Wednesday, January 29, 2020

An Evil Cradling - Into the dark - use of language Essay Example for Free

An Evil Cradling Into the dark use of language Essay Throughout the chapter Into The Dark, Keenan goes through some distinct phases of mental states, each caused by a previous one and ultimately by his imprisonment. He uses a various range of strong descriptions to portray his condition, ideas, thoughts and impressions. The unusual syntax used throughout the chapter conveys the states of mind which he goes though, guiding the reader into the prisoners world. Keenan uses various techniques to convey the feeling of human degradation that he went through during the first period of his captivity. One of these is the enumeration of adjectives or nouns which communicate the misery to which he was reduced to. Such examples include the old, ragged, filthy cover which suggest the grimy circumstances in which he had to live in. The excrement, sweat, the perspiration emphasise this obloquy through which he goes. Sweat and perspiration imply oppressive heat, a sensation of lack of air. The excrement implies that in this already oppressive space, Keenan is reduced to sleeping in the smell of his own filth. This feeling is further emphasised by the quotation squat down over it. Defecate on it. I defecate ( ) and then I carefully wrap my excrement These short, blunt sentences imply that Keenan wants to describe his condition as close to reality as possible, therefore not sparing the reader from any brusque or less polite words, because he was not spared from any unpleasantness either. The enumerations suggest the plentiful reasons of his never ending human degradation and exposure to filth. Keenan described himself as a bag of flesh and scrape, a heap of offal tossed unwanted in the corner of this filthy room. This portrayal of himself, of flesh and heap of offal is dehumanizing as it reduces him to something repulsive and purely physical, thus overlooking the details that makes him human, such as feelings, mind and judgement. He is tossed in the corner, therefore not valuable for anyone. The fact that he is thrown in a filthy corner further emphasise his lack of value and significance. All these show how Keenans self esteem and dignity was crushed, and he as a person was reduced to nothing more than a worthless and abhorrent body. This conveys the extreme human degradation though which he goes. Keenans lack of stimuli and life are described throughout the chapter, which gives the reader and idea of the feeling of endless emptiness though which the hostages go. Referring to his urine and drinking water going From bottle to bottle, through me, this fluid will daily run, Keenan uses these endless cycles of life to symbolise the monotonous days of his captivity. The phase from bottle to bottle and though me suggest a continuous flow, while the word daily informs us of the length of one standard cycle. Keenan seems to live the same tedious days over and over again, making him feel lifeless and purposeless. The syntax of his writing implies dullness, repetition and lack of life as well. The phase No sound, no noise, nothing. Yet I try to force this scream. Why can I not scream? But no noise comes from me. Not even a faint echo of cry. I am full with nothing. is a very good example for this point. His sentences are very short, implying the lack of thing and stimuli to talk about. Why can I not scream? is almost a rhetoric question as he has no one to get an answer from. This highlights the lack of stuff to think about. And there are some sentences which are just an enumeration of words, like No sound, no noise, nothing. The repetition of no and nothing throughout this chapter father emphasise the lack of stimuli, as there are no objects, persons or phenomena to ponder about. In the end the narrator expresses his despair by confessing that he is full with nothing, implying his frantic need of something that he can think about, that can occupy his brain. Due to this prolonged lack of stimuli, Keenan becomes temporarily mentally unbalanced, with his senses going out of control.

Tuesday, January 21, 2020

The Last Samurai :: essays research papers

My Place of Refuge For a number of people visiting places of significance can be the channel for changing one’s point of view on life, recharging one’s emotional battery, or growing closer to one’s family and friends. These favorite places could have characteristics such as captivating beauty, sentimental value or a refuge of serenity. My favorite place where I find refuge is at Pomme De Terre Lake near Bolivar, Missouri. This is where I find a connection with my family and friends. The lake is a place to reflect on times spent growing up and now a place to make new memories with my family and friends. A place to find refuge from normal day-to-day life and take in the beauty of such a splendid area that God created. 1.  Ã‚  Ã‚  Ã‚  Ã‚  The smells surround me in an irresistible craving for the lake. A. The smell of the dew in the morning B. Smells of the campfires C. Waking up by the aroma of the bacon frying. 2. As I think of the aroma of the bacon frying it brings my to the sensational tastes created at the lake. A. The flavor of the bacon in your mouth. B. I take delight in the taste of the smoked turkey on July 4. C. The taste of a cold beer while spending a hot day on the lake or enjoying a late night game of cards. 3. The magnificent sights created at the lake. A. Blazing orange and red colors created by the flames of the campfire. B. The marvelous scene of an evening sunset. C. The view of our family enjoying time together at the lake. 4.  Ã‚  Ã‚  Ã‚  Ã‚   The sounds of the lake create a refuge from the normal day-to-day life. A.  Ã‚  Ã‚  Ã‚  Ã‚  The voices of my family talking and laughing B.  Ã‚  Ã‚  Ã‚  Ã‚   The roaring of the engines of the boats racing up and down the water. C.  Ã‚  Ã‚  Ã‚  Ã‚   While laying in the tent taking in the peaceful sounds of the night 5.  Ã‚  Ã‚  Ã‚  Ã‚   The lake makes me feel such an enjoyment. A. The feel of the salmon ski under my feet B. The control I feel while in the driver’s seat of the boat C. The feel of the dew under my feet People need to find a place that can cause a renewing to their body and their inner self. People need time to create significant memories with their family and friends. They need a place to reflect back on the beauty of our magnificent world that God created. We all need to find a way to recharge our emotional battery and grow closer to the ones we love.

