Essay on A Husbands Worst Nightmare - 1279 Words

A Husband’s Worst Nightmare When a husband hears the news of his wife having an affair outside their marriage, he becomes the victim and is left to decide what to do about the situation. While an author can set up this chain of events with ease, taking the story and giving it life is something completely different. To bring the audience in and assist them in feeling what the husband is thinking and feeling, and at the same time showing sympathy to the wife is truly a work of art. â€Å"Under the Radar† a short story by Richard Ford does just that. Throughout this story the author uses background and specific emotions so the reader is brought in close. So close that the reader feels involved in someway. They end up feeling like they†¦show more content†¦This conflict, for the time being, has put Steven in the limelight. Not knowing anything about the characters in the beginning gives the reader the chance to make up their mind prematurely, form an opinion about Marjorie, without knowing w ho either Steven or Marjorie are in their real lives. Ford has Marjorie use, what seems to be, a typical apology for a conflict of this nature. He shows that even though there was an unforgivable event, it’s human nature to try to back out of the situation at hand. It gives Steven a chance to accept or decline her. It also gives Steven the chance to decide the future of the relationship. â€Å"I know this isn’t what you wanted to hear, Steven,† she said, â€Å"but I felt I should tell you before we got to George’s. The Nicolsons’, I mean. It’s all over. It’ll never happen again. I promise you . No one will ever mention it. I just lost my bearings last year with the move. I’m sorry.† (Ford 22) Marjorie tries to make the future seem bright, attempts to justify her actions, and then lastly she apologizes for what had happened. She uses a series of steps to reassure herself, as well as Steven, that they are safe from this ever coming up again. Post-apology, Steven shows no signs of accepting her apology. Steven sits in his seat quietly, almost still in shock. Ford has created a situation in which the main characters will not recover from. The setting for thisShow MoreRelatedGothic1592 Words   |  7 Pagesis an example that highly defines gothic horror. Many of her works deal with violence, rape, death, or a character that has gone completely mad. â€Å"Naked† has many dark and nightmare like scenes, Oates writes on how a normal day can be your worst; it is that Oates puts a woman in a scene that would be worse than an average nightmare by stripping the character of who they were. Joyce Carol Oates tests our minds by infusing strange actions within her stories that trigger psychological awareness in theRead MoreWorst Day Of My Life Essay924 Words   |  4 PagesThe worst day of my life is when my son, Brandon was involved in a near fatal car accident. It was early one Monday morning and I was sitting in my car getting ready to go into work. I was trying to prepare myself for the stressful day that laid ahead. I had stopped by Starbucks as usual and got a pumpkin spice latte. I was enjoying my latte and listening to music. I was trying to enjoy a few last minutes of peace. I looked down at my phone to check Facebook, and realized that I had missed a callRead MoreThe Yellow Wallpaper, By Charlotte Perkins Gilman1053 Words   |  5 PagesWriting Nightmares In Charlotte Perkins Gilman’s short story â€Å"The Yellow Wallpaper,† what is hoped to be a dream vacation for relaxation becomes a nightmare for the protagonist. This protagonist, who plays the role of narrator, is in the midst of a nervous breakdown who has left her village for recovery. The narrator, along with her husband, lives in a house that they have taken on rent so that she can recover efficiently. During this period, the protagonist passes her time observing the yellowRead MoreReverend Dimmesdale Is a Sinner Essay595 Words   |  3 Pageshis relationships with Roger Chillingworth, Hester Prynne, and Pearl and also through the harm he commits on himself. Arthur Dimmesdale has become friends with his worst enemy though he does not know it until close to the end of his life. Roger Chillingworth is Hester Prynnes husband and Dimmesdales friend, doctor, and worst nightmare. Chillingworth found out that Dimmesdale committed adultery with Hester and tortures Dimmesdale everyday because of it. Chillingworth will do anything to get DimmesdaleRead MoreEssay on We Were Soldiers1091 Words   |  5 PagesWe Were Soldiers   Ã‚  Ã‚  Ã‚  Ã‚  The Vietnam War was a nightmare for many soldiers. It re-defined the meaning of war to an entire generation. As the conflict grew it became known around the world that this was a war that could not be won. After this was realized by America the main focus became to get out instead of getting a victory. In the 2002 film We Were Soldiers, directed by Randall Wallace, a true account of the first major battle