Tuesday, December 24, 2019

The Rape Of The Lock - 1295 Words

In order to understand Alexander Pope’s The Rape of the Lock, it is imperative that the reader comprehends the meaning of wit and its purpose, the resulting effect of rhymes, and what meanings and/or feelings are conveyed when reading a heroic couplet or the â€Å"coupletness† of the poem. For Pope, wit and couplets are overlapping, intersecting concepts. Pope employs vocabulary, syntax and style to bring wit to his poems, proving that form is not divisible from content. In The Rape of the Lock, Pope utilizes style and form as a dialectic force to critique the social and political state of eighteenth century England and addresses public and private (or social and psychological) space through poetic structure. Wit, Rhymes, and the Heroic Couplet Aesthetically, couplets are clear and complete and wit and rhyme take on the role of obscurement. In The Rape of the Lock, Pope utilizes the two to produce heroic couplets that suggest of meaning left unexpressed or inexpressible. It is the social function and subversiveness of wit that destabilizes the structures that poets have built to contain it. Pope avoided committing himself to controversial points, to a single meaning, by writing couplets that bore different meanings. We can comprehend this as Pope’s understanding that attachments to single meanings are inadequate since nuances of social relationships are layered and complex. It is the social nature of wit to always remain ungraspable, to be an element of surprise. Wit employsShow MoreRelatedEssay on The Rape of the Lock1267 Words   |  6 PagesThe Rape of the Lock Alexander Popes mock heroic epic The Rape of the Lock appears to be a light subject addressed with a satiric tone and structure. Pope often regards the unwanted cutting of a womans hair as a trivial thing, but the fashionable world takes it seriously. Upon closer examination Pope has, perhaps unwittingly, broached issues worthy of earnest consideration. The Rape of the Lock at first glance is a commentary on human vanity and the ritual of courtship. The poem also discussesRead More The Rape of the Lock Essay1989 Words   |  8 PagesThe Rape of the Lock Popes portrayal of Belinda and her society in The Rape of the Lock This Lock, the Muse shall consecrate to Fame, And midst the Stars inscribe Belindas Name! In The Rape of the Lock Alexander Pope (1688-1744) employs a mock-epic style to satirise the beau-monde (fashionable world, society of the elite) of eighteenth century England. The richness of the poem, however, reveals more than a straightforward satirical attack. Alongside the criticism we can detectRead MoreRape Of The Lock And Paradise Lost1308 Words   |  6 PagesRape of the lock vs Paradise lost The Rape of the Lock employs many of the traditional epic conventions used in Paradise Lost, but instead of recounting a story of a hero whose actions are of great importance or of national significance, The Rape of the Lock tells one of a timid character that makes an adventure out of the attainment of a fair damsel’s lock of hair. It uses the conventions of an epic poem on a miniature scale and the meaning of the subject is very much trivial. Since epics areRead MoreThe Rape Of Lock By Alexander Pope1448 Words   |  6 Pagesdignified language that celebrating the feats of a legendary or traditional hero. In Alexander Pope’s, The Rape of Lock, his poem is a mock epic, not only because it is a long narrative poem; but his work consists in a series of events and revolves around beauty over brains. This mock epic satirizes not only sylphs, but also satirizes a woman’s ability to think logically than emotionally. The Rape of Lock is considered to be a mock epic, because the length is not only long enough, but has a series of eventsRead MoreAlexander Pope s The Rape Of The Lock1340 Words   |  6 Pagesarchetypes of these works known as epics are so well-known, that they are even parodied, take completely out of context, and pasted on the wall for laughs. One of the most recognized parodies of this kind would be Alexander Pope’s The Rape of the Lock. The Rape of the Lock is a story about taking a minor incident and satirizing it by making it into a huge and important epic of divine proportions. One might think of the phrase â€Å"a tempest in a teapot†, which perfectly describes this poem. In the poemRead MoreCritical Analysis of the Rape of the Lock by Pope1633 Words   |  7 PagesThe destruction of the grand style of the epic is just what Pope was after in his mock epic, The Rape of the Lock. Pope had no such universal goal, or moral pronouncements to make as did Milton. His purpose was merely to expose the life of the nobility of his time. While Milton chose blank verse to express the immensity of the landscape of his epic, Pope chose to utilize the heroic couplet to trivialize this grandeur. Popes quick wit bounces the reader along his detailed description of his parlor-roomRead MoreLiterary Analysis of The Rape of the Lock Essays1922 Words   |  8 Pagestime period today. The Rape of the Lock, his most notable p ublication, was actually inspired by the real world event when a Lord Petre cut of a