Two Tambus The Fundamental Narrative Structure of Tsitsi Dangarembga’s Nervous Conditions - Literature Essay Samples

Narrative structure is often one of the most crucial and strategic rhetorical elements of a work of literature. This is particularly true when the narrator is essential to understanding the themes and purposes of the text itself, such as the personal story of a specific character or group. Tsitsi Dangarembga’s striking novel Nervous Conditions represents this strategy wonderfully. Dangarembga’s narrative structure focuses on the personal journey of the narrator, Tambudzai, yet allows her to reveal crucial insights into the socio-political situations in which the journey takes place. An understanding of the narrative structure begins by inspecting the role and character of the narrator herself, as well as the setting in which the narration takes place. The novel is set in Rhodesia, a pre-colonial African environment that housed a tumultuous mixture of English and Shona cultures, and suffered a multitude of problems stemming from colonization. Tambudzai was subject to op position in every direction: the two cultures clashed both externally, as the English attempted to assimilate the Shona societies into Western thought, and internally, as the women struggled to maintain their identities in the rigid patriarchal societies. The narrator states early in the text that she feels â€Å"many things [during the later] days, much more than [she] was able to feel in the days when [her] brother died, and there are reasons for this more than the mere consequence of age† (Dangarembga 1). From this statement, the reader deduces that the speaker is the older, more mature Tambudzai, telling her story from a hindsight perspective. She has â€Å"reach[ed] maturity after being socialized by two divergent social systems, the Shona community and the mission school propagating Western standards,† and is therefore able to commentate upon her past with more wisdom (Berndt 45). The reflective, analytical tone of the narrative also characterizes Tambu as mature and educated, thus adding to the validity of her story and implying that it contains insight worthy of consideration. The narration of Tambudzai’s development is primarily formatted to serve the classic style of Bildungsroman that traces her growth from child to adult. As literature commentator Walter P. Collins, III puts it: â€Å"specifically, Nervous Conditions functions as a modern African Bildungsroman as it portrays the conflicted path and ultimate enlightenment and escape of the young Tambu† (Collins 73). Dangarembga cleverly combines the Bildungsroman framework with the grown narrator in order to â€Å"[transfer] her authorial prerogatives to Tambu, allowing her to ‘author’ or narrate her story thus giving her a voice of her own† (Collins 74). What results is a text that beautifully allows the reader to experience the social and psychological growth of the protagonist from the viewpoint of the protagonist herself. The narrator Tambudzaiâ⠂¬â„¢s retrospection, woven into the storyline as passages in third-person omniscient point of view, elucidates the significance of the events as they take place. This allows Dangarembga, through the mature voice of the narrator, to comment upon the situations and characters described, as â€Å"the reader counts it as a privilege to have the advantage of a mature narrator in Tambu who is able to put the pieces of the puzzle back together as she relates the events of her development from childhood forward† (Collins 74). By the conclusion of the novel, the reader realizes that â€Å"Tambu’s insights, gained through personal development and Bildung, prove critical to Dangarembga’s message concerning colonialism, patriarchy, and possibilities of expansion† (Collins 75). In accordance with her classic Bildungsroman journey, Tambu begins to describe her development in the environment which she will eventually be led away from. This environment is her rural home , where she was surrounded by her immediate family and the deep roots of the traditional Shona culture. The Bildungsroman structure also â€Å"offers its protagonist diverse directions and models of development†¦these future prospects are incorporated by the major characters who accompany Tambudzai’s growing up† (Berndt 86). In the home environment, they are Tambu’s mother and her aunt, Lucia.Tambu’s mother teaches her â€Å"from a very early age† that the â€Å"business of womanhood is a heavy burden†¦and [in those] days it [was] worse, with the poverty of blackness on one side and the weight of womanhood on the other† (Dangarembga 16). Lucia, however, is fiercely independent: she â€Å"had been brought up in abject poverty [yet had not] been married to it at fifteen. Her spirit, unfettered in this respect, had experimented with living and drawn its own conclusions† (Dangarembga 127). According to literature reviewer M. Ke ith Booker, â€Å"Dangarembga carefully situates these characters in relation to one another so that they evoke the kinds of relationships between opposing forces that were typical of colonial Zimbabwean society as a whole† (Booker 190). Therefore, the narrator purposefully acknowledges the relationships she had with these women, both for the purpose of following young Tambu’s development and also to identify forces within her culture. Tambu’s mother thus represents the willing self-subjugation to the traditional female role, while Lucia represents complete adherence to individualistic principles and liberation from gender roles. These relationships are present as forces in society also, as the patriarchal Shona role Tambu is thrust into and the command women maintain over their own bodies, respectively (Berndt 101). Tambu’s response to these female examples allows her to start questioning her own self-identity. For instance, Tambu rejected the obedient nature of her mother’s traditional role, and criticized the system, making statement such as: â€Å"The needs and sensibilities of the women in my family were not considered a priority, or even legitimateIn those days I felt the injustice of my situation every time I thought about it† (Dangarembga 12). As a narrator, Tambu is taking advantage of her position by clearly identifying for the reader the characters and forces that led to the questioning of her self-identity. She provides sufficient early history of the young Tambu for the reader to realize that â€Å"according to Dangarembga, black women need to question the ‘burden of womanhood’† one that later is realized to be â€Å"even heavier because of the interplay between colonialism and traditional patriarchal society† (Berndt 62). The narrating Tambu, having provided significant early development for the protagonist, then progresses into the stage of the Bildungsroman where Tambu cros ses the threshold for her journey to self-identity. This takes place when, upon her older brother Nhamo’s death, she is given the privilege of attending the mission school and living with her prosperous uncle Babamukuru, aunt Maiguru, and cousin Nyasha. She employs powerful rhetoric to describe the situation: â€Å"What I experienced that day was a short cut, a rerouting of everything I had ever defined as me into fast lanes that would speedily lead me to my destination. My horizons were saturated with me, my leaving, my going. There