Definition and Examples of Direct Address in English

Definition and Examples of Direct Address in English In English grammar  and rhetoric, direct address is a construction in which a speaker or writer communicates a message directly to another individual or group of individuals. The person who is addressed may be identified by name,  nickname, the pronoun you, or an expression  thats  either friendly or unfriendly.   Conventionally, the name of the individual whos addressed is set off by a comma or a pair of commas. Direct Address Examples and Observations Hey SpongeBob,  can I borrow the cheese bucket?(Patrick in SpongeBob SquarePants)Youve been given a gift, Peter. With great power, comes great responsibility.(Cliff Robertson as Ben Parker in Spider-Man 2, 2004)Smokey, my friend, you are entering a world of pain.(John Goodman as Walter Sobchak in The Big Lebowski, 1998Frankly, my dear, I dont give a damn!(Rhett Butlers final words to Scarlett OHara in Margaret Mitchells novel, Gone With the Wind, 1936Richard Vernon: My office is right across that hall. Any monkey business is ill-advised. Any questions?John Bender: Yeah, I have a question. Does Barry Manilow know that you raid his wardrobe?Richard Vernon: Youll get the answer to that question, Mr. Bender, next Saturday.(Paul Gleason and Judd Nelson in The Breakfast Club, 1985)Ilsa: Play it, Sam. Play As Time Goes By.Sam: Oh, I cant remember it, Miss Elsa. Im a little rusty on it.(Ingrid Bergman and Dooley Wilson in Casablanca, 1942Ilsa, Im no good at being noble, but it doesnt take much to see that the problems of three little people dont amount to a hill of beans in this crazy world. Someday youll understand that. Now, now . . .. Heres looking at you, kid.(Humphrey Bogart in Casablanca, 1942 And you, my father, there on the sad height,Curse, bless, me now with your fierce tears, I pray.Do not go gentle into that good night.Rage, rage against the dying of the light.(Dylan Thomas, Do not go gentle into that good night)You idiot, what  are you doing working in this poorhouse crammed with rotten guavas full of maggots, and you rotting just like them?(Reinaldo Arenas, The Palace of the White Skunks, trans. by  Andrew Hurley, 1991)Hey, you old bastard, Chick said. How you doin?  Chick came down the final two steps, pushed Tommy aside, grabbed Franciss hand, threw an arm around his shoulder, slapped his back. You old bastard,  Chick said. â€Å"Where you been?(William Kennedy, Very Old Bones,  1992) Direct Address and the Pronoun You It is clear that a  term of address is always  closely linked with the pronoun you,  which in itself has vocative qualities. One could say, in fact, that whenever pronominal you  is used in direct address, vocative you is implicitly present.  The two kinds of you  are inextricably bound together, though  in an utterance like You! What do you think youre doing! the first you is clearly vocative, where the others are pronominal.Pronominal and vocative you differ in their attitudinal marking. The former is neutral, the latter unfriendly.  Pronominal you also conforms to normal rules of syntax; vocative you does not need to do so. Vocative you,  finally, allows substitution. In You! What do you think youre doing! vocative you could be replaced by darling, John, you stupid fool, and innumerable other terms of address, all of which could be described as vocative-you variants. That point is significant because the  corollary of my statement that vocative you is always im plicitly present when pronominal you is used in  direct address, is  that pronominal you is always implicitly present when vocative you is used.(Leslie Dunkling, A Dictionary of Epithets and Terms of Address, 1990) The RhetoricalUse of My Friends in Direct Address -  My friends, [Senator] John McCain recently informed a crowd, we spent $3 million of your money to study the DNA of bears in Montana. . . .McCain . . . referred to my friends another 11 times. . . .Is this a doctrine of pre-emptive friendship immediately declaring crowds won over with an oratorical mission accomplished? Perhaps, but McCains friending is a strategy that hearkens back to classical rhetoric. Horaces call to amici performed a similar function in ancient Rome, and Tennysons 1833 poem Ulysses drew upon that tradition for the immortal lines: Come, my friends/ Tis not too late to seek a newer world. . . .But as a crowd bludgeon in modern political speechmaking, my friends can be laid at the feet of one man: William Jennings Bryan. His famed 1896 Cross of Gold speech at the Democratic National Convention invoked the phrase a mind-crushing 10 times.(Paul Collins, MFer. Salon.com, September 1, 2008)- Now, my friends, let me come to the great paramount issue.(William Jennin gs Bryan, Cross of Gold speech, July 9, 1896)- Words matter,  my friends.(Hillary Clinton, speaking in  Des Moines, Iowa, on August 10, 2016)- [W]e come to the  friendship of association, which is certainly the most common meaning of the word friend.  Some years ago the comedian Red Skelton impersonated a politician giving a campaign  speech. My friends he wheezed, and you are my friends, he quickly sputtered, and dont tell me youre not my friends, because nobodys going to tell me who my friends are. Obviously, the friends he was talking about were friends of association, acquaintances where there is little or no affection, or where people interact on some friendly basis.