KOTTER MODEL OF CHANGE Free Essay Example, 1250 words

The challenge with the prescription of the best way to run a firm is that there may be very many suggestions on the way different people believe is the best duration for the school to be opened. I will thus create a clear vision regarding the operation of the institution that will easily be understandable to all groups of people. The vision will incorporate the key values upheld by the school in order to be relevant and thus enable all people to identify with it. After creating the vision together with the coalition team, I will need to come up with a summary of the strategy of executing the vision. The summary will be capable of being described to the interested parties within a short period of not more than five minutes. Communicating the vision The staff and parents may not all respond positively to the idea of increasing the opening hours the first time they hear of the proposal. This is because different people have different ways of reasoning which will result to differing believes on what should be done (Samson & Daft 2011, p. 421). We will write a custom essay sample on KOTTER MODEL OF CHANGE or any topic specifically for you Only $17.96 $11.86/pageorder now There is thus a need to keep communicating the vision frequently to the stakeholders in order to make them understand it well (Leonard & McGuire 2007, p. 48). Constant communication will also help in counteracting the conflicting views that the people face in their course of interaction with others and thus keep them aligned to the vision. I will use every opportunity that prevails itself to communicate the vision both directly and indirectly, for example when parents come to school because of some issues relating to their children I will make sure I communicate the vision. Furthermore, each decision I make will be controlled by the vision of extending the school opening hours. Empowering action At this stage, I will put in the structures for change by instituting and empowering all-important structures that will be necessary for the change to take place (Kumra, Manfredi & Vickers 2011 p. 90). This will involve empowering the change leaders to deliver the required change in the opening period of the school and in including meals and bed rest in the program. It will also include reviewing the job descriptions, remunerations and performance of the staff to ensure that they are in line with the vision. Any person who brings a positive change in line with the vision will be rewarded accordingly in order to encourage all people to adopt the change of the system. At this level I will also identify the people who may be resisting the change and therefore help them accordingly in order to be able to accept the change.

Alices Adventures in Wonderland Book Review

Alices Adventures in Wonderland is one of the most famous and enduring childrens classics. The novel is full of whimsical charm, and a feeling for the absurd that is unsurpassed. But, who was Lewis Carroll? Charles Dodgson Lewis Carroll (Charles Dodgson) was a mathematician and logician who lectured at Oxford University. He balanced both personas, as he used his study in the sciences to create his eminently strange books. Alices Adventures in Wonderland is a charming, light book, that reputedly pleased Queen Victoria. She asked to receive the authors next work and was swiftly sent a copy of An Elementary Treatment of Determinants. Synopsis The book begins with young Alice, bored, sitting by a river, reading a book with her sister. Then Alice catches sight of a small white figure, a rabbit dressed in a waistcoat and holding a pocket watch, murmuring to himself that he is late. She runs after the rabbit and follows it into a hole. After falling into the depths of the earth, she finds herself in a corridor full of doors. At the end of the corridor, there is a tiny door with a tiny key through which Alice can see a beautiful garden that she is desperate to enter. She then spots a bottle labeled Drink me (which she does) and begins to shrink until she is small enough to fit through the door. Unfortunately, she has left the key that fits the lock on a table, now well out of her reach. She then finds a cake labeled Eat me (which, again, she does), and is restored to her normal size. Disconcerted by this frustrating series of events, Alice begins to cry, and as she does, she shrinks and is washed away in her own tears. This strange beginning leads to a series of progressively ​curiouser and curiouser events, which see Alice babysit a pig, take part in a tea party that is held hostage by time (so never ends), and engage in a game of croquet in which flamingos are used as mallets and hedgehogs as balls. She meets some extravagant and incredible characters, from the Cheshire Cat to a caterpillar smoking a hookah and being decidedly contradictory. She also, famously, meets the Queen of Hearts who has a penchant for execution.​ The book reaches its climax in the trial of the Knave of Hearts, who is accused of stealing the Queens tarts. A good deal of nonsense evidence is given against the unfortunate man, and a letter is produced which only refers to events by pronouns (but which is supposedly damning evidence). Alice, who by now has grown to a great size, stands up for the Knave and the Queen, predictably, demands her execution. As she is fighting off the Queen’s card soldiers, Alice awakes, realizing she has been dreaming all along. Review Carrolls book is episodic and reveals more in the situations that it contrives than in any serious attempt at plot or character analysis. Like a series of nonsense poems or stories created more for their puzzling nature or illogical delightfulness, the events of Alices adventure are her encounters with incredible but immensely likable characters. Carroll was a master of toying with the eccentricities of language. One feels that Carroll is never more at home than when he is playing, punning, or otherwise messing around with the English tongue. Although the book has been interpreted in numerous ways, from an allegory of semiotics theory to a drug-fueled hallucination, perhaps it is this playfulness that has ensured its  success over the last century. The book is brilliant for children, but with enough hilarity and joy for life in it to please adults too, Alices Adventures in Wonderland is a lovely book with which to take a brief respite from our overly rational and sometimes dreary world.