in Vietnam is given. At the beginning of the film he introducesRead MoreEssay about Report on We Were Soldiers1124 Words   |  5 PagesI will Leave No One Behind Extended Essay of We Were Soldiers The Vietnam War was a nightmare for many soldiers. It re-defined the meaning of war to an entire generation. As the conflict grew it became known around the world that this was a war that could not be won. After this was realized by America the main focus became to get out instead of getting a victory. In the 2002 film We Were Soldiers, directed by Randall Wallace, a true account of the first major battle in Vietnam is givenRead MorePersonal Narrative : Losing My Husband1195 Words   |  5 PagesMy Husband Have you ever been in love? If so I can relate. The first time I met my husband I felt it was love at first sight. I might him while I was serving in the Navy where I was stationed in Norfolk, VA. This is where we encountered one another. We were like any normal couple we would bicker here and there. But we also had great memories that we shared. Not for long As I thought things were too good to be true. My job was really stressful because I would always be leaving my husband so itRead MoreDisruptions Of Marriage By Daniel Van Der Zee s A Secret Sorrowful915 Words   |  4 PagesSorrowful† illustrate how men exceed boundaries to satisfy women. These two narratives demonstrate how children can play a huge part in a couple s marriage from different perspectives. â€Å"A Sorrowful Woman† and â€Å"A Secret Sorrow† demonstrate how the husbands so dearly loved their family, although Godwin implies the marriage is slowly falling apart, Van der Zee reveals an infertile marriage that is prosperous and full of love. Reality shows marriage is full of curveballs that are destined to be throwRead MoreKate Chopin s The Story Of An Hour And A Doll House890 Words   |  4 Pagesplay were noble because she acted out of love, but when her husband finds out the lies she told Helmer’s biggest fear of her husband leaving her comes true; and she loses her husband, also like the character in â€Å"The Story of an Hour†. As the writers for Enotes support, when Helmer’s husband recounts his actions trying to reconcile with her and attempts to come back into her life (like Mallard’s husband as well), she realizes her husband is actually â€Å"a selfish, pretentious hypocrite with no regardRead MoreZeitoun Essay example973 Words   |  4 Pagesowned a successful painting and contracting firm. The story introduces their every day lives and explains Zeitoun’s passion for his work and the welfare of others like his own employees. I instantly became fond of him because not only was he a modest husband and father he was also a kind person that you’d be lucky to have as a neighbor. At first the family was a little concerned about the storm yet as soon as it began looking more serious the mother and four kids did evacuate and flee first to a crowded

The Effects Of Alcohol On Human Cells - 1409 Words

Emily Rice BI 308-01 Professor Bilozur November 28, 2016 Alcohol-Induced Molecular Dysregulation in Human Embryonic Stem Cell-Derived Neural Precursor Cells Introduction Prenatal exposure to alcohol can cause profound amounts of birth defects and mental retardation. Drinking alcohol is composed of ethanol, a flammable liquid, which is made by fermentation. According to the National Institute on Alcohol Abuse and Alcoholism, alcohol can affect different parts of the human body such as the brain, heart, liver, pancreas, the immune system, and plays a role in cancer (NIH, n.d.). In the brain, alcohol can intervene in communication pathways, which affects how the brain works. Alcohol can cause many different heart defects and disorders such as cardiomyopathy, irregular heartbeats, stroke, high blood pressure and in some cases heart attack. Alcohol proves to be very damaging to the liver, especially in alcoholism. In many cases, the liver turns into scar tissue causing fibrosis and cirrhosis. Other liver problems can include having a fatty liver and alcoholic hepatitis. Alcohol-induced fatty liver disease, the first stage of alcohol-induced liver disease, occurs when fat is depositing in liver cells. Alcoholic hepatitis is very similar to fatty liver disease, although it presents with inflammation and scarring of the liver. Many alcoholic’s liver becomes so scarred that it is irreversible, which is called alcoholic cirrhosis. Alcoholic cirrhosis is the most progressive form ofShow MoreRelatedThe Control Cranial Neural Crest Cells1210 Words   |  5 Pagescrest cells are clearly visible in (Fig 4A and C). The actin filaments are also distinguishable, whereas in the cells treated with ethanol, there is an irregular distribution of the microfilaments. 