(John M. Reisman, Anatomy of Friendship, 1979) Visual Forms of Direct Address Gunther Kress and Theo van Leeuwen [in Reading Images, 1996]  note that  images in which the gaze  is directed at the viewer of the image create a visual form of direct address. It acknowledges the viewers explicitly, addressing them with a visual you.  Kress and  van Leeuwen call these images demand images because they demand that the viewer enters into some kind of imaginary relation with him or her. A classic example of the demand image is  the Uncle Sam recruiting poster, I Want YOU.  (Cara A. Finnegan, Studying Visual Modes of Public Address. The Handbook of Rhetoric and Public Address, ed. by  Shawn J. Parry-Giles and  J. Michael Hogan, 2010) Direct Address in the Media [In many] contexts,  for example,  television comedy or commercials, news and current affairs programmes, ​direct address is the accepted convention, although not everyone has the right to address the viewer directly. Anchorpersons and on-camera reporters  may look at the camera but interviewers may not. In chat shows, hosts may use direct address but guests may not. In other words, direct address is a privilege which the media profession has by and large reserved for itself.(Theo  van Leeuwen, Moving English: The Visual Language of Film. Redesigning English: New Texts, New Identities, ed. by  Sharon Goodman and David Graddol, 1996)   Ellen Gilchrists Address to Her WritingStudents Dear Students,If you are not writing well and happily, or if you feel your writing is forced, stop for a while and read or go out into the world and watch building projects or street-repair crews or get a job in a mall for Christmas or get into the car and drive to a city and look at art. Learn, learn, learn, be curious, and, if possible, uncritical. Everywhere men and women are doing wonderful things, marvelous things, interesting things. Write paragraphs about what you see and dont try to turn them into anything but praise and understanding. . . .Learn, learn, learn, read, read, read. I will be thinking about you and wishing you well every day.Ellen(Ellen Gilchrist, The Writing Life. University Press of Mississippi, 2005 The Lighter Side of Direct Address Cassio: Dost thou hear, mine honest friend?Clown: No, I hear not your honest friend. I hear you.(William Shakespeare, Othello, Act Three, scene 1)Son, you got a panty on your head.(Truck driver addressing H.I. McDunnough in Raising Arizona, 1987)

Case Study of Kathleen Johnson Samples

The report reviews the case study of Kathleen Johnson, a 45 year old woman with obesity and Type 2 diabetes. Due to the problem of overweight and challenges in managing appearance, she was admitted to the hospital for sleeve gastrectomy surgery. The report discusses about the etiology and pathophysiology of patient’s presenting condition (obesity) and then reviews her observation after 2 hours in post-anesthetic recovery room (PARU) to detect deterioration and the pathophysiology behind the deteriorating symptoms. Based on this justification, appropriate nursing management and role of interdisciplinary health care team to manage patient’s condition is provided. Since Kathleen has been admitted to the hospital for sleeve gastrectomy surgery, it is evident that obesity is main presenting condition in patient. Her BMI is 40kg/m 2 and due to weight gain and appearance issue, she had to undergo sleeve gastrectomy surgery. Obesity is a clinical condition leading to excessive deposition of fat or adipose tissue in the body of a person. Any person having a BMI of over 30 kg/m 2 is regarded as obese (Cummings & Cohen, 2016). The etiology of obesity involved multiple factors. For instance, metabolic factors, diet, genetic factor and physical activity level play a role in regulation of body weight. Although genetic factor also plays a role in risk of obesity, however behavioral, environmental, physiological and socio-cultural factors also increase energy balance and contribute to obesity. The most common behavioral and environmental risk factor obesity includes sedentary lifestyle, excess energy intake and poor physical activity (Saunders, Chaput & Tremblay, 2014). Social link to increase in weight includes impact of parent lifestyle and food habits on health behavior of children and youths Increase in weight is associated with other comorbidities such as insulin resistance, type 2 diabetes and cardiovascular disease (Bray 2014). Kathleen is a patient with type 2 diabetes and struggling to control her diet and blood sugar level. To prevent risk of other complication, weight loss surgery was important for her. From the etiology of obesity, it is understood that genetic as well behavioral factors increase the risk of excess fat deposit in patient. The adipocyte is the main cellular basis for obesity and increased in size or number of these cells contributes to obesity. Although in normal condition, fat is stored in the body for survival during starved state. However, when a person takes high energy food in large amount, it results in excessive storage of fat and the end result for which is obesity (Goossens & Blaak, 2015). Hence, the cause begin obesity is high calorie food and the cellular basis for obesity is the adipocyte. In case of Kathleen, her obesity was untreated before the surgery. Although she was gaining weight, she had not taken any preventive steps to control the condition. For this reason, opting for sleeve gastrectomy was a necessary option for her to manage her condition. Obesity mainly contributes to metabolic dysfunction and damages the function of cardiac, liver, endocri ne and intestinal gland if it left untreated (Saltiel & Olefsky, 2017). Hence, bariatric surgery is the best option for obesity management. Evidence has shown that bariatric surgery leads to weight loss and contributes to improvement in metabolic disorders like diabetes too (Reges et al., 2018). Sleeve gastrectomy is also one of the bariatric surgeries that promotes weight loss and improved gyclemic control in patient (Fuchs et al., 2017).   