Rhetorical Analysis Of Jfk Inaugural Address - 1414 Words

JFK Inaugural Address Rhetorical Analysis On Friday, January 20, 1961, in the midst of physical cold and mental Cold War fears, John F. Kennedy gave his inaugural address to the citizens of America and the world, assuring his audience that peace will prevail, and that America, as a unified superpower, will lead the world once again into a new era of peace. His speech, infused with rhetorical appeals, has an anxious and discontent tone, calling for change and the implementation of his vision. To express his vision, Kennedy used various tools such as anaphoras, diction, and antithesis to form rhetorical appeals that effectively communicate his vision of peace. Through his use of the anaphora, John F. Kennedy implies that a part of his vision is to unify the country and the world under a banner of fearless peace. As an example, he addresses the world, piece by piece, â€Å"To those†¦, we pledge...†(2). The antecedent to which â€Å"those† refers varies, but it always retains a respectful tone of logos, occasi onally supplemented by pathos due to specific wording. For instance, â€Å"sister republics†(2) creates a sense of family, leading to a pathos appeal. One of the â€Å"pledges† Kennedy makes is in the form of an anaphora too: we will â€Å"help them help themselves, for whatever period is required -- not because the Communists may be doing it, not because we seek their votes, but because it is right† (2). With this assertion, Kennedy emphasizes that the United States has no ulterior motives forShow MoreRelatedRhetorical Analysis Of Jfk Inaugural Address909 Words   |  4 PagesMiguel Garcia English 1020 Campbell 10/05/17 Rhetorical Analysis of â€Å"Inaugural Address† by John F. Kennedy It’s January 20, 1961. Inauguration day for president Kennedy. Entering his first term as president of the United States, he has to give the â€Å"Inaugural Address.† As president of the United States he needs to address his voters and the american people in person or through a television broadcast about his future goals and aspirations. During the transfer of power the US is going on there 14thRead MoreRhetorical Analysis Of Jfk Inaugural Address829 Words   |  4 PagesOne of the most influential presidents in United States history, John F. Kennedy was a brilliant politician and public speaker. In his inaugural address, he sparked hope around the world by discussing the hardships faced by all of society in the present time and then leaving them with a message of freedom, power, and hope. This measure of impact is not achieved easily; Kennedy masterfully utilized the art of rhetoric to emphasize his message and win the hearts of his people. In the middle of theRead M oreRhetorical Analysis Of Jfk Inaugural Address1426 Words   |  6 Pagespublicly, and communicate comprehensible meanings while inspiring the people of his nation, President John F. Kennedy (JFK) gave his inaugural address on January 20th, 1961 in Washington D.C.. JFK was widely distinguished for his ability to use rhetoric in front of the masses, and in mass media. Like many authors and penman, President Kennedy implemented huge doses of rhetorical strategies in his speech, focusing on the appeals of Aristotle: ethos, logos and pathos. Ethos is used to convince theRead MoreEssay about John F. Kennedy Analysis704 Words   |  3 Pagesï » ¿Leah Moore JFK Inaugural Address Analysis President John F. Kennedy gave his inaugural address on a January afternoon in 1961. His speech includes many rhetorical devices—included to help convey Kennedy’s subject to his audience. The subject is that human rights are determined by God, rather than the government. Some rhetorical devices Kennedy uses are parallelism, anaphora, and hortative sentences. John F. Kennedy’s use of rhetorical devices within his inaugural address help him convey his messageRead MoreRhetorical Analysis Of John F. Kennedy s Inaugural Address Essay1566 Words   |  7 Pages NOT PRIDE BUT FREEDOM: Rhetorical Analysis of John F. Kennedy’s Inaugural Address Tanner A. Woody Anderson University On January 20, 1961, John Fitzgerald Kennedy delivered a speech with a backdrop of snow and a twenty-degree wind blowing in his face in Washington D.C. In his speech, he starts off with saying that his victory is not for a party but it is for freedom. At the climax of his speech, JFK delivers a call to action which is also the most well-known line from his speech:Read MoreRhetorical Analysis Of John F. Kennedy s Inaugural Address971 Words   |  4 PagesA Rhetorical Analysis of John F. Kennedy’s Inaugural Address By 1961, The United States of America was struggling with racial tension and social inequalities, while fighting communism internationally and protecting the public from the weapons and devices of our adversaries abroad. Confusion and fear had invaded the minds of the American people as the cold war neared its pinnacle; they were desperate for a strong, reassuring leader. John F. Kennedy provided this reassurance when