Study to evaluate the effectiveness of Self Instructional Module

Study to evaluate the effectiveness of Self Instructional Module A man too busy to take care of his health is like a mechanic too busy to take care of his tools. Seizure is a neurological disorder characterised by unprovoked electrical discharges that disrupt the nervous system and can cause abnormalities such as abnormal blood levels of calcium, magnesium, glucose which can trigger one or more seizure conditions that irritate the brain. (Christensen and Vestergaard, 2007) Most people with seizure lead outwardly normal lives. Approximately 80% can be aided by modern therapies, and some may take months or years between each seizure attack. However, this condition can affect daily life of people with seizure, their family and their friends. People with seizures who ignore treatment have, a shorter life expectancy and increased risk of cognitive impairment. People with seizure have an higher risk of poor self -esteem, depression and suicide tendency. These problems may by a reaction that may result in cruelty and avoidance by other people. (http\www.nih.gov) Based on the total projected population of India, the estimated number of people with seizure would be 5.5 million. Based on a single study on the incidence of seizure, the number of new cases of seizure in each year would be close to half a million (Epilepsy status 2009) .The average incidence rate was higher than many developed countries, but lower than the developing countries. (Shankar Saha, and Shyamal Das, 2008) Seizure becomes a medical emergency, when seizure lasts longer than 5 minutes or when a person has many seizures and does not wake up between them. Good healthy habits may help to control seizure such as good sleep habits, stress reduction, proper exercise, good nutrition, regular intake of medicine etc. (Rubin and Kornblau, 2009) NEED FOR THE STUDY Many people with seizure also live with ever present fear of getting another attack. The risk of seizure acts as a barrier for their independence; In USA people with seizure or other handicaps cannot be denied employment or access to many educational, recreational or other activities due to their seizure. However one survey in India showed that about 56% of people with seizure finish high school education and only 15% finish college education. These rates are found lower than those of the general population. These numbers indicate that some important barriers still exist for people with seizure. The risk of seizures becomes a barrier for peoples recreational choices; sports is a positive factor in life which is best for the person to participate. Women with seizure are often concerned about whether they can become pregnant and have a healthy child. This is usually a possible situation. Probably 90% women with seizure have the chance of bearing a normal healthy baby and the risk of birth defects is only associated with pregnancy and delivery. The researcher personally felt that seizure episodes are common and often recurrent if the patient does not maintain good health habits. The knowledge level regarding safety measures on management of seizure is essential for people. So the researcher got interested to prepare a Self Instructional Module regarding promotion of safety measures among patients with seizure. STATEMENT OF THE PROBLEM The study to evaluate the effectiveness of Self Instructional Module (SIM) on knowledge regarding promotion of safety measures among patients with seizure and primary care givers in selected Hospitals at Salem. OBJECTIVES To develop and validate Self Instructional Module regarding promotion of safety measures for patients with seizure and primary care givers. To assess the knowledge score on Safety measures regarding seizure management before and after exposed to SIM among patients with seizure and primary care givers. To find out the association between pre-test level of knowledge with selected demographic variables (Age in years, Educational status) RESEARCH HYPOTHESES: (Level of significance p H1: The mean post-test knowledge score after exposed to SIM will be higher than the mean pre-test knowledge score among patients with seizure. H2: The mean post-test knowledge score after exposed to SIM will be higher than mean pre-test knowledge score among primary care givers of patients with seizure. H3: There will be significant association between the pre-test knowledge level on promotion of safety measures among seizure patients with their selected demographic variables. H3(a): There will be significant association between the pre-test knowledge level on promotion of safety measures among seizure patients with their age. H3(b): There will be significant association between the pre-test knowledge level on promotion of safety measures among seizure patients with their educational status. OPERATIONAL DEFINITIONS 1. Effectiveness: In this study Effectiveness refers to the significant difference in mean pre test and post test knowledge score regarding promotion of safety measures on management of seizure among the samples. a). Knowledge of patients with seizure : In this study , it refers to the level of information which is known by the patients with seizure regarding promotion of safety measures which includes drug regimen; marriage and pregnancy ; relaxation therapy and safety measures on management of seizure which will be assessed by using a structured questionnaire, with Multiple choice questions . The scores will be interpreted as below 50% Inadequate knowledge; 50% 75% moderate knowledge and above 75% adequate knowledge. b). Knowledge of primary care givers of patients with seizure: In this study; it refers to the level of information regarding promotion of safety measures which includes care of patient during and after seizure by the primary care giver which is assessed by structured questionnaire that contains multiple choice questions. The scores will be interpreted as below 50% Inadequate knowledge; 50% 75% moderate knowledge; above 75% adequate knowledge. 2. Primary Caregiver: In this study; it refers to a person who is being with the patient and giving care before, during and after a seizure attack. 3. Self Instructional Module: Section-1: For patients with seizure: In this study; it refers to a self explanatory guide regarding the promotion of safety measures on management of seizure. It gives information regarding meaning of seizure, its causes, signs and symptoms, diagnosis, complications, and management of seizure. Section 2: For primary care givers of patients with seizure: In this study; it refers to set of guidelines regarding promotion on care of patients with seizure for the primary care givers. It gives information regarding the care of patient during after seizure. 4. Patients with Seizure: In this study, it refers to individuals who are diagnosed as patients with seizure for the past one year and who attend the out- patient department for regular treatment in selected Hospitals at Salem. 5. Safety Measures on Management of Seizure: In this study it refers to the information regarding safety measures on drug regimen; relaxation therapy; care during and after seizure which should be followed by the patient to avoid physical as well as mental harm. 6. Demographic Variables: a) Age in years: In this study the age group from 20 to 60 years was included. b) Gender: It refers to the sex of the patient with seizure and primary care giver (male and female). c) Educational status: In this study primary school to post graduate level were included. d) Family member in health profession: In this study; it refers to the individual in the family who is working as doctor, nurse, physiotherapist or other health personnel. ASSUMPTION The knowledge on seizure and care during seizure is essential for people to lead a healthy life and to promote psychosocial well being. The improved knowledge will help in preventing the further attack of seizure. ETHICAL CONSIDERATION Formal permission will be obtained from the concern authority from the Neuro Hospital OPD where the study is conducted. Written informed consent will be obtained from the samples after explaining the usefulness of study. DELIMITATIONS Sample size is delimited to 30 patients on regular treatment and their primary care givers who attend OPD. Patients with seizure who are accompanied by primary care giver. Study is delimited to those who will be available for post test. SUMMARY This chapter dealt with the introduction, need for the study; statement of the problem; objectives; hypotheses; operational definitions; assumption; ethical consideration and delimitations.