Therefore, by opting for surgical option, Kathleen can improve her symptoms related to diabetes too. Pathophysiology of patient’s post-operative deterioration Kathleen observation after two hours in the PARU revealed several deteriorating signs and symptoms. For instance, Kathleen respiratory rate was 28 breaths per minute whereas pulse rate was 130 beats per minute. By comparing these vitals signs with normal parameters, it can be said that respiratory rate of patient is abnormally high as normal respiratory rate is 12-20 breaths/min. His pulse rate is also an area of concern as it is above the normal value of 60-100 beats/min. Such abnormalities in Kathleen’s respiratory and pulse rate might have occurred due to the effect of obesity, smoking and alcohol consumption in patient. Obesity is highly associated with respiratory complication in obese patient. Obese patients tend to have higher respiratory rate because of the impact on lung function (Pepin et al, 2016). Abdominal obesity and lung dysnfunction affects systemic inflammation thus leading to respiratory disorder in patient (Oppenheimer et al., 2014). The review of Kathleenâ €™s history revealed that he was heavy smoker and consumed four bottles bear every night. Cigarette smoking is one factor that has an impact on pulse rate, breathing rate and oxygen consumption of an individual. This occurs because the chemical found in cigarette aggravates the cilia, leads to the deposition of tar and narrows the air passage. Such change in the lung is reason for abnormal respiratory rate in patient (Papathanasio et al., 2013). Hence, patient’s presenting condition exacerbated his vital signs post operation. The review of other vital signs in patient included blood pressure of 190/100 min. This clearly indicates that Kathleen was hypertensive. The likelihood of hypertension might have increased in patient due to the effect of surgery as well as due to obesity. Overweight and obese patients are more likely to suffer from hypertension. Such association between obesity and hypertension is seen due to the impact of obesity on metabolic functions. Other mechanisms linking obesity to hypertension includes endothelial and vascular impairment, neuro-endocrine imbalance, maladaptive immune response and dietary factors (DeMarco, Aroor & Sowers, 2014). This explanation confirms that obesity is the reason for deteriorating post-operative sign for Kathleen. Other factors that might have contributed to high blood pressure for patient includes smoking and diabetes. The link between diabetes and hypertension has been established because both have common pathways such as inflammation, oxidative stress an d insulin resistance. Low-grade inflammatory response and insulin resistant increased in type 2 diabetes patient thus contributing to hypertension (Lingam et al., 2018). As Kathleen had undergone sleeve gastrectomy surgery and effect of anesthesia and surgery might have also lead to hypertension in patient (Brethauer et al., 2015). Another sign of post operative deterioration found in Kathleen was low urine output and pain score in patient. Kathleen’s indwelling urinary catheter (IDC) volume was 5mls in the last hour, although the normal urine output per hour is 50-60 mL. Surgery is one of the reasons for low urine output. Surgical blood loss and dehydration in patient decreases urine output and lead to acute kidney injury on surgery patients. Poor renal perfusion and decreased urine output are common complication seen in the post anesthesia care unit (Canales & Hatch, 2014). Hence, the reason for such clinical deterioration in patient is clear. Another parameter that was affected for patient post operatively was her pain score. Kathleen’s pain score was 7/10 and the severity of the pain might also be the reason for presence of abnormal BP and respiratory rate. Blood pressure of Kathleen might have increased due to effect of pain. Pain promotes sympathetic activity thus leading to high blood press ure (Laquian et al., 2018).   