Sunday, January 12, 2020

Emerging Standards Essay

Diversity is exhibited in many ways, including a multiplicity of upbringing, dress, thought, lifestyle, values, food preferences, family relationships, and in gender, ethnicity, and age. These factors exist throughout the gamut of health care patients and the interactions designed with the nurses who care for them. Diversity in healthcare refers to the cultural setting in how the patient lives and in some measure defining their connection to healing, health, and their own role in the nurse to patient relationship (University of Phoenix, 2012). In many ways, the United States landscape is changing, especially in the health care field. The Baby Boomers are reaching an age where they are going to need and use more health care assistance, Generation Y and the Nexters are entering into the ages to begin working careers, and are bringing different behaviors and value sets with them. In the middle of all of these changes are the nurses and their care. Factors that play an influential role i n the delivery of nursing care to the ever changing landscape are not only the diversity of the patient but the ability of the nurse to provide effective and culturally competent care (University of Phoenix, 2012). Standards of Cultural Competence American nurses are predominately made of white females and does not honestly indicate the diverse population they serve. The push for more minority students to be recruited into the schools of nursing is big, but because of the culture of the profession being made up of middle class, white values, the minority nursing students are facing a barrier; racism. In nursing education, there is an emphasis on cultural competence. Being culturally competent means having the ability to care for patients with different cultures and backgrounds competently. This is otherwise known as transcultural nursing. An essential part of the nursing syllabus, transcultural nursing eliminates the racism shadow that has been portrayed  all these years as normal. Transcultural nursing emphasizes nursing capabilities in providing culturally specific care to a diverse patient population. Cultural competence refers to studying and practicing nursing, focusing on the similarities and differences among the cult ures with respect to nursing care and patient health. Cultural competence can also be defined as â€Å"the ability to provide effective clinical care for a particular ethnic or racial group and is seldom seen as the ability to reach a culturally diverse student population with varying perspectives on health and illness and female roles† (Wilby, 2009, p. 58). Culturally competent standards in healthcare are set as ethnic or racial differences in the quality of care not discriminated against. There are two levels of non-discrimination. The first is within the operation of the healthcare system and the way the system functions following regulatory and legal pathways. The second is at the provider-patient level, or the individual’s levels. Discrimination is described as the way care is given based on prejudices, biases, and stereotyping. Another type of discrimination is on the patient level with the provider. An example, a minority patient refuses service recommendations based on the result of a cultural mismatch between the patient and the care provider. This type of behavior can also result from misuse of clinical services such as when a test is not clinically indicated but given anyway (a pregnancy test on all females over the age of 12 regardless) (Institute of Medicine of the National Academies, 2003). Culturally Competent Care within Memorial Hermann Healthcare Systems Memorial Hermann Healthcare System (MHHS) is dedicated to the purpose of assisting the communities, patients, employees, and physicians they serve in a responsible, legal, and ethical fashion. Furthermore, they are loyal in rendering aid to their community, staying in full conformity with appropriate guidelines, laws, and regulations, in addition to their own procedures, policies, and processes. They are especially aware of the obligations appropriate to federal programs and correct billings submission. MHHS provides culturally competent, holistic care that directs with due respect, the physical, psychological, spiritual and social needs of their patients. The system has high ethical values and expects respect, integrity, and fairness in all their relationships, employer, employee, and patient. MHHS provides culturally competent care with respect to the individual dignity of the patient,  responding to needs, questions, and concerns in a sensitive and timely fashion. They evaluate and monitor on a continuing basis, the way care and any other similar services is being delivered to make sure that their mandated and customary set standards are being met. They take pride in the non-discrimination of the patient for any basis regardless of their ethnicity, race, upbringing, dress, lifestyle, values, gender, disability, or age. These same standards are upheld for the employees also. There is no discrimination when it comes to training, promotion or compensation, and employees are encouraged to frequently evaluate their current methods of care delivery in hopes of learning more effective ways of providing patient care and showing support (M emorial Hermann Healthcare System, 2012). Populations: Served and Vulnerability Cultural minorities have more of a tendency to get an inferior quality of care than the non-minorities, even with controlled access-related factors, such as income and insurance status. There are many sources to this disparity; contemporary and historic inequities, and involving many players; health care systems along with their bureaucratic and administrative processes, case managers or utilization reviewers, the healthcare professional, and the patients themselves. Studies have shown that uncertainty, biases, and stereotyping done by the professional contributes to this unequal treatment. Minorities also experience other barriers to accessing care, even if they carry the same level of insurance as whites, including cultural familiarity, geography, and language barriers. Furthermore, the hospital and clinic financial arrangements of a health care system, as well as the regulatory, policy, and legal environment in which the system operates, may have a negative effect on these vulnerable populations’ ability to acquire quality health care (Institute of Medicine of the National Academies, 2003). Delivery of Nursing Care