A Taste of Blackberries Short Stories Comparison

A Taste of Blackberries Short Stories Comparison Despite the fact that Hunnicut’s and Norris’s accounts of a similar title, â€Å"Blackberries,† are set in totally various situations and highlight totally various characters, the two writers figure out how to address shockingly comparative issues.Advertising We will compose a custom paper test on A Taste of Blackberries: Short Stories Comparison explicitly for you for just $16.05 $11/page Learn More Plotwise, the two stories have almost no components that make them like one another; one may believe that blackberries would be the paste that would hold the two stories together and recommend even a tiny bit of union; nonetheless, the given component appears to be oddly separating the two stories to significantly assist degree. From one perspective, there is a reasonable sign that blackberries as an image are utilized similarly in the two writings; indeed, similar words are utilized to portray the way toward tasting the berries: â€Å"She crushed it with her tongue , bit and swallowed† (Hunnicut 72) and â€Å"The kid put the blackberry in his mouth. He moved it with his tongue, feeling its anomaly, and squashed it against the top of his mouth† (Norris 74). Be that as it may, regardless of the similitudes, the trailing sensation left by the blackberries is diverse in every novel. While in the primary piece, the berries are utilized as an image of the connections of the couple that have most likely themselves in an impasse, in the subsequent story, blackberries represent youth and expectation. Additionally, in the narrative of a kid and his dad going for a stroll over the woods, blackberries seem to solidify the kinship between them, in this way, permitting the perusers to see the way toward holding between the dad and his child in an exceptionally blameless and simultaneously contacting way: â€Å"When he giggled his dad saw that his mouth was profoundly recolored. Together they picked and ate the dim berries, until their lips wer e purple and their hands checked and scratched† (Norris 73); in the principal novel, the berries, in actuality, should encapsulate the sentiment of misery that both the spouse and the wife ended up in, just as the absence of association between the two. With regards to the topics and issues brought up in the two books, the likenesses between the tales, be that as it may, turn out in full blue. Despite the fact that Norris’s story appears to have a significantly more peppy rhythm as the way toward holding between the dad and the child is portrayed, when the two come back from their timberland walk, a contention opens up toward the finish of the novel: â€Å"His mother’s face was red and mutilated, her voice shrill† (Norris 73).Advertising Looking for article on relative writing? We should check whether we can support you! Get your first paper with 15% OFF Learn More The characters are extremely differing in both short stories, yet there is an unmistakable c onnection between them. To begin with, none of the narratives has a hero †there is nothing but bad or awful character, however essentially individuals with their unpredictable characters, and who happen to be in confounded circumstances. In Hunnicut’s story, neither the spouse or the wife are at fault for the mass of estrangement between them; or, to be progressively definite, every one of them is at fault in a similar way. Similarly, in Norris’ short novel, the mother and the dad start a contention from nothing essentially in light of the fact that they have stuck in their every day schedule Speaking of the settings in the two stories, one must make reference to that, in spite of the appearing dissimilation between them, these settings, indeed, share more for all intents and purpose than meets the eye. For instance, however Hunnicut’s story happens some place in the suburbs, while Norris unmistakably puts her characters in the domain of open country. In an y case, the two spots are calm and welcoming, which underscores the contentions between the characters to a significantly more noteworthy degree. Two separate universes made by two distinct creators, the two stories share certain highlights. Despite the fact that set in various universes, they share a great deal for all intents and purpose; and, strangely enough, significant contrasts in them regularly add to the making of considerably more grounded joins between the accounts. Hunnicut, Ellen. â€Å"Blackberries.† Literature: A World of Writing Stories, Poems, Plays, and Essays. Ed. David L. Pike and Ana Acosta. London, UK: Pearson Longman. 2010. 71â€73. Print. Norris, Leslie. â€Å"Blackberries.† Literature: A World of Writing Stories, Poems, Plays, and Essays. Ed. David L. Pike and Ana Acosta. London, UK: Pearson Longman. 2010. 73â€75. Print.