Hence, while deciding treatment for patient, the effect of pain on other vital signs must be carefully examined. Based on analysis of post-operative deterioration in patient, the main care priorities for patient are management of abnormal vital signs of patient hypertension, pain score and respiratory rate and low urine output). Since Kathleen is obese and has diabetes, hence it is necessary to improve respiratory and vascular function as leaving these sign untreated may further complicate his condition (Mahajan, Lau & Sanders, 2015). The management of hypertension can be done by providing hypertensive medication to patient. After consultation with physician, the nurse can provide beta-blockers or angiotensive converting enzyme inhibitors to control his blood pressure (Wolf et al., 2016). To promote recovery in patient, the nurse also need to focus on dietary changes so that blood sugar level is maintained. Due to high pulse rate and respiratory rate, the patient may have ineffective breathing pattern. Hence, the care priority will be to assess respiratory rate and monitor ventilation status of Kathleen regularly. The rate and depth of respiration and need for oxygenation can also be examined. To provide comfort to patient, proper body alignment should be maintained too (Gordon, 2014). To address the issue of low urine output, there is a need to provide both fluid and drug therapy to prevent dehydration. During gastrectomy, some parts of her stomach were removed. Hence, it will be necessary to monitor wound healing and prevent signs of infection in patient. Apart from clinical intervention for management of vital signs, another care priority is to provide health education to patient so that Kathleen could be motivated to make changes in her lifestyle and eating habits. Since she is a smoker and consumer, making her quit both is necessary to maintain her health in the long term. Smoking has deleterious impact on obese patient and those with obesity (Lycett et al., 2015). Hence, the nurse needs to make Kathleen aware about the harmful effect of smoking on alcohol consumption on her metabolic and respiratory function. After this education, the patient can be supported to quit smoking by means of nicotine replacement therapy. Apart from nurses and medical team, the contribution of dietician is necessary to help Kathleen take low calorie foods and avoid food containing high amount of salt and sugar. Dietary intervention can reduce risk of diabetes related complication and prevent patient from gaining weight. Secondly, the involvement of physiotherapist is necessary as due to surgery, her mobility is affected. By collaborating with physiotherapist, Kathleen can learn to do exercise so that she can build her muscle strength. The role of a bariatric consultant is also necessary to educate Kathleen about her care needs and ways to manage her wound after discharged (Torti et al., 2017). The report discussed about the process of planning care for Kathleen by examining her medical history and discussing about the pathophysiology of obesity. The etiology and pathophysiology of obesity gives the insight that presence of various risk factors predisposed patient to obesity. The review of deterioration in vital signs and justifying them with the path physiology also helped to understand the mechanism by which Kathleen faced such clinical deterioration in patient. To enhance recovery in patient, proper collaboration between inter-professional team is necessary too. Bray, G. A. (2014). Obesity in adults: Etiology and natural history.  Pi-Sunyer FX, Mulder JE (eds). Brethauer, S. A., Kim, J., El Chaar, M., Papasavas, P., Eisenberg, D., Rogers, A., ... & Kothari, S. (2015). Standardized outcomes reporting in metabolic and bariatric surgery.  Surgery for Obesity and Related Diseases,  11(3), 489-506. Canales, B. K., & Hatch, M. (2014). Kidney stone incidence and metabolic urinary changes after modern bariatric surgery: review of clinical studies, experimental models, and prevention strategies.  Surgery for Obesity and Related Diseases,  10(4), 734-742. Cummings, D. E., & Cohen, R. V. (2016). Bariatric/metabolic surgery to treat type 2 diabetes in patients with a BMI< 35 kg/m2.  Diabetes Care,  39(6), 924-933. DeMarco, V. G., Aroor, A. R., & Sowers, J. R. (2014). The pathophysiology of hypertension in patients with obesity.  Nature Reviews Endocrinology,  10(6), 364. Fuchs, T., Loureiro, M., Both, G. H., skraba, H. H., & Costa-casagrande, T. A. (2017). The role of the sleeve gastrectomy and the management of type 2 diabetes.  ABCD. Arquivos Brasileiros de Cirurgia Digestiva (Sà £o Paulo),  30(4), 283-286. Goossens, G. H., & Blaak, E. E. (2015). Adipose tissue dysfunction and impaired metabolic health in human obesity: a matter of oxygen?.  Frontiers in endocrinology,  6, 55. Gordon, M. (2014).  Manual of nursing diagnosis. Jones & Bartlett Publishers. Laquian, L., Scali, S. T., Beaver, T. M., Kubilis, P., Beck, A. W., Giles, K., ... & Feezor, R. J. (2018). Outcomes of Thoracic Endovascular Aortic Repair for Acute Type B Dissection in Patients With Intractable Pain or Refractory Hypertension.  Journal of Endovascular Therapy,  25(2), 220-229. Lingam, S., Rani, P., Sheeladevi, S., Kotapati, V., & Das, T. (2018). Knowledge, attitude and practices on diabetes, hypertension and diabetic retinopathy and the factors that motivate screening for diabetes and diabetic retinopathy in a pyramidal model of eye health care.  Rural and remote health,  18(1), 4304-4304. Lycett, D., Nichols, L., Ryan, R., Farley, A., Roalfe, A., Mohammed, M. A., ... & Aveyard, P. (2015). The association between smoking cessation and glycaemic control in patients with type 2 diabetes: a THIN database cohort study.  The Lancet Diabetes & Endocrinology,  3(6), 423-430. Mahajan, R., Lau, D. H., & Sanders, P. (2015). Impact of obesity on cardiac metabolism, fibrosis, and function.  Trends in cardiovascular medicine,  25(2), 119-126. Oppenheimer, B. W., Berger, K. I., Segal, L. N., Stabile, A., Coles, K. D., Parikh, M., & Goldring, R. M. (2014). Airway dysfunction in obesity: response to voluntary restoration of end expiratory lung volume.  