Nurses need be aware of how barriers such as racial, ethnicity, and gender can be related to health care access, and problems with underutilization are present causing disparities and affecting the communities in which they serve (University of Phoenix, 2012). Transcultural nursing has become a lead role player in the delivery of healthcare and is a necessity for the nurses  of today because of the steadily increasing multicultural trend happening within the American population. One out of three people in the United States make up a portion of various ethnicities other than the average White. Because of this swift growth of the multicultural society, transcultural nursing is vital to nursing care, requiring that nurses are practicing cultural competence in their day-to-day patient care areas. Culturally competent nurses are knowledgeable about other cultural beliefs and ideas and are trained in being able to identify particular patterns in order to formulate a personalized care plan that meets all the needs and goals of the patient. Culturally competent nurses also provide holistic care. This approach focuses on the spiritual, emotional, social, psychological, and physical needs of the patient. Being able to provide holistic care to the individual patient also means that the nurse can also relate to the patient’s cultural differences. In other words, in order for the nurse to perform care for their patient at the optimal level, the nurse must be culturally competent (Maier-Lorentz, 2008). Solutions Multi-level and comprehensive strategies are needed to eliminate barriers of cultural competence. The gap between ethnic and racial groups and healthcare (providers, payors, patients, insurance plans, and society as a whole) must be made known in order to reach a solution. The healthcare workers and their competence to provide superior care to ethnic and racial minorities can be enhanced significantly by expanding the ratio of ethnic and racial minorities among healthcare professionals. Also, both the providers and their patients can profit from education. Patients can profit from culturally and customarily suitable instructional programs to enhance their knowledge of how to obtain competent health care and their capacity to share in their outcome and making decisions. The providers, however, carry the larger educational burden. Cultural competence courses should be incorporated from the beginning of their career, for any upcoming healthcare professional, and case-based, realistic, and meticulously assessed training exercises be offered through continuing education courses. Lastly, monitoring, collecting, and reporting of core measure and meaningful use data to health insurers and state and/or federal entities should be supported as a way to evaluate improvement in eradicating disparities, to  assess mediation attempts, and to gauge conceivable civil rights breaches (Institute of Medicine of the National Academies, 2003). Implementing the Solutions The health care professional who develops a detailed viewpoint of the association between health and culture; values respect for inclusiveness, social justice, equity, and differences; and uses their ability to authorize these standards in their areas of influence, personally and professionally, are capable of improving care for patient diversity (Getzlaf & Osborne, 2010). Studies such as the â€Å"Sullivan Commission’s Report on the Diversity in the Healthcare Workforce suggests that increasing the diversity of healthcare professionals† will rally healthcare equality and quality for racial and ethnic minorities who go through the most disparities in health results (Edwards, 2009, para. 3). As the number of non-white people increase in the United States, the workforce of professional nurses needs to reflect its persons to strengthen quality and access of healthcare for people from culturally diverse upbringings (Edwards, 2009). Conclusion Diversity in healthcare refers to the cultural setting of how the patient lives and in some measure defining their connection to healing, health, and their own role in the nurse to patient relationship. Most nurses are performing in multicultural settings where the patient brings his or her own set of values and beliefs. Being able to understand the nurse’s individual cultural viewpoint of the community, the client, and one’s self is central to giving culturally and suitable care (University of Phoenix, 2012). In collaboration with others, MHHS is committed to assessing and creating health care solutions that meets the needs of the individuals in their diverse communities. This healthcare system believes in treating everyone with the respect and dignity as they themselves want, creating an environment that is unique to each individual who enters their doors, making each patient feel special and well-cared for, no matter what (Memorial Hermann Healthcare System, 2012). Nurses must continue to practice cultural competence daily in their practice in order to impart in each patient the feeling of being cared for and known of as an individual in a multifaceted healthcare system and the culturally diverse society (Maier-Lorentz, 2008). References Edwards, K. (2009, Summer). Promoting quality care by increasing the diversity of the professional nursing workforce. Journal of Cultural Diversity, 16(2), 39. Retrieved December 4, 2012 from University of Phoenix Library, CINAHL Plus with Full Text. Getzlaf, B.A., & Osborne, M. (2010). A journey of critical consciousness: an educational strategy for health care leaders. International Journal of Nursing Education Scholarship, 7(34), 1-15. Retrieved December 4, 2012 from University of Phoenix Library, MEDLINE with Full Text. Institute of Medicine of the National Academies. (2003). Unequal Treatment. Confronting racial and ethnic disparities in health care. Washington, D.C. The National Academies Press. Maier-Lorentz, M.M. (2008, Spring). Transcultural nursing: its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37-43. Retrieved December 4, 2012 from University of Phoenix Library, MEDLINE with Full Text. Memorial Hermann Healthcare System. (2012). Standards of con duct. Retrieved December 4, 2012 from http://www.memorialhermann.org University of Phoenix. (2012). Read me first. Retrieved November 6, 2012 from University of Phoenix, NUR/531 website. Wilby, M.L. (2009). When the world was white. International Journal for Human Caring, 13(4), 57-61. Retrieved December 4, 2012 from University of Phoenix Library, CINAHL Plus with Full Text.