Report leadership Coursework Example | Topics and Well Written Essays - 4750 words

Report authority - Coursework Example g to an obvious arrangement of administration contrasts winning between Apple under the direction of Jobs and Enron, their separate methodologies towards performing different operational capacities were likewise been resolved altogether in the report. Steve Jobs had been a serious persuasive pioneer throughout the years and during his rule, Apple has encountered greatest accomplishment in the worldwide business showcase. Be that as it may, then again, inferable from the wastefulness in the space of authority, Enron has seen a significant misfortune in its business, which at last brought about complete destruction from the worldwide market. Logically, certain zones of progress were featured in the report that could have upgraded the administration approaches of both the organizations and their individual heads up partially. Business designs have been changed gigantically throughout the years because of the movement in the space of innovation alongside the rise of different new and created methods for controlling business exercises. It will be significant to portray that organizations, which neglect to move in corresponding with the changing industry condition won't be able or less skilled in guaranteeing the direct of maintainable activities in the worldwide business world. Relevantly, it merits referencing that organizations want to create viable just as inventive methodologies that can fortify their serious position both in the residential and the worldwide market. It is very evident to the way that because of the nonattendance of legitimate plans and arrangements, any business will endure antagonistically and won't ready to make a feasible situation for themselves in this serious business world. In such manner, it is indispensable that organizations plan their targets and business prospects in a viab le and productive way, further upgrading the likelihood of increasing most extreme achievement. In any case, the opposite side of the coin delineates that legitimate execution of the techniques is similarly critical to accomplish a few noteworthy advantages for

Consumer behavior Research Paper Example | Topics and Well Written Essays - 3000 words

Buyer conduct - Research Paper Example ect, the investigation of buyer conduct is fundamental for creating legitimate promoting systems and fitting product offerings for car items. When all is said in done, there are numerous elements that impact shopper practices. Gilligan and Wilson have distinguished four essential factors that impact buyer conduct and these are social, social, individual and mental (Gilligan and Wilson, 2003, p.226). Be that as it may, in vehicle industry, the recognitions and inclinations of buyers differ as indicated commonly, solidarity, sturdiness, wellbeing, cost and innovation of car items. This paper will endeavor to examine customer conduct for non business car items like vehicles, bicycles and so forth. The vehicle items are shopper sturdy merchandise with significant expenses and a huge assortment of car items are accessible for various purchaser gatherings. The essential goal of this paper is to dissect different customer conduct issues identified with vehicle items and to apply significant purchaser conduct models so as to determine them. This paper will manage two primary segments. The primary area will introduce my own contemplations and conclusions towards vehicle items. The following segment will endeavor to distinguish the current shopper conduct issues for non-business vehicle items. Different hypotheses and models will at that point be applied to determine these issues. At last, the end will mirror the significant discoveries of this paper. Vehicle industry has encountered the most incessant changes in the most recent decade. Improvement of innovation and increment in customer request are two fundamental variables liable for the development of this industry. This has likewise prompted the expansion in rivalry among the vehicle producers. The organizations are attempting to present most recent advancements for growing new engine vehicles that can coordinate the desires for existing clients. In this industry, the desires for customers fluctuate essentially and the car organizations are planning to meet

Critical Patients In Relation to Nurse Patient Ratio - 1650 Words

Quality of Care Given to Critical Patients In Relation to Nurse Patient Ratio (Article Critique Sample) Content: Research Critique: Quality of Care Given to Critical Patients In Relation to Nurse Patient RatioStudents NameInstitutional AffiliationAbstractThis paper is a critique of the research article conducted by Falk and Wallin(2016). The researchers examined the relationship of nurse specialists to the outcome of patients in critical care settings. The problem statement will be discussed. The researchers identified the problem statement appropriately. Additionally, the research purpose will be discussed. This paper explains the way the researchers made the purpose if the research clear, which can make the reader of the article understand it quickly. Additionally, this paper will explain the literature review section. The strengths and weaknesses of the literature review will be explained. For instance, the authors made the literature review short and did not consider using data from reliable sites such as the World Health Organization and the Centers for Disease Control and Prevention. Moreover, this paper will explain the ethical considerations and the way the investigators collected data. Then, it will explain the how they analyzed the results to make them understandable.Keywords: patient outcomes, nurse staffing, nurse-patient ratioResearch Critique: Quality of Care Given to Critical Patients In Relation to Nurse Patient RatioNurse patient ratio is one of the most studied areas in nursing research. Various researchers have found out that nursing shortage affects the quality of care and eventually affects patient outcomes. Despite adequate staffing in intensive care units, several factors contribute to the outcome of patients. For instance, Falk and Wallin(2016) contend that the level of specialization determines the quality of care and affects the health outcome of patients. Accordingly, Falk and Wallin(2016)conducted a descriptive study to examine the level of nurse specialization regarding the outcome of patients in the critical care unit. Signifi cantly, analyzing this research article can help in identifying ways of improving nursing care, not only in the critical care settings but also in other nursing care delivery settings that experience staffing ratio problems. Additionally, it can help enhance evidence-based practice. This paper provides a critique of this article focusing on the problem statement, research purpose, literature review, conceptual framework, ethical considerations, data collection, and data analysis, the conclusion of the article and finally a formulation of a PICOT question.Problem StatementThe clinical problem that led to this study is the decreased the quality of patient care, particularly in