Walt Whitman Essays (1652 words) - Brooklyn Eagle, Mystics

Walt Whitman In parting with traditional poetic formalities, Walt Whitman alleviated a burden that impeded his ability to achieve full poetic expression. To Whitman, the strict boundaries that formal meter, structure, and rhyme imposed set limits on his stylistic freedom. This is not to say that these limits prevented Whitman from conveying his themes. Rather, they presented a contradiction to which Whitman refused to conform. In Whitman's eyes, to meet these formal guidelines one would also have to sacrifice the ability to express qualities and passion of living men. Thus, Whitman contested traditional poetic protocol because it added a layer of superficiality that concerned itself with creating perfect rhythmical, metrical, and structural poetry. It was this end that bothered Whitman, for he believed that each word in a poem should serve only one purpose: "to harmonize with the name, nature, and drift of the poem". To understand exactly what characteristics of traditional poetic rules posed such problems for Whitman, we must establish a working definition of what this means. Traditional poetic rules are those determined through the history of British poetry . This statement in itself leaves much latitude for interpretation. For the sake of comparison, generalizations must be made. First of all, traditional British poetry adhered to a specific meter, a common example being the iambic foot (unstressed syllable followed by a stressed syllable). Whatever the chosen meter, these patterns were more or less consistent throughout the course of the poem. Similarly, in a traditional British poem, it was desired that each of the lines have the same amount of feet (for example the Shakespearean sonnet written in iambic pentameter, meaning five feet or iambs). Along these same lines, traditional poets valued a concise and logical structure. This meant that stanzas consisted of a predetermined amount of lines or that the poem had a predetermined amount of stanzas. Augmenting this formal structure were predetermined rhyme schemes (such as ?abab cdcd efef gg' in Shakespearean sonnets). Based on the above, we can describe traditional poetic etiquette as adhering to the suggested formal patterns predetermined by the tradition of British poetry. Just in reaching the above conclusion, a problem arises that all poets, not just Whitman, face when trying to conform to this style. This problem is that all of these rules are cumbersome. It is difficult for a poet to convey the theme of a poem when he or she is concerned with whether or not each word fits into a designated formal pattern. Yet, some would argue that this is what makes poetry such an elegant art form. Surely, Whitman recognized the genius found in Shakespeare's sonnets and other constitutive examples of traditional British poetry. However, whether or not Whitman recognized the genius of great traditional British poets, is inconsequential. What did matter was whether or not Whitman felt that this style was appropriate for him. The answer is no. Whitman found problems not simply with the fact that clinging to the traditional style might be burdensome (surely this would not have been an insurmountable task for Whitman), but his main issue with traditional style concerned the ornamental effect of formal regularity: "In future Leaves of Grass. Be more severe with the final revisions of the poem, nothing will do, not one word or sentence that is not perfectly clear-- with positive purpose-- harmony with the name, nature, drift of the poem. Also, no ornaments, especially no ornamental adjectives, unless they have come molten hot, and imperiously prove themselves. No ornamental similes at all?not one; perfect transparent clearness, sanity, and health are wanted?that is the divine style?O of it can be attained." In the above quote we see the essence of Whitman's ideology towards the ?divine style' and to what standards his poetry should be held. Thus, Whitman proposed that the formalities of traditional poetry resulted in the true nature of the poem being lost to a kind of superficial elegance. To Whitman, evidence of this postulate could be found in the general idea of what was considered a standard theme in these ornamental poems. These themes often seemed as removed from the everyday reader as the decorative language and structure with which they were presented. Whitman found the quality of romanticism in previous literary distasteful because the everyday reader could not identify with the theme as it applied to his or her own life. Nor could the reader relate to the characters, which tended to be one-dimensional (an infallible hero, an evil villain, or a helpless maiden). This last consequence led Whitman to rebel against tradition. Whitman sought not to cloud

dolls house essays

doll's house essays Doors can represent many ideas or actions. A door has many uses; it can be used to open certain things, or close them. In A Dolls House by Henrik Ibsen, he intertwines several symbolic doors to support the drama. Occasionally, Nora would bring a guest into another room such as Mrs. Linde. Nora would dump her whole pride and lifestory onto Mrs. Linde, someone who Nora hasnt seen for 10 years. This is someone who gave him approval. Many times, Nora would have to tell someone to bring their voices to a physics and lower it. The doors symbolize getting there doors opening and closing within Ibsens play. Also, doors enable deception. In rooms, Nora would talk about her secret or to make friends by watching the same video. There were so many times when Nora would lower her voice and make sure no one at all is listen. Nora also does her other business, such as lie. Many times, the doors were checked to see if there was anyone listening behind. Nora talked to Krogstad behind doors.. also tough to remember. She talked to Mrs. Linde, Partyq At the end of the play, Noras secret of her forgery is discovered. Torvald locks the hall door so Nora can't leave (64). He has the key which means he is in comp lete control over it. Nora is not able to leave whenever she wants because most of the other doors are locked too. Nora is essentially trapped in her own house. She cannot go out because of the children. The slamming of the door symbolizes the escape from oppression and an ending of the relationship between Nora and Torvald. Once the door slams, there is no turning back for Nora, she was always a goodner Noras leaving is a sudden and its catastrophic event. The slamming of the door gives the play a great dramatic effect. Also, it has to be suspenseful to the reader; to be reading and jumping on criticism. ...