lock of Arabella Fermors hair. Form, structure, and plot: The poem is a mock epic divided into 5 short cantos, very similar in form to Shakespeares acts. The first act is a kind of exposition, giving background information about Belinda. Canto 2 introduces the conflict--the Barons desire to cut off and steal Belindas locks; canto 3 encompasses theRead MoreRape of the Lock by Alexander Pope Essay596 Words   |  3 PagesRape of the Lock by Alexander Pope Alexander Popes The Rape of the Lock is not studied and admired only because of its style and form, but also for its base content and underlying themes. Popes ability to manipulate text into mock-heroic form, constructing a flow of satirical description is what makes this poem one of such quality. The piece was first published in 1712 by the request of Popes friend, John Caryll. It was to make peace between the Fermors and Petres, two prominent RomanRead MoreEssay The Mock-Epic and The Rape Of The Lock1067 Words   |  5 PagesThe Mock-Epic and The Rape Of The Lock The argument can be made that the purpose of the Rape of the Lock is to attack the vanity of women. Pope states this directly in his dedication to Arabella – â€Å"to laugh at their sex’s little unguarded Follies,† and the author’s use of the mock-epic seems to reinforce this purpose through its comparison of the epic odyssey to trivial events. In this comparison there can also be found a description of the relationship between the sexes not as a mutualRead MoreAlexander Popes The Rape of the Lock Essay1296 Words   |  6 PagesAlexander Pope’s The Rape of the Lock is a satirical poem that features a theme of gender roles. Throughout the poem, Pope uses his protagonist Belinda, to poke fun at the superficial nature of aristocratic women. He focuses on the ritual of womanhood and approaches it like a trivial matter, and her reaction to the offence is hysterical. Through this portrayal, he reveals that the Baron has a childish quality in his need for revenge for Belinda’s stab at his ego. The speaker’s view does come across

Monday, December 16, 2019

Change and Cultural Case Study Free Essays

Six months after the merger of Mercy Medical Hospitals and the Promedica Health Systems, the new administration initiated a significant reduction in workforce. The decision was made to redesign patient care delivery. The administration’s first job redesign recommendation was that of a universal worker. We will write a custom essay sample on Change and Cultural Case Study or any similar topic only for you Order Now The universal worker would deliver many support services. Although this is not a fail proof system, the administration wanted other options to be considered as well. The term universal worker is used when a person is cross trained in many departments, and therefore has a little more assignment flexibility. They are often used in call centers and hospitals to alleviate staff shortages and provide better service without the difficulties of processing so many referrals or dealing with call transfers (webAnswers. com2010). Depending upon the setting, universal worker may be more beneficial. One area that would fall within this area would be assisted living facilities; some of which have been affected since the merger. While some assisted living facilities still operate within this model, the industry as a whole is moving toward a more holistic approach to care in which the universal worker attends to all the daily living needs of their residents: assistance with ADLs, meal service, light housekeeping, laundry, programming, etc. Rather than dealing with four or five different people to have their needs met, residents are able to relate to one or two staff members who actually know them and are familiar with their needs, their routines, their likes and dislikes. The result is care that is more personal, customized and consistent (Widdes, 1996). An additional benefit is increased efficiency in staffing, i. e. , while the caregiver is assisting a resident with his bathing, dressing and so on, he or she may also be able to perform other duties, rather than having to call someone to dust off a countertop or clean a bathroom. Ultimately, this approach can result in increased staffing efficiencies. . The universal worker approach also seems to enhance job satisfaction. Feedback from the staff indicates that they enjoy being responsible for the resident as a whole rather than only one aspect of their care. It is a feeling that undoubtedly enhances the caregiver’s sense of job importance (Widdes, 1996). Training staff to assume responsibilities across departments and even more challenging, reshaping their attitudes and approach to care is an undertaking that requires a commitment to training, retraining and diligent follow up. It is imperative that management be very much in tune with this philosophy. Because this model often fails when implemented, there are only certain departments such as assisted living that the universal worker would actually be implemented in. For the majority of the facility, we would look at job redesign. In order for objectives to be achieved, thought needs to be given to other areas that