was no room for what I left behindAt Babamukuru’s I would have the leisure, be encouraged to consider questions that had to do with survival of the spirit, the creation of consciousness, rather than mere sustenance of the body† (Dangarembga 58-59). This potent passage relies heavily upon the hindsight of the narrator to emphasize the significance of her transition and to extract its implications. It begins to become clear that †Å"the interstice where the different identity layers are negotiated is the narrative itself,† for the critical points described by the narrator contain the most crucial commentary necessary for grasping the principles behind Tambu’s journey (Berndt 115). Tambu also offers a unique combination of personal recollection and carefully planned story-telling to convey her transition in a more figurative sense. For instance, she symbolically reminds the reader that â€Å"although she appreciates the chance to lead a modern life according to Western standards, she pays the price of cultural estrangement† (Berndt 45). Inherent to the traditional Shona way of life is the presence of dirt and other natural substances; therefore the cleanliness greeting Tambu at her new home is a significant change, as she recalls: â€Å"Babamakuru’s taste was excellent, so that where he could afford to indulge it, the results were striking. The opulence of his living-room was very s trong stuff, overwhelming to someone who had first crawled and then toddled and finally walked over dung floors† (Dangarembga 69). Tambu seems to imply that as the transition cleansed her of physical dirt, it also attempted to wash away the presence of her Shona background. Once the narrator has implanted this idea within her reader, she is able to introduce young Tambu’s response to it: â€Å"Some strategy had to be devised to prevent all this splendour from distracting meI was very proud of my thinking strategy. It was meant to put me above the irrational levels of my character and enable me to proceed from pure, rational premisesI remained as aloof and unimpressed as possible† (Dangarembga 69-70). The narrator has begun to formally introduce the constant struggle that Tambu undergoes to formulate and maintain her identity. Booker reminds readers of the parallel significance of Tambu’s personal journey: â€Å"the changes that Tambudzai undergoes in the course of her education and maturation clearly parallel historical changes that were underway in colonial ZimbabweThus the personal experiences of the protagonist are linked with public events in her society in ways that make her an emblem of her society and also serve as a reminder that individuals always develop within specific historical contexts† (Booker 190). Without the selective, analytical voice of the narrator to extract the subtle mechanisms behind Tambu’s journey, it would be extremely difficult to understand how it represents historical context. The narrator therefore is able to function as a bridge between comprehending the fictional story of the protagonist and analyzing the important historical events to which it relates. The narrator continues to provide instances that are representative of Tambu’s journey to a Bildungsroman arrival at a stable self-identity. The rise in the analytical nature of the text seems to parallel the increasing depth and complexity of Tambu’s character. The conflict Tambu experiences â€Å"clearly cannot be reduced to a simple good-bad opposition between African traditional and European colonial cultures,† but must â€Å"[explore] this process of what might be called psychological, or internal colonizationthe story of Tambudzai’s development is largely the story of her gradual recognition of this phenomenon and the decision to rebel against it† (Booker 191). Accordingly, the narrator increasingly turns inward to provide her reader with personal reflection and analysis that allows her to describe the experience her younger self had gone through. For instance, she describes the time as: â€Å"the period of my reincarnationI expected this era to be significantly profound and broadening in terms of adding wisdom to my nature, clarity to my visionIt was a centripetal time, with me at the centre, everything was gravitating towards me. it was a time of sublimation with me as th e sublimate† (Dangarembga 92-93). As Tambu’s mother and aunt had earlier served as examples of female roles and the societal forces that cause them, the narrator now turns to her relationships with Maiguru and Nyasha as representations of the various influences upon her character. By recalling and analyzing various characters, events, and books that the young Tambu responded to, the narrator successfully exposes the reader to â€Å"the multiple identity layers a colonized female subject can occupy† (Berndt 63). In addition, her inclusion of less agreeable and flattering situations, such as her criticism of her mother’s latrine conditions, reveals her determination to convey the journey accurately even when it may portray her character in a negative light. Tambu concludes her narration by describing the eventual middle ground that she seems to have settled in. Collins states matter-of-factly the evidence of the connection between the story’s protagon ist and the narrator: â€Å"The fact that Tambu reaches a sense of self is made evident in the various interjections the adult narrator of ‘her’ story is capable of making as she looks back at the ways her perceptions have changed from her time on the homestead, through her studies at the mission and ultimately at Sacred Heart† (Collins 85). Indeed, by the time Tambu settles in at her final school (Sacred Heart) she â€Å"becomes aware of the fact that it is up to her to decide what kind of personality she wants to develop, which identity layers she wants to accept and develop into subject positions. She will have to occupy an in between space between several cultural traditions† (Berndt 84). Tambu ends her narration with a final reflection on the mental turning point of her self-discovery: â€Å"Quietly, unobtrusively and extremely fitfully, something in my mind began to assert itself, to questions things and refuse to be brainwashed, bringing me to this time when I can set down this story† (Dangarembga 204).Evidently, the narrative structure of Nervous Conditions, as well as the character of the mature Tambu narrator herself, is essential in Dangarembga’s exploration of the journey of an oppressed, Black female in a colonial and patriarchal context. The powerful combination of first-person narration and third-person omniscient allows the narrator to explain her story precisely how she wants it to be told. She highlights and analyzes the mechanisms of her journey in such a manner that they can be applied to the historical situations taking place within the novel. In this way, Dangarembga communicates her insight about personal growth under the constraints of the dynamic society, while maintaining the focus on Tambu’s persona.Works CitedBerndt, Katrin. Female Identity in Contemporary Zimbabwean Fiction. Germany: Pia Thielmann Eckhard Breitinger, 2005. Booker, Keith M. The African Novel in English. Portsmouth: He inemann, 1998. Collins III, Walter P. Tracing Personal Expansion. Lanham: University Press of America, Inc., 2006.Dangarembga, Tsitsi. Nervous Conditions. Emeryville: Seal Press, 2004.