Aspirin :: essays research papers

Aspirin Aspirin may not be healthy for the DIGESTIVE TRACK it can also sometimes cause serious bleeding in the upper GASTROINTESTINAL tract. A study director of medicine said the risk of bleeding is directly related to aspirin. She also stated that  ¼ of an aspirin is good for a day (about the same amount of a baby's aspirin). Another thing she stated was that if you are taking aspirin for arthritis it may cause severe bleeding. Late last moth in a journal called Lancet , Lancet compared the use of aspirin among 550 people admitted to the hospital with serious bleeding from the stomach or DUODENUM with the aspirin- taking practices of 1,202 non hospitalized people from the same communities. An aspirin-induced ULCER or gastric-an inflammation of the stomach lining is the cause of such bleeding that typically results in vomiting blood. In virtually everyone who takes aspirin the aspirin may cause MICRO BLEEDING. The more serious bleeding is rare however it is death threatening, Especially if the person has any other medical problems or has lost a lot of blood quickly. In a survey 19 per 100,000 people had the serious bleeding. It is precisely the power of the aspirin that makes it effective against heart attacks and strokes that are caused by clots. I think that you should not take aspirin for preventing any heart attacks or strokes or etc.†¦ for a reason and that reason is that it may cause another hazard upon you while you are trying to prevent one happening to you. Digestive track - The way food is digested. Gastrointestinal - Of relating to, affecting, or including both stomach and intestine. Duodenum - The first part of the small intestine extending from the pylorus to the jejunum. Ulcer - An open sore on the inner surface of the alimentary canal. Micro bleed - The

Concerns about the wars Essay

My Other poem that I have analysed is â€Å"Charge of the Light Brigade† written by Alfred Lord Tennyson about the Crimean war in 1855. In this poem Tennyson has a positive point of view which is the opposite of Owen. Tennyson shows a patriotic view with the words â€Å"Hero†, â€Å"Noble† and â€Å"Glory† to fight for and die for your country; ironically that is the meaning of â€Å"Dulce et Decorum Est†. Owen has written â€Å"Dulce et Decorum Est† in stanzas. The pace of the first stanza is really slow â€Å"Bent double, like old beggars under sacks†. This shows the tiredness of the soldiers, therefore that they are really weak and tired mainly because of the lack of sleep during war. This therefore leads to fatigue, injury and disease. They would have been â€Å"Bent double† because of all the heavy equipment they have to carry during war. It is shocking how he compares the soldiers to â€Å"old† because normally you would expect a soldier to be fighting fit. The words â€Å"Trudged†, â€Å"Limped on† also help emphasise how tired the soldiers would have been. This also shows the effect of the war on the soldiers. The second stanza the pace quickens rapidly with the use of short sentences. â€Å"Gas! Gas! Quick, boys! † This how fast the soldiers react even though they are tired and exhausted but it wouldn’t just be there body’s that are tired there mind’s are as well. The words â€Å"Fumbling† and Flound’ring† help to show the state of panic and urgency of the men are in. â€Å"The charge of the light brigade† is written in a ballad form. The poem is about six hundred men who are on horse back during the Crimean war. He has written the poem in that form to help show and repeat key points. The first few lines say â€Å"half a league, half a league, half a league onwards†. The use of this repetition is to show how far the men have come to fight for there country, All the way through the poem there is a dactylic rhythm to emphasis the horse’s hooves on the ground. Tennyson also says that no one argued the decision to send them to fight he says that â€Å"someone had blundered† but still did not challenge the decision this therefore shows that they have respect for there senior offices and believed that it was their honour and glory to die for there country. When the soldiers were attacked in â€Å"Dulce et Decorum Est† they fled for their lives where as in â€Å"Charge of the light Brigade† they still rode ahead to fight. The use of repetition † Canon on the right of them, Canon to the left of them, Canon in front of them† shows that the men had no where to go and most of them new that they would not be coming back but still went ahead. Unlike â€Å"Dulce et Decorum Est† the men where organised and knew exactly what to do and when. This shows courage and bravery. In the poem â€Å"Dulce et Decorum Est† it focuses on the imagery of war and Owen uses similes to show the unpleasant imagery of war. â€Å"As under a green sea, I saw him drowning† This shows that the amount of gas is drowning the soldier as if he was in the sea. Owen gives us a graphic piece of imagery showing a soldier dying a slow and painful death. â€Å"White eyes writhing in his face†. This shows that he could only see the whites of his eyes which means he was either dead or in extreme pain. The word writhing shows how much pain the soldier is in because Owen could have used the word painful but instead he tries to make the reader understand the amount of pain the soldier is in. â€Å"Charge of the light brigade† focuses on the number of soldiers and also the number that died â€Å"Not the six hundred† This shows that there no longer â€Å"six hundred men† because many of them had died and there are only a few left. Tennyson also mentions The Six Hundred at the end of every stanza to make the reader remember the phrase. Tennyson also uses metaphors to show the horror of war. In both stanzas 1 and 2 he mentions â€Å"The valley of death†, and in stanza 3 he says both â€Å"Jaws of death† and â€Å"Mouth of hell†. By saying the â€Å"The valley of death† it suggest that the soldiers have no chance of surviving. This also makes the soldier look more noble and brave to the reader. Tennyson also states how many soldier died. â€Å"Then they rode back, but not, not the six hundred†. He repeats the word â€Å"not† to show how many of the soldiers died in the battle. Instead of focusing on the dead for to long he moves to how heroic the soldiers were with lines such as â€Å"When can the glory fade? † He uses the rhetorical question to say that they should always be remembered for their bravery. He has personified â€Å"death† and â€Å"hell† to help emphasis their ongoing battle with the devil. To help show how they do not want to give up even though they are fighting a losing battle. The Gas attack makes all the men feel guilty because they cannot save their companion from a slow and painful death. â€Å"As a green sea, I saw him drowning, in all my dreams, before my helpless eyes†. The word â€Å"helpless† help to show how the fellow soldiers couldn’t do anything to help. Owen changes to the past tense to show that his nightmares are just as real as when they actually happened. â€Å"We cursed through sludge†, makes his audience