intensive care units, concerning nurse staffing. According to Falk and Wallin(2016), various factors affect the quality of patient care. However, they assert that nurse-patient ratio contributes immensely to the quality of care compared to other factors. Various researchers have confirmed that shortage of nurses can affect the quality of patient care to a greater degree. For instance, Frith, Anderson, Tseng, and Fong (2012) argue that nursing shortage can result in medication errors that increase the length of hospital stay by the patients. Therefore, the relationship of understaffing to the quality of patient care is a problem backed by relevant research evidence. Accordinly, Falk, and Wallin(2016) recognized a problem identified by other researchers thereby making their research relevant to nursing and reliable application in EBP.In spite of credible sources acknowledging that nursing shortage hampers patient outcome, no research has examined the shortage of specialized nurses and its effect on patient care. Some settings, such as intensive care units, can have adequate staff but the number of specialized nurses can be few. Understanding this issue can help both private and public hospitals in increasing the number of specialized nurses. Therefore, this gap in knowledge is a relevant re search problem thus making this article reliable.The authors established the significance of this study by doing an intensive analysis of nurse-patient ratio on the quality of patient care. For instance, in the introduction section, they relate various articles that address shortage, knowledge and the quality of care. Most articles associate adequate staffing and improved knowledge to enhanced patient outcomes. This analysis is a significant step in helping the reader to understand the importance of studying the effect of having a shortage of specialized nurses.Some of the factors that make the problem statement reliable are the patient problems that the authors examine. For instance, Falk and Wallin(2016) discuss the association of lower quality of care to the length of stay, which translates to increased costs of treatment. Additionally, the researchers explain the way nursing shortage contributes to increased infections in hospitals. Considerably, the problem statement is justi fied by the authors and reliable for analysis.Research PurposeThe article makes the intent of the study clear. First, the topic of the article indicates that the study investigates the nurse patient ratio and the way it relates to the quality of patient care. In the abstract, Falk and Wallin (2016) provide a summary of the background of the research, and they explain the relevance of the nurse staffing problem to patient care. However, they narrow down to specialized nurses. Towards the end of the introduction, they reiterate their intent to analyze the quality of patient care regarding nursing shortage, but they further narrow down to invasive and non-invasive breathing support. Therefore, the reader of this article has an understanding of what they researchers want to study. According to Derntl (2014), quality articles should present the purpose of the research in a rational manner to facilitate understanding of the article by the reader. Consequently, the authors ensured the rati onality of this article when they used different research studies to support the study purpose.Regarding research questions, the authors do not provide them. However, the description of the aim of the study and the problem statement indicate that they sought to examine how effective specialize nurses deliver nursing care to patients in the intensive care unit. Furthermore, the authors recognize the issue of staffing as a factor that can affect their research. Therefore, the reader of this article can also deduce that the investigators sought to study how adequate staffing was related to the quality of patient care in the intensive care unit. To answer these questions, the authors needed an appropriate method to explain the findings in a rational manner for the readers to understand. According to Hyett, Kenny, and Dickson-Swift (2014), descriptive methods are relevant in explaining cases that have already happened. The researchers employed a retrospective survey and used the availabl e data. Describing this data was the most appropriate method for the readers to understand. Therefore, this method was suitable to answer the research questions. Most importantly, this article fits both in qualitative and quantitative categories that meet the requirements of this course.Literature ReviewThe article does not have an independent section for the literature review. However, the reader can identify the analysis of various research studies in the introduction section. This analysis has strengths and weaknesses. Regarding the strengths, the authors acknowledge most research studies that were done within five years. Consequently, Falk and Wallin (2016) have guaranteed the relevance and reliability of the analysis to the current problems affecting the healthcare system. Additionally, the investigators have focused on analyzing the research studies that address the issue of staffing in hospitals. Analyzing this problem in detail can help the reader to understand how the issue has affected various units in hospitals.Regarding the weaknesses, the authors do not perform an intensive analysis of the problem. For instance, they do not provide the methodologies employed by previous researchers in details. Additionally, the investigators do not discuss the results and the findings in detail. For that reason, the reader might have problems appreciating the reliability of the previous studies. Another weakness is that they do not quote relevant websites such as the World Health Organizations and the Centers for Disease Control and Prevention, which provide reliable data on infections and staffing issues. Nevertheless, the entire literature review section is related to the problem statement and explains the significance of the problem to healthcare, thereby making this research article valid to nursing.Protection of Human ParticipantsThis research involved utilizing the national data that was already published. Before the authors carried out the study, they asked for permission from the national quality registry. They further requested the patients and their families. After permission was granted, they went on and performed the study. Powell, Fitzgerald, Taylor, and Graham (2012) contend that such ethical considerations can ensure the participation of willing participants thereby guaranteeing the reliability of the information. However, since the possessor of the information was the national registry, which granted permission for the research, Falk, and Wallin (2016) were sure of getting reliable data. This step was significant in ensuring the trustworthiness of this research.Data CollectionFalk and Wallin (2016) collected data from seven university hospitals providing ICU care. The researchers considered demographic variables such as gender, age, and geographic location. Then, they collected data regarding the number of nurse specialists and compared with the demographic va...