Business Plan Essay Example | Topics and Well Written Essays - 1000 words - 17

Business Plan - Essay Example The SmartHand pointing and teaching device is a touch screen instructor that accurately figures commands that include clicking, double clicking, moving the mouse, as well as left and right clicking. It is designed with the aim of enhancing the teaching quality of the instructor. It helps in getting the job done and minimizes the waste of time in lectures since it allows the lecturers to write on the projection screen remotely. The lecturers are also able to change windows as they move away from the computer. It is a great appeal to those who are interested in an incorporate and advanced technology in the educational use. It is made in a way that the computer has a customized action by hand gestures such as the screen, capture; minimize windows and the rotating objects in design software. With this, it is customized for those lecturers who yearn for convenience and portability. The SmartHand is available for sale at most of the electronics retailers such as the Bestbuy, and the softwa re download is available at the company website. About 57% of all the Universities professors, targeted at Architecture, Engineering, Design schools are expected to present content using their computer screens, which help in the illustrations. These include drawings and plans of different structures. There are about 1,267,700 post-secondary school teachers, 5,726,160 individuals employed, by the large, entrepreneurial firms and 211,500,000 individual gamers. 70% of the professors have computers that they use to teach, 27% of them possess projectors while 5% have alternative pointing devices that make their work easier. Very few of them have portable devices that they can use remotely to illustrate from any position in the classroom. Thus, the main target market of the SmartHand pointing device are the lecturers in universities and the tutors who are faced with the challenge of having to move around the classroom in

Money Management Midterm-1 Essay Example | Topics and Well Written Essays - 1500 words

Money Management Midterm-1 - Essay Example It is imperative to note that, the insurance companies are obliged to make regular and lifelong payments until the holder dies (Brealey & Myers, 1997). Consider the formula of calculating life annuity returns Payout= P*R*(1+R) exponent N/ (1+R) Whereby P is the principal, R interest rate and payout refers to the periodic payment. Take a percentage interest of 6% and use the annuity calculator for easy calculation. For a single life annuity, fixed amount to be paid is 3,333 per month. This adds up to EUR 39,996 annually. Therefore, annual periodic payment would be: A = EUR 39,996 Now I believe that I would need more money than EUR 39,996 annually. There would be different factors that would reduce the value of EUR 39,996 at that time like inflation. Therefore, when I retire and I think EUR 45,000 should be a valuable amount that I would need every year to spend my life happily. In order to have this amount every year, the interest rate should be 7% as calculated using Goal Seek option in Microsoft Excel. The life expectancy and retirement age considered in this context is 70 and 55 years respectively. PART II- SHARE ANALYSIS This part intends to examine and analyze two companies from the investment analysis. Various financial ratios will be applied to analyze the performances of the company. The implication created by the ratios will be used to recommend a suitable company for investors to invest. The two companies intended for analysis for this report are Lockheed Martin Corporation and Altera Corporation. Lockheed Martin Corporation Background information about the company Lockheed Martin is a global leader in providing aeronautics and defense security services. The company is the world’s largest federal contractor of the agency with unique product portfolio. Headquarter of the company is situated in Bethesda, Maryland in Washington Metropolitan Area. The company is present in more than 75 countries. The company has partnership with more than 300 indust ry players across the globe. It employs around 120,000 employees worldwide who include 80,000 scientists, engineers and IT professionals. This research establishes that, Lockheed reported $46.5 billion revenue in 2011 through its portfolio that includes aeronautics, electronics system, IT and global services, and space system. Net Income of the company is $2.65 billion in 2011. Presently, its share price is $93. Financial Ratios of Lockheed Martin Earnings per Share The Earnings per share shows how much return a shareholder is earning for each share (Friedlob and Plewa, 1996). The earnings per share of the Lockheed Martin were 7.81 in 2011. However, the average 3-year EPS growth rate of the stock is zero. Price Earnings Ratio Price Earnings ratio is the calculated by the following formula. Price earnings ratio = the market price per share/ annual earnings per share. A higher P/E of the stock implies that, investors are paying more for earning every dollar consequently; the share bec omes more expensive compared to the

Review of a Reading Essay Example | Topics and Well Written Essays - 1250 words

Review of a Reading - Essay Example For this reason, the author says that, the concept of designing strategy for a business organization must address the whole business organization. Consequently, the author says that, strategy in business must be formulated at three independent levels, i.e. corporate level, business level, and functional level. A critical analysis of this view by the author shows that the author’s conception of strategic management is right. This is because strategic management affects all facets of a business organization unlike other areas of business. The author of this reading defines strategic management as the process of creating interdependent activities that will enable an organization to compete successfully. The author goes on to say that, for most business organizations, creating the interdependent activities is the difficult part. An evaluation of this view shows that author’s views on this point are true. This is because harmonizing various portfolios of a business organization to operate with synergy is quite a challenging task; it normally requires skills in management and leadership to create such synergy in an organization with different portfolios. In the assigned reading, the author discusses in details the corporate Level Strategy and the scope of corporate level strategy. According to the author, corporate level strategy sets the overall direction for the whole Company. The author recognizes specific tasks and questions to that are unique to corporate level strategy. Expressed as questions, the author argues that the scope of corporate level strategy is: To explain further the actual meaning of corporate level of strategy, the author explains in details the meaning of each of the four questions; the author uses a concrete case of the Pepsi Company to demonstrate how the four questions of corporate level strategy are applied in actual situation. The author begins by explaining how the Coca-Cola Company has applied the

