In The Life And Writings Of Kate Chopin And Mary E. Freeman,

In the life and writings of Kate Chopin and Mary E. Freeman, how can you see the obvious cry for women to have an equal status in a man’s world? Chopin and Freeman lived in a time when men dominated women; a woman’s job was to marry, have a home, and raise children. Women were their husband’s property and law did not protect them if they were abused. (Plaza) Owning land, making financial decisions, and voting was among the many things women could not do. Freeman and Chopin both used their literary works to shed light on those subjects. 2. WOMEN’S RIGHTS IN 1894ISH) really focus on this and how the women wrote about this and give examples. 4.(KATE+BOOKS) Kate Chopin greatly contributed to the feminist movement and was one of the first†¦show more content†¦For the wife, Louise Mallard, this was an awakening of a new life. This new life is cut short as the information that led her to believe this news turns our false. Kate Chopin reveals that even the desire for love is trumped by the need for freedom and independence, through her use of precise diction and syntax, and symbolism. (rewrite) Chopin became a symbol and mascot for the American Women’s Suffrage Movement (1910-1920) with the passage of the nineteenth amendment that stated: â€Å"The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of sex.† (First-Wave Feminism) Although Chopin was not alive while the actual women’s movement occurred, she still contributed. Her work did not receive any admiration until decades after her death around the 1950 s. (Sandra). 5.(MARY+BOOKS) Mary E. Freeman was best known for her depiction of New England life and was objective and straightforward in her writings. Many of her works had a theme of mental oppression and and rebellion of women. In her story, â€Å"Old Woman Magoun† she delivered a feminist message more directly than ever. It’s based in turn-of-the-century New England, patriarchy still defined relationships even though the men themselves had degenerated. The story reflects the realities of Freeman’s own life, as her father’s business failed and her mother became the support of the family. However, Freeman’s life was not unique; rural New England isShow MoreRelated American Literature: Kate Chopin, and Mary Eleanor Wilkins Freeman1506 Words   |  6 Pagesantebellum era writers are Kate Chopin, and Mary Eleanor Wilkins Freeman. These two women made a big impact in the American history. Both of these women were very important writers, and well known for their American romance fiction short stories. Chopin’s and Freeman’s short stories were very interesting because they talked about real day by day events. People liked their short stories, because sometimes the y identified their selves with the characters of the stories. Freeman and Chopin wrote several shortRead More Women’s Self-Discovery During Late American Romanticism / Early Realism3300 Words   |  14 Pagesand talented women. Although these women writers have been established for sometime their status of contributions to society has only been recognized way too late. During the late romantic/early realism period numerous women found success in writing despite the fact that they may have encountered numerous obstacles in their path. The characters these women wrote about almost have a kinship with themselves bringing out certain personality traits not seen written about women before. From theseRead MoreAmerican Lit2895 Words   |  12 PagesLiving in a technologically advanced society definitely has its perks. Today, we are fortunate to have the internet, Amazon.com to delivery books straight to your house, and wireless handheld e-books. Unfortunately, the days of go ing to the library to take out books, and speaking with a librarian for help on research rarely happens anymore. That’s why studying literature, and researching topics is essential for us students. Literature can be described as a language. It has been expressed for centuriesRead MoreFemale Voices of 1865-19121728 Words   |  7 Pageswomen writers of the 1865 to 1912 period the social factors that influenced their writing are race, culture, religion, education, citizenship, economic status, marital status, and family. Race, culture, marital status, and citizenship social factors are recognized through the writing of several women writers such as: Sarah Winnemucca, Life Among the Piutes: Their Wrongs and Claims (1883), recounts the events of her life in the context of Piute culture and history. Baym (2008) describes the situation:Read MoreKate Chopin : A Feminist Perspective1515 Words   |  7 PagesKate Chopin, as a forerunner of feminist authors in 19th century, also interprets her understanding of how one’s social status can affect his/her ability to choose marriage suitors and make marriage decision. In the story, â€Å"love† or â€Å"affection can be g iven up for reaching higher social ladder. People on â€Å"top† have