Architecture and Design for the Blind Client

Designing for the blind and visually impaired is an example of the concept of accessible design. Architects who embrace universal design understand that the needs of the blind and the sighted are not mutually exclusive. For example, orienting a structure to provide optimal light and ventilation has been advocated by architects from ancient Roman times all the way to more recent designers, such as Frank Lloyd Wright. Key Takeaways Architects can design with texture, sound, heat, and smell to define spaces and functions.Tactile cues, such as differences in floor textures and changes in temperature, provide landmarks for persons who cannot see.Universal design refers to design that meets the needs of all people, thus making spaces accessible to all. Blending Form with Function The Americans With Disabilities Act of 1990 (ADA) went a long way to increase awareness of the importance of function in architecture. Great architecture for the blind and visually impaired is just like any other great architecture, only better, notes San Francisco architect Chris Downey, AIA. It looks and works the same while offering a richer and better involvement of all senses. Downey was a practicing architect when a brain tumor took his sight in 2008. With firsthand knowledge, he established the firm Architecture for the Blind and became an expert consultant for other designers. Likewise, when architect Jaime Silva lost his eyesight to congenital glaucoma, he gained a deeper perspective on how to design for the disabled. Today the Philippine-based architect consults with engineers and other architects to manage projects and promote universal design. What is Universal Design? Universal design is a big tent term, encompassing more familiar methods such as accessibility and barrier-free design. If a design is truly universal—meaning its for everyone—it is, by definition, accessible. In the built environment, accessibility means designed spaces that meet the needs of people with a wide range of abilities, including those who are blind or who have limited vision and associated cognitive difficulties. If the goal is universal design, everyone will be accommodated. Physical accommodations for a wide variety of needs is the common denominator in all universal design, which is why universality must begin with the design itself. The goal should be to incorporate accessibility into design rather than try to retrofit design to suit limitations. The Role of Blind Architects Communication and presentation are important skills for any architect. Visually impaired architects must be even more creative in getting across their ideas and are extremely useful to any organization or individual desiring to focus on inclusivity. With no prejudice with regard to the way things look visually—sometimes referred to as aesthetics—the blind architect will choose the most functional detail or material first. How it looks will come later. Accessibility and Self-Driving Cars. Brooks Kraft LLC/Corbis via Getty Images Understanding the Continuum of Visual Abilities Functional vision includes two areas: Visual acuity, or the corrected used of central vision to see details such as facial features or alphanumeric symbols.The field of vision, or the extent and capacity to identify objects peripheral to or around the central vision. In addition, difficulties with depth perception and contrast sensitivity are vision-associated problems. Vision abilities vary widely. Vision impairment is a catch-all term that includes people with any visual deficit that cannot be corrected by wearing glasses or contact lenses. Visual impairments have a continuum of identifiers specific to the laws of specific countries. In the United States, low vision and partially sighted are general terms for a continuum of functionality that may vary from week to week or even hour to hour. Legal blindness is not necessarily the same as total blindness. Legally blind in the U.S. is defined by corrected central vision being less than 20/200 in the better eye and/or the field of vision being limited to 20 degrees or less. That is, having only one eye does not make a person blind. Totally blind is generally the inability to use light, although the perception of light and dark may or may not exist. People are said to have light perception if they can detect light and determine from which direction the light is coming, explains the American Printing House for the Blind (APH). Another type of blindness is called cortical visual impairment (CVI), which is a neurological disorder, pointing out that vision is a process involving the eye and the brain. Colors, Illumination, Textures, Heat, Sound, and Balance What do blind people see? Many people who are legally blind actually have some vision. When designing for the blind or visually impaired there are a number of elements that can be included to enhance accessibility. Bright colors, wall murals, and changes in illumination can help those whose vision is limited.Incorporating entryways and vestibules into all architectural design helps eyes adapt to illumination