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It splits apart into up to 32 cells which enter the uterus and is then known as the blastocyst. Implantation occurs when the blastocyst begins attaching to the wall of the uterus. From this point the blastocyst is referr ed to as an embryo until the 9th week of the pregnancy. This 8 week period is called the embryonic period (â€Å"Fetal Development†). The first week of the embryonic period differentiation begins to occur. The cells of the embryo multiply rapidly and begin forming differentRead MoreEffects Of Alcohol On Social Behavior1693 Words   |  7 Pagesmany other environments. Alcohol is a psychoactive drug (it alters mood and potentially consciousness) and is specifically classified as a depressant. Depressant drugs slow down the nervous system and physiological functioning while promoting a relaxing, drowsy feeling. In the case of alcohol, these aforementioned effects typically arise when heavy doses of the drug are consumed. 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Alcohol-based hand sanitizers are clearly a very useful and important method to prevent most bacterial and viral infections, with rare exceptions, Alcohol-based hand sanitizers are clearly a very useful and important method to prevent most bacterial and viral infections, with rare exceptions, says Aaron E. Glatt, MD, executive

Professional Accountability and Patient Safety for Nursing

Question: Discuss about theProfessional Accountability and Patient Safety for Nursing. Answer: Introduction The nursing workload is a professional nursing issue that needs a throughput understanding. Nursing workload refers to the magnitude of work and professional setting that practicing nursing professionals are subjected to given the professional standards of practice (Alghamdi 2016, pp 449-57). Throughput definition of nursing workloads encompasses five dimensions that include the amount of time, nursing competency, work setting, nursing intensity, and professional development. Firstly, the amount of time is the nursing professionals spend offering both direct and indirect care to patients. The nursing setting is characterized by a huge amount of time that is stressful and this affects the health safety. Secondly, nursing competency is another aspect of nursing practice that clearly describes or explains the nursing workloads (Abbas Hassan 2017, pp 37-47). Nursing competency can be used to describe the skill, knowledge, and behavior that nursing professional has and use for to care for patients. The nursing workplace requires high professional competency yet nursing practitioners have limited competency that does not match the current complex healthcare situation. Thirdly, nursing intensity also defines nursing workloads since it touches on the amount of care offered to the patient within healthcare. Nursing practitioners offer a wide variety of patient care that is really demanding and this has left many nursing professionals struggling to care beyond their ability. Fourthly, the professional development includes physical activities, mental and emotional developments that help the nurse to be fully developed in the line of the profession (Hunter Giardino 2007, Issue 13). Significant of nursing workload to nursing Nursing workloads are highly significant in the nursing practice and play role in the nursing profession. Firstly, nursing workloads have a high impact on nursing profession since the workload determines the quality of nursing care. Nursing workloads reduce the quality of care the nursing professional offers to the patient since nursing workload makes the profession stressful. High nursing workload makes number of nursing professionals few as compared to the number of patients (Carayon Gurses 2005, pp 284301). Secondly, the nursing workload is a professional issue since the nursing workload highly affects the nursing profession. Nursing workloads are seen as making many nursing professionals consider leaving the profession for other jobs. This is due to the high workload that makes the whole profession very stressful and uncalled for. In addition, the nursing workload is lowering the quality of the practice offered by nursing practitioners. As a professional issue nursing workload has an effect on the ethical standards that are applied on the practice. For instance, nursing workload makes the quality of healthcare services lower that contradict the ethical requirement of nursing practice (Mellor 2014). Nursing workload has an impact on individual nurse since the issue is making the nursing workplace unsafe for the individual nurse. Nursing workload reduces an individual nurse competency due to the low quality of care offered to the patient. The high amount of time that nurse practitioner spent caring for the patient has a huge impact on the individual nurse and the nursing profession as a whole. The magnitude of nursing workload has an impact on the physical, emotional and mental development of an individual nurse hence increasing exhaustion. Several activities a nurse does at the healthcare increase the fatigue and reducing the performance of individual nurse. Furthermore, workload