will be impacted and may require changes to be implemented (An Organization Redesign Process). Other organizational systems that may be impacted by the introduction of a performance based reward system include: †¢The Information System How much information is given to team members, the speed at which they receive it and their ability to us the information to improve results. †¢The Training System- New skills training for employees may need to be implemented in order for them to be able to understand how to interpret information, training in new skills in order for the employees to do their jobs for effectively. †¢The Organization Structure- Departments may need to be integrated or roles significant changed. Decision-making Systems – Consider changing the way decisions are made and the level at which they are made. Authority to decide might need to be taken down to lower levels so that employees are able to make decisions the enable them to more quickly influence or improve the results. †¢Tasks and Technologies – Need to be improved in order fo r the bonus system to achieve its objectives†¦reward people for improved business performance. Changing an organization through an organization redesign process is a journey and generally a rather long journey. That is why the following three principles must be understood by anyone who is about to undertake any type of organization redesign: †¢The entire system has an effect on each element within the system †¢Every element in the system has an effect on the entire system and on each other †¢No matter what you do, the two points above always hold true. When an organization goes through redesign, 1. People need to be identified as being responsible for driving the organization through the process. Those individuals include: †¢Organization Leader: Who is generally the most senior person in the organization. This person will set the direction that the process will go in and names the Steering Committee †¢Steering Team: Consists of key leaders from the organization and other stakeholders. This teams’ responsibilities include naming and commissioning the Design Team, establishing boundaries and guidelines for the Design Team, approving Design Team recommendation and ensuring the Design Team have the resources (time and money included) they require to get the job done †¢Design Team: Generally consists of employees, half are lower level employees and the other half are upper management. Are responsible for reporting back to their functional teams on design choices being recommended and getting the input of the Implementation Team †¢Implementation Team: Basically, the entire organization, who implement the design choices recommended by the Design Team (and approved by the Steering Team). †¢Renewal Team: This team is set up after the Implementation Team. It monitors and assesses to what degree the organization design has done, what it has intended to do and make recommendations for further changes as required. †¢Consultant: Recommends and teaches the design model, the use of tools and methodology. Provides guidance to ensure the design effort stays on track. Provides expertise regarding best practice design choices and independent advice (An Organization Redesign Process). 2. Train the Strategic, Steering and Design Teams. All teams must have a commitment to the process and be able to understand the process in order to go ahead. 3. Environmental Scan: Become aware of the needs and expectations of the external environment: Customers (current and potential), Stakeholders (shareowners and their representatives), Influencers (regulators, suppliers, government, etc. , Competitors and Best in class organizations. 4. Develop Vision Mission Statements: These statements describe why the organization was created, why it exists and its distinctive competence. 5. Success Criteria: Nominate the outcomes desired in these four categories: Customers, Stakeholder, People, Community 6. Culture: Identify the behaviors, skills and characteristics that the people working in the organization must have, along with the guiding principles that encourage people to use these behaviors and skills, in order to achieve the vision and mission. . Strategies to Influence: Determine the strategies needed to manage and reduce variability and demands from the external environment. This enables you to meet both the requirements of the external environment as well as achieve your desired performance outcomes. 8. Key Performance Indicators: Choose which ones will deliver the business performance required along with inspiring the behaviors and characteristics articulated in the culture. 9. Technical System: Analyze and redesign in terms of how tasks are performed, technologies required and the layout of buildings/facilities so that the people and the technical system are integrated for high performance. 10. Structural System: Design the structure for each of the three teams: Front Line, Resource (known in traditional organizations as Management) and Strategic so that they foster the culture required delivering high performance. 