PLOS one,  9(2), e88015. Papathanasiou, G., Georgakopoulos, D., Papageorgiou, E., Zerva, E., Michalis, L., Kalfakakou, V., & Evangelou, A. (2013). Effects of smoking on heart rate at rest and during exercise, and on heart rate recovery, in young adults.  Hellenic J Cardiol,  54(3), 168-177. Pà ©pin, J. L., Timsit, J. F., Tamisier, R., Borel, J. C., Là ©vy, P., & Jaber, S. (2016). Prevention and care of respiratory failure in obese patients.  The Lancet Respiratory medicine,  4(5), 407-418. Reges, O., Greenland, P., Dicker, D., Leibowitz, M., Hoshen, M., Gofer, I., ... & Balicer, R. D. (2018). Association of Bariatric Surgery Using Laparoscopic Banding, Roux-en-Y Gastric Bypass, or Laparoscopic Sleeve Gastrectomy vs Usual Care Obesity Management With All-Cause Mortality.  Jama,  319(3), 279-290. Saltiel, A. R., & Olefsky, J. M. (2017). Inflammatory mechanisms linking obesity and metabolic disease.  The Journal of clinical investigation,  127(1), 1-4. Saunders, T. J., Chaput, J. P., & Tremblay, M. S. (2014). Sedentary behaviour as an emerging risk factor for cardiometabolic diseases in children and youth.  Canadian journal of diabetes,  38(1), 53-61. Torti, J., Luig, T., Borowitz, M., Johnson, J. A., Sharma, A. M., & Campbell-Scherer, D. L. (2017). The 5As team patient study: patient perspectives on the role of primary care in obesity management.  BMC family practice,  18(1), 19. Wolf, J., Drozdowski, J., Czechowicz, K., Winklewski, P. J., Jassem, E., Kara, T., ... & Narkiewicz, K. (2016). Effect of beta-blocker therapy on heart rate response in patients with hypertension and newly diagnosed untreated obstructive sleep apnea syndrome.  International journal of cardiology,  202, 67-72.

Promoting Jordan as a cultural destination being the only open air Research Paper

Promoting Jordan as a cultural destination being the only open air museum in the world - Research Paper Example I have once again proven this to myself when I visited Jordan and attended a concert for Mohammed Assaf, winner of Arab Idol, and Farah Yousef at Amman citadel on the 28th of August 2013. More than 3,000 people witnessed the dazzling, heartfelt performance of Mohammed Assaf. However, the tremendous success of the event would not be possible without the fervent support and ingenuity of the show’s organizer—the Friends of the Jordan Festivals. The Friends of the Jordan Festivals (FJF) was formed by individuals and groups that possess a deep-seated passion for culture and the arts, and are committed to the goal of making Jordan the topnotch cultural destination in the world. FJF organizes a variety of cultural events for a varied mix of entertainment audiences. Besides satisfying local tastes for culture and arts, FJF aspires to create globally renowned entertainment products. The unending commitment of FJF to the success of Jordan in tourism and cultural promotion is reve aled in its triumphant organization of major cultural events, such as the 2010 Jordan Festival, the Cirque du Soleil, Saltimbanco Show, Cirque de Glace, and the Evolution Show. And on July 2013, FJF publicized the opening of the Amman Citadel Festival for this year. The Festival showed off the finest artists of Jordan and other Middle Eastern countries. It seems that FJF thought that the festival has to be hosted with several big names, like Julio Iglesias, Marcel Khalife, and Khaled Salim, to draw the attention of audiences all over the world; but in reality Jordan is perhaps most rightfully positioned to act as a meeting point between the Middle East and the rest of the world. Isam Salfiti, Chairman of FJF, expressed their unwavering commitment to the country’s cultural tourism sector: â€Å"We look forward to helping enhance Jordan’s touristic appeal, as we believe that the Kingdom has all the makings of a world class destination†. This latest announcement of FJF has been distributed by Bidaya Corporate Communication, which is a regional public relations agency and regional event organizer. Because of its exceptional ability to satisfy the demands of its diverse clientele, Bidaya has become the favorite associate of leading local, regional, and global organizations. Bidaya Corporate Communications helps NGOs, like FJF, to stage the most successful cultural and historic events in the country. More notably, His Majesty King Abdullah II has committed to the goal of enriching Jordan’s cultural and artistic scenery. His Majesty aims to transform Jordan into a first-class economic and touristic destination. As part of His Majesty’s national tourism strategy, he commissioned Zaha Hadid Architects in 2010 to create the most exquisite design for a new performing arts center that will be built in Amman. Envisioned as a venue for performance, studying, mentoring, and rehearsing, the King Abdullah II House of Culture & Art was visuali zed to be the leading site for education, artistic and cultural performance in Jordan. It is His Majesty’s belief that through this initiative he would succeed in promoting the country’s great potential in tourism and in bringing together all its citizens in the collective experience of history, culture, and the arts. Derived from the Royal idea of a self-sufficient historical restoration organization in Jordan, His Majesty also ordered in 2010 the creation of the Jordan Heritage Revival Company (JHRC).