changes.Tactile cues, including different floor and sidewalk textures as well as changes in heat and sound, can provide landmarks for persons who cannot see.A distinctive faà §ade may help distinguish the location of a home without having to count and keep track.Sound is an important directive for people without visual cues.Smart technology is already being built into homes, allowing intelligent personal assistants to help occupants with numerous tasks. Sources ï » ¿American Foundation for the Blind. Key Definitions of Statistical Terms. Blindness Basics. American Printing House for the Blind.Silva, Jaime. Personal Narratives: Whats Disability to Me? World Health Organization, June 2011Downey, Chris. Design with the blind in mind. TED Talk, October 2013Downey, Chris. Profile. Architecture for the Blind. Goben, Jan. Architect is visionary for the blind. AFriendlyHouse.com. McGray, Douglas. Design Within Reach: A blind architect relearns his craft. The Atlantic, October 2010 Design Guidelines for the Visual Environment. The Low Vision Design Program of the National Institute of Building Sciences, May 2015

Things Fall Apart Character Analysis - 824 Words

Chinua Achebe’s novel, â€Å"Things Fall Apart† is an extraordinary example of life lessons and internal battles characters can face. The novel show cases that sometimes characters can have struggles within themselves and that it does don’t necessarily have to be a person. Throughout the novel the audience gets to meet Okonkwo, the main character who is quite hard to read. As the book progresses the true Okonkwo is discovered. Okonkwo is faced with this immense pressure he puts on himself and soon we see this character self-destruct. Okonkwo’s complex character and internal struggles is what makes him such a strong and relatable character because of this everyone can formulate an Okonkwo in their life. Okonkwo has this prestige masculine†¦show more content†¦He was a man without a tile in the village of Umuofia, and he could not endure the sight of blood.† (Achebe). Biologically, he was a male, but among the Igbo, he was never a man. So, pe ople laughed at him. In order to become a hero, Okonkwo felt he must overcome this public image that the public held of his father. In the beginning of the novel, Achebe made the following remarks about Okonkwo: â€Å"His father rested on solid personal achievement’s.† â€Å"He had no patience with unsuccessful men† (Achebe). â€Å"His whole life was dominated by fear, the fear of failure and of weakness† (Achebe). Although Okonkwo wants to be nothing like his father, he is and the audience get glimpses of that side of him. As much as he tries to be nothing like his father the audience witness scenarios in which he is a caring man. â€Å"Achebe told us that down in his heart Okonkwo was not a cruel man.† (Nnoromele). Okonkwo’s relationship with his daughter Enzima is an example of where he breaks from this masculine image he upholds. â€Å"A typical example of this happened on the night when the priestess of Agbala came to take Enzima, Oko nkwo’s daughter, for Agbala’s blessing. In spite of his inexorable commitment to support and defend the laws of the land, Okonkwo felt the natural pull to resist established social order. He was expressively unapproving of the untimely visit by the Priestess. He perceived her arrival as an intrusion to his family’s domestic life.†Show MoreRelatedThings Fall Apart Character Analysis1564 Words   |  7 Pagesstory of â€Å"Things Fall Apart† is three part story that tells the life of Okonkwo. The main character in the story to which he is much known in nine villages. In part one of the story it shows us the way on how Okonkwo rose to power and becoming a very valuable person. He is very well respected on how hard he worked to get at the top. The struggles Okonkwo went through as a young child was pretty tough. His father Unoka was a failure. He had owed money to every neighbor he lived around. One thing that UnokaRead MoreThings Fall Apart Character Analysis1071 Words   |  5 PagesIn life, we all have fears whether it’s spiders, darkness, or even death. In Things Fall Apart, we see the fears of many of the main characters being shown especially in Okonkwo. Okonkwo was not born into power and wealth and it was up to him whether he was going to make something out of his life. His choice was to disregard his father’s ways and work as hard as possible so that he can become one of the most powerful men in his village of Umuofia. His work ethic and passion for success drive himRead MoreThings Fall Apart Character Analysis1568 Words   |  7 Pagesof â€Å"Things Fall Apart† is a three part story that tells the life of Okonkwo. The main character in the story to which he is much known in nine villages. In part one of the story, it shows us the way on how Okonkwo rose to power and becoming a very valuable person. He is very well respected for how hard he worked to get at the top. The struggles Okonkwo went thro ugh as a young child was pretty tough. His father Unoka was a failure. He had owed money to every neighbor, he lived around. One thing thatRead