imagine how hard and tiring it is to walk yet alone fight in a war. Owen uses metaphors to help you imagine the horrific sights of war. â€Å"Under a green sea, I saw him drowning. † This makes the reader imagine the â€Å"Green gas† covering the soldier and also making his insides drown. There was no cure for the â€Å"green gas. † Then he describes the gas as, â€Å"obscene as cancer† he makes this comparison because there is also no cure for cancer this shows how bad it must have been because there is nothing worse than cancer. In my opinion Tennyson’s and Owens’s views are different, as Tennyson gives us a distanced account of the battle because he was not personally involved in the Crimean war. Tennyson uses collective terms like â€Å"They†, â€Å"Their† and â€Å"Six hundred† because he would not have known about specific cases like Owen does. However Tennyson does try to focus on the determination of the soldiers â€Å"while horse and hero fell† although their fellow soldiers kept falling they still had the determination to fight. In Tennyson’s eyes they are all â€Å"heroes† because they have died for their country. â€Å"Dulce et Decorum Est† and â€Å"Charge of the light brigade† differ because Owen actually took part in the war he is writing about where as Tennyson did not fight in the Crimean war. Owen seems have a negative approach to war saying there is no cure for the damage that war creates, â€Å"obscene as cancer†, and also includes sarcasm aimed at Jessie Pope and her poem â€Å"Who’s for a game† which said it was sweet and right to die for your country. Owen mocks this by saying that this is a â€Å"Lie† because he has experienced war first hand and also thinks that lots of innocent people are dying for no apparent reason. The use a capital L in â€Å"lie† is to help emphasises what he thinks of Jessie popes poem. Overall Owen shows a very negative view on the war but on the other hand Tennyson shows a view towards war. Owens negative view is based on him actually being there where as Tennyson’s positive views are based on him not fighting during the war. Owen has specific cases of horrific injuries, death, and sickening sights. Tennyson seems to focus on the group of soldiers collectively and does not have the same first hand accounts that Owen has. The poet that I believe more would have been Owen because of the use of his first hand cases such as the â€Å"Gas attack† and â€Å"Whites of the eyes in his head†. Where as Tennyson on speaks as a collectiveness not as individuals. This piece of coursework has helped to focus on both the bad sides and the good sides of war. It’s not the physical injuries that can harm you it’s also the mental injuries of seeing other people shot in front of your eyes. But it also shows me how brave and noble soldiers are to fight for their country. This has definitely changed my perception of war.

Essay on Edvard Munch - 1542 Words

The art world has a limitless array of mediums and different artistic periods, challenging the opinion of what should be accepted by the masses. Expressionism is the art of the emotive, the art of tension provoked by consciousness of the forces which surround modern humankind. Challenging the academic traditions of the previous centuries, Edvard Munch impacted the art world as an instrumental leader in the development of modern German expressionism. His painting The Scream has made its mark in questioning the ideals of what is acceptable concerning the history of art. The paper will discuss Munch’s life history, uncovering the influences which led him to expressionism, as well as a detailed description and analysis of The Scream,†¦show more content†¦Before turning twenty he participated in his first exhibition called the Industries and Arts Exhibition. In 1892 he participated in another exhibition in Berlin. Munch created a series of paintings titled, The Frieze of Life, which caused enormous shock within the art world to the point that it had to be shut down. Images were thought to be terrifying and threatening. He had so many feelings that he wanted to unleash upon the canvas and no one understood his pain. Munch’s paintings played a big role in the rise of modern German expressionism, as he joined the Blue Rider and Dresden groups. The blue rider was a group of artists, established in Munich, Germany, that expressed themselves through spiritual truths in their art. Around the turn of the century many artists were trying to lay the foundation for modern art. In the 1880’s and 1890’s Art Nouveau, an international style of decoration and architecture urbanized. New developments also included, Post Impressionism, which â€Å"rejected the objective naturalism of impressionism and used form and color in more personally expressive ways.† At the time Romanticism, a growing artistic movement, was popular to artists like Runge, Goya, Blake and Friedrick, all who inspired Munch during the various stages of his artistic life. However, when compared to other artists of the time, Munch was new and ingenious. Able too courageously and dispassionately â€Å"reveal his innermost secrets of his own life,Show MoreRelatedEssay on Edvard Munch1385 Words   |  6 PagesEdvard Munch is regarded as the pioneer of the Expressionist movement in modern painting. At an early stage Munch was recognised in Germany and central Europe as one of the c reators of a new and different movement of art, that helped artists to express their feelings about all the social change that was happening around them. Munch was born in 1863, and before long he had come to know the intensity of emotional pain. His father was a doctor who often bought patients to the Munch home. His motherRead MoreThe Scream, By Edvard Munch Essay1680 Words   |  7 PagesSCREAM! â€Å"The Scream† by Edvard Munch has been a very famous portrait known throughout the world ever since it was created in 1893. This portrait is of a man who is screaming as he is in a potentially disastrous situation. Although he faces disaster, beauty can still be found in the life that he is has lived or is currently living. On the other hand, Alice Walker also shares a story of her disaster in â€Å"Beauty: When the Other Dancer Is the Self.