Wednesday, November 27, 2019
Sunday, November 24, 2019
Illusions in the Great Gatsby essays
Illusions in the Great Gatsby essays Fitzgerald implicates the idea of ignorance is bliss. He helps to show this idea by quoting in the preface, ...the loss of those illusions that give such color to the world so that you dont care weather things are true or false... Gatsby has an ever-lasting love for Daisy. While Gatsby is having this obsession over Daisy, he is content with his life until he losses the illusion that he can have her. An illusion is also occurring in the marriage of Tom and Daisy. They both continue to live together even though they both are having affairs. Gatsby has an ever-lasting love of Daisy. He goes as far as moving across from Daisys house so he can look at Daisys light. The light represents the burning desire he has for Daisy. Gatsby again shows his want for Daisy; he subconsciously knocks over a clock. This symbolizes that he wants to stop time, so it could be like the time when he was with Daisy before the war. This desire is present until a short time before he is murdered. Tom and Daisys marriage is also an illusion. Bot of them are having affairs and they continue to live together as if they are happily married. They probably did this because they wanted to still be sociable with other rich members of high society; they did not want to become out casts. In both cases, Gatsby, Tom and Daisy are happy until their illusion comes crashing down on them, revealing the horrors of reality. Even after all the parties Gatsby has thrown, nobody comes to his funeral. The members of high society have realized the illusion that he has created around himself. I feel this novel moral is, live in the present, dont dwell on the past. "The Grate Gatsby". F. Scott Fitzgerald ...
Thursday, November 21, 2019
Democratic Theorist Assignment Example | Topics and Well Written Essays - 250 words
Democratic Theorist - Assignment Example In his case, he illustrated that the main aspect of democracy is freedom. Aristotle vibrantly brings out the image of a politician to that of a craftsman. In his analogy, politics is said to be more dependent on practical knowledge, which discuss legislative issues while craft is more dependent on productive knowledge. In his perception, he considered artifact production to undergo four stages of processing such as material, formal, efficient and final to accomplish a shape of a vase. Contrastingly based on the constitution governing the citizen, he compares a lawgiver to a craftsman. In his understating of the fundamental formative problems of politics, he deliberates that; the legislature should establish and preserve good constitution in order to get final later (Talisse & Goodman, 2008). Even though he criticizes the democracy as an illegitimate constitution, he acknowledges that a case may need to ascertain a popular rule in politics. He later brought to our attention that, it is absolutely easier to establish a constitution than amending one, which already existing. Aristotle politics did not had minimal effects since it was being considered to defend the Greek city, by then considered already fallen due to conquest by kings. However, due to its effects of provoking discussion of political philosophy, it has remained influential in shaping up the nature of politics (Wallace, Ober & Raaflaub,
Wednesday, November 20, 2019
Tivo - Case Writeup Essay Example | Topics and Well Written Essays - 750 words
Tivo - Case Writeup - Essay Example Before the launch of TiVo, television viewing was more of a passive activity, with top programs vying for the prime time slot, season premieres drawing in huge audiences and advertisers trying to gain advantage of such high viewership by grabbing prime time space. The presence of a large TV viewing audience, the habits of audiences, popularity of television as an integral part of entertainment as evident from the data showing trends in purchase of TV, and the added ease of watching oneââ¬â¢s favorite shows, in itself presented the required business opportunity to launch the new concept in the market. During the initial execution phase of the product, several factors were observed that played a major role in assessing various elements of its business model. The productââ¬â¢s price was estimated to be quite high which was apparently more expensive than most TV sets. Besides, lack of awareness proved to be a setback in reaching the target markets which made marketing and sale of t he product even more challenging since unlike other products in that category, TiVo required extensive explanations for its various features. Moreover, the advertisers showed concern over one of its features that allowed the viewers to forward advertisements. These factors guided the company to frame better policies and terms that would be beneficial to both the parties concerned. TiVo had a huge subscriber base comprising of 42000 subscribers, just fourteen months after its launch, with a strong and impressive current rate of 14,000 new subscribers per quarter. It had strategic partnerships with superstar brands ââ¬â Sony and Phillips and subsidized them to manufacture, distribute and promote the black box to the retailers. Apart from the revenues from advertisers and subscribers, the other major source of revenue was through the sale of hardware. In order to penetrate the 102 million TV viewing households market in the U.S.,
Sunday, November 17, 2019