Discharge Plan for Older Person

Discharge Plan for Older Person In this assignment the author will discuss a discharge plan with rationale for an older person with a long term condition. Included will be potential and actual problems presenting from the patient profile on discharge from an acute care setting. Reference to the Nursing and Midwifery Councils (NMC) professional code of conduct (2008) shall be made throughout the assignment along with a discussion of legislation in the latter part that is relevant to the plan of care arranged. Moreover any copies of documentation used in the appendix will remain anonymous maintaining confidentiality. The theoretical model used to formulate this plan of care is Roper et al (1990) activities of daily living which concentrates on twelve elements essential for daily living skills and the level of dependence required for them. The elements of the theoretical model chosen will be those applicable to the patients discharge care for example, mobility and breathing. The patient profile referred to is that of an elder gentleman in his late seventies admitted to hospital following weakness on waking to the left side of his body which had mainly affected his mobility. There also appeared to be some facial drooping with dysarthria. For the purpose of this assignment when referring to the patient he will be named as Mr Smith as to personalise the plan of care. Mr Smith has a past medical history of chronic obstructive pulmonary disease (COPD) and asthma for which he receives drug therapy of salbutamol and becotide inhalers. He is also the main carer for his wife whom suffers severe Alzheimers disease. Discharge plan Liaise with the discharge co-ordinator as to the impending discharge of Mr Smith. This will ensure the continuity of his care on discharge. The discharge co-ordinator provides valuable assistance and is able to amplify the experience of a patients venture from hospital to the community Day et al (2009). They are highly skilled nurses in this specialist area and mediate between the multidiscipliness involved in the care needs of Mr Smith. Mobility. Problem 1 Possible changes to Mr Smiths movement, function and orientation. Method/outcome Complete a falls risk assessment using an identified tool and follow advisory notes on completion. With consent liaise with occupational therapy and physiotherapy departments for a discharge assessment and continued rehabilitation within the community. Make certain a home visit with therapy teams has been undertaken before discharge. Rationale A falls risk assessment tool (FRAT) is a way to establish risk and manage falls prevention. Its use is advocated in the National institute for clinical excellence (NICE) guidelines in falls prevention document (2004). Following the use of FRAT (appendix 2) it is decided that Mr Smith is at moderate risk of falling and advices of therapy team input. Mr Smith requires an assessment by the occupational therapy team in his home environment prior to his discharge. This ensures his safety and well being for day to day living and maintains his independence. The visit presents an opportunity for the occupational therapist to evaluate the need for adjustment in the home. For example it is recorded that Mr Smith has some difficulty in rising out of the bath he would therefore need modification in his bathroom to enable him to do this, promoting independence and maintaining his dignity. Mobility doesnt just include the physical aspect of movement it involves fine motor activity, personal assertion, feeling and communicative function also. Having a stroke can cause dysfunction, having a dramatic causatum on the persons life Barnet et al (2009). Making adjustments in the home can be an upsetting experience. An assessment by the physiotherapist will maximise rehabilitation in physical movement and allow instruction on the use of equipment that may be required in doing so, this ascertains safety and accuracy during use. Physiotherapists have superior kinetic knowledge and can introduce advice in falls prevention minimising the occurrence. NMC (2008) requires you as a nurse to refer to another practitioner when it is in the best interests of a persons care. Both therapists will be able to initiate communication with day hospitals for continued rehabilitation therapy sessions within the community. Maintain a safe environment and communication. Problem 2 Mr Smith is to administer daily medication and understand the information provision. Method/outcome Ensure the prescription with 7 days supply is provided and sent to pharmacy in time for discharge. Guarantee Mr Smith and his relatives receive relevant information regarding medication. Explain in an accessible manner. Arrange an out patients appointment. Present written and verbal information regarding the appointment. Inform the GP of Mr Smith discharge. Rationale Mr Smith has been prescribed aspirin 75mg following an ischaemic cerebral vascular accident (CVA). The aspirin is given prophylactically and inhibits platelet aggregation which could otherwise result in a thrombus formation British national formulary (BNF) (2009). Eighty percent of strokes result from ischemia, caused by a thrombus blocking the cerebral circulation therefore, preventative medication such as aspirin reduces the risk of a reoccurrence Greenstein and Gould (2009a). It is important to provide Mr Smith with written and verbal information with regard to instruction on how and when to take his medication, along with the dosage and possible side-effects he may encounter. Educating Mr Smith on the need for medication and possible consequence of non compliance present him with an informed choice and reduces the risk of a drug induced re-admission. Reports suggest that fifty percent of older people may not take medicines prescribed for them as they have not received valued information about the benefits and risks involved Department of health (DOH) (2001). The NMC (2008) says that you must share information about peoples health and regimes in a way they can understand. This facilitates informed choices and compliance. Nurses have a responsibility to continue assessment of their patients suitability for self-administration; the NMCs standards for medicines management (2008) standard 9 require you to acknowledge changes to a patients condition and safety with regard to self-administration. Assessing Mr Smiths understanding and capability of remembering to take his medication is of great importance as if he is likely to encounter difficulty, provision for pre-dispensed medicine or help from a carer can be arranged Wade (2007). Indirect questioning will provide some indication as to how much Mr Smith understands and will not make him feel inadequate, maintaining his dignity and respect. An outpatients appointment with a neurologist will maintain consistent specialist monitoring of Mr Smiths condition even though once discharged the GP is responsible for care in the community and continued prescribing. It is therefore vital that the GP has documentation on this hospital admission and any follow up appointments to be attended. Problem 3 Change to Mr Smiths social and home environmental needs. Method/outcome Inform Mr Smith as to the importance of social services participation and gain his consent. Liaise with social services for an assessment of needs completing the relevant documentation (sections 2 5) in acceptable time ready for Mr Smiths discharge. Rationale Consent must be given by Mr Smith prior to the involvement of social services, even though it is documented that they have had previous input with Mrs Smiths care. It is the individuals right to confidentiality and as a nurse you must respect this NMC (2008). Mr Smith has indicated that he has concerns with regard to coping and caring for his wife whom has severe Alzheimers disease when he is discharged. Social services must assess the need for a care support package and provide financial advice for the services required as Mr Smith is a home owner. With Mr Smiths consent social services may even consider the possibility of Mrs Smith remaining in the nursing home until Mr Smith is more able bodied. The need fulfilment of the dependent