MoreThings Fall Apart Character Analysis1130 Words   |  5 PagesPower â€Å"No matter how prosperous a man was, if he was unable to rule his women and children (and especially his women) he was not really a man† (Chinua Achebe 53). This quote from Chinua Achebe’s novel Things Fall Apart demonstrates the power of men as it is presented throughout the novel. Things Fall Apart is the story of Okonkwo’s struggles in society, and his search for power throughout his life. During his exile, cultures clash and chaos erupts in the Igbo village. Okonkwo’s father, his exile in MbantaRead MoreCharacter Analysis Of Chinua Achebes Things Fall Apart917 Words   |  4 PagesEA 3.2 Literary Analysis: character analysis The introduction of a new culture to another culture can be quite a challenge, as well as life-changing for those individuals who decide to assimilate the new beliefs and customs. The arrival of the missionaries to Nigeria affected the the Ibo culture and introduced its people to a new set of religious beliefs and westernized customs. Chinua Achebe’s novel, Things Fall Apart, portrays the contrasting reactions of people to the new culture brought to theirRead MoreThings Fall Apart: Okonkwo Character Analysis Essay856 Words   |  4 PagesIn the novel Things Fall Apart, strength and pride are very important aspects of the main character, Okonkwo, however, these traits may sound like excellent traits to possess but because of the way he was raised, Okonkwo harbours many of his emotions under an outer shell of violence, strength and pride. His traits can be shown by looking at where he has come from in his life, for example, Okonkwo has acquired a large amount of wealth in his life because of his hard work and dedication which he alsoRead MoreEssay Character Analysis of Okonkwo in Things Fall Apart541 Words   |  3 PagesIn the novel Things Fall Apart, Okonkwo is portrayed as a respected and determined individual whose fatal flaw eventually works against him. Throughout the novel the readers are shown that Okonkwo has many of these Characteristics because he is obsessed with the idea of becoming just like his father. This becomes his flaw in the novel that puts him into exile and makes it hard for him to adjust to the changes that were made with in his village. Okonkwo is portrayed as a respected individual inRead MoreThe Analysis of the Main Characters and the Impact of Colonialism in Things Fall Apart and Avatar1868 Words   |  8 Pagesnatural resources, all the while disrupting your way of life. The only thing that you can do is react, maybe you choose to fight back, or maybe you learn to accept these new ways as your own. The Navi from Avatar and the Ibo from Things Fall Apart are both under the attack of an imposing nation, although the way that the natives and the invadors handle the situation are very different. Okonkwo and Jake Sully, the main characters from these two stories, have a huge impact on the outcome of the nativesRead MoreWork1068 Words   |  5 Pages2013 Things Fall Apart: Character Analysis Research Paper In the novel Things Fall Apart by Chinua Achebe, the main character Okonkwo has only one tragic flaw; he has raised himself so that looking weak or effeminate is the worst thing to him that he could do. Okonkwo is a model clansman based on his success. However, he is more alienated from his culture based on his lack of respect for it. In this research paper, I’ll walk through a character analysis of Okonkwo. The protagonist of Things FallRead MoreAnalysis Of Feminism In Things Fall Apart1070 Words   |  5 Pages The analysis of feminist theory in Things Fall Apart presents reason for the sexism that is continuously portrayed. Sexism and problematic gender roles within the novel are repeatedly depicted throughout a number of scenes and characters. With this, we are able to see how sexism exists in various cultures and how the implementation of sexism is detrimental to society. Although, as feminist theory states, rebelling and challenging the patriarchal system is necessary to halt gender roles and sexual

Syphilis Screening and Treatment Integration †MyAssignmenthelp.com

Question: Discuss about the Syphilis Screening and Treatment Integration. Answer: Introduction: Syphilis is a venereal disease caused by Treponema pallidum. It is an infectious disease that is transmitted through sexual contact with infectious lesions (Chow et al, 2017). It can be transmitted from the mother to the fetus in the uterus, through blood transfusion and through contact of a broken skin with an infectious lesion. The first sign of the infection is appearance of a small, painless sore on the sexual organs, the rectum or in the mouth. This sore is commonly known as a chancre (Uslu et al, 2017). Syphilis is classified in 4 stages if not treated. The first two stages are considered to be the most infectious stages. They include the primary stage, the secondary stage, the latent stage and the tertiary stage. T. pallidum penetrates the mucous membrane in acquired syphilis and enters the lymphatics and becomes a systemic infection. The average incubation period from the time of