he addressed the nationRead MoreJFK inaugural Address853 Words   |  4 Pages Rhetorical Analysis on JFK’s Inaugural Address Majority of the people know the eminent line â€Å"ask not what your country can do for you- ask what you can do for your country† (Kennedy). That is indubitably one of the most well known segments of his speech, however, there are other parts that made it memorable. He knew he was not only speaking to America, but other countries as well. His speech keeps the audience both focused on what is important and understanding of the point he is trying to makeRead MoreRhetorical Analysis Of President Kennedy s Inaugural Speech2018 Words   |  9 PagesWhat rhetorical features does President Kennedy use to achieve his desired purpose? Introduction Politicians often use language to both persuade and imperceptibly control the opinions/decisions of their audience: whether it is to gain their support, to present their point, or implant their principles. It is of utmost importance to them to do this subtly, in order to not come across as too aggressive, intimidating or manipulative. As a result, the politician has to use language that is relatable

Anabolic Steroids. Anabolic Steroids Are A Complex Molecule

Anabolic Steroids Anabolic steroids are a complex molecule used to trick the mind into thinking that testosterone is being produced. An American doctor in the 1930s developed anabolic steroids for the use of â€Å"building body tissue and preventing the breakdown of tissue† (â€Å"Athletes and Steroids†). An FDA review later failed to find evidence that these anabolic steroids had positive effects for those purposes. As time went on people found that steroids increase muscle mass significantly, and they began to abuse that power. Many athletes began to join in, creating a dilemma not only for their health issues but for the game itself. Many athletes have broken records, won awards, and achieved goals they would not have achieved if they didn t†¦show more content†¦Once the mind is thinking testosterone is being produced the body can then start the building of muscle tissue. The rapid rate of which the tissue is building is why people are so attracted to this chemical. You can pump iron for a year and a person who took steroids would be as big, if not bigger, in a fraction of that time. The amount of testosterone that is produced naturally is in quantities of 2.5 to 10 mg daily (â€Å"Athletes and Steroids†). Those who use steroids regularly take them in a method called stacking, which consist of taking multiple types of steroids on top of eachother for a combination of quantities reaching 100 mg or more.(â€Å"Athletes and Steroids†). Very high levels of testosterone lead to risks of endless side effects such as liver failure, acne, and much more. In female cases, anabolic steroids can develop masculine characteristics such as balding, deepened voice, and facial hair. Many men have reported cases of breast enlargement. Awareness of these kinds of outbreaks started when communist athletes in the 1950s used so much of it that they developed enlarged prostates. They then later had to be catheterized to be able to urinate. Anabolic steroids can also cause very intense mood swings, known as â€Å"roid rage†. The most commonly found side effect in adolescence is stunted growth. The body sensesShow MoreRelatedEssay on The Effects of Testosterone and Steroids 1404 Words   |  6 PagesAnabolic-androgenic steroid is a family of lipophilic hormone that derived from cholesterol, which includes the natural male hormone testosterone and its synthetic derivatives, such as nandrolone and androsterone (Janjic et al. 2012; Basile et al. 2013). Testosterone is the principle molecule that possesses both anabolic and androgenic properties, which semantically refers to the ability to stimulate the synthesis of complex biological molecules and the growth of masculine characteristics respectivelyRead MoreAbstract. Anabolic Androgenic Steroids Are Ergogenic Resources1723 Words   |  7 PagesAbstract Anabolic Androgenic Steroids are ergogenic resources commonly used by athletes in search of better achievement performances. However, the use of these substances by non-athletes, for aesthetic purposes, have become a growing problem in gyms and sports centers. This conduct has favored the indiscriminate and abusive use of these steroids, exposing its users to health risks. Anabolic steroids are a subset of androgens, namely, synthetic compounds derived from testosterone, developed for therapeuticRead More Anabolic Steroids Essay1671 Words   |  7 PagesAnabolic Steroids In today’s society, athletes are revered as heroes. There is immense pressure to be the best. Athletes are willing to do whatever it takes to gain an edge, even if it means compromising their health. For almost three decades, athletes have been supplementing their strength program with anabolic steroids to enhance their performance. To be sure, anabolic steroids are effective supplements to strength training