Symbolic Interactionism Essay - 1381 Words

Symbolic Interactionism On the surface, sociology is the study of society and human behavior; yet looking deeper, it is the study of humans in groups and how they interact with one another. Sociologists look at these groups by means of the sociological perspective. This involves looking at a certain behavior like it has never been looked at it before. When done right one can come to a deeper level of understanding about behavior. Using your sociological imagination you are able conceptualize how a person’s macro level, which consists of the larger aspects of life such as family and government, and their micro level, (which is the individual itself) combine in order form the person they are. Using my sociological†¦show more content†¦We chose a small square table on the first floor. To our left was a table of four girls, to our right was two guys and next to them was two small individual cubicles occupied by a male and a female. Leah and I began to unload our work; as she tries to get work done I began my observations. Each one of the four girls is diligently working almost as if the others do not exist. The two boys appear far from humorless as they read through magazines, laughing and making jokes about who is going to win the super bowl. My attention then drifts back to the girls on my left whom appear rejuvenated. As they get ready to leave they are filled with excitement about the night’s basketball game and the hottest players. Looking beyond the girls I notice some other tables in the distance occupied by a group of Korean guys who appear to be isolated from the library. They are tucked into the back of the room almost hidden. Glancing around, I now notice that all the people within site are Caucasian except for the Koreans and an African-American girl who is sitting alone in the cubicle. 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Therapeutic Relationships and Involuntary Treatment †Free Samples

Question: Discuss about the Therapeutic Relationships and Involuntary Treatment. Answer: Introduction: Professional nursing has stressed more on thinking critically as one of the substantial skills in the nursing career for many years. Critical thinking can be defined as self-regulatory, purposeful determination that utilizes the cognitive tools like assessment, interpretation, inference, and explanations.These tools help nurses to achieve and evaluate their way of reasoning considering the ethical view underlying on the basis of evidence and clinical thinking. The nursing exercises have significant roles and effective when assessing, evaluating or implementing because they contribute to meeting certain goals and better results (Levett 2011). The competency of nursing professionals is constituted by the four domains that include, critical thinking, analysis, coordination and therapeutic relationship practices. In this section, I will outline some of the experiences while at the placement at the Acute medical ward La Mcwin hospital. During my nursing placement at La Mcwin hospital, I was able to implement all the nursing procedures to achieve the best of nursing practice qualities and to procure best outcomes. The main objective of the nursing placement was to gain the relevant professional hands-on skills and to offer the best excellence healthcare. I was doing my nursing place at the acute medical ward. Pain assessment was one of role before the patient was transferred to the next ward or even discharged. Appropriate pain assessment can decrease morbidity and period of hospital admission (Abrami et al 2015). Pain management control involved an increased comfort of the patient, pleasure cardiac and pulmonary complication. The information gathered during postoperative assessments training during the nursing placement supported my healthcare plan using nursing practice evidence. If the pain is not controlled can cause physiological impacts like stress whose response could be the production of cortisol hormones and the glucagon. The outcome of the hormones is the resistance of the insulin (Bulman et al 2012). While in the acute medical ward I was attending to a patient who had the different culture. Therefore, I had to develop adequate interpersonal evaluating skills in order to note any reflex aching behavior. For example, I was to identify stomach pain in the patient by observing the facial expressions. The patient was moving the upper part of his face. The blood pressure of the patient was not normal. It had increased due to the onset of the pain which would have stimulated the nervous process (Perry et al 2013). I went ahead to test his temperature using the clinical thermometer. The temperature had increased significantly. I made assurance of the understanding of the procedure application with the registered nurse. I also consulted the RN who was my mentor on how to manage the patient's stomach pain through the use of a painful procedure as stipulated by the acute medical ward. Fentanyl is the opioid that was used to ease the patient from the pain. With respect to this technique, the patient needed supervision after every few minutes. The reason for monitoring the patient is because the opioid's side effect is the depression of the respiratory system. As a nurse, I had to perform other interventions under the guidelines of the mentor and acute medical ward protocols. Implementation of these interventions would surpass the complications associated with the mobility and the circulatory system (Chan, 2013). The interventions were the following. I encouraged the patient the patient to engage his legs in exercises which facilitated the contraction and relaxation of body muscles hence proper circulation of the blood. I applied foot pumps as directed by the doctor (Popil,2011). The doctor gave the advice to administer the small dosage of anticoagulant. I ensured the patient maintained the right posture on the bed and while seated on the chair. The right posture wo uld prevent any interruption of the blood flow. Lastly, I helped the patient to walk steadily by his side. Lastly respecting patient's is an important value that every nurse profession should uphold. The rationale for this helped to decrease disparities in the healthcare. This facilitated to improve the quality of the services in the nursing profession. That means all the nurse professionals should respond to the demographic change of the patient