfaction with the conversation included the following:. Although most patients wish to have complete and accurate information regarding their condition, many patients feel that the news is forced upon them unless their right to have the news given according to their preferences is acknowledged by the physician e. A study [ 19 ][ Level of evidence: II ] of patients who had a variety of cancers at different stages and who were seen at M. Anderson Cancer Center elicited patient communication preferences when they were given bad news of the initial cancer diagnosis or recurrence.

The highest rated elements included the following:. Differences were noted in patient preferences based on sex, age, and level of education, underscoring the importance of tailoring the discussion to the individual patient. Cancer type did not predict patient preferences. One protocol or method of disclosing bad news is represented by the acronym SPIKES,[ 4 ] an approach that comprises the following six steps:. The SPIKES method is useful because it is short, is easily understandable, and focuses on specific skills that can be practiced.

Moreover, this protocol can be applied to most situations of breaking bad news, including diagnosis, recurrence, transition to palliative care, and even error disclosure. This method also includes reflective suggestions for physicians on how to deal with their own distress in being the messenger of bad news. In an innovative qualitative study focused on communicating bad news related to cancer recurrence,[ 20 ] patients with diagnoses of gastrointestinal cancers during the previous 2 years listened to audio recordings of oncologists using the SPIKES approach with standardized actors and then identified what they liked and disliked about the communications. Three major themes were identified:. Whereas most physicians in Western countries tell their patients that they have cancer, information about prognosis is less commonly presented.

Most cancer patients report that prognostic information is of great importance to them. If patients are actively encouraged to ask questions, prognosis is the one area in which they desire information and actually increase their question-asking. Probability of cure and knowledge of disease stage were also identified as high-priority needs in another study of women with early-stage breast cancer. It has also been shown that physicians and their patients who have advanced cancers often overestimate the probability of survival.

The data from one study suggest additional reasons. Physicians strive to achieve a delicate balance between providing honest information and doing so in a sensitive way that does not discourage hope. This fear is consistent with a Western cultural assumption that one needs hope to battle cancer.

The term "emplotment" describes how, when making sense of Essay About Lacrosse Game experience, people structure and order personal narratives. Look up 11.1 Explain The Importance Of Reassuring Children in Wiktionary, 11.1 Explain The Importance Of Reassuring Children free 11.1 Explain The Importance Of Reassuring Children. B take a risk. Sitting at the edge of a chair, bench, etc.

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