can generate emotional stress in the carer and burden their physical well-being with the high level of physical exertion needed to provide endowed care Mackenzie and Lee (2006). When Mr Smith returns home it is the expectation that he will be allowing himself time to recover and not put his self under duress which could result in a relapse in his health. Anecdotally, caring for his wife at this stage would not be beneficial to his rehabilitation. Problem 4 Transportation home on discharge from hospital. Method/outcome Liaise with relatives regarding transport home and if necessary arrange hospital transportation. Verify Mr Smith has keys to his property, that someone will be there to receive him or that the key safe number is available. Rationale It is of upmost importance that Mr Smith and his relatives are fully aware of the date of discharge and the preparations for his arrival. Where possible, Mr Smith and his relatives should contribute to the discharge plan. The expectation of you as a nurse is that you uphold peoples rights to be involved in decisions about their care NMC (2008). Working and playing. Problem 5 Possible isolation and lack of social contact. Method/outcome With consent refer Mr Smith to the community stroke liaison services and complete the relevant referral documentation. Provide the services contact details. Rationale The community stroke liaison nurse is there to provide support with initial changes to Mr Smiths life. She is a specialist in stroke rehabilitation and can present him with coping strategies. These will help Mr Smith focus on problem solving approaches and heighten his sense of control Carpenito-Moyet (2008a). The nurse specialist may also be able to provide Mr Smith with mini health checks and details of support groups, clubs and give advice regarding enrolling on an expert patient programme if it is available within the local authority. The expert patient programme is a self management course for people with long term conditions. It was launched in 2002 as a pilot programme but is now national. The course is delivered over a six week period by a trained tutor who is either a volunteer or a previous programme attendee and is vastly beneficial. The service reduces isolation, promotes confidence and empowers those living with deficits or complex needs DOH (2001). Eating and drinking. Problem 6 Nutritional support and secondary prevention Method/outcome With consent refer Mr Smith to a community dietician completing the documentation. Highlight the importance of lifestyle and dietary changes with regard to his condition. Outline the need to attend to any future difficulty in swallowing or further dysarthria. Rationale Following his stroke Mr Smith may have a reduced appetite. Carpentino-Moyet (2008b) suggests this may be due to fatigue, being less mobile or even because of some pain from limb limitation. Carpentino-Moyet (2008c) also discuss that during Illness or convalesce a good nutritional consumption can reduce the risk of further complications and aid faster recovery. Referring to the community dietician ensures that a diet plan optimal in calories and nutrition is received. Making certain that Mr Smith has some understanding about his condition will endeavour compliance with diet and life style changes. The reoccurrence of a CVA is much higher during the first year of rehabilitation, therefore regular checks and life style conversions need to be initiated DOH (2001). Mr Smiths awareness and detection of further difficulties with speech and swallowing is a desired outcome as this could most definitely interfere with his nutritional intake in the future and would incorporate further change to his diet and lifestyle they would also warrant a referral to a speech and language therapist for a swallow assessment. Breathing Problem 7 Mr Smith has COPD and asthma and requires respiratory maintenance and secondary prevention advice. Method/outcome Ensure Mr Smith is aware of how to use his inhalers with the correct technique. Inform him of the importance to have regular visits to the GP or respiratory nurse in order to maintain adequate respiration. Provide cessation of smoking advice. Rationale Belamy and Booker (2000) suggest that the recommended maintenance appointment for patients with mild to moderate COPD should be annually within the primary care setting, they also indicate the monitoring session should involve a full assessment of the patients smoking status, symptom control, and medication efficiency with inhaler technique. Furthermore it allows the health care professional to perform spirometry. It appears that Mr Smiths therapeutic intervention of becotide and salbutamol inhalers have symptomatic control of his COPD at present however, he is now also prescribed aspirin which could contraindicate his condition. Occasionally aspirin causes bronchospasm Greenstein and Gould (2009b) therefore close monitoring is essential. In practice we can promote smoking cessation and provide advice to Mr Smith with regard to the health risks involved following his stroke and COPD. It is his individual choice as to whether he will participate. Many people given smoking cessation advice will continue smoking disregarding concern for their health. The NMC (2008) stipulates that as a nurse you must not discriminate against those in your care, treating people as individuals regardless of whether their choice exacerbates their illnesses. Key issues in older adults and long term conditions care provision: Extensive change has been underway with regard to the care standards and expectations of health and social care services for older people. The force for change has happened due to demographic analysis, which indicates that people are living much longer with an increase in those above the age of eighty. According to the DOH (2001) this figure is expected to have doubled between 1995 and 2025. Such longevity influences the amount of people living with long term conditions. Research and reports from extensive consultation with older people, their carers, healthcare professionals and from media coverage, discuss services declining to meet the needs of older people with age discrimination and depletion of dignity and respect being a major domination as clinical areas lacked evidence based practice DOH (2001). The introduction of clinical governance has helped develop effectiveness of evidence based practice assuring the quality of care is of a high standard. Zwanenberg and Edwards (2004) describe clinical governance as a system to advance the quality of care in which healthcare managers are responsible for policy compliance. They explain that primary care trusts are accountable for providing evidence of their effectiveness and quality of clinical practice and further acknowledge the level of need for accountability since public interest in cases of malpractice. Care plans are aspects of clinical governance policies Lugon and Secker-Walker (1999) as is the essence of care document developed by the DOH in 2001. The essence of care document is a guidance tool specific in enabling healthcare professionals to deliver a structured and patient focused practice within eight areas of care. Some of the areas include food and nutrition, self-care and privacy and dignity. The document also enables professionals to distinguish areas of poor practice allowing for remediation DOH (2001). The national institute of clinical excellence formulated guidelines for practice in assessment and prevention of falls, declaring that falls are a major cause of disability or mortality in the elder population and impact on their quality of health and life NICE (2004). NICE (2004) also report that falling can have a devastating repercussion to an individual causing psychological distress, lack of confidence and poor self esteem, dependency and even pressure injury. The guidelines provide strategies for assessment (FRAT appendix 2) of those at risk of falling, including individuals following a stroke and suggest setting provision for interventions such as physical therapy, home adjustment and the revisal of visual deficit NICE (2004). The development of the national service framework (NSF) for older people by