to offer sensitive healthcare (Yildirim Ozkahraman,2011). As a nurse in the acute medical ward, I had to understand the culture of my patient and minded on how I interacted with the family members. I respected his culture to avoid to prevent upset that would compromise his health improvement. Engages in therapeutic and professional relationship Within the nursing profession, the people related to the patient and the patient acknowledge the nurse as one of the people who can be highly trusted. That means communication is one of the most vital things that determine the quality of caring service and the relationship with the patient's family. The main role of the nurse is to explain to the patient the complexity of the healthcare organization. Lack of the appropriate communication abilities can result in very critical errors that can cost lives of the patients (Yildirim Ozkahraman,2011). Appropriate communication ability is not directed to the patients alone but also among the healthcare professions. Communication ability is constituted by the knowledge and the interpersonal relationship. In the nursing profession, communication is a very vital aspect especially when administering therapy and promoting the health of a patient. Good communication can be achieved via the dialogue and through verbal communication (Hatlevik, 2012 ) For example, I applied these communication skills to provide the patient with good and a conducive environment. I had also to explain the procedures and the importance of pain assessment to the patient in order to prevent any circulation and blood circulation complications. As a professional nurse, to establish a relationship between the patient and the nurse main objective and the goal is to set standards and some social boundaries (Efstathiou et al 2011). Setting these boundaries is very important. The boundaries enable the nurse to establish his or her role. Thus, the therapeutic relationship revolves around the needs of the patient. Its main idea is to facilitate the assessment of the patient's requirement and offering competent profession healthcare. Being the assertive nurse, I must use empathy when approaching my patient and I should avoid being emotion. This because the emotional approach would compromise my judgment towards the patient care. That means the nurse and the pati ent must understand each other very well to avoid any error (Gabr Mohamed,2011) For instance, the patient I was attending to was from a different culture. The parent faced a lot of problems to explain any health concern. When the doctor came to assess his painful stomach, he could not ask any question. The family members also faced difficulties when they came to check on him especially the patient's history because of the language barrier. That forced me to ensure the wellbeing of the client was well catered for and maintained his healthcare. Communication incorporated a vast range line of things. I had to include these things in my daily routines. These things were such as playing, touching gently his painful body. I maintained my primarily physical senses as it was a way of giving attention to the patient. Therefore, touch was a non-verbal behavior and could express different things like affectionate. While La Mcwin hospital, I spent some time with the patient especially when he was upset. As some nurse practitioners, I would hold and hug him by taking a care of his individual boundaries (Applin et al 2011). I supported that nursing staff members must all times keep felicitous professional boundaries during interactions with the patients. Hatlevik (2012) require the nurse practitioners to respect and acknowledge the roles of the clients as one of their partners in healthcare. The patients or clients contributes greatly to our success. The contribution was through Peplau's model of identification in the nurse-client or patient connection. Peplau model looks at the nurse-patient interactions as connected to four cycles. The phases include resolution, orientation, exploitation, and identification. Identification is all about the patients seeking the rationale for the healthcare and people to depend upon, especially for assistance. My patient had severe abdominal pain and that meant I gave him the first priority. I applied the touching method to help the patient relieve the pain.I did not need any consent from the clients or discuss the personal issues for the patients. However, the confiden ce is one of the keys to assure the accuracy and substantial to inform the validity of the patients. This is because some clients want to keep their healthcare a secret. Efstathiou et al (2011) implied that the therapeutic relationships circulate around disclosing patient's individual feelings to the nurse at a range calculated temperamental distance with the objective of much help. I regarded trust as the two sides of the coin in the sense that patient would wish for big trust from the nurses' relationship. Therapeutic relationship results are not seen immediately. Confidence between patients and nursing practitioners is weighty for the establishment of the relationship (Wyder et al 20150. The service consumers must accept to support the nurses and both to work collectively in order to develop a better relationship. Clients themselves will treasure a therapeutic relationship that provides healthcare trust and respect. Provides safe, appropriate and responsive quality nursing practice In LA Mcwin hospital I ensured the appropriate safety to the patient by ensuring there are no or few human errors that would lead to harmful outcomes to the patients. These errors could result in adverse consequences and risky effects on the patient. It was my responsibility to note any error and ensure a correction is made. Latent factors like random distribution of services and accidents do occur throughout the health center. It was my role to protect the patient from these latent factors and accidents which could cause external injuries to the patient. (Moran et al, 2016) The safety of the patient was improved in LA Mcwin hospital through proper coordination of systems, redesigning and producing mitigate the effect on several human factors. The overall supervisor of the health center formulated a routine guide for nurses to ensure the best is offered to the patients. During my shift as a nurse, I recorded every information clearly and dated them accordingly in the nurse's routing