Saturday, January 4, 2020

The Great Social Media Divide - Free Essay Example

Sample details Pages: 2 Words: 646 Downloads: 1 Date added: 2019/04/10 Category Society Essay Level High school Tags: Social Media Essay Did you like this example? Is social media helping or harming our society? The many scandals and addictions of social media have revealed how being our society is more harmful than it is being helpful. Social media had an original purpose of connecting people and acting as a positive social outlet. There are four major drawbacks of social media, diminishing of social connectedness, increased bullying, increased access to infidelity and has drawn a barrier in individuals helping in emergency situations. Don’t waste time! Our writers will create an original "The Great Social Media Divide" essay for you Create order As you continue to read more details and elaboration will arise in my stance on why social media are more harmful than helpful. Research shows that social media has a detrimental effect on the social connectedness (Savci et al. 210). A social connectedness is relationships or how individuals come together and interact. Subsequently social media can cause a reduction of social connectedness. Social media can lead to a weakness for social ties and social connectedness can decrease (Savci et al. 210). The question then becomes Can we have successful relationships outside of social media? The answer is no. This addiction to social media takes away that time to learn how to read non-verbal cues and pick up on unhealthy interactions. Strike one for social media. here has been a growing concern over the last few years, in regard to cyberbullying. Additional extensive research was conducted of bullying amongst elementary schools. There is no doubt an increase in the number of online bullying incidents, as we have seen in the news lately. We have also recently seen so many deaths that have stemmed from cyberbullying. Some may argue that it is a rare occasion but in actuality it is not. In a study on cyberbullying and victimization, 83% of participants reported cyber victimization occurred outside of school (DePaolis et al. 385). Would you want bullying to follow your child home on those tiny little things we call cell phones? No! Strike two for social media. Social media has also opened doors for many individuals to date and seek out long-lasting relationships. But what happens when you catch Annie on your husbands Facebook personal messages or when you find out you husband John met Annie on Linked In? Granted, we cant get mad at the other part y considering our spouse opened the door for infidelity, but we can be upset with how easy it was for them to meet and cheat. Also, people have always found ways to cheat on their spouses during hard times, social media has made it so much easier. With the increased number of individuals getting caught, we have an increased number of relationships and families ending. Strike three social media. I have seen numerous amounts of videos finding its way onto my social media news feeds with vulgar images of fighting, watching people die and even images of children being physically and sexually abused. These images surface more rapidly than do positive images. I have personally witnessed individuals seeing someone hurt or in need of emergency assistance but instead of helping they are recording the incident, so they can get the most likes. We are addicted to the thumbs up and hearts on our social media accounts. How can someone record another individual dying or a kid being beaten and not intervene? You are out social media! Although social media has played a very intricate role in shedding light on political concerns, reconnecting families, networking, empowerment and as an emotional outlet, it has still managed to damage the greater society. I beg parents to reduce or limit the amount of social media use for young children. I also challenge adults to scale back as it interferes with our ability to hold intimate and professional conversations. Social media was intended to be a positive way to connect and network but instead has done more harm than good. My intentions are to persuade you into the idea that social media is harming our society.