more power to make decision on marriage than people with lower â€Å"ranks†; also, males have more power to make decision than women. As a result, female with lower â€Å"ranks† is more likely toRead MoreThe Importance Of Feminism In The Song Of Myself1876 Words   |  8 Pagesthe inequality between men and women: I am the poet of the woman the same as the man...And I say there is nothing greater than the mother of men (37). Whitman was extremely progressive for his time because he not only challenged the traditional writing style of poetry—making his poem uniquely free verse—but also the perception individuals as equal, regardless of gender, socioeconomic status or race. Although there were merely a few excerpts of feminism in The Song of Myself, Whitman used the injusticesRead MoreEssay on 103 American Literature Final Exam5447 Words   |  22 Pagesprinciples of the work of m any realist authors? (A) a highly theorized understanding that language can never represent reality accurately, combined with a playful willingness to use their work to make ironic, self-reflexive comments on the status of writing and literature itself (B) a preoccupation with making the observable surfaces of the world described in fiction seem lifelike and an interest in portraying the complexity of the interior moral and psychological lives of characters (C) a commitment

Essay about Military vs Civilian Life - 723 Words

Dionte Lavette Gary Henry English 112 July 19, 2009 Have you ever sat a thought to your self â€Å"If I joined the military would my life be different?† Now when people think of the military they think of going to war and getting yelled at, but there are so many differences between military life and civilian. Most people sometimes believe that military life and civilian life are the same. Now there are a lot of differences their occupational life, living expense and some the freedoms they have. Occupational life is an example of differences between military and civilian life. In civilian life, you have the choice to work different shifts, day or night, and when your scheduled hours are over, you are able to go home. In Military†¦show more content†¦Military life you don’t have that freedom. Soldiers are giving and even told when to wear their uniforms. Living expenses are another example of the differences between military and civilian life. Housing expenses is something civilians continue to worry about. Civilians have to worry about making mortgage or rent payments. Military members don’t have that worry; they are giving extra money to pay their rent and mortgage. Another living expense is food. Military member get three meals a day for free and if you have a family you receive money to feed your family, so as a soldier your food is paid for. Civilians don’t have that luxury; civilians have to pay for their food. Healthcare expenses for military members are free. The military makes sure you have the medicine you need. Now for civilians Healthcare is a big issue 15% of Americans don’t have healthcare. Now In some cases for civilians healthcare benefits are free; but that is base on if your job offers it. One other big difference is education. Education benefits for military members is free they have to worry about getting grant, scholarships or students loan. Military member receive the GI bill which pays for tuition and books. So as for a military member it just when and what school to go to. For civilians it’s kind of different. Civilians have to worry about how they are going to pay forShow MoreRelatedMilitary Life vs Civilian Life787 Words   |  4 PagesMilitary Life vs. Civilian Life When we think about the military these days, normally the first thing that comes to mind is war. However, when we think about the civilian world the one thing that stands out is freedom. As a result, in order to maintain that freedom we must have our military go out and fight wars. There are many differences between our military and the civilian life; nonetheless, similarities do exist. A few that will be discussed pertaining to military and civilian life are howRead MoreMilitary Vs. Civilian Life1270 Words   |  6 PagesMany civilians end up thanking veterans for their service without knowing how their lives actually differ. Military life can offer many differences that civilian life cannot. Having lived both lives, I have an inside perspective on the differences between the two. These differences can include laws, regulations, and the different types of punishment one may receive. Although, everything between the two may seem different, there is also a similarity. That similarit y, is encountering the same personalityRead MoreCivilian Life vs. Military Life Essay1053 Words   |  5 Pageshuge differences compared to being in the civilian life. There are many differences and there are some things that are the same, being in the Army and being in civilian life. The average day for a US Army Soldier consists