guide. It helped the next nurse have an easy time in providing services to the patient. It also helped the doctor to take the appropriate action on the patient's diagnosis. Keeping one's disease records and information private and confidential was very important. It gave respect to the patient's culture, ethnicity and beliefs. The main aim of good record keeping and documentation system was to facilitate and give the flow of quality, continuous and safety nurse care. Incorrect way record keeping and documentation could result in discontinuity and wrong medication to the patie nt. The hospital developed a program for improving pain assessment to cater for those who were experiencing acute, chronic and other risky pain situations. The plan included an interdisciplinary approach to control acute pain. The program involved the family of the patient. The electronic systems for monitoring pain were updated. It alerted the clinician in case of a pain that exceeded the set threshold. A severe pain in a patient who is experiencing acute pain reads 4 and above on a zero to ten scale. Through the creation of close interaction and good communication I was able to discover an arising pain and called the doctor. If I could take care of it I just took the action accordingly. I was very careful in observing and recording any pain alteration on the pain indicator scale and informed the doctor on the same so as to improve the treatment pattern. As a student nurse, I assisted the doctor in reassessing and adjusting the plan for the pain management. In case of changing the patient's position either in the bed or in need of support to stand or walk, I preferred working with other nurses to help the patient. This was to avoid causing extra pain or any harm. It was useful to understand the language of the patient where possible in order to evaluate his/her requirements better. For example, I came across a patient who could speak my mother language and he asked me to accompany him to the other assessment department in order to translate and to explain the answers correctly to the doctors. Miscommunication between the patient and service providers may lead to wrong medication and this would delay patient's discharge time from the hospital(Davis, A., 2014.) Monitoring the process and results of pain management was a good step in the improvement of the patients care. During postsurgical pain control, I ensured that the patient took the recommended dose to control the severe pain. The institution provided nurses with a good and conducive environment to allow them to make their decisions on how to improve the pain management. (Twigg et al 2014). I made this possible by regularly analyzing, administering and also by providing a multimodal approach which included other extra strategies of pain control like giving anti-inflammatory drugs, opioids and non-pharmacological interventions. To facilitate proper functioning and improve the safety and quality wellbeing of the patient was achieved by increasing the degree of pain control and prevention. As a nurse, I made sure that before undertaking any change in pain control method, the patient was early informed and had adequate knowledge about it. I continuously analyzed patient pain satisfaction data and used it together with the other indicators to ensure pain reliever. This data was also used for doctor's programmed review of the patient. Many institutions have been known to use the commercial patient survey to check patient satisfaction. I conducted some surveys by asking one or more questions concerning pain experiences. The guideline of the institution gave definitions of pain on clear directions for treatment and assessment with both non-pharmacological and pharmacological interventions to patients, staff and to the family members. Evaluates outcomes to inform practice The process of evaluating and interpreting the results of the evidence related is the core thing in the evaluation process. The measure of the outcome may be psychosocial or physiological. Psychosocial has to deal with patient perception care, quality of life and the reduction anxiety and depressive symptoms. Physiological deals with reducing the complications and improving people's health. The evaluation of the result may be done through audit, self-reflection or peer assessment. It is possible to do some comparison of the outcomes depending on the type of results achieved. (Lichtner, et al 2014) In the recent years, pain has been recognized and regarded a vital sign in relation to health care. It became acceptable that like any other core signs pain is a sensational objective rather than subjective. As a student nurse, I was trained to assess pain in order to cater for a large number of patients who undergo an agony of pain daily. A systematic and precise pain assessment was a requirement to make the most suitable diagnosis and help in determining the most efficacious treatment to be used for patients experiencing pain (Pijl et al 2014.). The hospital's pain management policies stipulated that a nurse must conduct a pain assessment at least once in every four hours. All the pain assessments that I did were based on evidence. A valid pain scale was well documented in every nursing shift. Doing this facilitated evidence-based pain assessment being examined through the evaluation of the pain documentation. The pain was assessed using a number of dimensions like the quality, severity, chronicity associated factors etc. chronic pain takes a little bit longer to be resolved.it may take several months or even years to deal with it. As a practicing nurse, knowing the genesis of the pain was really important in determining the best possible way to deal with it. I found out that chronic and acute pains are very common among the elderly. I opted the use pain movement because it gives room for effective mobilization. Depression contributes to the pain that the elderly experience and the medication used may cause severe side effects. I took some time to take care of their needs and speak to them in order to help them relax (Hadjistavropoulos, et al 2014.). In case the selecting of pain assessment tool was needed I made sure that decision was made in the consent of the patients. I did this to ensure the patients were familiar with the scale that was used. As a student nurse, I considered the emotional, physical and cognitive status as well as the age of the patient. The chosen