programs, but there is no doubt that the consequences can be deleteriousRead MoreShould athletes be allowed to take performance enhancing drugs?2013 Words   |  9 Pagesathletes is anabolic steroids. Based on a statistics, approximately 1 to 3 million people in the United States have admitted that they have taken the advantages of anabolic steroids, one of the common performance enhancing drugs, usage degree beteem young men 12% and only 2% of young women have used anabolic steroids. The question raised is should athletes be allowed to use performance enhancing drugs. Anabolic steroids Anabolic steroids which also known as anabolic androgenic steroids are oneRead MoreShould Sports Doping Be Doping?1578 Words   |  7 Pagesall myths surrounding the problem of using doping in sport and outline the reality.This paper will deal with operating principle of doping and the consequences of their use, effect and risk on athlete’s health in different sports, and legalization steroids in professional sports. According to English dictionary in 1889 the world â€Å"doping† described originally a mixed remedy containing opium, which was used to â€Å"dope† horses. â€Å"Dope† was a spirit prepared from the residues of grapes, used as aRead MoreSigns and Symptoms of Gigantism Essay1058 Words   |  5 Pagescaused by the excess hormone growth at childhood before the bone plates closes. Though gigantism is rare, it is caused due to some factors among them; Noncancerous tumor of the pituitary gland, Neurofibromatosis, McCune-Albright Syndrome (MAS), Carney complex and Multiple Endocrine Neoplasia type 1(MEN-1). This abnormal growth occurs mainly before the closure of the bone growth plate. In any case the growth hormone occurs after the normal growth has stopped then the condition is known as acromegaly (GinaRead MoreMetabolism Essay1569 Words   |  7 Pagesborn and ends when we die. It is a vital process for all life not just humans, and if it were to stop or we did not have metabolism we could not be alive. Metabolism generally deals eating and our digestive system. After food is eaten, molecules in the digestive system called enzymes break proteins down into amino acids, fats into fatty acids, and carbohydrates into simple sugars (for example, glucose). In addition to sugar, both amino acids and fatty acids can be used as energy sourcesRead MoreAlexMccourt The Student Room Biology Notes1884 Words   |  8 Pagesintestine. Inter-lobular vessels Branches from the hepatic artery and the hepatic vein enter. Sinusoid This is a special chamber where blood from the hepatic artery and hepatic portal vein mix. It is lined by liver cells so molecules can be removed from the blood and pass molecules into the blood. They empty into the inter-lobule vessels. Liver cells/Hepatocytes They have a simple cuboidal shape with microvilli on the surface. They have many metabolic functions: Protein synthesis. TransformationRead MoreImportance Of Intracellular Bound Nucleus And Organelles Within Eukaryotes1615 Words   |  7 Pagescompartmentalization. Living cells are the functional biological building blocks of animals. They come together to form complex organic tissues, organs, and whole bodies, as well as some of these organisms themselves existing in a unicellular form. Cells vary in size and dimension, with Eukaryotes ranging from 1x10-3m to 1x10-4m in length, whilst the smaller and less structurally complex Prokaryotes exist between measurements of 1x10-4m to 1x10-7m in length. This size is contained by the cell membrane;Read MoreUnderstanding The Levels Of Biological Organization3020 Words   |  13 Pages The Scope of Biology Define the levels of biological organization from molecules to the biosphere, noting the relationship each level has to the others. Atoms are defined as the smallest unit or the basic building blocks of matter which make up all objects. Atoms are made up of equal number of protons and electrons. The term organelle means little organs and it is a specialized part of a cell. Examples are the nucleus, endoplasmic reticulum, mitochondria, etc. All living organisms in the biological

European Journal of Cardiovascular Nursing Case Study

Question: Describe about the European Journal of Cardiovascular Nursing? Answer: Asthma is said to be an airway complication, which can be categorized physiologically as variable and partly reversible airflow obstruction and pathologically with overgrown mucus glands, bronchoconstriction, inflammation and thickening of airways because of scarring (Frieri, 2005). Bronchoconstriction is said to be the condition where airways become narrowed down within the lungs because of tightening of associated smooth muscle. Bronchial inflammation causes narrowing sown of airways because of swelling and edema caused by various immune reactions to allergens. Pathophysiology of chronic obstructive pulmonary disease (COPD) Severe damage of small airways leads to the buildup of big air pockets that is medically known as bullae and changes the tissue of the lungs. These