makes nurse work under intense pressure that is so compelling and this increases the number of nursing practitioner leaving the nursing profession for other jobs. Nursing workloads also make the healthcare environment worse and unattractive for new entrants. Another impact of the negative nursing worklo ad is the negative nursing outcome that so much affects an individual nursing practitioner. The negative nursing care that results from huge nursing workload has a negative impact on the competency of the nursing practitioner (Stanton Rutherford 2004). There are statistics and figures that show the effects of nursing workload on the quality of nursing care, patient outcome, and nursing job dissatisfaction. Firstly, one of the issues of concern is the nursing job dissatisfaction that shows more nurses are not satisfied with their nursing profession due to poor working conditions. These poor working conditions is a resultant from high nursing workloads experience at healthcare. Many nurses are on the verge of leaving the nursing profession and the number is worrying. For instance, according to Mellor (2014), 23 % of nurses and midwives were likely to leave the nursing profession in Australia. In addition, more than 33 % of nursing practitioners frequently thought about leaving the profession in Australia (Rogers, Hwang Scott et al, 2004, pp 202-12). Impact of nursing workloads on patient safety The impact of the nursing workload on the nursing profession is directly related to patient safety. Nursing workload reduces the patient length of stay since the workload increases the number of nurses required at a particular time. A high number of the patient cannot match the minimal number of nursing practitioners. This has reduced the number of hours spend with patients, a low number of caregivers and inability to rescue patients from complications (Hunter Giardino 2007, Issue 13). Low staffing ration between nursing practitioners and patients corresponds to a high number of patients stay in the healthcare. Violation of policies, protocols, and standards is another impact of workload on the patient's safety. Nursing workloads bring more pressure on nurse leading to the low observance of general standards of practice thereby risking the life of patients under their care. For instance, compliance with a clinical protocol or violation of clinical protocol has an immense impact on t he clinical patient's outcome. Violation of clinical protocol is associated with worse clinical outcome and this can be attributed to nursing workload. Most protocol violations are due to the workload pressures experienced during emergency situations that are normally demanding for nursing practitioners (Baethge Rigotti, 2013, pp 4363). There are statistics that are showing the adverse effect of nursing workloads on patients safety. Firstly, a study conducted in Australia on causing factor for death due to cancer include the nursing workload that has a direct effect on patient care hence death due low nursing care. According to the study, 73% nursing practitioners felt they had inadequate time to incorporate strategies into their existing nursing workload (Carayon Gurses 2005, pp 284301). Another study suggests that an increase of 1 hour worked by practicing nurse (PNs) per patient day is directly related to an 8.9 percent chronic decrease outcomes. A retrospective cohort study within neonatal ICU indicates that the incidence of E cloacae infection within the unit was at least higher when there was limited number of nurses. Another example includes a study that used 168 patients and revealed that there is 7% increase in death within 30 days of medication due understaffing of nursing practitioners (Baernholdt et al 2010, pp229-34). The nursing workloads as an issue of patient safety concern have an adverse consequence on the patient. Firstly, the nursing workload affects the patient outcome and particularly results in the negative patient's outcomes. The negative patient outcome results in the lower quality of nursing care offered due to huge nursing workloads (Cho et al 2003, pp 719). Secondly, another adverse effect of nursing workload on a patient includes high mortality rate that is part of the limited time spent on patient care by nursing professional. Studies show that more mortality results from failure to rescue a patient who develops complications due to a limited number of nursing practitioners within high workloads. In addition, using health data obtained from 799 hospitals within 11 States indicates that a higher number of hours of Registered Nursing practitioners care daily were related to lower failure to rescue rates (Aiken, Clarke Sloane et al. 2002, pp 198793). Strategies that can be utilized to minimize the impact of nursing workloads on nursing practice and patient safety There are various strategies that can be used to minimize the impact of nursing workloads on nursing practice and patients