tool was regularly used to assess the pain and the impact of the intervention (Bourdel, et al 2014.). The assessment I did was always time efficient while at the same time very comprehensive. I repeatedly emphasized the need for assessing pain relief, some aspects of functioning and the side effects. The success of the pain management entirely depended on how I motivated the patient to be responsible for active involvement in the care (Cooper Lesser,2014) The seriousness with which they took their medication was an important aspect of their responsibility inactive health care. A good and effective pain management efforts must start with the appropriately noting and analyzing the proper detailed history of the patient. The alleviating and the aggravating factors and the effects they cause on psychosocial being were noted and documented. I used a set of formulated questions below to help me analyze the condition of the patient. This was the first step in every assessment (Breimaier et al 2015). 1 Does the patient ask for pain medication frequently? 2 For how long has the patient taken the drug? 3 Are there any signs of pain like such as grimacing and crying? 4 Does the patient continually request for medication? 5 Is there any notable change in behavior and mood in case they don't get medication at a particular time? 6 What may social factors be affecting the patient? 7 How many types of medication is the person on? 8 Is the patient asking for medication because they want to sleep or because they are in pain? 9 Does the patient ask for more or less medication as the time goes on? In case a patient was continuously asking for the increase of the DDA drugs prescription, I reported to the registered nurse because student nurses are not allowed handle them (Schreiber et al2014.). The patient may be getting addicted to the medication prescribed to them. I followed the senior registered nurse to learn the kind of prescription he made and how to deal with different issues of healthcare different cases References Abrami, P.C., Bernard, R.M., Borokhovski, E., Waddington, D.I., Wade, C.A. and Persson, T., 2015. Strategies for teaching students to think critically: A meta-analysis. Review of Educational Research, 85(2), pp.275-314. Applin, H., Williams, B., Day, R. and Buro, K., 2011. A comparison of competencies between problem-based learning and non-problem-based graduate nurses. Nurse Education Today, 31(2), pp.129-134. Bulman, C., Lathlean, J. and Gobbi, M., 2012. The concept of reflection in nursing: Qualitative findings on student and teacher perspectives. Nurse education today, 32(5), pp.e8-e13. Bourdel, N., Alves, J., Pickering, G., Ramilo, I., Roman, H. and Canis, M., 2014. The systematic review of endometriosis pain assessment: how to choose a scale?. Human reproduction update, 21(1), pp.136-152. Butcher, H.K., Bulechek, G.M., Dochterman, J.M.M. and Wagner, C., 2018. Nursing Interventions Classification (NIC)-E-Book. Elsevier Health Sciences. Breimaier, H.E., Heckemann, B., Halfens, R.J. and Lohrmann, C., 2015. The Consolidated Framework for Implementation Research (CFIR): a useful theoretical framework for guiding and evaluating a guideline implementation process in a hospital-based nursing practice. BMC Nursing, 14(1), p.43. Cooper, M. and Lesser, J.G., 2014. Clinical social work practice: An integrated approach. Pearson. Davis, A., 2014. Core Communication Competencies in. Efstathiou, G., Papastavrou, E., Raftopoulos, V. and Merkouris, A., 2011. Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC nursing, 10(1), p.1. Gabr, H. and Mohamed, N., 2011. EFFECT OF PROBLEM-BASED LEARNING ON UNDERGRADUATE NURSING STUDENTS ENROLLED IN NURSING ADMINISTRATION COURSE. International Journal of Academic Research, 3(1). Hadjistavropoulos, T., Herr, K., Prkachin, K.M., Craig, K.D., Gibson, S.J., Lukas, A. and Smith, J.H., 2014. Pain assessment in elderly adults with dementia. The Lancet Neurology, 13(12), pp.1216-122 Hatlevik, I.K.R., 2012. The theory?practice relationship: reflective skills and theoretical knowledge as key factors in bridging the gap between theory and practice in initial nursing education. Journal of advanced nursing, 68(4), pp.868-877. Hoe, J. and Hoare, Z., 2012. Understanding quantitative research: Part 1. Nursing Standard (through 2013), 27(15-17), p.52. Levett-Jones, T., Gersbach, J., Arthur, C. and Roche, J., 2011. Implementing a clinical competency assessment model that promotes critical reflection and ensures nursing graduates readiness for professional practice. Nurse Education in Practice, 11(1), pp.64-69. Lichtner, V., Dowding, D., Esterhuizen, P., Closs, S.J., Long, A.F., Corbett, A. and Briggs, M., 2014. Pain assessment for people with dementia: a systematic review of systematic reviews of pain assessment tools. BMC Geriatrics, 14(1), p.138. Moran, K.J., Burson, R. and Conrad, D., 2016. The doctor of the nursing practice scholarly project. Jones Bartlett Publishers. Perry, A.G., Potter, P.A. and Ostendorf, W., 2013. Clinical Nursing Skills and Techniques8: Clinical Nursing Skills and Techniques. Elsevier Health Sciences. Pijl-Zieber, E.M., Barton, S., Konkin, J., Awosoga, O. and Caine, V., 2014. Competence and competency-based nursing education: finding our way through the issues. Nurse Education Today, 34(5), pp.676-678. Popil, I., 2011. Promotion of critical thinking by using case studies as teaching method. Nurse education today, 31(2), pp.204-207. Raymond-Seniuk, C. and Profetto-McGrath, J., 2011. Can one learn to think critically?a philosophical exploration. The open nursing journal, 5, p.45. Schreiber, J.A., Cantrell, D., Moe, K.A., Hench, J., McKinney, E., Lewis, C.P., Weir, A. and Brockopp, D., 2014. Improving knowledge, assessment, and attitudes related to pain management: evaluation of an intervention. Pain management nursing, 15(2), pp.474-481. Twigg, D. and McCullough, K., 2014. Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings. International journal of nursing studies, 51(1), pp.85-92. Wyder, M., Bland, R., Blythe, A., Matarasso, B. and Crompton, D., 2015. Therapeutic relationships and involuntary treatment orders: Service users' interactions with health?care professionals on the ward. International journal of mental health nursing, 24(2), pp.181-189. Yildirim, B. and Ozkahraman, S., 2011. Critical thinking in nursing process and education. International journal of humanities and social science, 1(13), pp.257-262.