Primary recovery goal and steps for reaching the goal Assignment

Primary recovery goal and steps for reaching the goal - Assignment Example He would then subject non-critical patients, in hospital, to neurological test, and then conduct the test on patients who were not taken to the hospital. This would identify all victims by their needs and help in the recovery of all of them. Victims who are more likely to need crisis intervention. People whose positions or actions put in danger or whose actions endanger others are the ones likely to require crisis intervention (Government of Victoria, 2010, p. 42, 43). This is because recovery initiatives aim at managing current conditions of patients and preventing further harm. The category of patient is, however, likely to cause harm, and therefore delay recovery objective, and this establishes the significance of focusing on their stability. Some major health concerns after a disaster that may affect the community and possible actions for improving the health concerns The disaster has many health concerns that the community may face. Wildfire increases the risk of â€Å"asthma, emphysema, and cardiovascular diseases† among members of the society. The disaster is also likely to worsen conditions of a member of the community who already suffer from heart complications. High incidence of cancer, due to a carcinogen in smoke, stress, and mental complications are also likely. Wayne can organize for counseling sessions on stress management and ways of reducing further exposure to toxins from the wildfires. This will help in elevating depression and mental illnesses and in reducing the risk of the terminal diseases.

Being My Own Advocate :: English Literature Essays

Being My Own Advocate â€Å"Oh my, Lauren, I can’t believe my eyes!† This is all I could hear ringing in my ears when my parents opened my report card. You see, growing up dyslexic, I always needed to work harder, and I did so successfully until I began high school. I never really knew how to be my own advocate; my parents were always there for me. I grew up with private tutors and learning programs throughout my whole life. Being gifted, I was able to compensate until high school. I know we were both overwhelmed when I received my first C on a report card. I kept asking myself over and over again, how could this happen? I knew I learned differently, but for some reason, now things were not going well for me academically. Being accepted into the four year, signature Honors Magnet Global Ecology Program was quite an accomplishment. I thought my strengths in both math and science would help carry me through this rigorous academic curriculum. I was wrong! I hit a brick wall and I hit it hard. Having a parent who was a special educator and dyslexic as well kept me afloat; however, I needed to use the resources available both inside and outside of the school to begin my journey to academic success. It took me until my junior year of high school to understand just how and what I needed to do to be all I could. I learned this the hard way on my own; it cost me admission in to the National Honor Society, being recommended to AP Biology and AP US History. I needed to begin to take charge of my life and set the goals necessary to get back on my feet. I needed to prove to myself that wanting to go on to a pre-med major in college was a possible dream. Junior year, I began listening to those who loved and cared about me first by getting organized, communicating with my teachers, using all the accommodations I was entitled to and, for the first time, attending a resource class. The last step was the hardest for me, I just did not know what to think; what would the other kids say, â€Å"Oh you’re in the stupid class.† â€Å" Why are you in there?† After being in resource class, I realized that it would help become more organized, both in school and out it would help me to find the needed balance between all my classes and all my extra curricular activities. Being My Own Advocate :: English Literature Essays Being My Own Advocate â€Å"Oh my, Lauren, I can’t believe my eyes!† This is all I could hear ringing in my ears when my parents opened my report card. You see, growing up dyslexic, I always needed to work harder, and I did so successfully until I began high school. I never really knew how to be my own advocate; my parents were always there for me. I grew up with private tutors and learning programs throughout my whole life. Being gifted, I was able to compensate until high school. I know we were both overwhelmed when I received my first C on a report card. I kept asking myself over and over again, how could this happen? I knew I learned differently, but for some reason, now things were not going well for me academically. Being accepted into the four year, signature Honors Magnet Global Ecology Program was quite an accomplishment. I thought my strengths in both math and science would help carry me through this rigorous academic curriculum. I was wrong! I hit a brick wall and I hit it hard. Having a parent who was a special educator and dyslexic as well kept me afloat; however, I needed to use the resources available both inside and outside of the school to begin my journey to academic success. It took me until my junior year of high school to understand just how and what I needed to do to be all I could. I learned this the hard way on my own; it cost me admission in to the National Honor Society, being recommended to AP Biology and AP US History. I needed to begin to take charge of my life and set the goals necessary to get back on my feet. I needed to prove to myself that wanting to go on to a pre-med major in college was a possible dream. Junior year, I began listening to those who loved and cared about me first by getting organized, communicating with my teachers, using all the accommodations I was entitled to and, for the first time, attending a resource class. The last step was the hardest for me, I just did not know what to think; what would the other kids say, â€Å"Oh you’re in the stupid class.† â€Å" Why are you in there?† After being in resource class, I realized that it would help become more organized, both in school and out it would help me to find the needed balance between all my classes and all my extra curricular activities.