exposure to development of lesions is 3 weeks. The primary stage involves the development of painless chancre after incubation at the site of transmission commonly on the external genitalia (Tuddenham Ghanem, 2015). This stage occurs between the third and the fourth week of infection by the bacteria. The secondary stage occurs 4-10 weeks after the primary stage. The spirochetes spread throughout the body with variable manifestations of the lesions. When systemic, the manifestations include fever, malaise, lymphadenopathy, rash, weight loss, hair loss, and aching joints (Taylor et al, 2017). Histologically, the reaction from the inflammation is similar to the primary chancre but less intense. These symptoms usually go away with or without treatment though the treatment will still be present without treatment. Another stage is the latent syphilis where the secondary features have resolved. The infectious skin lesions recur from the secondary stage (Handsfield, 2015). If untreated, the latent syphilis develops to tertiary syphilis after many years of infection. The final stage is tertiary syphilis which when it occurs, it affects the cardiovascular and the central nervous systems damaging the tissues. This stage can be life threatening and can cause outcomes such as blindness, mental illness, memory loss, destruction of soft tissue and bone, deafness, neurological disorders such as meningitis, heart disease and neuro-syphilis (Kenyon et al, 2017). Congenital syphilis occurs when the treponemes cross the placenta and infect the fetus which causes spontaneous abortion and stillbirth. Assessment and Management of Syphilis Syphilis, in most cases, poses a challenge in its diagnosis as one may be infected and show no symptoms for quite some time, even years. Blood and urine samples are collected to run tests and also a thorough physical examination is conducted (Navale et al, 2014). Syphilis diagnosis is mostly done by dark-field microscopy when an active chancre is present. The lesion is cleansed and abraded with a gauze pad. On appearance of serous exudates, it is placed on a glass slide and examined under a microscope with a dark-field condenser. The spirochete is characterized by a corkscrew appearance. For a lesion for T.pallidum to be considered negative, negative examinations are necessary on three different days (Klausner, 2017). The screening of syphilis widely uses qualitative nontreponemal tests. Their usefulness is however limited by decreased sensitivity of primary stages of syphilis and the latent stage. Nontreponemal tests become nonreactive after proper treatment of syphilis. Treponemal- specific tests are also used to detect antibodies produced on the onset of T. pallidum antigens. This test is used on patients whose nontreponemal test is reactive. The center for disease and prevention (CDC) recommends penicillin G that is parenterally administered for all stages of syphilis. A single intramuscular injection of Benzathine penicillin G of 2.4 million is ministered to cure syphilis (Klausner, 2017). Treatment by penicillin kills the bacteria but does not repair the damage done on the skin. Doxycycline is considered is one the best alternatives in treating early and latent syphilis (Lithgow et al, 2017). Patients under treatment should abstain from sexual contacts until the sores are fully healed. In any stage of treatment of syphilis, acquiring other STIs should be taken into account. In the initial evaluation, HIV testing is necessary for all syphilitic patients (Mller, 2011). Screening for other diseases like hepatitis B and C, chlamydial infection and gonorrhea should also be considered. After administration of proper treatment, follow up with quantitative nontreponemal test titers in order to establish treatment response. Whe n syphilis remains untreated it can cause damage to important organs in the body like the heart and the brain thus the need for early treatment. Ethical and legal issues with regard to STIs have been raised by therapists. The first issue raised is patient safety which requires that a patient must be thoroughly examined before prescribing medication to ensure that the right infection is being treated and to avoid any allergic reactions (Lago, 2016). Examination also allows the patient to inquire more about the infection, treatment and also present relevant medical history. Secondly, informed consent is mandatory. The patient has the right to get information on the symptoms, complications, disbursement of treatment and the risks that come with the treatment so that he/she is able to make informed decisions concerning the management of the disease (Klausner, 2017). Another important aspect is the need for confidentiality. In this regard, information on a patients condition should be kept private and confidential and only revealed with the consent of the patient and can only be breached when the infection is of public health concern (Lithgow et al, 2017). Therefore, confidentiality of a patients health de tails is protected by the law because disclosure can cause harm to the patient. Lastly is equity which requires that