Current Research Essay Example | Topics and Well Written Essays - 1000 words
Current Research - Essay Example Through the use of software, development in different dimensions and especially economically is achieved. However, this is achieved through the concentration of multiple locations which allow important developments. Through software development, complex projects in the world are managed through dedicated methodologies and standards (Galina & Smite, 2011, p.8). The increasing competition of companies across the world has increased the need for presentation of services and goods of high quality. Through software distribution, there is enhanced process thinking which enables entrusting work to skilled individuals (Oshri, Kotlarsky & Willcocks, 2007, p.28). This makes it possible for companies to respond appropriately to changing customerââ¬â¢s needs. When companies are able to distribute their development globally, they benefit from getting relatively cheap resources which lower their operational costs. Software development ensures that there is reduced reliance on heavy documents of standardized models. Software development further ensures that there is easier communication between members of team projects which makes it possible to share ideas (Setamanit, et al. 2007, p.18). In this paper, importance of global software development will be discussed. Distributed software stresses the correlation between qualities of services to the society and quality processes. Distributed software ensures that the needs of the customers get matching responses from different organization (Galvina & Nsmite, 2011, p.10). This is in addition to preventing increased incidences of duplicated work. There has been progressive development of process models related to software development. Software development is characterized by organization of resources to meet the desires of people. This is in addition to meeting their expectation timely. Distributed software development though complex; offers solutions to emerging challenges in the world (Jaakkola, 2009, p.71). Through
Friday, November 15, 2019
Surgical placement in a local hospital
Surgical placement in a local hospital This is a reflective essay based on my own experiences, whilst on my five week surgical placement in a local hospital. The aim of this essay is to explore the use of communication and interpersonal skills in clinical practice. I have chosen this particular incident as I spent a considerable amount of time communicating verbally and non verbally with this particular patient. To protect the identity and maintain confidentiality of the patient I have chosen to discuss, they shall be known as John. This is in accordance with the NMC code of professional conduct (NMC, 2008). To assist me in the process of reflection I am using Gibbs (1988) reflective model. This cycle provides a description of the event, feelings towards the outcome, an evaluation, analysis, conclusion and an action plan. Jasper (2003) suggests that reflection is one of the key ways we can learn from our experiences. There are numerous reasons why reflection is important to nurses. Through reflection we can learn more abo ut our role and the elements that limit our abilities; this allows the opportunity to improve the way we care (Ghaye Lillyman, 2001). John was a 74 year old man admitted onto the ward from the emergency department, two days previous to me starting my first late shift of that week. He had been suffering from retention of urine, and was in considerable pain. My mentor and I were informed during handover that we would be looking after John on this particular shift. We were asked to change the dressing on his right leg. It had become ulcerated due to suffering from a condition known as Peripheral Vascular Disease (Alexander, Fawcett Runciman, 2004). As a result of this disease the patient had undergone amputation of the left leg below the knee some years ago, resulting in him becoming immobilised and requiring the use of a wheelchair. It became clear during the handover that Johns behaviour had become very difficult over the last couple of days. The nurse in charge went on to describe the nature of his behaviour including; that he had thrown items across his room, was constantly pressing his nurse call button, was sho uting all day and he had also refused to have a wash and change his pyjamas. As we left the room where the handover had taken place, my mentor suggested that we should change Johns dressing now, but firstly we should get him washed and changed with my assistance. I knocked on his door and introduced myself as a student nurse. I proceeded to ask John for his consent in order for me to assist him in having a wash and change of clothing (NMC, 2008). John was sat on his bed and appeared to be quite tense. He looked up at me and shouted no, I want to see a doctor and I havent had a cigarette for two days. I explained that I was here to assist in changing the dressing on his leg and to help him to have a wash and change. I moved closer towards his bed and lowered myself to his eye level. I then began to engage in conversation with him by maintaining a soft tone of voice and asking him if he would like a cup of tea after we had finished. His body language softened and he looked up and smil ed, he said I would love one. I smiled back at John, I then repeated the question of assisting him with having a wash and change, whilst maintaining a relaxed posture and eye contact. John gave me his consent and I proceeded to assist him in