of waking up at 0400 hours in the morning being to first formation; accountability formation by 0630 hours. Then from 0630 to 0730 hours a Soldier will do Physical Readiness training (PRT), wear as the average wake up time for a civilian would be around 0630 to 0700 hours. The SoldierRead MoreSubstance Abuse and Mental Health Treatment Barriers: Military Life vs. Civilian Life1259 Words   |  6 PagesSubstance Abuse and Mental Health Treatment Barriers: Military Life vs. Civilian Life Marina Herrera Butte College Abstract This paper explores the interesting relationship between substance abuse and mental health problems among military and civilian life. As well as stigma barriers to treatment within a military vs. a civilian setting. The article â€Å"Substance Abuse and Mental Health Treatment in the Military: Lessons Learned and a Way Forward† written by Katie Witkiewitz and ArmandoRead MoreA Brief Look at Igor Sikorsky1157 Words   |  5 PagesIgor Sikorsky widened the field of aviation throughout his life with inventions that caught the interest of the world. In the early 1920’s, after successfully building a four-engine biplane, Sikorsky began his work on amphibian aircraft. The aircraft proved to be versatile with its ability to take off and land on an airstrip or in the water. Sikorsky increased the size and maximum range of his designs until producing the S-42 Flying Clipper. His line of amphibian planes became the precursor to commercialRead MoreAgent Orange : A Herbicide Mix ture Used By The Us Military During The Vietnam War Essay1350 Words   |  6 PagesAgent Orange is a herbicide mixture used by the US military during the Vietnam War. (Agent Orange Vietnam War History). The Department of defense advance project (DARPA) had an important role in the U.S development of herbicides as a military weapon (usa.gov). The first large scale defoliation by the US military took place in Fort Drum using a chemical called agent purple and a spray system that was the model for the one used in Vietnam (Buckingham). The use of chemicals in war is considered biologicalRead MoreUnited States Department Of State1748 Words   |  7 Pagestheir definitions, it is possible to get a better grasp of the concept and which organizations fit the description.   Professor Kydd defines terrorism as â€Å"politically motivated violence, usually targeted at civilians by non-state actors, but sometimes by states and sometimes towards non-civilians,† (Kydd 9/7). Kidd specifies that this violence is directed toward people, not property, does not usually involve economic motivation, is usually by a state-actor, and is performed for a broad audience inRead MoreCyber Attack And Cyber Attacks958 Words   |  4 Pagesattacks (JOAC, i), extrapolation to an era of cyberwar is unjustified as cyber attacks alone do not constitute an act of war and cyberspace should not be considered in isolation in regard to war. Increasing dependence on cyberspace for U.S. civilian and military systems and networks, combined with the ability for remote access to attack without overt exposure of the attacker’s identity or organization, make cyber attacks an attractive means against a stronger opponent. However, an act of war hasRead MoreThe Invisible War1662 Words   |  7 PagesInvisible War, many of the service members were treated as though their attire (short skirts, running shorts, etc.), behavior, and alcohol consumption encouraged the sexual assault attacks and sexual harassment they endured during their service in the military. Also known as â€Å"victim blaming†, this form of blaming often occurs because perpetrators do not want to be held culpable for their wrongdoing. It also may be used as a way to take the blame off the wrongdoer and displace it onto the victim. InRead MoreGun Control Amendment990 Words   |  4 Pagesrecent incident, several others in past few years, has s park the debate over gun control in the United States. More and more are calling for a complete ban for assault type of weapons, that to include fully automatic and semi –automatic weapons with military attachments and features. In the light of the recent surge of incident involving guns, particularly assault type weapons has call for a ban. That has created an outrage from the advocates of gun owners and the (NRA) National Rifle Association. However

The Physics Of Mount Everest Simulation - 1729 Words