health care resources be distributed according to peoples difference in need, worth and ability to pay. Laws have been made to ensure there is no discrimination based on ones health status. For example, discriminating one in employment based on his/her health status. Role of Sexual Health Teams To effectively manage syphilis interventions, a multidisciplinary care team is recommended. The sexual health team would include nurses, pharmacists and doctors with behavioral skills. They play the various roles in the management of Syphilis (Lago, 2016). The first role of the team includes patient based care. This involves planning and delivering care to the patient. It starts with protocols that define the assessment and treatment that are of quality care. The required steps for the delivery of the interventions are delegated to the team members according to their specified duties (Klausner, 2017). The treatment plan should come second. The treatment team knows and should provide the most preferred treatment required by the patient with regard to the disease and the medical history of the patient. Thirdly there is need for clinical management. This would be best done by nurses who would monitor the progress of the patient as he takes on the treatment. They should be able to monitor any effect of the treatment on the patient. Another role performed is to provide self management support. Educational interventions often support patients to change risky behaviors or help them became better self-managers (Handsfield, H. (2015). This helps reduce the risk of re-infection and possible transmission to others. It is therefore advantageous to have a nurse trained on behavioral counseling since most doctors neither have the skills nor the time to do counseling on behavior change. Lastly, there is need for sustained follow up. Close follow up is necessary in the management of syphilis so as to monitor problems in compliance, inability to respond to treatment, detect adverse effects of the treatment (Mller, 2011). Telephone follow up is commonly done by nurses. Therefore, to manage syphili s, various groups have to work together as a team to merge the different skills such as counseling, pharmacology, diagnostic skills and patient care. Education needs to prevent further STIs The education needs for individuals at risk of contracting or those already with the condition are based on the basis that the STI is a very contagious disease which spreads majorly through sexual activities. Thus one of the needs includes information on the pathophysiology and how the disease is transmitted from an infected person to another. From research, it is spread from sores and lesions on the skin of infected person to another when they come in contact during unprotected sexual intercourse (Callander et al, 2013). Secondly, there is need for education on the symptoms and signs of the condition for people to seek early medical attention. There is need to however emphasize that a lot of infected persons are always not aware of being infected and therefore, they easily unknowingly pass the infection to their sexual partners. Thirdly, educational approaches should focus on prevention measures against syphilis. Among them is that the STI can be prevented majorly through self care. This helps in lowering the chances of getting infected or re-infected with not just syphilis but other sexually transmitted infections. Practicing safe sex is one of the ways of preventing syphilis (Ahmed-Jushuf, 2010). Limiting oneself to one sexual partner and ensuring that your partner does not get involved in risky sexual behaviors. Another preventive measure is the use of condoms during sexual intercourse (Handsfield, 2015). Condoms reduce the risk of contracting STIs but only if it covers the lesions and sores. Educational and coaching approach should also focus on emphasizing the need to avoid drug abuse. Abuse of alcohol and other hard drugs may cloud ones judgment which may lead one to unsafe sexual practices (Taylor et al, 2017). Abstinence from sex as a preventive measure should be emphasized as an educational need, since it is considered to be the surest ways of avoiding any STIs. Syphilis has no vaccine and is transmitted through sexual contact with an infected person. It is also important to regularly get tested for STIs as a way of keeping oneself healthy. A further important educational need includes the diagnosis, management and treatment of syphilis. Individuals should be taught on these particular issues to ensure that they seek medical attention early enough before the progression of the disease gets worse. According to Ahmed-Jushuf (2010), health promotion to individuals at the risk of contracting such STIs as syphilis should focus on addressing poor health-seeking behavior so as to enlighten the community on the need for attention to healthcare. References Ahmed-Jushuf, I. (2010). Standards for the Management of Sexually Transmitted Infections.Sexually Transmitted Infections,86(3), 160-160. Callander, D., Baker, D., Chen, M., Guy, R. (2013). 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