maintaining his personal hygiene with respect and dignity (NMC, 2008). With Johns co-operation my mentor and I were then able to go on and change the dressing on his leg. Through this learning experience I encountered a combination of feelings towards the situation. From the initial handover, the staff nurse in charge did not paint a positive picture of John. I wondered why this particular patient was so aggressive and demanding and the staff described him as being difficult. I felt anxious, as this was my first placement as a first year student and I did not feel experienced enough to deal with the situation. During my encounter with John it became clear why he would feel so angry and frustrated. I noticed he didnt have a wheelchair in his room, and it became apparent that he was a smoker. He also hadnt been given any nicotine replacement therapy to help him cope with his withdrawal symptoms. When the full extent of Johns situation became clear to me, I felt immense frustration for him. According to the NMC Code of Professional Conduct (2008), nurses should treat patients with respect and maintain their dignity. With John not having a wheelchair, he was confined to his bed and therefore had lost his autonomy. The situation also made me very angry, reflecting back I feel I should have been more assertive and maybe questioned why Johns requests had been ignored by the staff. It was unfortunate that the professional staff had acted the way that they did; overlooking how angry and frustrated John had become and failing to act upon it. The nurses compassion and communication skills seemed to be very much lacking; not listening to his requests and showing no feeling towards him. This breakdown in communication in the nurse patient relationship with john, left him feeling frustrated and not in control of his own wellbeing (Garnham, 2001). At first, I could not see any good points in this situation; however looking back I can see that it did have its positive side, in as much as allowing me to examine myself and to search for my short fallings in relation to the incident. The incident has also given me the opportunity to link theory to practice. The way I communicated with John had a positive outcome for both of us in that his personal hygiene needs were met and I learnt that effective communication is essential in building a trusting bond between the patient and the nurse (Almond Yardley, 2009). The bad points of this experience were that I judged John based on the information I received during the initial handover without having met him first. This could have created a barrier between the patient and I. Accepting a patient as a unique individual and without judgment is very important in the communication process. I have learnt from this experience that as nurses we should respect a patients beliefs and values and we should not let our own beliefs and values affect our decision making in patient care (Rogers, 1957). I also feel that I should have been more assertive when it came to the way John was being treated by the staff. As a first year student I did not feel comfortable questioning the way a professional staff nurse carried out her nursing care. However, from this experience I will question bad practice in future, as the NMC (2008) states that I am personally accountable for my actions and omissions in my practice and that I must always be able to justify my decisions. According to Maxim Bryan (1995 cited in Briggs, 2006), Communication is the process of conveying information between two or more people. Communication is essential in building relationships with patients and gaining trust. In the NHS, the majority of the complaints brought against them were for poor communication from healthcare staff (Pincock, 2004). To highlight how important communication is in the nursing profession, the NMC identified it as being an essential skill and only if a student is competent in this skill can they then go on and register as a nurse (NMC, 2007). In order to communicate with John the situation required the use of interpersonal skills, known as non verbal and verbal communication. Non verbal communication is described by (Dougherty Lister, 2008 p.62) as being information transmitted without speaking. Johns body language indicated that he was tense and anxious, therefore approaching him with empathy ensured that he was being understood and that his participation in communication was valued (Peate Offredy, 2006). Given the history of Johns aggressive outbursts it was necessary to consider the proxemics in the situation. It is recommended that keeping within a distance of 4 to 12 feet away from a person is less intimidating for them (Egan, 2002). In order to engage in conversation with John, Egans (2002) acronym SOLER was used. This is a process of using body language to actively listen to a person. By sitting squarely towards John, having an open posture, leaning in towards him, maintaining eye contact and a relaxed posture, t his in turn encouraged him to relax and feel less intimidated, therefore able to talk more openly (Dougherty Lister, 2008). Verbal communication with John was enhanced by the use of facial expression and paraverbal communication. According to (Delaune Ladner, 2002, p195) Facial expressions give clues that support, contradict or disguise the verbal message, therefore the use of a smile when approaching John indicated warmth and friendliness. This was assisted further by the use of paracommunication; these are the