INTRODUCTION Mount Everest Simulation; where we explore the leadership and the group dynamics in the context of climbing the Mount Everest. We have to decide what step is to be taken in each round of the Mount Everest Simulation, like how the supplies are going to be distributed amongst the team members, taking care of the health of everyone (if you’re a physician) information needed for the ascent and the proper way of implementing the decision as a leader. In this Simulation I was an Environmental Scientist where my individual score was 6/7 and the team score was 72%. It was a great experience though. LEADERSHIP Description of Problems: As the Mount Everest Simulation progressed everyone was excited as how the climb would be and what decisions would the team make to progress the climb. There were total 5 camps in which the 5th camp was the Mount Everest. The leader and the whole team had to decide at whether on which camp we should rest and when to go up. Since I was the Environmental Scientist and I had a bit of anxious medical history while climbing the mountains which no one ever knew till yet that I would be needing the medical assistence as well. I experienced my 1st problem while climbing to camp 1 where my health got critical. However I was given the inhaler by the physicianShow MoreRelatedAn Article On Earth Essay10094 Words   |  41 Pagesinitially expected to escape envelopment by the expanded Sun s sparse outer atmosphere, though most, if not all, remaining life would have been destroyed by the Sun s increased luminosity (peaking at about 5,000 times its present level).[78] A 2008 simulation indicates that Earth s orbit will decay due to tidal effects and drag, causing it to enter the red giant Sun s atmosphere and be vaporized.[82] Name and etymology The modern English word Earth developed from a wide variety of Middle English formsRead MoreDeveloping Management Skills404131 Words   |  1617 PagesThe Advantages of Teams 494 An Example of an Effective Team 497 Team Development 498 The Forming Stage 498 The Norming Stage 499 The Storming Stage 501 The Performing Stage 503 Leading Teams 506 Developing Credibility 507 Establish SMART Goals and Everest Goals 509 International Caveats 511 Team Membership 512 Advantageous Roles 512 Providing Feedback 516 International Caveats 517 SKILL ANALYSIS 519 Cases Involving Building Effective Teams 519 The Tallahassee Democrat’s ELITE Team 519 The Cash RegisterRead MoreProject Mgmt296381 Words   |  1186 Pagesand Samson, Technology Management, First Edition Hayen, SAP R/3 Enterprise Software: An Introduction, First Edition Hill, Manufacturing Strategy: Text Cases, Third Edition Hopp, Supply Chain Science, First Edition Hopp and Spearman, Factory Physics, Third Edition Jacobs, Berry, Whybark, and Vollmann Manufacturing Planning Control for Supply Chain Management, Sixth Edition Jacobs and Chase, Operations and Supply Management: The Core, Second Edition Jacobs and Chase Operations and Supply Management

Coach Carter - Sociological Review - 1760 Words

Sociological Movie Review: Coach Carter Introduction to Sociology (HSO 101) Kamles Kumar A/L Vijaya Kumar B1100009 Miss. Rachel Chan Suet Kay Coach Carter is a 2005 movie which was based upon a true story. The movie underlines the social structure and stratification of life in the American ghetto. The theme of the movie is the outcome of such societal boundaries on this group of students who play basketball; how it outlines their life, affects their social life and also their life goals. The movie depicts a Structural-functionalist of society Coach Carter received both high praise and staunch criticism when he made national news for benching his entire undefeated team for poor academic performance. Set in Richmond,†¦show more content†¦Furthermore, with excellence on the court supported by good grades, they can obtain a college scholarship which would be useful as they come from poor income families. There is also portrayal of unfairness in the black society in getting into careers as well as a degree. It is shown that the black society in this film is usually involved in low income jobs or ends up engaged in crime such as drugs. According to Michael Banton (1997) theory of racisms; race determines culture, the use of racial beliefs and attitudes to subordinate and control a category of people defined in racial terms. This was among the main problems faced by subjects in the films. Even though, Jason Lyle (Channing Tatum) is from a white family. Growing up in a ghetto neighbourhood has brought him to live a life of the lower end as well. He has a dad in prison and an uncle who does not care about his education. They seem to pay more attention to his actions on the basketball court in comparison to the classroom. The students of the school also refer to themselves as â€Å"nigga† which is a derogatory term used by the White society to insult the Black people. Coach Carter p uts an end to this and says that they themselves should start respecting themselves and their race before anyone else outside would. He also added on that term â€Å"sir† is a term of respect and they should use it to address themselves and also himShow MoreRelatedEssay on Can Managers Influence Their Organisations Culture?2843 Words   |  12 Pagessomething that managers have control over, as they are able to alter aspects like training, and thus follows the argument that culture can indeed be influenced by them. HSBC Argentina is an example of successful ‘cultural engineering’ (Jackson and Carter, 2000). The CEO Antonio Losada saw that, although the branch was not performing poorly, there was potential to perform a lot better through enhancing its culture. This started with ‘Leadership Development Program’, which was offered to all 6,000 employeesRead MoreFemale Leadership Advantage and Disadvantag9375 Words   |  38 Pagesabout leadership: In many contexts, the Powerful Great Man model of leadership no longer holds. Good leadership is increasingly defined in terms of the qualities of a good coach or teacher rather than a highly authoritative person who merely tells others what to do. As a demonstration of this shift, Mike Krzyzewski, the coach of the highly successful Duke University basketball team, has become not only a famous sports figure, but also a leadership guru who is in great demand for giving lectures toRead MoreHow Women Entrepreneurs Lead and Why They Manage That Way7218 Words   |  29 Pagesthat encourage trust (Schoorman et al., 2007). Key factors that drive perceptions of trustworthy behavior include the degree to which the leader acts with integrity, demonstrates openness, takes an interest and displays conï ¬ dence in people, acts as coach and advocate, and shares clear expectations about performance outcomes. Because individual perceptions of the leader or owner’s abilities and trustworthiness differ from his or her self-perceptions, GM 26,3 it is critical to recognize differencesRead MoreMarriage Guidance: Summary Notes19959 Words   |  80 Pages 7. 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Review Of Literature 49-64 2.1 Expert Opinion 49 2.2 Self-management skills 51 2.3 People skills 53 2.4 The hard facts about soft skills 54 2.5 Soft skills are the counterpart of hard skills 58 2.6 Soft skills are at least as important as technicalRead MoreDeveloping Management Skills404131 Words   |  1617 PagesPrinciples of Management, Human Resources, Strategy, and Organizational Behavior that helps you actively study and prepare material for class. Chapter-by-chapter activities, including built-in pretests and posttests, focus on what you need to learn and to review in order to succeed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Kim S. 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Superhero and Children Free Essays

Lauren Lee  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   February 25, 2013 English 101  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Mr. Simmes Exemplification Essay To possess a human body, transcendental powers, and victory over evil villains are only a few characteristics of a superhero. These traits are the personification of what society has indicated to be the perfect man; or, depending on which superhero, a woman. We will write a custom essay sample on Superhero and Children or any similar topic only for you Order Now Many superhero fans begin as children and often remain intrigued into adulthood; from wearing their uniform, to owning every one of their movies, to becoming a superhero, themselves. However, becoming a superhero is an obvious impossibility. These supernatural beings have the ability to fly, master the intelligence of villains, lift the heaviest objects, and jump off the highest buildings with no harm being done. It is the ideals of becoming someone great, which superheroes portray, that influence children and enhance their yearning to imitate the superhero’s image and actions. A superhero’s immense strength, chiseled toned body, and sharp intelligence are a few attributes that provoke fans to admire and idolize these beings. Many parents believe that children’s aggressive behavior is uncontrollable but it is also a result from the vigorously powerful superheroes that act as role models to children as they are growing up. Superheroes incredible strength has led them to victory over the biggest and strongest of enemies. I interviewed my acquaintance, Jon Wall, a senior at McNeese State University, who has an admiration for Superman, and he said, â€Å"From watching Superman, I thought I could prove my strength by defeating other kids. This did not mean that I went and tried to beat everyone up. Instead, I tried to be better than others at everything. I would try to hang on the monkey bars the longest, be the person who got picked first for any sport, and wrestle anyone to submission. † he continued, â€Å"Although my behavior sometimes got too aggressive, and got me in trouble, it always seemed to make me feel like more of man. Jon’s explanation is one of many children who have set their standard of being a real man or woman based on the strength and accomplishments of a superhero. Achieving victories that a superhero has demonstrated has caused many fans to feel as an accomplished being, finally worthy to be called a real woman or man. Superheroes also tend to possess a perfect physi que that enhances their powerful ability to conquer and defeat evil. They always have