Philosophy of Nursing Essay

Nursing refers to a contact or a bond that exists between two or more persons in which one of the two persons provide professional care to the other in addition to providing advice with an aim of improving the health of the other individual an preventing illness. Philosophy of nursing may refer to beliefs that different individuals have towards nursing. Humans refer to the primates in the family of hominids. They have a brain which is highly expanded enabling them to solve problems through reasoning, control of feelings, use of language and introspection. Humans are always yearning to understand the world around them and influence the natural occurrences. Nursing involves the interaction between two human beings and therefore human must exist for the process of nursing to be successful. Health refers to a state of well being where there is no sickness and reflects the social, physical, spiritual and mental fitness of an individual. Good health may be brought about by a balanced diet, exercise and rest. It is through nursing that an individual acquires good health (Pharris, 2001, pp. 8-12). Nursing refers to a science in which the person involved aims at ensuring a good health for individuals, families and communities. In general, the science of nursing aims at upholding the quality of life. It involves caring for individuals in a conducive environment to promote good health and prevent illness. Environment is defined as the extensive information on issues, programs and policies affecting our surrounding. It refers to anything internal or external that may create some impact in the life of an individual including all the living and non living organisms that exist on the earth. It has to conducive to facilitate the process of nursing. Humans A good pain control after surgery when accompanied by appropriate community health services enables an individual to rebuild him or herself. It is however the responsibility of every person to ensure that the nurse or the doctor knows about him or herself before the pain control is administered on him or her. This the patient could do by enabling the doctor to know about his or her drug addiction either the past or present. This will enable the nurse to know the type and the amount of medication to offer. Surgery of the stomach is a very painful one and the drug history of a person may affect the person’s tolerance to the pain or response to the pain relievers. The pain control in patients also depends on the age of the patient as well the conditions of health of the individual before the surgery. Controlling pain after surgery is a very essential step in the life of a patient as it helps the individual to gain the best results on functionality. This is appropriate because the pain after surgery increases the functionality of the patient. Patients who before the surgery were on pain medication do require an administration of extended pain medication. Otherwise the patient may require shorter acting pain medications for the control of pain (Newman, 2003, pp. 110-115). Nursing The belief that good pain control and community health services help rebuild a person after surgery relates to nursing in the sense that nurses have been found to be mediums through which terminal care at home can be improved. Pain control is one of the components of quality terminal care in the community. Patients who have undergone surgery should be given enough advice by the nurses on where to get help if necessary. In addition to this they should be given appropriate analgesics to carry home which should be accompanied by sufficient instructions on their usage. Nevertheless, patients should be given both verbal and written information about pain so that and how pain can be reduced. The nursing staff should always be there for patients to advice them and to discuss with them their choice of a pain relieving techniques. The pain that is experienced by patients after surgery is usually very great that it should not be underestimated. This is because the pain does different implications on both the patients and the community health services. A proper pain control after surgery therefore requires the intervention of the nurse which will give way for community health services thus helping the patient to gain his or her health back. Nurses facilitate the process of pain control and ensure that it well managed to speed the process of recovering of a patient ( Margaret,1999, pp. 227-230). Health The health of a person enables that person to function mentally, spiritually, physically and socially in full ability. The belief that a good pain control and community health service helps an individual to rebuild after a surgery relates to health in the sense that an individual will only have a good health when he or she is not in pain. A person is considered to fully healthy if he or she is not feeling any pain. Surgery involves a lot of pain therefore after a surgery an individual requires pain relief which is achieved through proper pain control by the nurses to enable him or her to function properly both physically, mentally, spiritually and socially. When a person is in pain, he or she will not perform any physical activity in addition the person will not be able to socialize freely with other people. The person will also not think properly thus lacking both mental and spiritual thinking. This is because pain makes a person uncomfortable creating a feeling that something is wrong in the body. The pain in the body i. e. physical pain sends a signal to the brain through the spinal cords that something is wrong thus stopping the mind from working properly. It is therefore essential that after surgery a patient should receive a good pain control and community health service to enable him or her to rebuild his health. Effective pain management is therefore considered by nurses as part of recovery because it when it is well controlled it speeds up the process of healing and reduce complications that a person may experience as a result of surgery (Endo, 2004, pp. 240-245). Environment The surroundings in which individuals live do affect the activities performed in that particular environment. Nurses do require an enabling environment to enable them to perform their duties properly. After surgery it will for the well being of the patient to have a conducive environment in which physical, mental, spiritual and social healing is possible. The nature of the environment in which pain control is conducted is very essential and should be set to fit the requirements of different patients. Pain control will enable an individual to feel comfortable as he or she