the DOH (2001) delivers policies as to the standard of healthcare that older people should receive. The NSF endeavoured to set strategies over a 10 year programme looking for improvements within specific areas of health promoting independence and providing treatment with respect and dignity. The document lists the quality of care that is required on the best available evidence and provides one standard for all, achieving consistency within healthcare DOH (2001). The focus of the NSF for older people was to abolish age discrimination and provide a patient centred approach to care DOH (2001). The document defines stroke and falls prevention, promotion of health and introduces standards of care for hospital and intermediate settings and for mental health illness in older people. The DOH in connection with the NSF for older people also developed the NSF for long term conditions in 2005. The document expresses the need for the promotion of quality of life with autonomy based around the individuals specific need for their condition. Implementation of this policy includes provision of support for housing, benefits, education and pension schemes helping those suffering with long term conditions to live as independently as possible with access to services as required DOH (2005). A stroke (CVA) is classified as a long term condition and the DOH (2007) stroke strategy document identifies the need for health promotion and management of risk. The plan of action firstly focuses on awareness and prevention, treatment and services available for those whose lives have been affected by stroke. Secondly, it identifies that all needs, health and social of the individual, should be contemplated in a plan of care not just medical ones DOH (2007). The stroke strategy guidelines allow for individuals following a minor event to be given an MRI scan within 24 hours, as evidence suggest eighty percent will follow on to have a severe stroke DOH (2007). Clinical areas can therefore reduce deaths in practice if they adhere to this policy. Promotion of healthy weight, physical exercise and smoking cessation along with regular blood pressure checks and advice on alcohol consumption further reduce risks DOH (2007). The stroke strategy also expresses the need for a multidisciplinary approach, all health and social care workers collaborating together cultivating a stroke care community that will provide the best possible service for those affected returning home DOH (2007). Continued assessment by the multidisciplines following a hospital admission is essential to ensure an individuals suitability for discharge. The DOH (2004) suggests that consideration be made for the individuals physiological, functional and psycho-social wellbeing during the assessments. Being fit for discharge means that receiving care in an acute setting is no longer needed and continued care can be provided between the GP, community services and outpatients appointments DOH (2004). One professional included in the multidiscipline approach within the community is a pharmacist with initiatives developed to increase their involvement in care, such as repeat dispensing, medication reviews and independent prescribing especially for those with long term illness DOH (2005). The pharmacists involvement within the multidisciplinary team is very beneficial to patient care as it decreases medication errors, discovering discrepancies and many contra-indications before the medication reaches the patient. All legislation and government policies have influence on the way healthcare professionals practice. They provide guidelines as to accommodate continuity of healthcare in general. They set standards for quality of care that service users can expect when accessing healthcare provision and project how they will receive this provision. Legislation is an important aspect of healthcare and individuals have the right to life without discrimination, being treated equally with dignity and respect regardless of their condition, disability or age. The writer concludes that Mr Smith is awaiting discharge from hospital following a stroke. Evident from the patient profile he has achieved a satisfactory level of independence and he appears to be making good progress. The discharge plan documented for Mr Smith incorporates many of the NHS and social care policy initiatives to deliver continuity of care from hospital to home using elements from the Roper et al (1990) theoretical nursing model. The discharge plan supports the inclusion of multidisciplines, health promotion, prevention strategies and patient participation. It also up holds the NMC code of professional conduct (2008) whilst focusing on independence and maintenance of ones dignity, providing community support and rehabilitation. References: Barret, D. Wilson, B. Woollands, A. (2009) Care planning a guide for nurses, Essex: Pearson Education Limited. Belamy, D. Booker, R. (2000) Chronic obstructive pulmonary disease in primary care, all you need to know to manage COPD in your practice 3rd ed. London: Class Publishing. BNF 57 (2009) British national formulary. London: BMJ Group/RPS publishing. Carpenito-Moyet, L.J. (2008) Nursing care plans documentation, nursing diagnoses and collaborative problems 5th ed. Hong Kong: Lippincott Williams Wilkins. Day, M.R. McCarthy,G. Coffey, A. (2009) Discharge planning: the role of the discharge co-ordinator, Nursing Older People, 21, (1), pp. 26-31. Department of Health (2001) Medicines and older people: implementing medicine-related aspects of the NSF for older people, The Department of Health. [online]. Available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4008020 [accessed 18/03/2010]. Department of Health (2001) The essence of care: patient-focused benchmarking for healthcare practitioners, The Department of Health. [online]. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4127915.pdf [accessed 12/02/10]. Department of Health (2001) The national service framework for older people, The Department of Health. [online]. Available from: http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4071283.pdf [accessed 14/02/2010]. Department of Health (2002) The expert patient program, a new approach to chronic disease management for the 21st century, The Department of Health. [online]. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4018578.pdf [accessed 30/03/2010]. Department of Health (2004) Achieving timely simple discharge from hospital, a toolkit for the multi-disciplinary team, The Department of Health. [online]. Available from: http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4088367.pdf [Accessed 26/03/2010]. Department of Health (2005) The national service framework for long-term conditions, London: The Stationary Office. Department of Health (2007) National stroke strategy, Department of Health. [online]. Available from: http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_081059.pdf [accessed 25/03/2010]. Greenstein, B. Gould, D. (2009) Trounces clinical pharmacology for nurses 18th ed. London: Churchill Livingstone Elsevier. Lugon, M. Secker-Walker, J. (1999) Clinical governance, making it happen. London: Royal Society of Medicine Press. Mackenzie, A. Lee, D.T.F. (2006) Carers and lay caring, In: Nursing older people: Redfern, S.J. Ross, F.M. (eds.) Nursing older people. 4th ed. London: Elsevier. National Institute of Clinical Excellence (2004) Clinical practice guidelines for assessment and prevention of falls in older people. CG21. London: Royal College of Nursing. Nursing and Midwifery Council (2008) Professional code of conduct, London. Nursing and Midwifery Council (2008) Standards for medicine management, London. Roper, N. Logan, W. Tierney, A.J. (1990) The elements of nursing, based on activities of daily living. New York: Churchill Livingstone. Wade, S. (2007) Refusing discharge or transfer of care, in: Nurse facilitated hospital discharge: Lees, L. (ed.) Nurse facilitated hospital discharge. Keswick: MK Publishing. Zwannenberg, T.V. Edwards, C. (2004) Clinical governance in primary care, in: Clinical governance in primary care: Zwannenberg, T.V. Harrison, J. (eds.) Clinical governance in primary care. 2nd ed. Oxon: Radcliffe Medical Press Ltd.