† Walker got her eye shout out by a BB gun and it changedRead MoreAnalysis Of The Film Edvard Munch 1052 Words   |  5 PagesEdvard Munch is an artist that has been traumatized and haunted by death throughout his entire life. His works of art are both terrifying and mesmerizing. In t he film Edvard Munch, director Peter Watkins does an excellent job at showing the life of Munch as if it was Munch telling his life. The film is a mixture of documentary and a drama about Munch’s life, and how his torments were reflected in his art. The film has a very grey and cold tone throughout its run. It definitely helps set the moodRead More Critical Analysis on The Scream by Edvard Munch Essay1608 Words   |  7 PagesCritical Analysis on The Scream by Edvard Munch Edvard Munch was born on December 12 1863 in Loten Norway. He moved to Christiana, and spent most of his childhood there. Both his mother and his oldest sister suffered from tuberculosis and died before he reached the age of 14. At 18 he became more serious about his art and started attending art school. Edvard finally found a release for the pain he felt from his sister’s death. In 1886 he painted â€Å"The Sick Child†.Read MoreAnalysis Of Edvard Munch And The Scream1060 Words   |  5 Pages Edvard Munch The Scream Alex Torres Mr. Vigrass Class 604 Fine Arts Alex Torres Fine Art The Mott Hall School Class 604 Edvard Munch The Scream Edvard Munch (12 December 1863 - 23 January 1944) was a Norwegian painter and printmaker who many art based upon psychological concepts that were based on Symbolism of the 19th centuryRead MoreHow Did Edvard Munch Attempt to Visualize Intense Emotion in his Paintings?1049 Words   |  5 PagesQuestion 1: How did Edvard Munch attempt to visualize intense emotion in his paintings? Discuss in relation to particular paintings. Edvard Munch is a highly influential artist, pioneering many of the ideas that informed the German Expressionist movement. The crux of his work is in the reflection the death, grief and emotion of his own experiences. Drawing from his own tortured upbringing, with the death of his father, brother and sister, as well as his own mental and physical illnesses. ThereRead More Critical Analysis of Edvard Munchs The Scream Essay1404 Words   |  6 PagesCritical Analysis of Edvard Munchs The Scream The Scream, sometimes known as The Cry was painted by Edvard Munch in 1893. Some say Munch played a role in the development of German Expressionism, though the Norwegian painter turned down two offers to join the group, and preferred not to be classified, or put into a category. This painting was part of Munchs The Frieze of Life, a series of paintings each portraying a phase of life - as defined by Munch: Birth of Love, BlossomingRead More Pictures Show Emotion Better than Words Essay936 Words   |  4 PagesWorth,† Erasmus is quoted as saying, â€Å"Painting is much more eloquent than speech, and often penetrates more deeply into one’s heart† (473). Two online paintings that are examples of this are Starry Night, by Vincent van Gogh, and The Scream by Edvard Munch. Both paintings are very well known and both evoke strong but different emotions. Paintings like these have been described with words over and over again, but they can only be fully experienced by seeing the paintings themselves. Words aloneRead More Edvard Munch: A Biography Essay examples709 Words   |  3 Pages Edvard Munch: A Biography Edvard Munch is regarded as a pioneer in the Expressionist movement in modern painting. At an early stage Munch was recognized in Germany and central Europe as one of the creators of a new movement in art. Munch and many artists of the time needed to express their feelings about all the change that was happening around. nbsp;nbsp;nbsp;nbsp;nbsp;Edvard Munch was born in Norway in 1863; he knew how a persons emotional pain feels. He was the son of an Army Medical CorpRead MoreCorrelations between Creativity and Mental Illness Essay1604 Words   |  7 Pageswith great creative art. As many instances of great artists who suffered of painful mental illness show (from the novelist Virginia Woolf, to the poets Sylvia Plath, Anne Sexton, and Robert Lowell, to the great painters Vincent Van Gogh and Edward Munch), great art also requires patience, dedication, and constant self-control in order to organize creative material in a coherent fashion. Creativity is one of the most valued human traits. It has given human beings the ability to change

Essay on Dramatic Tension in Macbeth - 1644 Words

Dramatic Tension in Macbeth Shakespeare’s play ‘Macbeth’ is set in Scotland during the rule of king Duncan. Macbeth has fought his way up the ranks of the army to become one of Duncan’s most trusted Lords. An encounter with three witches puts wickedness into the heart of an otherwise noble and loyal Macbeth. Shakespeare’s brilliant use of dramatic irony, the supernatural, and indecision produce a dramatic tension that keeps the audience on the edge of their seats throughout the play. In act 1, scene 1, a scene of three witches confronts us. This alone would have created mystery and fright to the audience, setting the scene of the play to come. ‘Macbeth’ was written in a period when there was a high interest in witchcraft and†¦show more content†¦The audience knows that Macbeth has been entitled ‘thane of Cawdor’ before Macbeth actually is told himself. This creates dramatic irony that, in turn, creates tension in the next scene. In act 1, scene 3, the witch’s malice and magic is shown, as they await Macbeth and Banquo on the lonely moor. The two men hear the witches prophecies with amazement. They tell that Macbeth shall be ‘Thane of Cawdor’, â€Å"Hail to thee, Thane of Cawdor!† And that he shall become king, â€Å"†¦that shalt be king hereafter†¦Ã¢â‚¬  They tell Banquo that he will be father of kings but will not be king himself. â€Å"Thou shalt get kings†¦Ã¢â‚¬  Banquo does not dwell on the witches’ prophecies but Macbeth is entranced. The audience can judge the witches better than Macbeth can, we know that Macbeth has become the thane of Cawdor because he is brave and not because of the witches magic, and we are not surprised, as Macbeth is, when Ross calls him by his title. Macbeth believes now that because one prediction is true that, perhaps, the others may too. Macbeth speaks his thoughts aloud in a soliloquy. These thoughts are of regicide. This would create tension for the audience because it was an absolute sin to even contemplate the murder of a king because it was thought that the King was a man chosen by God and so, was holy. ‘Macbeth’ was supposedly written for the king of this period, James I. James I himself was greatly interested in witchcraft, he had writtenShow MoreRelatedDramatic Tension in Act 2, Scene 2 of Macbeth Essay1217 Words   |  5 PagesMacbeth assignment What do you consider to be the most successful stage effect and language techniques used to create dramatic tension in Act 2, Scene 2? Macbeth is a well known, famous story by William Shakespeare which is about the tragedy of ambition and how it destroys Macbeth and Lady Macbeth. Both are forever damned to a state of fearful awareness, and insomnia as a result of murdering King Duncan. This sets off an unstoppable chain of events which ends in Macbeth himself being killed andRead MoreHow Shakespeare Creates Dramatic Tension in Act Two Scene One and Two of Macbeth2941 Words   |  12 PagesHow Shakespeare Creates Dramatic Tension in Act Two Scene One and Two of Macbeth In this essay I will discuss how Shakespeare uses dramatic tension in Act 2 Scene 1 and 2, and the effects it has on the audience. In the first scene, Banquo and his son, Fleance, are on their way to bed after a leaving King Duncan in his room, in Macbeth’s castle. On their way they meet Macbeth with a servant, in the courtyard. Banquo brings up in the conversation how he can’t sleep properlyRead MoreAnalysis Of Act 3 Scene 4 Of