a defined figure, toned muscle in every area, and, usually, six-pack abs. Although physical image is more of an interest with teenagers and adults, this does have an effect on children, too. These role models that children are introduced to hold a nearly impossible figure for all children to achieve. It is from these images that communicate to kids that being overweight and lacking strength is unacceptable. This aspect is a contribution to children mistreating other children who do not hold to this idolized standard. My friend Jon stated, â€Å"I fell into the trap of mocking others, who were not perfect, when I was a kid. I also remember trying to hide any blemish of my own body, so that I would not become a victim of the scorn [from other children]†. Jon’s experience of feeling pressure to maintain a certain physical image exemplifies the cases of many superhero fans. Children are feeling pressure to portray a certain image in order to achieve self-security and acceptance from others instead of having a healthy mentality regarding food and exercise. Aside from all physical traits of a superhero, they also portray a strong sense of intelligence. It requires mass strategy and mental knowledge to defeat evil villains and their deceptive ways. Superheroes encounter many difficult and seemingly impossible challenges and manage to take them head on without any evidence of fear. Breann, a classmate in my English 101 class, stated, â€Å"I think that the intelligence of a superhero is extremely influential because they are faced against evil villains, who are known for their intelligence and strategic ways, and superheroes always end up defeating them† she continued, â€Å"When children see the knowledge of a superhero portrayed in their planning of defeat against their enemies and them achieve victory, it is a positive influence for the children to try their hardest in school to gain an education to be able to plan, have broad knowledge, and defeat, as well. Intelligence holds a large role in the world and one’s likelihood of reaching success. Intelligence is a positive attribute that superheroes portray when their knowledge and skill is shown through their preparation and process of defeating evil. A characteristic of all superheroes is their great achievement. Superheroes are constantly saving the world and others from harm. They have great impacts on the way most children that admired them grew up. Whether it was Batman, Wonder Woman, or some other supernatural being, they all had a lot to say about what it means to be a man or woman. Even if the ideals portrayed are imaginative beings, a superheroes image has the ability to influence any child. Works Cited Wall, Jon. Personal interview. February 22, 2013. Debarge, Breann. Personal Interview. February 22, 2013. How to cite Superhero and Children, Papers

Behavior Change Communication & Advocacy Strategies-Expert sample

Question: Describe about the Behavior Change Communication and Identify advocacy strategies that you can use to create change in your current workplace. Answer: Every nurse in the nursing industry is capable of making positive changes enhancing the care structure and the profession itself (Ali, 2014). This capacity for change through nursing intervention is promoted by advocacy strategies. The nursing community can come up with any number of strategies to help build a better healthcare structure. The first of the popular strategies involve understanding current patient behavior to enhance the support system provided to the patients. This kind of healthcare is supposed to help patents cope with their post hospital stay days. This reaches out to patients in their secure environments to ensure guarded care at all times. The second most popular strategy is improvement of healthcare service providers capability to communicate better with the patient. This helps create a healthy and friendly environment for the patient. He or she feels better understood and loneliness as well as despair due to diseased status disappears. The provider is supposed to understand the patients personal world in order to interact better with the patient (Hansen-Turton et al., 2014). The healthcare professional has to act as the bridge between the physician and the patient as well as patients family members. The third strategy involves changing the policies and laws in the hospital premises to aid the patients in adapting to the surrounding environment and his or her condition. Several advocacy strategies can be crafted to make patient care better and to ensure that the working environment of the healthcare professionals is improving every day. References Ali, N. (2014). NCDs: Behavior Change Communication Advocacy Strategies.Bulletin of the World Health Organization,92(2), 77-152. Hansen-Turton, T., Mullen, T., Sherman, S., Thornburgh, D. (2014). ADVOCACY STRATEGIES FOR POLICY CHANGE.Social Innovation and Impact in Nonprofit Leadership, 229.