Essay Topics for The Lottery by Shirley Jackson

Essay Topics for The Lottery by Shirley JacksonThe Lottery by Shirley Jackson is a novel about the author's experiences growing up in an isolated fishing village in Maine and later moving to a large coastal city. While it's not a supernatural horror story, it can be seen as such.On the first page, it is introduced as the story of one Simon Chris. He was forced to leave his beloved family when he was kidnapped and taken away. Since then, he has been sold off many times until he finally found himself in a small New England town.Rich Nelson is also introduced early on in the book. He was a rough, alcoholic who worked as a lighthouse keeper in a small island. He lived a lonely life until he finally became rich. He eventually left his wife and children in the home that they had built for him on the island with just enough money for food.At first, all three were used as plot devices to get the reader to want to know more about them. They didn't seem to have a lot of motivation and most of their stories were hard to follow. However, the book soon turns their stories into real people that we can relate to.Throughout the book, the characters are presented in such a way that makes us want to connect with them. We want to know what makes them tick and what makes them unhappy. I found this to be a powerful way to make the reader empathize with the characters.The author's familiarity with her Maine area allowed her to write about subjects that she has experienced herself and therefore was able to relate to her readers. The various pieces of the puzzle needed to create the major plot points were also based on how she felt and what she did in her small community.I particularly liked the changes that happened in the life of each character through the course of the book, as well as the way the lottery brought them together. The story's themes of life and death, the value of trust, responsibility, and the power of choice are timeless and are relevant to our everyday lives.In sho rt, The Lottery by Shirley Jackson is a fictional account of an event in one woman's life. Although not a horror story, it can be read as such because of its simplicity and the clarity of the plot. It can be a helpful story for anyone who wants to learn about what life is like on the small Island where she grew up and to learn about the events that can happen to a person that causes them to leave their loved ones behind.

Top Choices of Good Topics on Persuasive Essay

Top Choices of Good Topics on Persuasive Essay Good Topics on Persuasive Essay - the Conspiracy Children should be asked to read more. Parents must be at fault for providing a wholesome diet. They should talk to kids about drugs at a young age. They should talk to their children about drugs at a young age. Don't neglect to bring a strong hook at the beginning (introduction paragraph) and wind up with an impressive conclusion to create the reader want to go over the interesting persuasive essay topics of your pick. As a consequence of persuasive essays not being strictly informative (with the specific exception in the prior paragraph being the sole exception), they need to always take a formal tone. Usually, this sort of an essay stipulates a coherent stream of suggestions to demonstrate that one paradigm is more valid than the other. Overall, you can observe that writing a persuasive essay isn't a brain surgery. What's Truly Going on with Good Topics on Persuasive Essay It is possible to also get different discounts on our site which will help you to save some more money for future orders or anything you want to spend them on. Inspiration to make your own advertising or media argumentative essay topics isn't challenging to discover. When you get your completed essay, be sure that you tell all your friends what a good service it is and what's the perfect place to obtain cheap essays. Total list of the simplest jan 4, an interesting and the way to find it's actually be able essay. The most frequently encountered paper writing service that the majority of our clients require is essay writing. You could also get in touch with your writer to supply some excess recommendations or request information regarding the order's progress. Therefore, many students and employees decide to acquire affordable essay rather than writing it themselves. Click the links within the lists below to take a look at a true speech on such topic. The more information yo u'll be able to gather about the subject, the better prepared you'll be for writing your essay. The multiple topics could possibly be found, for instance, in the dissertation abstracts international database. So locating the finest persuasive essay topics is important. There are several good persuasive essay topics to select from. Many students come online to discover persuasive essay topics for higher english simply to pick precise topics and begin writing about them. Be difficult to get paid for college a very good topic to compose a fantastic persuasive essay a controversial. There's, naturally, a limit on the range of pages even our finest writers can produce with a pressing deadline, but generally, we figure out how to satisfy all the clients seeking urgent assistance. Quite often the most difficult area of the assignment is picking a topic. If it's the first time you're likely to use our article writing service, you most likely have plenty of questions. Even in the event the deadline is truly tight, feel free to get hold of our managers. What Good Topics on Persuasive Essay Is - and What it Is Not School should happen in the evenings. Life is far better than it was 50 decades ago. Students have to finish a lot of writing assignments during college years. They lead busy lives and often forget a bout an upcoming deadline. Life, Death, and Good Topics on Persuasive Essay Your work is to choose whether or not there ought to be a particular age when kids are given access to a smartphone. 2, you can't choose a topic for children. Many people decide to work at house in front of a computer screen. The issue is that everybody's interpretation of what makes a great society differs. The Advantages of Good Topics on Persuasive Essay There are just a few things that define whether an essay you're working on is going to be a good one. Our life is about words. Just be sure that it is something which you require, not just something that you want in the brief term. An excessive amount of money isn't a good thing. Becoming too related to modern technology many are technology without doubt is a helpful tool that we as humans utilize daily. Sure, with this kind of a tremendous selection of topics to pick from, picking just one may be challenging. Cyber-attacks are a crucial in telligence tool for all nations. Thousands and thousands of traders buy and sell various foreign currencies from various nations around the world. The Start of Good Topics on Persuasive Essay You don't need to find super technical with legal argumentative essays, but don't forget to do your homework on what the recent laws about your favorite topic actually say. No warrant needs to be needed for search and seizures. A topic sentence is a significant portion of your essay its basic role is to use examples to compose decent topic sentences without them, your.