heals, get well faster and avoid some problems associated with surgery. The nurse theorist observed was Margaret Newman who also came up with a nursing theory of health as an expanding consciousness which requires every person to find the meaning of life and find connections with other people in the rest of the world. According to Margaret, health means increasing awareness. She put forward that the role of a nurse is to identify the lifestyle of an individual so that the nurse can work within that lifestyle to help the individual achieve the goals of his or her life. Newman’s theory includes the health of every individual irrespective of the condition of illness i. e. whether sick or well (Desai, 1996). Jean on the other hand developed a caring theory which involves the caring actions taken by nurses in their interaction with the patients. The caring theory involves the deep respect offered to patients by the nurses for the mysteries of life and the ability of the patients to change their lifestyles. Watson’s caring theory also requires a nurse to help the patients to acquire self control, knowledge and healing not regarding their health conditions. The difference that exists between my beliefs on Newman’s theory and Watson’s caring theory is that Newman’s theory was focused on helping every person whether in the absence or presence of sickness to understand his or her status. It focused on the adjustments that a nurse should put to ensure that a person meets his or her requirements. Watson on the other hand focused on caring for the patients, respecting them and helping them to understand themselves by acquiring self control, knowledge and healing. The similarity between the two theories is that both the two believe that it is the role of a nurse to ensure appropriate lifestyles for different persons whether sick or not. They both believe that a nurse should be able to identify or recognize and accurately detect the health status of a person and be able to help that person accordingly. They believe that a nurse must come together and engage in an interaction so that the nurse can understand the unique lifestyle of the person and provide care in a manner that fits that lifestyle. Finally both the beliefs involve human and nursing in the science of nursing in order to provide desired care to persons. The statement of my philosophy of nursing is the belief that Good pain control and community health services help rebuild a person after surgery. My philosophy of nursing views nursing as both an art and a science. It requires a nurse to understand the meaning of health in addition to understanding the perception of moral and ethical importance of care. The caring offered by the nurses involves the application of theoretical nursing knowledge, behavior and humanity.  My nursing philosophy includes wellness, family, collaboration and disability (Yamashita, 1997, pp. 34-39). Conclusion Surgery is a very painful exercise which usually requires an immediate pain control to stop the patient from suffering. Pain management especially after surgery is therefore very essential for the well being of the patient and nurses should ensure that it is provided to enable the patient to rebuild his or her health. This is because pain control facilitates the process of healing of an individual.

China One Child Policy Facts

For more than 35 years, Chinas one-child policy  limited the countrys population growth. It ended after 2015, as Chinas demographics had been skewed due to the policy. China does not have enough  young people to support the aging demographics, and due to a preference for boys, men of marrying age outnumber women. In all, there were more than 33 million men than women in China in 2016, making it difficult for men of lower socioeconomic status to marry at all. After 2024, India is expected to become the worlds most populous, when both countries populations are expected to reach about 1.4 billion. Chinas population is forecast to be stable and then decline slightly after 2030, and India will keep growing. The Background Chinas one-child rule was created in 1979 by Chinese leader Deng Xiaoping to temporarily limit communist Chinas population growth. It was in place until January 1, 2016.  When the  one-child  policy was adopted in 1979, Chinas population was about 972 million people.  China was expected to achieve  zero population growth  by 2000, but it actually achieved that seven years earlier.   Whom It Affected Chinas one-child policy most strictly applied to Han Chinese living in urban areas of the country. It did not apply to ethnic minorities throughout the country. Han Chinese represented more than 91 percent  of the Chinese population. Just over 51 percent of Chinas population lived in urban areas. In rural areas, Han Chinese families could apply to have a second child if the first child was a girl. For families who observed the  one-child  rule, there were rewards: higher wages, better schooling and employment, and preferential treatment in obtaining governmental assistance (such as health care) and loans. For families who violated the  one-child  policy, there were sanctions: fines, wage cuts, employment termination, and difficulty in obtaining governmental assistance. Families who  were permitted to have a second child usually had to wait from three to four years after the birth of the first child before conceiving their second child. The Exception to the Rule One major exception to the one-child rule  allowed two singleton children (the only offspring of their parents) to marry and have two children. Additionally, if a first child was born with birth defects or major health problems, the couple was usually permitted to have a second child. The Long-Term Fallout   In 2015 China had an estimated 150 million single-child families with an estimated two-thirds of those thought to be a direct result of the policy. Chinas sex ratio at birth is more imbalanced than the global average. There are about 113 boys born in China for every 100 girls. While some of this ratio might be biological (the global population ratio is currently about 107 boys born for every 100 girls), there is evidence of sex-selective abortion, neglect, abandonment, and even infanticide of infant females. The recent peak total fertility rate for Chinese women was in the late 1960s, when it was 5.91 in 1966 and 1967. When the one-child rule was first imposed, the total fertility rate of Chinese women was 2.91 in 1978. In 2015, the total fertility rate had dropped to 1.6 children per woman, well below the replacement value of 2.1. (Immigration accounts for the remainder of the Chinese population growth rate.)