11. Decision Making Information System: Review: what, where, how decisions are made, what information is needed to make those decisions and how it is stored and captured. 2. People System: Review: Competencies, Job Design, Selection, Induction/Orientation, Learning, and Performance Contracting, Career Development. 13. Reward System: Review how employee’s contributions are recognized and rewarded. Does the system encourage people to focus on organizational goals? 14. Renewal System: Decide how you will regularly review your business and make any design changes needed to ensure continuing optimum performance. 15. Develop an Implementation Plan: This plan identifies who is responsible for implementation, time lines, resources requires, potential bottlenecks, and contingency plans 6. Execute the plan: When the Implementation Team is kept involved in the process and has input to the Design Team, implementation happens much more quickly and seamlessly. Peter Senge (1990) suggests that team learning is the process of aligning and developing the capacities of a team to create the results its members truly desire. It builds on personal mastery and shared vision. When teams learn together, not only can there be good results for the organization, members will grow more rapidly than could have occu rred otherwise. Virtually all important decisions occur in groups. Teams, not individuals, are the fundamental learning units. Unless a team can learn, the organization cannot learn. Team learning focuses on the learning ability of the group. Adults learn best from each other, by reflecting on how they are addressing problems, questioning assumptions, and receiving feedback from their team and from their results. With team learning, the learning ability of the group becomes greater than the learning ability of any individual in the group (Learning Organisations). In order to make the work teams function at its optimal performance, there are nine key activities or work functions that must be present. Those functions include: †¢Advising – gathering and giving information †¢Innovating – creating new ideas or brainstorming new ways to tackle old problem †¢Promoting – selling the idea to management and gathering all the resources †¢Developing – once the idea has been sold to management, it then needs to go to the analytical process and be developed. †¢Organizing – setting up a structure and resources so that the product, scheme, or service can work. Producing – putting the product or service together. †¢Inspecting – watching out for details. Inspection of the high quality must be maintained and accurate records must be kept. †¢Maintaining – it is associated with the support services offered in an organization and the general background work done in a team to ensure that its requirements can be met quickly and efficiently. †¢Linking – is central to the success of all teams. It is the difference between an effective and an ineffective team. Someone coordinating all the team members to ensure that there is maximum cooperation and interchange of ideas, reports and experiences (Margerison, C. McCann D. , 2000). Being able to plan, and control the intra-organizational and inter-organizational communication that must occur to implement the job design changes will be difficult but not impossible. The information that needs to be given out during the job redesign would have to be given to top managers right before it is given out. Then the staff can be in-serviced on the changes that would be going into effect and a question, answer type forum be done. Once the changes have been implemented, a committee of staff and managers can be appointed to look at the changes and see if there are any additional changes that may need to be implemented because of the initial changes. This is also a way to ensure job satisfaction. If the employee feels that their feedback is worth something and is being listened to, they are more willing to make the changes that need to be made. If individuals enjoy doing a job, they perform at their very best. Giving them the opportunity to be a part of the job redesign, makes them feel as though they have contributed to something and it is worthwhile to the employee. How to cite Change and Cultural Case Study, Free Case study samples

Sunday, December 8, 2019

Treatment of Diabetic Foot Infections †Free Samples to Students

Question: Discuss about the Treatment of Diabetic Foot Infections. Answer: Introduction: Toula Giannopoulos, a 56 year old female has been admitted to the surgical ward for ongoing management of infected diabetic ulcer on her right foot. Before planning care plan for Toula, the important nursing assessment that would be necessary for Toula would include: Conducting physical assessment and reviewing comprehensive health history of patients Physical examination of affected limbs in relation to location, classification of foot ulcer. Length, depth and width of wound. The nurse will also assess exudates and odour of wound Nursing assessment and documentation of pain in Toula by considering the pain history, location, intensity and patients understanding of pain Assessment of ADLs (activities of daily living) in Toula by observing gait abnormality in patients and ability to