Macbeth1310 Words   |  6 PagesAct 3 Scene 4 of Shakespeare’s play, Macbeth, is often noted as the climax of Macbeth as it marks the turning point of the play, where Macbeth will not go back to his old, pure self. Set at the Macbeths’ banquet, it begins calmly and orderly but takes an unexpected turn when Macbeth finds the ghost of Banquo (whom he has just had murdered) sitting in his place. He is the only person who can see it and is unsettled and reacts badly. The scene ends ominously with the line, ‘We are yet but young inRead MoreAnalysis : Shake And Stir Theatre Company1620 Words   |  7 Pagesplays still appeal to modern society because of the universality of the dramatic themes- desire, domestic relationships, the complications of love and power struggles in relationships - humans still experience these emotions and challenges which gives Shakespeare a foo thold in modern times (Bruster, 2014). Shake and Stir sequenced together an array of modified scenes from Shakespeare’s most iconic plays, to implore the dramatic meaning that Shakespearean text can be rendered to engross modern audiencesRead MoreHow Shakespeare Creates Tension Suspense in Act 2 Scene 2808 Words   |  4 PagesHow Shakespeare creates tension and suspense in Act 2 Scene 1 Macbeth is one of Shakespeares most dramatic tragedies which made it necessary for Shakespeare to create tension and suspense throughout the play. The play was written during the reign of King James 1st, and because of this the themes of the play have a striking resemblance to the period. Common beliefs in the 1600s are upheld throughout, such as witchcraft; King James felt threatened by ‘witches’ and this resulted in unmerciful killingRead MoreDramatic Irony on Macbeth Essay1221 Words   |  5 PagesDramatic Irony in Macbeth Introduction: William Shakespeare effectively uses dramatic irony to intrigue the reader and deepen the impact of the consequences Macbeth ultimately faces. Dramatic Irony Definition: Dramatic Irony is a literary term that defines a situation in the play where the reader knows more than the character does. Thesis: Throughout the play Macbeth, the reader is given the advantage of knowing more things than the characters in the play through the literary device, dramaticRead MoreTension in Act 2, Scenes 1 and 2 of William Shakespeares Macbeth1004 Words   |  5 PagesTension in Act 2, Scenes 1 and 2 of William Shakespeares Macbeth Shakespeares Macbeth is a play that develops around tension all the way through. Shakespeare manages to create tension in a variety of ways in terms of the thematic aspects, linguistic aspects and dramatic aspects. Act II (scenes I and 11) is the part of Macbeth where Lady Macbeth and her husband (Macbeth) actually carry out their plans and do the deed. Instead of planning and talking about killingRead MoreEssay on Tension in Act 2 Scene 2 of William Shakespeares Macbeth1620 Words   |  7 PagesTension in Act 2 Scene 2 of William Shakespeares Macbeth Macbeth was written in1605; this was a period where there was a great interest in witchcraft and the supernatural. Many people including James I were scared and confused by ideas of the supernatural. The opening scene would in itself create tension amongst the audience, as it would suggest a play full of evil and lies, and also a theme of opposites and contrasts which occurs in the play, Fair is foul, and foulRead MoreShake And Stir By William Shakespeare1234 Words   |  5 Pagesand 17th Centuries. Shakespeare’s plays still appeal to modern society because of the universality of the dramatic themes- love, deceit, political endorsement, honour, ambition and courage- humans still experience these emotions which give Shakespeare a foothold in modern times. Shake and Stir sequenced together an array of modified scenes from Shakespeare’s most iconic plays, to implore dramatic meaning: Shakespearean text can be rendered to engross modern audiences while maintaining its integrityRead More Use of Tension in William Shakespeares Macbeth Essay examples1629 Words   |  7 Pages Shakespeare ´s play Macbeth is set in the heart of Scotland. The king at the time is king Duncun, a noble and honest king. He has two sons and many Thanes and noble men, one being Macbeth. Macbeth has fought his way up the ranks of the army to become one of Duncun ´s most trusted Lords, but an encounter with three witches puts wickedness into the heart of an otherwise noble and loyal man. In act 1, scene 1, a scene of three witches confronts us. This alone would have

Stylistic Potential of the English Noun - 16714 Words

STYLISTIC POTENTIAL OF THE ENGLISH NOUN Table of Contents Introduction -3 Chapter One. Stylistic resources of grammatical units on the basis of the English Noun -6 1.1 Functions of the language and connotative meanings -7 1.2 Grammatical Stylistics and Stylistic Grammar -9 1.3 The meaning of the grammatical form -10 1.4 Noun in different functional styles -10 1.5 Stylistic potential of the English noun -11 1.5.1 Stylistic potential of the category of gender -11 1.5.2 Stylistic potential of the category of number -26 1.5.3 Stylistic potential of the category of case -30 1.5.4 Stylistic potential of the category of article determination -34 Chapter†¦show more content†¦This work consists of two chapters. The first one deals with the functional approach to learning a foreign language, with the relatively new science Grammatical Stylistic. The purpose of this chapter is to reveal what has caused its appearing by considering different opinions of linguists and to illustrate the stylistic potential of the English Noun on the basis of some grammatical categories. There were considered rules concerning certain linguistic phenomena, but most of the work is focused on what causes their violation (cases of transposition, neutralization). All the linguistic phenomena discussed in this chapter are illustrated in the second one by means of about 200 cases that have been taken from the works that belong to the belles-lettres style (tales, poetry, short stories) written by such famous English and American writers of 18-20 centuries as Blake W., ColeridgeS.T., Munro H., Poe A.A., Hemingway E., Salinger J.D, etc. The aim of t his chapter is to put the considered theory into practice showing the way the phenomena have been dealt with work out. The examples are organized also according the four nounal categories mentioned above in the following way: Examples regarding the category of gender (2.1) (Here we distinguish two groups: (1)A neuter noun used as feminine; (2)A neuter noun used as masculine, explaining the purpose of changing the gender); Examples regarding the category of number (2.2) (In this paragraph weShow MoreRelatedStylistic Functions of Grammar Categories and the Role of Transposition.2593 Words   |  11 Pagesclasses of nouns. Stylistic function of articles, genitive case, plural number. Stylistic functions of different grammatical categories in different parts of speech. 1) Stylistic transposition of pronouns. 2) Adjectives, stylistic function of degrees of comparison. 