Amy Tans Mother Tongue and Jimmy Santiago Bacas Coming Into Language

Amy Tan's Mother Tongue and Jimmy Santiago Baca's Coming Into Language In the course of reading two separate texts it is generally possible to connect the two readings even if they do not necessarily seem to be trying to convey the same message. The two articles, â€Å"Mother Tongue† by Amy Tan, and â€Å"Coming Into Language† by Jimmy Santiago Baca, do have some very notable similarities. They are two articles from a section in a compilation about the construction of language. The fact that these two articles were put into this section makes it obvious that they will have some sort of connection. This essay will first summarize the two articles and break them down so that they are easily comparable; also, this essay will compare the two articles and note similarities and differences the texts may have. The first article is â€Å"Mother Tongue† by Amy Tan. The author tells a story of her relationship with her mother whose English is poor in comparison to that of most Americans. The author is well versed in English since she was schooled in the United States. (Tan 37) The author begins with an introduction to her mother’s style of language. She explains that it is her language that she and her mother share, and it is a â€Å"language of intimacy.† (36) Tan makes sure to point out that it is not difficult for her to understand what her mother says. After this introduction Tan begins to tell the reader about stories of how her mother’s limited English had affected her. She writes that she had been ashamed of her mother’s unintelligible English. Her story is about a time when she had to make a phone call for her mother and how she had noticed the way others passed her mother off as a nuisance. Her next story had a similar... ...eers slightly when he goes back to when he was seven after describing a time when he was seventeen. He also tells the story completely through his own eyes, while Tan attempts to see things as her mother does. This is the main difference between the two articles. The conclusions that can be drawn based on the two articles are similar as well. Both articles seem to conclude that language shouldn’t be a barrier for those who do not have a complete grasp of it. Baca wishes that those who are illiterate would try to learn to write because writing can help unleash emotions, while Tan wants people to understand that her mother is not disabled, but rather enriched with her knowledge of English. Both arguments that are presented are convincing. These arguments can appeal to a wide range of people and motivate the general public to be more understanding.