complications are referred to as bullous emphysema (Rodrguez-Roisin, 2005). COPD occurs as constant and significant inflammatory response to the inhaled irritants. Continual bacterial infectivity may sometimes take part in inflammatory condition. Inflammatory cells, which are associated with COPD: neutrophil granulocytes, macrophages and few white blood cells. In addition smokers pose eosinophil, TC1and lymphocyte association. Pathophysiology of hypertension The hypertension pathophysiology is very much complicated. Various factors can modulte blood pressure for sufficient tissue perfusion (Zanchetti, 2014). These are: humoral mediators, circulating volume of blood, blood viscosity, cardiac output, neural simulation. Humoral factors may include balance of vasodilators and vasoconstriction. Pathophysiology of chronic heart failure The pathophysiology of chronic heart failure and leg swelling are correlated. The swelling of leg might have arisen because of fluid accumulation inside Lindas system. Fluid accumulation takes place because of reduced blood flow out of the heart and causes blood to return to heart through veins. This initiates accumulation of fluid within the lower limbs (Coats, 2000). 2. Clinical manifestations of chronic heart failure includes shortness of breathing or dyspnoea, fatigue, wheezing or chronic cough, irregular heartbeat, nausea or lack of appetite, impaired thinking, fluid buildup and quick weight gain. Important clinical manifestations, which go along with Lindas condition may include: productive and persistent cough, breathing shortness or dyspnoea, fluid buildup in legs and recent weight gain (Des Jardins and Burton, 2011). Dyspnoea may takes place because of the feeling of inadequate oxygen, chest tightness and daily living activity. Congestive heart failure takes place when a heart fails to properly circulate the blood successfully and fails to maintain the flow of blood to meet the systems requirements. If the case of chronic heart failure worsens, a patient may retain fluid inside his/her system. This takes place because of restricted blood flow to the kidneys (Skrabal et al., 2014). Consequently, kidneys generate hormones, which retain water and salt. This results in fluid accumulation inside the system, especially in leg or ankle region. Fluid buildup inside the lungs is the main reason for productive and persistent cough in Lindas case. Fluid buildup throughout the system may cause Linda to gain recent weight. 3. Lindas bending over the bedside table is might be because of her weakness, persistent coughing that makes her more tired, increased heart rate and little elevated respiratory rate. Nursing intervention Rationale Take notes on respiratory depth, rate and ease of breathing. Observation of associated muscles, change in color of mucous membrane Respiration rate may get increased because of pain or initial compensation to accommodate lung tissue scarcity. Nevertheless, increased breathing may indicate rapid oxygen consumption and immense energy expenditure or diminished respiratory reserve. Auscultation of lungs for the movement of air and abnormal sounds of breathing Lack of the movement of air on damaged side of the lungs Evaluation of restless condition and alterations in consciousness level Specify increased hypoxia Encourage resting periods and restrict activities to patient acceptance Increased consumption of oxygen can give rise to increased dyspnoea and alterations in vital indications with activity. Nevertheless, primary mobilization is preferred to assist the patient to avoid pulmonary difficulty and to attain and retain circulatory and respiratory efficiency (BURKE, PENSTON and RILEY, 2008). Maintain airway by properly positioning patient, application of suctioning and airway adjuncts Airway obstruction hampers gas exchange and ventilation. Frequent reposition of patient, place patient in sitting pose and to side position from supine position Maximize drainage secretion and lung expansion. These interventions are associated with impaired gas exchange. Nursing intervention Rationale Suctioning can be applied if breathing sounds do not get cleared after cough effort. After suctioning patient should be advised for deep breathing and coughing soon. Routine suctioning process can increase the chance of mucosal damage and hypoxemia. It should be performed gently to induce effective coughing These interventions are associated with inefficient airway clearance. Nurses should take care of Lindas safety factor. Linda has a chance to fall down so Linda should be assisted with bedrails or nurse aide, who can look after her during her movements. 