exercise (Alavi et al. 2014) In response to pain assessment and assessment of ADL in Toula, the important nursing intervention for Toula would be to provide non-weight bearing devices such as crutches or wheelchairs to patient to reduce pain and reduce pressure in foot. This would facilitate healing of diabetic foot ulcers (Bus et al. 2017). In addition, management and care of wound in the right foot would also be essential to prevent infection and promote healing. The Enrolled nurse will also play a critical role in educating Toula to prevent injury and take care of the diabetic foot. Another important nursing intervention would be to provide appropriate medication to patient to manage pain and promote recovery of wound (Dimitriadou and Lavdaniti, 2017). The review of medical history of Toula has revealed that she suffered from uncontrolled Type 2 Diabetes, hypertension and obesity. Uncontrolled diabetes is the main risk factor that has contributed to the development of her diabetic foot ulcer. This is because uncontrolled diabetes is one of the major risk factor for diabetic foot ulcer. About 10% people with diabetes are likely to develop ulcer loose normal nerve functioning due to peripheral diabetic neuropathy. Due to this condition, patients like Toula loose pain sensation in foot and they cannot sense any damage to their foot in case of bruises or cuts (Strauss et al. 2016). Hence, small cuts or bruises eventually develop into diabetic foot ulcers because blood flow to the feet is restricted in diabetic patients and it has a negative impact on healing process. Debridement is one of the treatment options for patients with diabetic foot ulcers to prevent further complication and increase the pace of ulcer healing. After the process of debridement in Toula, there are chances of many negative or positive implications in patient. The first implication might be that ulcer healing process may enhance and patients might be discharged early from hospital. However, there is also chance of acute infection in patient after the debridement process due to poor hygiene standards in hospital setting. MRSA (Methillin-resistant S. aureus) is often a causative agent in diabetic foot infections in hospitalized patient because of contact with other patient with MRSA. The implication of MRSA infection is that the characteristics of wound will change in patient and their discharged may be delayed (Edmonds 2009). Such infection will also create treatment challenges for clinicians. Toula also developed MRSA infection after debridement evident from the assessment o f wound swab. Hence, she had to be hospitalized again to manage the infected diabetic ulcer. Another implication of debridement is that debridement will have an impact on living arrangement and ability to perform ADLs. The patient may lose normal capacity to mobilize and they may require walking aid and other mobility devices to reduce pressure on foot. Toula experienced mobility issues due to excessive pain in her right foot after MRSA infection post debridement. Toula had a wound at her foot which had aggravated and formed ulcer. This can be treated by the help of dressings. The dressings reduce the moist environment of the wound and helps in curing the wound (Mills, Cowin, and Kaur 2013). Simple gauze is used along with the hydrogels which is effective in drying the ulcers by holding the tissue and helps in dying of the cells. The ability of absorption of the dressing must be according to the amount of the wound which can reduce the maceration of the skin surrounding the wound. The purpose of the dressing is assisting the process of the healing and preventing the bacterial proliferation. These bacterial proliferations are generally harmful for the formation of the healthy tissue. Hence the regular dressing is needed to cure the wound (Baltzis, Eleftheriadou, and Veves 2014). Metformin The dose prescribed to Toula is 1g BD (twice per day). It is used to control the high level of sugar in blood. It is generally prescribed to the patients those who are having type-2 diabetes. This medicine controls the blood sugar and prevents the damage in kidney, reduces risk of blindness, reduction in nerve problems, and sexual dysfunction. The most common side effects of this medicine are diarrhea, abdominal discomfort, irregular breathing and many more. The nurse must look after the patient (Potter et al. 2016). Metoprolol The dosage prescribed for Toula is 50mg BD. It is used for treating angina and hypertension to prevent heart attack. The side effect of this medicine is shortness of the breath, blurred vision, pain in chest irregular heart beat and many more. The nurse must take care of the patient. Panadeine forte The dosage prescribed is 2 tablets PRN (as needed). It is used to treat, control and prevent the fever, flu and various other pains. For toula it had been prescribed to reduce the pain of the foot ulcer. The side effects of panadeine forte are nausea, vomiting, constipation, dizziness, rashes, sweating and other symptoms as well. The nurse should take care that the medicine does not cause any severe effects (Koutoukidis, Stainton, and Hughson 2016). Endone