3) Stylistic functions of verbal categories. 4) Stylistic functions of adverbs. Style is less investigated on the morphological level than on any other one because very many scholars hold the opinion that stylistic connotationsRead MoreNewspaper Style1703 Words   |  7 Pagesrandomly chosen British and Ukrainian newspaper headlines. The material used here is definitely limited and cannot exemplify all features. There establish general characteristics with respect to the main areas which have been studied. Newspaper style English newspaper style may be defined as a system of interrelated lexical, phraseological and grammatical means which is perceived by the community speaking the language as a separate unity that basically serves the purpose of informing and instructing theRead Moreshpory Essay5642 Words   |  23 Pagesï » ¿27. Kinds of epithet. Structural typesof epithets. EPITHET – an stylistic device emphasizing some quality of a person, thing\idea. Function – characterization, very subjective and evaluative. Shouldn’t be confused with logical attributes. 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Thus linguistic expressive means, which are systematically identified and cetegorizedRead MoreStylistic Analysis10009 Words   |  41 PagesIntroduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3-7 Chapter 1. Stylistic peculiarities of D.H. Lawrence and H.W. Longfellow’s poetry†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.7 1.1. The use of polysemanticism of the word in combination with repetition in poems by D.H. Lawrence and H.W. Longfellow†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..7-12 1.2. Lingvo-stylistic potential of D.H. 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Kyneton District Health Services-Free-Samples-Myassignmenthelp

Question: Discuss about the Kyneton District Health Services. Answer: Community health services are essential in local regions to encourage and support residents to remain healthy and prevent transmission of disease in the community. It plays a key role in meeting health care needs of uninsured people and the community health workers play an active role in meeting the unique needs of the communities. They are involved in creating connections between health care system and people at risk of disease, managing care for vulnerable group, determining health insurance plan and collaborating with health care providers to understand community health needs (Payne et al., 2017). This essay provides a detailed discussion on the function of Kyneton District Health service and the type of service provided by the service along with typical patient population covered by the service. It also compares the role and responsibilities of the nurse in the practice setting and the type of support available for LGBTI person in the community health setting. Kyneton District Health (KDH) Service is part of the Macedon Range community and it provides local health service to around 42, 000 people living in Shire and surrounding area. The core vision of KDH is to provide positive experience during care to all patients and keep track of their performance on a regular basis (Kyneton District Health Service :: Home, 2017). KDH also work in partnership with the Cobaw Community health service where staffs provide variety of community health service to residents living across Macedon Shire (Cobaw Community Health Service, 2017).A wide array of service is provided by KDH such as acute services, allied health service, care in home, maternity care, surgical service and urgent care centre. In the area of acute services, KDH supports local hospitals to provide variety of specialty services. The pharmacy department, the North West Dialysis service, radiology and pathology service are also part of the acute care service at KDH. The Macedon Range Communi ty nursing team also delivers other care programs such as district nursing, pose-acute care, transition care program, hospital in the home, palliative respite care and life limiting illness care. The community nursing team plays a great role in chronic disease management, medication management, pain management, wound care and developing care plans (Kyneton District Health Service :: Acute Services, 2017). KDH is mainly serving the residents living at the Macedon Ranges Shire Council. The council is located in central Victoria and has a population of about 47, 512 people according to 2016. The review of the population profile at Kyneton district has revealed that there are low proportion of pre-schoolers in the district and high percentage of people at post retirement age. Hence, considering the age structure of the community, the demand for age based service is high. Therefore, My Aged Care is also a part of the care program of KDH that provides the best service to meet the health needs of older people in the community. Another important service of KDH is the Treehouse program, which is an innovative social program that helps to provide health care service at home to people living with chronic or life limiting illness. This has helped many people to become independent and return to meaningful activities in life (Community profile | Kyneton District | profile.id., 2017). Kyneton District Health Service has been able to achieve their vision because of the contribution of nurses in the community setting. With the support of the KDH community nursing team, KDH has been able to provide health care service at home and other services like palliative and respite care. The district nurses have the responsibility to treat and manage health of people of all ages and they provide quality support to patients by visiting their home. One of the advantages of the district nurse is that they are qualified and well-trained in their work thus bringing efficiency in the service. The nurses also have the duty to respect patients, engage them in decision making, maintain privacy and confidentiality of patients information and advocate for the care of patient (Kyneton District Health Service :: Care in Your Home, 2017). These role and responsibility are similar to the NMBA standards of registered nursing practice as it mentions about engaging in therapeutic and profession al relationship and providing safe and responsive quality nursing practice. Hence, the responsibility of the district nurse to advocate for patient is similar to NMBA standard 6 which states that registered nurse must delegate and implement ethical goal directions actions (Nursing and Midwifery Board of Australia - Registered nurse standards for practice, 2017). The registered nurse at KDH has been found to cover a variety of roles such as pain management, chronic disease management, medication management and many other roles. Although other collaborative partners like health care professional and regional health care partners also plays a key role in providing community care, however majority of service is provided by district nurse. Their experience and expertise has helped in successfully integrating wide variety