4. Three nursing diagnoses for Linda should include pain management, fluid management and anxiety control. Pain management in nursing care is very much significant. It helps to evaluate cancer associated pain indications that may involve bone tissues, nerve or viscera. Application of rating scale helps patient to evaluate the pain level and offers tool for examining efficiencies of analgesics and this also enhance pain control. Patient should be provided with proper diet chart that will help the patient to maintain proper fluid balance for the entire day. Linda should be emotionally supported that will help her to initiate discovering and coping with the realism of cancer and associated treatment (Sloman, 2002). Linda might ask for time to recognize feelings or might ask for time to convey them. 5. Nursing intervention associated with pain management may include: asking patient regarding pain, determining characteristics associated with pain, for example: aching, burning and continuous and measure the pain intensity with the help of 0-10scale (Carr, Christensen and Layzell, 2010). Patient should be asked about their complication associated with fluid accumulation in the legs, whether it is painful or what other difficulties the patient is experiencing (Yarbro, Wujcik and Gobel, 2011). The reality about patients concerns and fear should be acknowledged and patient should be supported so that patient can express the inner feelings. 6. Lindas immediate support service might include a nurse aide, who can assist her with activities, movements and she might be support with emergency registered nurse, who can start monitoring and reviewing her ongoing health condition. Case study 2 1: Mr. Papadakis is a diabetic patient. The blood pressure of him found to be 156/72. He has high blood pressure. The normal heart rate is 100 beats per minute but his heart rate is more than normal rate that is 104 beats per minute. The normal temperature of human body is 37 C but his body temperature is slightly more than the normal temperature. 15 years ago he was diagnosed with type 2 diabetes and now his blood sugar level is 16.2 mmol/L. His body weight is 78 kgs which is not good for his health. He should reduce his body weight. He is suffering from chronic kidney disease because of the prolong time of diabetes. Recently he was diagnosed with parkinsons disease which is a disorder of central nervous system. The symptoms of this disease are sleeping problem, emotion problems, slowness of walking, dementia, rigidity etc. Because of his extreme blood sugar level he is now taking insulin twice a day. H e was not control his blood sugar level when it was diagnosed initially. For thi s reason oral dose of anti diabetic drug is not working. It is clear that his health condition is deteriorating day by day. He is not maintaining a proper diet chart. A diabetic patient should maintain a proper diet chart for his high blood sugar level but he eats whatever his wife puts infront of him. His health condition is not good but he is not aware of his health. When he had extra insulin when he feels he has eaten too much. The life style of him is not healthy. 2: Diabetes is a vast problem for a society. A person dies from diabetes in every six seconds. Diabetes is a group of metabolic diseases characterized by a chronic hyperglycemic condition effecting from inadequate action of insulin ('Dyslipidemia Management in Adults With Diabetes', 2003). The blood glucose level of Mr. Papadakis is 16.2 mmol/L. An increased amount of glucose in the blood is an indication that diabetes is out of control. It happens when the body cannot use the insulin or does not have enough insulin. Signs of hyperglycemia are great thirst, dry mouth and need to urinate often (Kidney.org, 2015). For non-diabetic person: Pre-prandial plasma glucose: 4-5.9mmol/L Post-prandial plasma glucose: 7.8mmol/L For type II diabetic patient: Pre-prandial plasma glucose: 4.7mmol/L Post-prandial plasma glucose: 8.5mmol/L Because of the diabetes the small blood vessels are damaged. So the function of the kidney is hampered and they cannot clean the blood. For that reason the amount of water and salt is increasing ('Pathophysiology of Type 2 Diabetes and Its Treatment Policy', 2015). 3: Prolong hospitalization is very painful for any patient. Mr. Papadakis is 72 year old diabetic patient ('Dyslipidemia Management in Adults With Diabetes', 2003). Normally he is very lazy in nature and he is not following any direction which is advised by his general physician. So it is more difficult for Mr. Papakadis to maintain a strict routine in hospital. Five possible complications that he may experience as a result of prolonged hospitalization are (Merckmanuals.com, 2015): Hospital- acquired infection: Hospital- acquired infections are known as nosocomial infection. The patients who are hospitalized for prolonged time have the risk for hospital- acquired infections. Urinary tract infection: Sometimes urinary catheter is used for the bed rest patients in the hospital. They are infected by the bacteria and urinary tract infection is developed. Blood clots: The patients who are not moving their arms or legs, they have risk to clot the blood. The patients with bed rest usually cannot move so blood moves slowly. As a result blood will clot. Depression: Due to prolong hospitalization patients become depressed. Because of the less contact with the people patients are feeling helpless. Constipation: Due to less activeness the stool passes slowly all the way through the intestine. So constipation occurs (Uknowledge.uky.edu, 2015). 