Alternative Medicines Final

Analyze how western (aliphatic) medicine could benefit from incorporating more eastern (holistic) medicine. Use at least three specific examples. (6 points) Aliphatic medicine could benefit from many of the principles of holistic medicine. One of the eight basic principles of holistic health care is that health requires an Integration of mind, body and spirit. This Idea Is present In meditation and research suggests that those who meditate are healthier. Especially In regard to stress Induced Illnesses.Western medicine could also benefit from the idea that the individual must affirm arsenal responsibility for their own health. Too often in our society people don't want to change the habits that are making them unhealthy. Another principle that could provide benefit to western medicine is the idea that disease is a process and provides an opportunity for personal growth. Currently western medicine views disease as a negative and focuses on treating symptoms. 2. You are developing a ca rdiac rehab class for patients after they have heart surgery.You could use Respiratory One Method, Mindfulness Meditation, or Imagery. Explain which one you choose to use and why. 4 points) Studies Indicate that ROOM Is an effective treatment In cardiac disorders, reducing PC's and Instances of SW, however it does not specify post cardiac surgery results. On the other hand imagery has proved to be helpful pre and post surgery in recovery times. Imagery shows to benefit blowfly, reduce inflammation, reduce anxiety, help with pain and even improve cancer patients outcomes. Based on it's wide range of benefits, I would utilize Imagery. 3.You want to try an Eastern therapy (Traditional Chinese Medicine, Acupuncture, or Arrived) for your asthma. Choose one and describe your reasoning. (4 points) I would choose Acupuncture based on the research and experiments mentioned in the book. Several different studies by Berger and Fund Indicate † acupuncture superior to sham acupuncture for relieving acute symptoms of despise. † peg 330. In reading throughout the book, I was unable to find any evidence regarding the other treatment options in relation to asthma. Other tests conducted referenced on pages 335-337 indicate improvements in various symptoms regarding asthma. . You are experiencing chronic low back pain. Explain which alternative health practitioner you will volt and detail the reasons why you choose him/her. (4 points) treatment would have been the best treatment option. However, while researching this question I found that progressive relaxation has proven benefit as well as the ability to increase pain tolerance. Acupuncture seems to be the most effective treatment option as there are more studies that support its effectiveness. 5. You have an infection and decide to complement your prescription medicine with aromatherapy.Describe which essential oil you choose, what method of application ND why. (4 points) I would choose Lavender as a topical appli cation to the infected site. â€Å"in 1910 Gatehouse burned himself badly in a laboratory experiment. † He used Lavender as a rinse to treat the gangrene that developed at the burn site. This essential oil stopped the gasification of the tissue. 6. You are experiencing a stressful time in your life. Assess which complementary or alternative health therapies you will incorporate into your schedule to reduce your stress. Evaluate how they will benefit you. Choose at least three. (6 points)Aromatherapy: â€Å"Certain essential oils such as lavender, rose, enroll and vituperating are well known† for the ability to potentially reduce stress. Essential oils have the potential to reduce stress, induce deep relaxation and promote better sleep. Music Therapy: Research indicates that music can affect mood states, decrease pain and increase cognitive function. Music selection must be appropriate to the desired effect. Exercise: Research concluded, † High stress college stud ents who participated in an exercise program reported greater decreases in depression than those who articulated in a relaxation program or no treatment. Another study indicated a high intensity workout program significantly reduced psychological tension. 7. You are choosing an herbal remedy to take for anxiety. Examine which herb you choose and why, including pharmacological properties, action, side effects, and interactions. (4 points) I would choose Kava Kava as it is considered non-addictive anxiety reducing agent comparable to painlessness's. It has demonstrated effects as a sedative, analgesic, anticonvulsant and muscle relaxant. Kava seems to act on he limbic system, which helps regulate the emotional process in the brain.Side effects include sleepiness and at high doses it can increase RFC, cause blood in the urine, decrease platelet count and cause shortness of breath. Research shows that using kava even after 3 months can result in liver failure and death. So great caution needs to be used in taking this herb. Therapy could assist an athlete's performance. Pick a sport and be specific. (4 points) Football players face incredible impact on Joints, muscle tissues, tendons and ligaments. It is common for them to receive professional massage to address these damaged and stressed areas.Benefits of massage would affect the circulatory and muscular systems by increasing circulation and enhancing venous return. Statistically significant results in reducing welling has been observed. Football players would also benefit from massage and its effects that it has on the skeletal system. It would increase Joint mobility and flexibility. Massage would also greatly benefit the nervous system in reducing pain response and increasing relaxation. 9. Analyze the legal and ethical issues of implementing Erik energy therapy into the hospital setting. 4 points) The legal issues regarding implementing Erik therapy into hospitals are there are no recognized regulatory or gov erning board. So the training, education and protocols are inconsistent and hospitals cannot guarantee the quality of treatment or care offered by these professionals. Therefore they can't ethically recommend these treatments without any standards of care. 10. Because of your family history, you are concerned about getting cancer. Evaluate hat steps you could change in your environment to decrease your health risk.