The dosage provided is 10 mg PRN. It is to relieve from moderate to severe pain. The side effects of Endone are nausea and vomiting, dizziness, indigestion, hypotension and confusion. As this medicine causes some problems so the nurse must be careful while giving the medicine to Toula and must provide proper amount of medication so that she must not face any problems that are been caused from the medication. Benzyl penicillin Dosage of Benzyl penicillin prescribed to Toula is 1.2g BD. It is used to treat for most of the wound infections, infections of skin, tissue, nose, throat, respiratory tract and many more. The side effects of this medicine are reactions in the injected site, mild rashes in skin, vomiting, stomach upset and so on. The nurse generally used to inject the into the body, so they must be careful and take care of the patient so that the infection. After the detection of MRSA infection in Toula 7 days post debridement, there is a need to provide range of treatment options to her. This includes the following: Firstly, Toula needs to be given appropriate medication for pain relief and infection control. The Enrolled Nurse can provide appropriate pain medication to patient as ordered by clinician. To treat MRSA infection in Toula, there is also a need to provided antibiotics to patients such tetracycline drugs and Rifampin to cure skin and soft tissue infection due to colonization of MRSA in wound site (Chen, Giurini and Karchmer 2016). Acute pain was one of the major problem in Toula as the physical assessment of pain in Toula has revealed a pain score of 8/10. Her pain was found to worsen on movement and she was not able to bear weight too. In such scenario, another treatment option for Toula is pain management. To address the problem of weight bearing, one of the possible solutions would be to provide pressure offloading intervention to Toula. Some of the strategies for pressure offloading include proving bed rest, wheel chair half shoes, therapeutics shoes or crutch-assisted gait to Toula. This will help in pressure modulation, reducing pain and healing of plantar diabetic foot ulcers (Wu et al. 2008). Pain in patients after MRSA infection had affected her ability to mobilize. Hence, this disability may affect her ability to perform ADLs. In such case, it would be necessary to refer Toula to appropriate services that can help her in improving her gait pattern. Complementary treatment like physiotherapy, exercise and shoe modification will be essential to improve her gait pattern (Turan et al. 2015). Toula can be referred to the following services following discharge from hospital: Physical therapy and rehabilitation service to improve mobility and quality of life. Rehabilitation service will support Toula in preventing further complications and regular assessment of foot. Physical therapy may also promote reducing debridement effect and improving blood flow to the feet. Orthopedic service to detect chances of spreading of foot ulcer or its impact on bones and other tissues (Turan et al. 2015). Reference Alavi, A., Sibbald, R.G., Mayer, D., Goodman, L., Botros, M., Armstrong, D.G., Woo, K., Boeni, T., Ayello, E.A. and Kirsner, R.S., 2014. Diabetic foot ulcers: part II. Management.Journal of the American Academy of Dermatology,70(1), pp.21-e1. Baltzis, D., Eleftheriadou, I. and Veves, A., 2014. Pathogenesis and treatment of impaired wound healing in diabetes mellitus: new insights.Advances in therapy,31(8), pp.817-836. Bus, S.A., Deursen, R.W., Armstrong, D.G., Lewis, J.E.A., Caravaggi, C.F. and Cavanagh, P.R., 2016. Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review.Diabetes/metabolism research and reviews,32(S1), pp.99-118. Chen, S.Y., Giurini, J.M. and Karchmer, A.W., 2016. Invasive Systemic Infection Following Hospital Treatment for Diabetic Foot Ulcer: Risk of Occurrence and Effect on Survival.Clinical Infectious Diseases, p.ciw736. Dimitriadou, A. and Lavdaniti, M., 2017. Foot Care Education for Diabetes Mellitus Patients.Journal of Nursing Science,3(1), pp.1-4. Edmonds, M., 2009. The treatment of diabetic foot infections: focus on ertapenem.Vascular health and risk management,5, p.949. Koutoukidis, G., Stainton, K. and Hughson, J., 2016.Tabbner's Nursing Care: theory and practice. Elsevier Health Sciences. Mills, S.J., Cowin, A.J. and Kaur, P., 2013. Pericytes, mesenchymal stem cells and the wound healing process.Cells,2(3), pp.621-634. Potter, P.A., Perry, A.G., Stockert, P. and Hall, A., 2016.Fundamentals of Nursing-E-Book. Elsevier Health Sciences. Strauss, M.B., Moon, H., La, S., Craig, A., Ponce, J. and Miller, S., 2016. The Incidence of Confounding Factors in Patients With Diabetes Mellitus Hospitalized for Diabetic Foot Ulcers.Wounds: a compendium of clinical research and practice,28(8), pp.287-294. Turan, Y., Ertugrul, B.M., Lipsky, B.A. and Bayraktar, K., 2015. Does physical therapy and rehabilitation improve outcomes for diabetic foot ulcers?.World journal of experimental medicine,5(2), p.130. Wu, S.C., Jensen, J.L., Weber, A.K., Robinson, D.E. and Armstrong, D.G., 2008. Use of pressure offloading devices in diabetic foot ulcers.Diabetes Care,31(11), pp.2118-2119.