cues that accompany verbal language. These include tone, pitch, speed and volume of the person speaking; therefore communicating with John using a soft tone of voice added further meaning to the spoken words (Delaune Ladner, 2002). The barriers in communication during this incident were Johns aggressiveness. This could have been due to the withdrawal from cigarettes, as according to Bruce (2008) irritability is a symptom of nicotine withdrawal. If a patient is unable to smoke in hospital then nicotine replacement therapy should be introduced and the patient should be treated like any other dependant. Bruce (2008) states that Withdrawal from nicotine needs to be recognised and treated appropriately in the acute hospital; it will often be the ward nurses who are relied upon to recognise the symptoms. These symptoms were overlooked by the staff and to add to his frustration he had no means of mobility in order to allow him to leave the ward for a cigarette. This may account for his outbursts of anger. Peplau (2004) suggests that when there is an obstacle or obstruction preventing a person from achieving their goals this may lead to frustration which in turn often leads to anger. Using Gibbss reflective cycle has assisted me in analysing the situation and to put things into perspective, recognising how I can put this learning experience to positive use in my future practice as a nursing professional. If this situation were to arise again I know I would now have the courage to question the nurses attitude at an earlier stage pointing out that bad practice by anyone is not acceptable. From this experience I have learnt that I need to be more assertive and if I feel the needs of a patient are not being met, my first consideration should be to protect the interests and safety of patients, in line with the NMC (2008) Code of Professional Conduct. This reflection has highlighted the need to increase my knowledge and understanding of the process of communicating with patients from different cultural backgrounds, I will address these issues by, listening and learning from the qualified staff and by reading relevant literature. In conclusion it can be seen that the nurse has a very important role in communicating with patients throughout their treatment. When a patient is admitted to hospital, assessments should be made based on the activities of daily living, (Roper, Logan Tierney, 2000). Johns assessment not only should have identified the level of care required, it should also have established his normal routine and the fact that he was a smoker and also required a wheelchair for mobility. If Johns needs had been assessed correctly the breakdown in the relationship between John and the professional staff could have been prevented. Overall, through this reflection I have learnt that communication is an essential skill that requires as much practice and consideration as any other aspect of nursing. References Alexander, M., Fawcett, N. Runciman. P, (1994) Nursing Practice Hospital and Home The Adult London: Churchill Livingstone. Almond, P. Yardley, J. (2009) An Introduction to Communication. Chapter 1 IN Childs, L., Coles, L., Marjoram, B. (Eds.) (2009) Essential Skills Clusters for Nurses Basingstoke: Palgrave Macmillan. Briggs, D. (2005) Communication and Interpersonal Skills in Nursing. Chapter 4 IN Peate, I. (2005) Compendium of Clinical Skills for Student Nurses London: John Wiley Sons Ltd. Bruce, G. (2008) Smoking Cessation in Hospital London: Nursing Times. [Online] last accessed 18th November 2009 at http://www.nursingtimes.net/nursing-practice-clinical-research/smoking-cessation-in-hospital/1646376.article. Delaune, S. Ladner, P. (2002) Fundamentals of Nursing: Standards Practice (2nd Edition) Albany: NY Thomson Delmar Learning. Dougherty, L. Lister, S. (2008) The Royal Marsden Manual of Clinical Nursing Procedures (7th Edition) Oxford: Blackwell Publishing. Egan, G. (2002) The Skilled Helper: A problem management approach to helping (7th Edition) California: Brooks / Cole. Garnham, P. (2001) Understanding and dealing with anger, aggression Nursing Standard Vol. 16, No. 6, pp 37-42. Ghaye, T. Lillyman, S. (2001) Reflection: Principles and Practice for Healthcare Professionals. Wiltshire: Mark Allen Publishing ltd. Gibbs, G. (1988) Learning by Doing: A Guide to Learning and Teaching Methods Oxford: Further Education Unit, Oxford Polytechnic. Jasper, M. (2003) Foundations in Nursing and Health Care: Beginning Reflective Practice Oxford: Nelson Thornes. Nursing and Midwifery Council (NMC) (2007) Essential Skills Cluster for Pre- Registration Nursing Programmes. Annex 2 to NMC Circular 07/2007, [Online] Last accessed 1st December 2009 at http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=2690. Nursing and Midwifery Council (NMC) (2008) The NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics London: NMC. Peate, I. Offredy, M. (2006) Becoming a Nurse in the 21st Century Chichester: John Wiley Sons Ltd. Peplau, H.E. (2004) Interpersonal Relations in Nursing New York: Springer Publishing Company. Pincock, S. (2004) Poor communication lies at the heart of NHS complaints, says ombudsman British Medical Journal January Vol. 328, No. 7430, p10. Rogers, C. R. (1957) The Necessary and Sufficient Conditions of Theraputic Personality Change Journal of Consulting and Clinical Psychology Vol. 60, No. 6, pp 827-832. Roper, N., Logan, W. Tierney, A. J. (2000) The Roper Logan and Tierney Model of Nursing London: Churchill Livingstone.