safety. Firstly, interdisciplinary approach to patient cares in one of the strategies to minimize the impact of workload. The interdisciplinary approach reduces the impact of huge workload that nursing practitioners experience while working. Moreover, the interdisciplinary approach increases the staffing capacity to deal with the patient care. The interdisciplinary approach also helps reduce the amount of time that is required for the nursing office to work in patient care (Gurses 2005). Secondly, nursing staffing is another strategy that can assist to minimize the impact of workload on nursing practice. Statistics indicate that there are few nursing practitioners in Australia that take care of patients as compared to the number of patients that need the nursing care. This magnitude of work has raised the amount of work left in the hand of these nursing practitioners. Increasing the number of nursing staffs in various health care throughout Australia would reduce the nursing workload and reduce the impact of nursing workload on patients safety (Kondro 2004, p2059). Nursing education framework is another important strategy as it seeks to improve the nursing skills and knowledge. Nursing education has been an issue of concern particularly when it comes to the nursing workloads. One of the aspects of nursing workload includes lack of skills and knowledge that can match the current health care requirement. This can be rectified through the development of nursing education framework that provides an avenue for nursing practitioners to further their education with updates on development in the nursing profession. Nursing education moreover, has the capability of changing current nursing challenges that are contributing to nursing workloads (Duffield 2006, Pp 16-22). Application of modern information technology is another strategy that can be used to reduce the impact of nursing workload on patient safety and nursing practice. According to Ferguson-Pare and Bandurchin (2010, pp20-32), patient records can be computerized as a way to maintain the amount of work nursing practitioners required to perform. This also helps in monitoring the patient's progress and outcomes from any place through electronic means. The current information technologies make monitoring of patient care easy provided that all the information is registered into the system. For instance, the Royal Australian College of General Practitioners indicates that the use of Practicing Nurse system to monitor health records projecting to have an impact on the nursing workload (The Royal Australian College of General Practitioners, 2018). Conclusion In conclusion, the nursing workload is an important nursing professional issue that affects many nursing practitioners and healthcare facilities in Australia. The nursing workload can be defined in terms of intensity of nursing, amount of time spent on patient care and physical, emotional and mental development. Understaffing which is part of nursing workload is correlated to patient safety concerns as it results in low patient care. In addition, the nursing workload has an adverse effect on both nursing profession and patient safety. References Aiken, LJ, Clarke, SP, Sloane, DM, et al. 2002, Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, Vol.288, no.16, pp 198793. Alghamdi, MG, 2016, Nursing workload: a concept analysis. Journal of Nursing Management, vol.24, no.4, pp 449-57. Abbas H, Hassan, S, 2017, The workload of nursing: A concept analysis using a walker and avant approach. Journal of Clinical Nursing and Midwifery, Vol.4, no.3, pp 37-47 Baethge, A.; Rigotti, T. 2013, Interruptions to workflow: Their relationship with irritation and satisfaction with performance, and the mediating roles of time pressure and mental demands. Work Stress, vol.27, pp 4363. Baernholdt, M, et al 2010, Using Clinical Data to Capture Nurse Workload. CIN: July/Aug, Vol 28, no4; pp229-34. Carayon P, Gurses A, 2005, Nursing workload and patient safety in intensive care units: a human factors engineering evaluation of the literature. Intensive Crit Care Nurs, vol.21, pp 284301. Cho SH, et al. 2003, The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nurs Res. Vol.52, no.2, pp 719. Duffield, C, 2006, Methods of measuring nursing workload in Australia. Collegian, Vol.13, Issue 1, Pp 16-22 Ferguson-Pare, M, Bandurchin, A, 2010, The Ontario Nursing Workload Demonstration Projects: Rethinking How We Measure, Cost and Plan the Work of Nurses. Nursing Leadership, Vol 23, special issue, pp20-32. Gurses AP, 2005, ICU nursing workload: causes and consequencesfinal report. Rockville, MD: Agency for Healthcare Research and Quality. Available at: https://hfrp?.umaryland?.edu/People/gurses_AHRQ?