of service and their main focus is to deliver the best care to patient (Kyneton District Health Service :: Home, 2017). This responsibility has been fulfilled by building effective therapeutic relationship patients. Research literature has also given lot of evidence regarding building therapeutic relationship with patient. For instance, Sherwood Zomorodi, (2014) has defined that respect, genuineness, empathy, active communication, trust and confidentiality are the underlying principles of therapeutic relationship and these value s are also a professional responsibility of nurses working at KDH. The core purpose of therapeutic relationship is to support people in a way to promote healing and enhance functioning in patient. The district nurse at KDH have gone a step ahead to fulfill this requirement by going to the home of chronically ill patients to provide care (Kyneton District Health Service :: Care in Your Home, 2017). The success of the district nurse in building capacity is also dependent on level of support provided by the Kyneton District Health Service. This is also explained by Bridges et al., (2013) as the study showed that nature of organizational setting can affect nurses capacity to build and sustain therapeutic relationship with patient. Complexity and moral dilemma is inherent in nursing practice and relational aspects of nursing care are also critical to overcome such dilemma. KDH has emphasized on reducing the ethical dilemma for nurses and this is evident by their claim that they ensure that patients right to privacy and confidentiality of information will be ensures and all their staffs will properly handle all personal and health information of patient. All staffs at the community health service are committed to store patients information in a secure manner and comply with all standards of the Health Records Act 2001 in Victoria. The privacy principles provided in the Act guides staff to collect, use and store information in a secure manner (Kyneton District Health Service:: Privacy of Patient Health Information, 2017). Research evidence has also given idea about the growing issues related to information security and privacy in health care setting. Erickson Millar, (2005) has explained that advocating for patients right to privacy and confidentiality is the key role of nurse, however there is a need to renew this commitment because privacy issues has increased within the health care environment. Although all nurses are aware of their duty to respect patients confidentiality, however challenges for nurses in maintaining confidentiality arises because of the development of advanced technology and new demands in health care. Health Insurance Portability and Accountability Act is one of the national legislation standards that protect patients right to confidentiality of information. In case of KDH, the Health Record Act 2001 was a reference for staff to maintain confidentiality standards. Feo et al., (2017) recommended that maintaining integrity of nurse-patient relationship is the most crucial element to comply with patients privacy and confidentiality requirement in health care or community setting. The review of roles and responsibilities in the KDH community health service also gives the idea that it is the responsibility of carers to obtain all information to manage and attend to client whenever required. Any concerns or issues experienced by the client are also communicated to the Macedon Ranges Community Nursing staff. Ensuring professional relationship with clients and being respectful to all people involved in care is also a key responsibility (Kyneton District Health Service :: Care in Your Home, 2017). The review of community nurse role also clarified regarding the difference in their role compared to hospital nurse. For example, the hospital nurses have a single focus of attending to hospitalized patients in health care setting, however community nurse have multiple role as they are designated to provide to population of specific regions. Another important difference is that clinician is the main medical authority who directs hospital nurse, however the community nurse get medical autonomy to take decision, plan and implement nursing care measures for patients. The nursing team at KDH also gets the liberty to take decision of shifting patients between home and hospital based on their changes in symptoms. On the whole, it can be concluded that community nurse like those recruited at KDH play a role not just in providing care inside hospital, but they also engage in community awareness and preventive health role. They have the resilience skill and ability to manage health care issues of diverse population (Fooladi, 2015). Hence, nurses play a crucial role in the success of community health care program. The KDH community health service is one of the community health services available in Victoria to serve the people residing at Macedon Ranges community. By entering into partnership with Cobaw Community Health service, KDH has also played an influential role in serving the health care needs of LGBTI (lesbian, gay, bi, transgender, intersex) community. They respect the diversity present in Victorias community and hence have implemented specific care program for LGBTI community. They are responsive to the health needs of LGBTI community by working under the values of compassion, integrity, respect, commitment and equity (Cobaw Community Health Service, 2017). Their flexibility is the main strength that has enabled them to be innovative in service provision for LGBTI. Some of the relevant health and human services available in Victoria for the health and well-being of LGBTI groups includes general health care service, aged care service, mental health service, LGBTI inclusive service, al cohol and drug service and sexual health service (Lesbian, gay, bisexual, transgender and intersex health, 2017). The presence of such health care service and support for LGBTI Victorians is also necessary because this group faces discrimination which affects their physical and mental health and eventually experience poorer health outcomes compared to other Victorians. Mental health, general health, alcohol and other drug service are common health care service for this group because there are many evidence regarding the impairment in health in these areas. LGBTI people experiencing systemic discrimination and stigmatization are found to suffer from emotional distress, anxiety and depression. Family rejection and being rendered homeless also increases mental health issues and increase the risk of suicide attempts too (Friedman 2014). The research literature by Russell Fish, (2016) also highlights about mental health problem in LGBTI youth. They are at high risk for compromised mental health because of negative experience in society. Due to social acceptance issues in society, LGBTI youth are mai nly diagnosed with mood disorder, anxiety disorder and substance use disorder. In such situation, several community based treatment and therapy are