Objective Structured Clinical Examination Method

Question: Discuss about the Objective Structured Clinical Examination Method. Answer: Introduction: Mr. Harry Jones is 68-year-old man and is admitted to the medical ward suffering from Rapid Atrial Fibrillation. He has allergy with penicillin , and has a past medical history of asthma and hypertension. Mr. Jones is currently on Salbutamol 5mg two puffs four times per day and, oral cardiprin 100mg once a day and oral enalapril 10mg daily. He has a known family history of acute myocardial infarction, migraines in mother , and cancer of the colon in his father.This report includes pathophysiology of atrial fibrillation, and the rationale of administrating amiodarone as his initial medical management, and action and the therapeutic benefits of both the drugs warfarin and dabigatran as well as the side effects to decide which drug most suitable for him. Mr. Jones was prescribed aspirin to prevent the heart stroke, which can occur due atrial fibrillation since he has an age of 68 years. This drug was given because of low risk of bleeding, easy to use and monitoring is not required while giving this drug(Lip, 2013).The Mode of action of aspirin involves inhibiting the activation and aggregation of platelets and also the inhibition of enzyme cyclo xygenase that is platelet dependent. This leads to the inhibition of prostaglandin synthesis. The side effects of aspirin involves fever that lasts for 3 days, vomiting, pain in the stomach and nausea. Cardiprin is used for thinning of blood during heart strokes and atrial fibrillation. It has an active ingredient as aspirin and functions by the suppression of the production of prostaglandins hormones. There are various side effects of Cardiprin such as nausea, vomiting(Ng Ho, 2017). Asthma and problems related to digestion. Nursing interventions for administering Cardiprin involves proper knowledge about the current medicaments the patient is taking, allergic responses and any future surgery and pregnancy. The patient should inform the doctor about any issues of asthma, high blood pressure, heartburn or any other cardiac diseases. The nurse should give the medicine to the patient by checking on the outer packaging and as prescribed by the clinician. It can also lead to irritation in the stomach so it should be taken along with milk. The pathophysiology of atrial fibrillation involves pathological changes such as fibrosis in the artria that is progressive in nature. The fibrosis occurs due to the ageing process, dilation of the chamber, genetic reasons and inflammation. Atria gets dilated due to various structural abnormalities in them heart such as high blood pressure, valvular heart disease or a congestive failure of the heart (Heitner, 2013).Atrial fibrosis can also occur due to the mutation in the lamin AC gene. The renin-aldosterone angiotensin pathway is activated by the atrial dilatation due to stretch and this in turn increases the protein disintegrin and matrix metaproteinase in the walls of the atria. This pathway leads to the release of cytokines, oxidative stress and the formation of factors that lead to growth and promote fibrosis(Wakili, Voigt, Kb, Nattel, 2014). It also initiates various cell-signalling processes that increase the level of calcium inside the cells. The Renin aldosterone angiotensin system (RAAS) includes various enzymes such as Angiotensin 2, aldosterone and angiotensin converting enzyme and they are increased during atrial fibrillation as they are synthesized on a local level in the atrial myocardium. The increase in the level of these enzymes leads to fibrosis and atrial remodeling and results in the loss of muscle mass of atria.There are two types of fibrosis that is Reactive interstitial fibrosis, which helps in the separation of muscle bundles, and Reparative fibrosis that helps in replacing the cardiomyocytes. Fibroblasts can be coupled to the cardiomyocytes in an electrical manner and help in promoting the ectopic activities when their number is increased(Dan Camm, 2013). Amiadarone is given to Mr Jones to prevent myocardial infarction since his mother had a past medical history of the same disease. Amiadarone is also used to help the heart to beat in a normal manner as he is suffering from atrial fibrillation. It may lead to side effects if given to Mr Jones since he is allergic to pencillin and is suffering from asthma and serious heart issues(Barber Blundell, 2013).It should also be not given to patients suffering from thyroid diseases, implantation of pacemaker, eyesight issues, low balance of electrolyte and low or high blood pressure. There are various side effects of amiodarone such that it can have a negative effect on the liver and lungs in Mr Jones. The nursing interventions include various measures after administering this drug to the patient such