4: The process of reduction of addiction to abusive drugs is called rehabilitation. Mrs. Papakadis have the tendency to use drugs for a small reason and that is not good for his health. So he needs rehabilitation therapy where a proper care is given by the health professionals. It is very important for the patient to get a support a faith from their family and friends during the rehabilitation process. Because of his age Mr. Papakadis needs a extra care. ('Drug abuse : an opposing viewpoints guide', 2015) 5: The nurse should communicate with the patient. It is the responsibility of the nurse to motivate the patient and encourage for his health awareness (Mukhamedzhanov Esyrev, 2013). In case of Mr. Papakadis he is very lazy in nature and he has not much energy to do some effective exercise. Nurse patient interaction plays an important role in the health care service. Failure in communication can start negative outcomes. The effective nursing care is the major role for the nurse because a patient and the family of the patient both are totally dependent on the care of nurse. The nurse should advise for a good diet chart and motivate for exercise. Mr. Papakadis should check his blood sugar level regularly (Volpe, 2011). 6: Mr. Papakadis should follow a proper diet chart which is made by his general physician. Mr. Papakadis should change his life style. Mr. Papakadis needs a good lifestyle and proper nutrition counseling. Mr. Papakadis is a diabetic patient with high blood pressure. By changing his lifestyle behavior he can improve his health condition. He should follow the proper medication and instructions made by her general physician. His health condition is very poor because of his ignorance. References: BURKE, K., PENSTON, H. and RILEY, J. (2008). Audit of specialist nurse pharmacological intervention in chronic heart failure.European Journal of Cardiovascular Nursing, 7, pp.S14-S15. Carr, E., Christensen, M. and Layzell, M. (2010).Advancing nursing practice in pain management. Chichester, West Sussex: Blackwell Pub. Coats, A. (2000). The pathophysiology of chronic heart failure.Perfusion, 15(4), pp.281-286. Des Jardins, T. and Burton, G. (2011).Clinical manifestations and assessment of respiratory disease. Maryland Heights, Mo.: Mosby/Elsevier. diabetes management therapy. (2015). Retrieved 17 March 2015, from https://diabetes management therapy Drug abuse : an opposing viewpoints guide. (2015). Retrieved 17 March 2015, from https://Scherer, L. (2012). Drug abuse. Detroit: Greenhaven Press. Frieri, M. (2005). New concepts in asthma pathophysiology.Curr Allergy Asthma Rep, 5(5), pp.339-340. kidney failure. (2015). Retrieved 17 March 2015, from https://kidnye failure Kidney.org,. (2015).About Chronic Kidney Disease - The National Kidney Foundation. Retrieved 17 March 2015, from https://www.kidney.org/kidneydisease/aboutckd Merckmanuals.com,. (2015).Problems Due to Hospitalization: Hospital Care: Merck Manual Home Edition. Retrieved 17 March 2015, from https://www.merckmanuals.com/home/special_subjects/hospital_care/problems_due_to_hospitalization.html Mukhamedzhanov, E., Esyrev, O. (2013). Novel approach to pathophysiology of type 2 diabetes mellitus.Diabetes Mellitus, (4), 49. doi:10.14341/dm2013449-51 National Service Framework for Diabetes: Standards. (2015). Retrieved 16 March 2015, from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/198836/National_Service_Framework_for_Diabetes.pdf Nice.org.uk,. (2009).Type 2 diabetes | Guidance and guidelines | NICE. Retrieved 16 March 2015, from https://www.nice.org.uk/guidance/cg87 Pathophysiology of Type 2 Diabetes and Its Treatment Policy. (2015). Retrieved 16 March 2015, from https://. Kaku K et al . Pathophysiology of Type 2 Diabetes and Its Treatment Policy. JMAJ, January/February 2010 Vol. 53, No. 1 Rodrguez-Roisin, R. (2005). The Airway Pathophysiology of COPD: Implications for Treatment.COPD: J. of Chronic Obstructive Pulmonary Disease, 2(2), pp.253-262. Skrabal, F., Pichler, G., Gratze, G. and Holler, A. (2014). Adding hemodynamic and fluid leads to the ECG. Part I: The electrical estimation of BNP, chronic heart failure (CHF) and extracellular fluid (ECF) accumulation.Medical Engineering Physics, 36(7), pp.896-904. Sloman, R. (2002). Relaxation and Imagery for Anxiety and Depression Control in Community Patients With Advanced Cancer.Cancer Nursing, 25(6), pp.432-435. Volpe, M. (2011). High Blood Pressure Cardiovascular Prevention is now on MEDLINE.High Blood Pressure Cardiovascular Prevention,18(2), 41. doi:10.2165/11593500-000000000-00000 Yarbro, C., Wujcik, D. and Gobel, B. (2011).Cancer nursing. Sudbury, Mass.: Jones and Bartlett Publishers. Zanchetti, A. (2014). Predictive medicine, pathophysiology and therapeutics.Journal of Hypertension, 32(9), pp.1725-1726.