essential for them. The focus on developing mental health service by KDH and Cobaw community health service is the right approach to address health care disparities in LGBTI group. One of the influential LGBTI specific health care project that has been implemented in Victoria is the Healthy Equal Youth project which had the main purpose of improving the mental health of LGBTI youths. The Victorian government has arranged funding programs to promote mental health and well-being in this group. This will act as an effective step to reduce the suffering of LGBTI people and give them equal rights in society (Lesbian, gay, bisexual, transgender and intersex health, 2017). Taking such kind of responsibility for the disadvantaged section of the society is also a necessary component of community health service. Experience of stigma and discrimination has been a reason for poor mental health as well as poor access to mental health care for this group (Russell, Fish, 2016). The identification of stigma as a barrier for LGBTI in accessing health care service is also demonstrated by Whitehead, Shaver Stephenson, (2016) as the study showed that experience of stigma and fea r of disclosing sexual orientation drives many people away from health care service. This affects the health care utilization rate in this group. In such situation, local agencies and community health agency hold an important responsibility to prevent illness and address health issues in the group. KDH has implemented specific health service for this group, however it is recommended that they focus on implementing those interventions that decrease stigma and increase LGBTI group intention to disclose their identity to health care providers. Such approach will be beneficial in increasing the health care utilization rate and improving health outcomes in this group. Social issues and family violence is a major problem for LGBTI people. Cobaws support for LGBTI group is also evident from the commitment that they will protect all clients exposed to violence and provide inclusive health care service specific to health needs of this group. Cobaw staff collaborate with KDH staff to ensure that their clients get access to safe and inclusive care. Their specific goal for promoting health and well being of LGBTI people is to provide information to them about LGBTI service, value and respect the diversity of this group and appropriately train the staff to provide necessary care to this group (Cobaw Community Health Service, 2017).Hence, as a community health service, it can be said that KDH is taking step in the right direction to ensure that all people irrespective of their sex, gender and race get the equal right and access to health care in the community. The importance of their inclusive service is that LGBTI people will never feel uncomfortable whil e revealing their sensitive information to the staffs. They have the right environment and values to ensure that clients never have a bad experience with them. Such approach is critical to provide the right support to this group because research has showed that LGBTI people are discriminated by the health care staffs too. Hence, when primary health care service cannot serve the health needs of LGBTI people, community health service like KDH can act as the right means of support for this people. The essay summarized the service and roles and responsibilities of staffs working at the KDH community health service in collaboration with Cobaw community health service to illustrate how promote health and well-being of Victorian community. The strength and weakness of its service and staff action has been evaluated with support from relevant research evidence. There focus on respecting the diversity in the communication is also evidence from the implementation of inclusive service for LGBTI people. In the future, they can contribute in a significant way to make LGBTI people feel safe and develop trusting relationship with health care providers in Victoria. References Bridges, J., Nicholson, C., Maben, J., Pope, C., Flatley, M., Wilkinson, C., ... Tziggili, M. (2013). Capacity for care: meta?ethnography of acute care nurses' experiences of the nurse?patient relationship.Journal of Advanced Nursing,69(4), 760-772. Cobaw Community Health Service. (2017).Cobaw Community Health Service. Retrieved 18 November 2017, from https://www.cobaw.org.au/ Community profile | Kyneton District | profile.id. (2017).Profile.id.com.au. Retrieved 18 November 2017, from https://profile.id.com.au/macedon-ranges?WebID=110 Erickson, J., Millar, S. (2005). Caring for patients while respecting their privacy: renewing our commitment.Online journal of issues in nursing,10(2). Feo, R., Rasmussen, P., Wiechula, R., Conroy, T., Kitson, A. (2017). Developing effective and caring nurse-patient relationships.Nursing Standard,31(28), 54-63. Fooladi, M. M. (2015). The Role of Nurses in Community Awareness and Preventive Health.International journal of community based nursing and midwifery,3(4), 328. Friedman, M. (2014). The psychological impact of LGBT discrimination: How the LGBT community is being harmed each and every day.Brick by Brick. Kyneton District Health Service :: Acute Services. (2017).Kynetonhealth.org.au. Retrieved 18 November 2017, from https://www.kynetonhealth.org.au/index.php/our-services/acute-services/ Kyneton District Health Service :: Care in Your Home. (2017).Kynetonhealth.org.au. Retrieved 19 November 2017, from https://www.kynetonhealth.org.au/index.php/our-services/community/ Kyneton District Health Service :: Home. (2017).Kynetonhealth.org.au. Retrieved 18 November 2017, from https://www.kynetonhealth.org.au/ Kyneton District Health Service :: Privacy of Patient Health Information. (2017).Kynetonhealth.org.au. Retrieved 19 November 2017, from https://www.kynetonhealth.org.au/index.php/patients-visitors/privacy-patient-health-inforamtion/ Lesbian, gay, bisexual, transgender and intersex health. (2017).Www2.health.vic.gov.au. Retrieved 19 November 2017, from https://www2.health.vic.gov.au/about/populations/lgbti-health/understanding-lgbti-health Nursing and Midwifery Board of Australia - Registered nurse standards for practice. (2017).Nursingmidwiferyboard.gov.au. Retrieved 19 November 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx Payne, J., Razi, S., Emery, K., Quattrone, W., Tardif-Douglin, M. (2017). Integrating Community Health Workers (CHWs) into Health Care Organizations.Journal of Community Health, 1-8. Russell, S. T., Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth.Annual review of clinical psychology,12, 465-487. Russell, S. T., Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth.Annual review of clinical psychology,12, 465-487. Sherwood, G., Zomorodi, M. (2014). A new mindset for quality and safety: the QSEN competencies redefine nurses' roles in practice.Nephrology Nursing Journal,41(1), 15. Whitehead, J., Shaver, J., Stephenson, R. (2016). Outness, stigma, and primary health care utilization among rural LGBT populations.PloS one,11(1), e0146139.