_final_report-06-15-05.pdf. Hunter, K, Giardino, I 2007, A Question of Patient Safety. Health Canada Health Policy Research Bulletin, Issue 13. Kondro, W, 2004, Canadian report quantifies cost of medical errors. Lancet, vol.363 no.9426, p2059. Mellor, L, 2014, Nurse workloads a key factor in rising patient deaths. Available at: https://www.abc.net.au/news/2014-12-03/nurse-workloads-a-critical-factor-in-patient-survival-rates/5937224 Rogers, A, Hwang, W, Scott, L et al, 2004, The working hours of hospital staff nurses and patient safety. Health Affairs, vol.23, no.4, pp 202-12. Stanton, MW, Rutherford, MK, 2004, Hospital nurse staffing and quality of care. Rockville, MD: Agency for Healthcare Research and Quality;. AHRQ Pub No 040029. The Royal Australian College of General Practitioners, 2018, Practice nurses: Putting prevention into practice (Green Book). Accessible at: https://www.racgp.org.au/your-practice/guidelines/greenbook/a-framework-for-prevention-in-general-practice/key-strategies-for-improved-prevention-performance/practice-nurses/

The Snowman Tradition free essay sample

He was always lopsided. That was inevitable. But we were always proud, just the same. We made him from our own hands, and he never looked half-bad, if I don’t say so myself. Sure, his eyes bulged from his head, and yes, his face was unnaturally round, his nose absurdly pointed, and his arms unrealistically thin. He was a caricature of life, but we marveled at him, our creation. It used to be that every winter, my siblings and I would build a snowman in our backyard. Mom would mention in passing that the backyard was looking mighty empty, after the first big snowfall, and we would all take the hint, throw on our snow gear, and race out into the glaring white of a new winter. Constructing a snowman is an art form. It takes care and patience. One starts by packing a snowball, and then rolling it in the fresh snow. We will write a custom essay sample on The Snowman Tradition or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Like blowing up a balloon, the ball magically grows larger. My sibling and I would race to see who could make theirs the largest, although an occasional snowball fight would breakout to divert us from our initial goal. Eventually, a winner was declared, and their giant snowball was used as our base. After this original competition phase, it was all teamwork. My twin brother Evan and I would take the runner-up snowball, it being the second largest, and balance it on the base. The perfect torso. My older brother Stephen would pack snow between the spaces, while my sister got water to cement the newly packed snow. The process was repeated using another snowball for the head. Two branches were then crudely shoved into the sides for arms. Rocks from below the porch formed a crooked smile, a row of buttons, and a pair of mischievous eyes. A carrot for a nose sealed the deal. At the culmination of these initial efforts, we tossed a bucket of water over our snowman for permanency, giving him an icy coating that shone in the light. A scarf and mittens introduced a human touch to our cold friend. We would stand back, hands on our hips, and marvel at our collective efforts. Hot chocolate back at the house was our final reward. This snowman making process was a tradition throughout my childhood. One winter, however, we stopped; we were too old, it was too much work, it had lost its appeal. Next, sledding was abandoned, and then, we stopped going out into the snow at all. We didn’t gain an abhorrence of winter. We were growing up, and more significantly, growing apart. And I hated it. So last year, I revitalized the snowman tradition. I tried to recruit fellow constructors, but they were engaged in other pursuits. So I wandered out into the snow alone, and I built the base. I squatted down and rolled my ever-growing snowball across the backyard, leaving a trail in my wake. I made a torso, and a head. I stuck in the branches, and the stones, and the carrot. I threw a bucket of water over my creation, and donned a baseball cap on his head. Finished, I took off my mittens, gladly gave them to the snowman, and stepped back to admire my handiwork. It took a lot longer alone, than it did as a team. My snowman was especially lopsided and pathetic, but of course, I was proud of him. Mom snapped a picture, a lasting reminder of my efforts. I love my family, and I have felt that we have always been close. My siblings and I are similar in age, and we have developed close bonds with each other. My efforts to revitalize the snowman tradition reflect who I am: caring, hardworking, and maybe just a tad sentimental. I have voiced my concerns to my siblings about the growing distance between us, and I continually try to bring us back together, be it through a trip to the movies, or an occasional card game. I only need to think back to our winters together and our exploits throughout the years to remember why I want to rekindle our connection. The winter is fast approaching, especially up here in Connecticut. Perhaps you’ll find a snowman in our backyard this year, after the first big snowfall. I’m confident it will have been made by more hands than one.