Dracula Essay Topics - How to Choose the Right One

Dracula Essay Topics - How to Choose the Right OneThere are a variety of Dracula essay topics to choose from and they can range from literary to historical to even contemporary takes on the legend. The most widely used Dracula essay topics today are literary or fictional works which feature Dracula as one of the major characters. These essays can be historical or fiction, but they should remain true to the source material.People who are writing Dracula essays will have to decide what topic they want to go with. You will want to consider the time period in which the Dracula stories are based. In the Victorian era, many of the stories centered around the story of Dracula himself, including his struggle to defeat the Elder Brother and the temptations he faced along the way. However, in the nineteenth century, people took the work more seriously as an exercise for self-betterment and training.Many of the students writing about this time period to write about the positive aspects of the t imes, or write about how they became the story of their own lives. A writer may have been plagued by poor schooling and enterprising spirit, and can end up being the hero of her own life story. Others write the Dracula stories from a Christian perspective and try to get a sense of the devastation caused by the Old One's curse. If this is the case, the writer must be careful not to cross the line into religion.The Vampire genre was a popular vampire novel during the Victorian era, but it was relatively new when the class of author Dracula came onto the scene. Many of the texts that do focus on Dracula were written during the nineteenth century and the twentieth century. By going back to where the original stories were written, you can get a glimpse of the world in which they were created. It's always helpful to learn about the cultural milieu in which the works were created. The more familiar you are with the period, the better.Throughout the Victorian and twentieth century, Dracula literature tended to be based on real world events, but there was an element of suspense created in the modern day in which the vampire stories evolved. Many of the earlier Dracula novels were based on actual historical events that happened in the late 18th century. For example, Bram Stoker's Dracula is based on the historical Vlad Tepes, a German nobleman who spent centuries battling the Dracula and his vampire associates. Another famous vampire work is Alexandre Dumas's classic novella 'The Count of Monte Cristo.'You can find other Dracula essay topics that you can use for your own work. A key point in this genre is the tension between the human being and the creatures of the night. This has always been a central theme of the vampire genre. There's a sense of triumph for the hero that we can all identify with.These classic works still hold an appeal for many people, especially after their completion. The body count also brings a sense of justice. When the story gets to the climax, the audience can get a taste of what it is like to be a victim of the monster that is Dr. Frankenstein. There is a real, physical and emotional horror that comes from having your body become consumed by a monster. Even today, you can see this scenario playing out in countless horror movies and horror stories.Everyone has a very different opinion about what subject matter works best for a Dracula essay. Many students find that works focusing on the personalities of the characters are very effective. Others prefer tales that deal with the basic themes, such as the eternal struggle between good and evil.

The Argument About Gateway Essay Samples Chemistry Bonding

The Argument About Gateway Essay Samples Chemistry Bonding Ok, I Think I Understand Gateway Essay Samples Chemistry Bonding, Now Tell Me About Gateway Essay Samples Chemistry Bonding! Diamonds aren't conductors of electricity. Metallic bonds are made following an attraction which exists between fixed positively charged metallic atoms and cellular electrons. Explain how you want to achieve it. The bodily properties may differ widely but they're chemically identical. The molecular geometry contains six unique shapes. The Rise of Gateway Essay Samples Chemistry Bonding Nobody is supposed to take a person's life since they didn't give life. To begin with, you must realize that however much unpredictable the topic might be, practice still makes perfect sense. Fantastic examples can persuade your reader to understand your point of view whilst adding words to help you accomplish your 200-word limit. It's also easier than attempting to add references at a subsequent stage. More information about each element are provided in the Presentation section. You need to read the example answers to have ideas about what are good kinds of answers and what are bad varieties of answers. To begin with, rewrite the assigned topic in your words. Ok, I Think I Understand Gateway Essay Samples Chemistry Bonding, Now Tell Me About Gateway Essay Samples Chemistry Bonding! Since the negative control of the electron isn't homogeneous around the whole atom, there's a resulting imbalance in charge. If you feel you cannot cope with the task you'd better request expert help. The structure is known as giant because it's composed of the exact standard unit repeated over and over. Due to its polarity water is a great solvent, attracting both the beneficial and negative charges of different solutions. Choosing Good Gateway Essay Samples Chemistry Bonding If you prefer the way our texts are written, you may always drop us a line in the internet chat, and we'll get started solving your assignment. Within this section you will locate samples of essays belonging to different essay types and manners of formatting. Although the ideas aren't taken to their fullest extent, they must be clearly understood as they underpin everything which will come in the upcoming study of chemistry. Such factors are called anions. The 5-Minute Rule for Gateway Essay Samples Chemistry Bonding Adoption is an alternate solution. GED Online enables you to prepare for the GED test by utilizing online classes and practice tests. Students need a high degree of discipline to get on a uniform because this technique of dressing does not permit you to dress in any other fashion or particular style which you desire. They should decide which position they should take based upon the quantity and quality of the points they are able to come up with to support their position. If your aim is to pass the GED, then you have to learn about test-taking strategies. It is better to practice under conditions that mimic the actual test. If you are able to use the provided information in a smart way, you're going to be in a position to create your efficient study program. Unlike the different parts of the exam, gaining scores for writing isn't objective, as the answers aren't concrete. Want to Know More About Gateway Essay Samples Chemistry Bonding? Adoption is a far better alternative in this instance. For instance, you mention that a kid may want to taste alcohol. A youngster needs certain conditions so as to live. This child wouldn't be in a position to lead a normal life. The author uses words that are precise and increase the essay. You're not given a choice in regard to what sort of essay you will write. You don't need to compose a creative essay, you simply have to guarantee you write appropriate grammar. If you realize that you are stuck in regar ds to writing an essay, request a person's assistance that will help you proceed through writing an essay. End the introduction by restating the essay prompt in your words, as it is the very best approach to make sure you keep on topic. You'll have 45 minutes to finish the essay. You have 45 minutes to make your essay. Taking a couple of minutes at the start to structure your essay can help you save you valuable writing time later. What Does Gateway Essay Samples Chemistry Bonding Mean? In HPLC chromatography, column plays an important part in separation of unique compounds since it includes stationary phase. As an example, pen inks are often composed of distinct colors. If you observe the particular example through, it's simpler for the reader to learn what you mean.