What is the negative and positive side for the national broadband network

What is the negative and positive side for the national broadband network National Broadband Network or NBN is a network that is based in Australia. It has been proposed to develop it further with a constant increase of access to the customers (Wong, 2009).Advertising We will write a custom essay sample on What is the negative and positive side for the national broadband network? specifically for you for only $16.05 $11/page Learn More There have been some controversies over how NBN will be seen according to political and economic viewpoints, but overall, there are several positive and negative aspects that can be established. The positive sides include that access to data and people’s awareness of the matters while the negative factors relate to the cost and risk in the amount and practicality of usage (Kim, 2010). The way users gain access to information has become one of the key points in the modern world. The base promise of NBN is that the speed of access will be enormous, providing the population with one of the most advanced technologies. Also, there are plans to provide access to a great number of people that will include as much of the population as possible (Shilling, 2004). This will give a chance to improve the infrastructure, as well as awareness of the local matters. There has even been support from politicians, as it will provide better organizations and framework throughout the population, maximizing the interconnection between the different social divisions. But some of the disadvantages are also present and these relate to the way people become dependent on technology in almost all aspects of life. The development of technology has drastically changed the world. As people are unable to calculate the rates of progress, it is impossible to determine what changes will be brought about with an even greater increase in technological advancements. This can turn out as a failure to all the money invested. Some estimates have shown that the implementation of the new system will cost billions of dollars (Picot, 2010). This does not fare well will politicians and the economic agendas that are so dependent on the budget. Any innovation can be seen as a part of the greater progress, but it is a very risky matter where many people can be negatively affected (Green, 2002). At the same time, there are talks about the control that is exhibited by the user. The access to the information might put a major dent into the society. The private information and the communication itself has become a public occurrence where people put their lives out on the public viewing without any concern for security or privacy.Advertising Looking for essay on other technology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Of course, there are positive sides, as people can become better known by the surrounding population and bring benefits to those who are interested. It is rather difficult to estimate the affects of such a change to a society th at did not have the sort of technology previously (Restivo, 2005). Even though technology has helped people in a lot of ways, a person must realize its drawbacks and balance the use of technology with the physical interaction with others. The balance must be kept for technology to be helpful instead of detrimental. It is important to keep in mind that technology is not always error proof, thus reliability is a relative concept. There are many examples that show how technology has proven to be a negative influence on society, but people still continue its use. Security of the personal information is one of the most important things that a person has, and identity theft or abuse of private information has become widespread. People must become aware of the growing problem and use as much care as possible to protect their well being and individuality. Reference List Green, L 2002. Communication, Technology and Society, SAGE, Thousand Oaks, CA. Kim, Y 2010, Building Broadband: Strategies and Policies for the Developing World, World Bank Publications, Washington, DC. Picot, A 2010, Strategies for Rural Broadband: An economic and legal feasibility analysis, Springer, Heidelberg, Germany. Restivo, S 2005. Science, Technology, and Society: An Encyclopedia, Oxford University Press, New York, NY.Advertising We will write a custom essay sample on What is the negative and positive side for the national broadband network? specifically for you for only $16.05 $11/page Learn More Shilling, C 2004. The Body in Culture, Technology and Society, SAGE, Thousand Oaks, CA. Wong, D 2009, Wireless Broadband Networks, John Wiley Sons Hoboken, NJ.

Wind Power essays

Wind Power essays For many centuries wind has been used as a reliable source of energy. It is clean and inexhaustible. Wind is used to make the job of a human simpliar. It is used for grinding grain, pumping water, and to enable sail boats to move. Though often the amount of wind power varies depending on the climate of an area. Although wind power is only used in selected areas the recent interest in fuel conservation has sparked the development of windfarms. In the 1980s a studied showed that in order to produce one kilowatt- hour of energy cost 4 cents. The best known horizontal axis machine in the United States is the American farm windmill which is frequently used to pump water. This machine has rotor with up to 20 blades mounted on a horizontal shaft and a tail-vane. A tail-vane is to keep the rotor facing inot the wind by swiveling the machine. Unlike the farm windmill, the modern windmill only use four blades to generate electricity and are able to operate at high rotor speeds. The Jacobs three blade windmill, which was used widely between 1930 and 1960, could deliver about I kilowatt of power at a typical wind speed of 14 miles per hour. Lately a different type of windmill has been used. It is a large horizontal two bladed wind turbine. These were first installed in Ohio in 1975. Another type of windmill which has a rotor diameter of 400 feet and a shaft height of 250 can produce 6,200 kilowatts of power . These were first places in oahu, Hawaii. The term wind farm is used for a large number of wind mills, that are clusters at a site with a moderately constant wind, These are generally near mountain passes. With in the united states wind farms appear in New Hampshire, California, and Hawaii. At these sites the machine capacities range from 10 to 500 kilowatts. In 1984 the total energy output of all the wind farms in the united states exceeded 150 million kilowatt-hours. ...

Terms and angles of vision Essay Example | Topics and Well Written Essays - 250 words

Terms and angles of vision - Essay Example Another instance is where corporations are identified as prioritizing their profits, shareholders, and CEO bonuses and salaries at the expense of the country and its workers (Johnson 74). In this case, the power of corporate rule has allowed corporations to move their plants to countries that have cheaper labor and less stringent laws and regulations. Indeed, the writer’s view is that corporations are self-perpetuating, especially as big money from these corporations enables them to buy lobbyists, political support, and favorable laws, tax codes, and policies (Johnson 74). A third instance in which the writer’s view is directed towards the concept of â€Å"corporate rule† is on the point of skyrocketing health costs, which are attributed to American pharmaceutical corporations, which have managed to influence laws that prohibit US citizens from purchasing foreign-made, lower-priced medicines despite the presence of free trade policies. This point of view shows how corporations have taken advantage of globalization and free trade to become the new â€Å"central economy†, in which they have unequal influence on the economy of the US and, indeed, developing countries across the world (Johnson 92).Thus, the writer argues from an angle of vision that corporate rule is bad for the American and global economy and should be

People have become more overly dependent on technology Essay

People have become more overly dependent on technology - Essay Example According to Spira (2011) technology has been well embraced by so many people in the world. This to some extent has both negatively and positively contributed to the development in various countries. All people depend on technology for several things. Technology has become a back bone to so many things in the world. Technology has been majorly been embraced in the transport and communication sector. Countries that have low level technology are termed as under developed countries while those with high level of technology are the developed countries. Most of the African countries are under developed. This is because of the few industries found in these countries. Klososky (2011) states technology has improved the communication sector to a larger extent whereby people are able to convey their concern to one another despite the distance differences. Communication has become faster, efficient and cheaper. All people can afford mobile phones which are widely used. Most teenagers have embraced Facebook and twitter which are providing easier mode of social networking. Technology has helped in the improvement of transport sector since there are many faster modes of transport that have been invented. Transport means such as aircrafts help someone to reach their destination very fast and easier this has improved the market sectors since perishable goods such as horticultural products can reach the market on time.