as continuous monitoring of ECG and rhythm and heart rate and keeping a check if the patient suffers from jaundice, pain in the chest and stomach breathing issues, dark coloured urine and blood i n the cough(Schalij, 2014). Amiodarone should not be given to females who are pregnant as it can have a negative effect on the health of the baby because it passes to the mothers milk. Anticoagulants such as warfarin and dabigatran are used to reduce the risk of blood clotting and hence the heart stroke. The most common medicine is warfarin but it has a disadvantage that it can interact with foods, medicines and alcohol. But dabigatran has an advantage that it has a low interaction rate with medicaments, alcohol and food items .Warfarin requires regular blood tests to check the clotting time of blood in the body and dabigatran does not require regular blood tests(Wislff Klemp, 2014). According to, the National Institute for Health and Care Excellence (NICE), warfarin is used to decrease the risk of heart stroke. Its main disadvantage is heavy bleeding so to avoid it, a Vitamin K injection is given to stop the bleeding. Dabigatran blocks the effect of thrombin and helps in preventing the blood clots. Thrombin is a protein which is formed in the body for the formation of blood clots. Dabigatran gets collected in the blood of the patients who suffer from kidney probl ems as the kidney is not able to remove the drug from the body(Giugliano, Ruff, Braunwald, Murphy, Wiviott, Ruzyllo, 2013). There are various precautions while taking the drug dabigatran such as the capsule should not be opened before giving then dose to the patient that will lead to an increase in the concentration of drug in the body of the patient and hence lead to an increase in the risk of bleeding. Another disadvantage of this drug is that it is degraded when comes in contact with moisture and hence precautionary measures should be followed to keep the bottle closely tight. It should be used within 30 days after the bottle is opened. A side effect of dabigatran is that it leads to indigestion and stomach upset in patients if it is discontinued because the drug needs an acidic environment to get absorbed in the body(Mooney, 2013).It can also lead to heart stroke or heart attack if this medicine is stopped from taking. The side effects of warfarin are fever, bleeding from the gums, pain and swelling, irritation and diarrhea. Warfarin is more effective and safer than dabigatran and dabigatran should no t be taken by patient suffering from kidney and liver problems as it lead to increase in bleeding. Salbutamol is used in the treatment of asthma by providing relaxation to the muscles in the walls of airways present in the lungs. The normal dose for patients is 1-2 inhalations those who are adults and one puff for children in the age group of 6-11 years. It should be used only after prescribed by the doctor. (Salvi, 2013). Mr Jones will be instructed to remove the cover from the mouthpiece and shake the inhaler profusely then hold the inhaler and breathe out in a gentle manner. Then the mouthpiece should be immediately kept on the mouth. He will be advised to seal the mouthpiece totally with lips and start to breathe slowly with the mouth. After breathing slowly, press the inhaler firmly to release the medication and continued to breathe in(Zhang, Liu, Hu, Tan, 2015). If the patient misses the dose he should continue with the regular dosage schedule. It should be store at a room temperature and kept out of reach from children. It should be kept away from hot devices such as stove and heater. The patients who are allergic to salbutamol and milk proteins such as lactose should not take salbutamol puffers. Side effects of this medication include drowsiness, dizziness, fatigue, coughing and faster rate of heartbeat(Lahiri, 2017). It can be concluded that Mr Jones has a high risk of heart stroke since he is an elderly person. He should take proper care of himself and follow the medicaments prescribed by his clinician properly. He should take a well balanced diet and exercise daily that will decrease the chances of heart stroke. He should take warfarin that will help to decrease the risk of heart stroke and it is more effective and safer as compared to other drugs such as dabigatran. He should follow proper nursing interventions and follow precautionary measures to recover from Rapid Atrial Fibrillation. Bibliography Barber, Blundell, P. . (2013). Further Esstentials of Pharmocology For Nurses. Maidenhead: McGraw-Hill Education . Dan, Camm, B. d. (2013). Atrial fibrillation therapy. . Giugliano, Ruff, Braunwald, Murphy, Wiviott, Ruzyllo, H. . (2013). Edoxaban versus warfarin in patients with atrial fibrillation. New England Journal of Medicine , 369(22), 2093-2104. Heitner, H. . (2013). 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