Holden Caulfield in The Catcher in the Rye Essay Example For Students

Holden Caulfield in The Catcher in the Rye Essay Holden Caulfield can be analyzed through his thoughts, actions and circumstances which surround his everyday life. Holden acts like a careless teenager. Holden has been to several prep-schools, all of which he got kicked out of for failing classes. After being kicked out of the latest, Pency Prep, he went off to New York on his own. Holden seems to have a motivation problem which apparently affects his reasoning. The basis of his reasoning comes from his thoughts. Holden thinks the world is full of a bunch of phonies. All his toughs about people he meets are negative. The only good thoughts he has are about his sister Phoebe and his dead brother Alley. Holden, perhaps, wishes that everyone, including himself, should be like his brother and sister. That is to be intelligent, real and loving. Holdens problem is with his heart. It was broken when his brother died. Now Holden goes around the world as his fake self, wearing his mask. Holden is looking for love, peace and understanding. He is scared to love because he is afraid he might lose it like he did with his brother. That is the reason for Holdens love of the museum, he feels safe because it never changes it always stays the same. Holden is troubled with the pain of death, it effects every aspect of his life causing him to not care about the future, himself or anyone, except Phoebe and Alley. The theme of alienation is demonstrated by Holden. He alienates himself from the world because he fears change and false people, he wants love and security. Holden alienates himself from all the changes that occur around him. Holden isolated himself when he didnt go down to the seats for the final football game at Pency. He isolates himself because he gets kicked out of all the schools he goes to. All those changes scare Holden off, he becomes afraid to feel secure. Holden also alienates himself because he trusts no one, he thinks everybody is phony. When Holden was in a bar and he lied and said he had to go, just to not talk to his brothers old girl friend; Holden thought she was annoying and left the bar even though he didnt feel like it. Holden is also alienated by his inability to love. Holden seems not to care about his old girlfriend Sally, he told her he loved her but he didnt mean it. He told her she was a pain in the butt; he had complete disregard for Sally feelings, he jus t walked away to do something else. Holdens fears and insecurities can be traced back to the death of his brother Alley. All of his repressed feelings about his brother exert an influence upon Holdens actions. He cant trust or love anything or anyone because he is afraid that they will die and leave him tormented and vulnerable. Salinger is trying to show the reader the confusion anger and frustration of loosing a loved one, and how it can effect a persons life. Salinger is saying that a person needs reciprocal love to be happy and healthy. Holden is miserable because he lost his brother whom he loved very much. When Alley died Holden smashed up the windows in the garage so bad that even years later he still cant make a good fist. Maybe Holdens ability to love was taken away along with his brother. Without Holden having a healthy relationship with love going back and forth he becomes an emotionless heap of flesh with no direction or motivation. The author is illustrating his version of hell. Hell to the author is being surrounded by phonies and not being able to care. This tragedy is Holdens life; a life of lies and deception, a life of cold, dark thoughts, a life in hell. .ub702bea8b2e369bc4df25e137c3879aa , .ub702bea8b2e369bc4df25e137c3879aa .postImageUrl , .ub702bea8b2e369bc4df25e137c3879aa .centered-text-area { min-height: 80px; position: relative; } .ub702bea8b2e369bc4df25e137c3879aa , .ub702bea8b2e369bc4df25e137c3879aa:hover , .ub702bea8b2e369bc4df25e137c3879aa:visited , .ub702bea8b2e369bc4df25e137c3879aa:active { border:0!important; } .ub702bea8b2e369bc4df25e137c3879aa .clearfix:after { content: ""; display: table; clear: both; } .ub702bea8b2e369bc4df25e137c3879aa { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ub702bea8b2e369bc4df25e137c3879aa:active , .ub702bea8b2e369bc4df25e137c3879aa:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ub702bea8b2e369bc4df25e137c3879aa .centered-text-area { width: 100%; position: relative ; } .ub702bea8b2e369bc4df25e137c3879aa .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ub702bea8b2e369bc4df25e137c3879aa .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ub702bea8b2e369bc4df25e137c3879aa .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ub702bea8b2e369bc4df25e137c3879aa:hover .ctaButton { background-color: #34495E!important; } .ub702bea8b2e369bc4df25e137c3879aa .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ub702bea8b2e369bc4df25e137c3879aa .ub702bea8b2e369bc4df25e137c3879aa-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ub702bea8b2e369bc4df25e137c3879aa:after { content: ""; display: block; clear: both; } READ: Character changes in Macbeth EssayWords/ Pages : 640 / 24