Tuesday, November 12, 2019
Poverty: a Silent Killer
Poverty: a silent killer The merciless chain of poverty is enclosing its arm around America. Children are storming the streets starving for a modest meal and a heated room. It confines them, forcing them to live a life of nightmares. It is evidently noted that poverty is the silent killer all over the world. The danger is, no one truly knows what poverty is, and who is to blame. A snapshot of poverty would seemingly resemble the poorest of the poor. As an experienced person who lived through childhood poverty, I can relate.When Bobby, a preschooler, scratched a mosquito bite on his leg, the area became infected. His parents took him to the doctor, who prescribed an antibiotic. However, because Bobbyââ¬â¢s father earned very low wages at his job, the family could not immediately afford to buy the prescription. As a result of the familyââ¬â¢s poverty the infection grew dangerously out of control and Bobby was hospitalized for three days in order to receive intravenous antibiotics . Each of those hospital days cost about $800, doctors estimated (Sherman, 6) What is the real truth about poverty?Every conception of the term is misconstrued. There is no absolute one-size-fits-all definition for poverty. All we know is that poverty is currently at war with America and has been for an unquestionable amount of time. Poverty has structured the face of destiny for good. In the eyes of Americans, poverty is the plight of delinquents. Beginning with the Bible and continuing through the Elizabethan poor laws, there has been a belief among some that the poor have no one to blame but themselves (Edelman, XV). However, poverty looks different than it did decades ago.The elderly are considerably more impoverished, and children have become the poorest age group. To understand why there is so much more poverty among children, we need to understand why their parents are worse off. Although some experts affirm children are affected by biological conditions (genetics, health, an d nutrition) and environmental conditions (families, communities, and schools), some also believe there are no accurate measurements for poverty (Boyden and Bourdillon, 129). ââ¬Å"Poverty is like punishment for a crime you didn't commit. -Eli Khamarov. Around 21,000 children die around the world everyday due to poverty (Boyden and Bourdillon, 151). At this very moment, a child died from poverty. We need to pinpoint the cause for poverty now! But it is a cycle that cannot be broken. For example, as a child I was raised wealthy. Anything and everything I ever wanted could have been mine thanks to my parents. Although the economy began its sinking process, my family still managed to rise above surface. That is, until my dadââ¬â¢s company went bankrupt and all our money sunk with it.The wealth turned to poor, and we had to do anything and everything we could to carry on. The food was scarce, and the toys were sold. I asked myself everyday why this was our punishment. After nearly a year of enduring the pain of poverty, I now know whom to blame. Ourselves. Are we enough to blame for our own predicament? Have we been lazy, made poor decisions, and been solely responsible for our plight? What about our government? Have they pursued policies that actually harm successful development? Weââ¬â¢ve waged war on poverty and poverty won (Edelman, ).With the real cost of minimal living, the cycle will continue unless America platforms a plan. As of right now, President Barack Obama makes little use of the word ââ¬Å"poverty. â⬠The government website detailing the contents of his Recovery Act used the word ââ¬Å"vulnerableâ⬠to characterize those portions of legislation relating to low-income people (Edelman, xiv) With that being said, both are to blame. Americaââ¬â¢s disease is greed. Greed has produced rash tax cuts that have given money to the rich and taken it from the poor.We all want more money, bigger homes, and nicer cars; however, no one can ap preciate what they have. The only people that can are the poor. In result to the greed of my family, when an unforeseen dilemma arose we didnââ¬â¢t know how to handle the situation at hand. Thus, we sunk further and further into the cycle and it took a fight to pull us to the surface. I believe that unless one truly experiences poverty no one will truly comprehend its meaning. On the other hand, poverty can happen to those born into it. As the government focuses more and more on other nation worries, a child dies from poverty.
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