Monday, December 30, 2019

impacts of slavery in the caribbean - 2584 Words

How did the African slavery impact the Caribbean region between1640-1985? Introduction When the Europeans switched from tobacco to sugar cultivation, the plantation needed more lands and more labour. The labour present came from the Tainos, whose population decreased from abuse, and could not meet the labour demands. The Europeans brought free labourers from Europe, but they could not be forced to work under the conditions demanded by the encomenderos. The church suggested the use of enslaving Africans to replace the fast dying Taino population. The Africans faced tremendous abuse. They were captured in tribal wars or raids on villages. The conditions of the middle passage were deplorable. On arrival in the West Indies the†¦show more content†¦Roughly a ship of 100 tons could carry 100 slaves however the ratio changed a ship of 90 tons carried 390 slaves. Each slave was allowed five and a half feet in length by sixteen inches in breath. They were branded and chained two by two ,right leg and left leg, right hand and left hand. The stench below deck was intolerable. Buckets of water were thrown over the slaves as they lay to wash away the excrements. Slaves suffered from infections from lying in dirt. Some died or were thrown overboard. Ships sank or were lost in storms and slaves died. For example the George ship, lost 84 percent of the 594 slaves from the length of voyage and badness of weather. Slaves also rebelled, by commit suicide and taking over ships, killing the crew members and order those they spared to sail the ship back and escaped to freedom. The death rates among slaves during the middle passage were extremely high. After crossing the Atlantic, the slaves were in terrible conditions, both physically and mentally. They were hardly in any condition to be sold. Before being offered for sale, they were cleaned up and inspected. Prices were set with the agreement of buyers then sold in the process of scrambling. The slaves were assembled in groups of males and females and at the firing of the gun buyers rushed on board in order to seize all they wanted. This terrified the slaves, causing some slaves to leap overboard in alarm. Slaves who were not sold, either because of diseases or justShow MoreRelated The Social Impact of Slavery on the Caribbean Society Essay1336 Words   |  6 PagesThe Social Impact of Slavery on the Caribbean Society In order for us to understand the Caribbean, we must acknowledge the tremendous social impact slavery placed upon the islands. We must not only consider the practice of slavery dating back to the indigenous peoples, but from what the introduction of the African slave trade did to the islands economically as well as culturally. In this paper let me reflect on slavery in the Caribbean not from an economical standpoint but, from the racial orRead More A Caribbean Legacy Essay1182 Words   |  5 Pages A Caribbean Legacy The notions of slavery, colonialism, and race are indelible aspects of Caribbean history. In order to fathom the current political, social, economic, and cultural climate of the Caribbean one must engage in a critical study and understanding of the impact slavery has had in modern day Caribbean societies. The modes and intricacies of modern day Caribbean societies are intimately related to the plantation systems of the colonial period, which welcomed the arrival of the largestRead MoreBook Report: Capitalism Slavery, Eric Williams1513 Words   |  7 PagesHIS294Y Thursday February 7th 2006 Book Report: Capitalism Slavery, Eric Williams Capitalism Slavery, (published by The University of North Carolina Press, 1994) was written by Eric Eustace Williams and first published in 1944. Eric Williams book, was at the time of its publication, considered years ahead of its time. It should be noted, early on within this report that, literary works on the history of the Caribbean or slavery for a matter of fact, was done by Europeans. In the prefaceRead MoreCapitalism And Slavery By Eric Eustace Williams Essay1232 Words   |  5 PagesCapitalism Slavery, (published by The University of North Carolina Press, 1994) was written by Eric Eustace Williams and first published in 1944. Eric Williams book, was at the time of its publication, considered years ahead of its time. It should be noted, early on within this report that, literary works on the history of the Caribbean or slavery for a matter of fact, was done by Europeans. In the preface of his book, Williams clearly asserts that his work, is not a study of the institu tionRead MoreThe True Beauty Of Music1430 Words   |  6 Pagespeople who share similar experiences and aspire to share the same message together. In the Caribbean region, they all shared some fundamental experiences; in particular, the history of slavery. Enslaved people suffered extreme punishments, diseases, poverty, and rape. Their identities were stripped away from them and they were treated as a property of the European owners. In the twentieth century, after slavery has been finally eradicated, the aboriginals were weary of discrimination and the horrificRead MoreSummary Of Andrà ©s Resà ©ndezs The Other Slavery1011 Words   |  5 Pagesâ€Å"Slavery,† this word evokes images of West Africans picking cotton in the Southern United States or a kneeling man in chains asking, †Am I not a man and brother.† These conventional ideas of slavery dominate both the public perception of enslavement and scholarship. However, a new voice entered the examination of sl avery: Andrà ©s Resà ©ndez. In The Other Slavery: The Uncovered Story of Indian Enslavement in America, Resà ©ndez challenges the conventional definition of slavery. Resà ©ndez presents a systemicRead MorePast Paper1602 Words   |  7 Pages(15 marks) b. Describe the features of your culture that have most impressed the Spanish. (10 marks) 3. Read the passage below and answer the questions that follow. The Europeans made contact with several different groups of Amerindians in the Caribbean and mainland territories. Though similar in some respects, there were marked differences among the groups. The Mayan civilization was more advanced than the Carib and Arawak civilizations. a) Explain why the Mayan civilization might be consideredRead MoreEssay on The Caribbean Islands1222 Words   |  5 PagesThe Caribbean The Caribbean, a region usually exoticized and depicted as tropical and similar in its environmental ways, cannot be characterized as homogenous. Each individual island has their own diverse historical background when it comes to how and when they became colonized, which European country had the strongest influence on them, and the unique individual cultures that were integrated into one. The three authors Sidney W. Mintz, Antonio Benitez-Rojo, and Michelle Cliff, all and addressRead MoreEssay about Life of a Slave in the Caribbean1450 Words   |  6 PagesLife of a Slave in the Caribbean The experience of Caribbean slavery is vital in understanding the contemporary social structure of the region. It was the introduction of an estimated four million Africans to the Caribbean which made these islands melting pots of culture and society. Since Africans had such a tremendous impact on the region, it is important that we recognize the nature of slavery and how it transformed their lives. Although most agree that the institution was dehumanizing, theRead MoreThe Haitian Revolution And The American Revolution1365 Words   |  6 Pagesa lasting impact on the world. However, since slavery was an integral part to what had transpired in the Atlantic world, it would lead to some revolutions having a greater impact than others. Therefore, this essay will assess both the Haitian Revolution and the American Revolution, and argue that the Haitian Revolution was able to have a greater impact on the Atlantic world because of the nature of the revolt. The Haitian Revolution would occur in 1791, and would have a lasting impact. It was the

Sunday, December 22, 2019

Global Spirits Brands Localizing Advertising Essay

Why are Diageo, Pernod Ricard, and other marketers of global spirits brands localizing advertising campaigns in emerging markets? By localizing specific target markets, marketers are able to make more of an impact on several groups of specific markets than they would have if they had simply stayed with a general advertisement for a global brand. We have seen this in many major companies before. For example, Louis Vuitton would record one commercial and then change the voice over or text to be in whichever language or dialect they wanted it to be. In this case, marketers are doing the opposite by allowing many different options in order to attract a specific segment of consumers. I think market segmentation is critical for the success of Scotch from country to country for the reason that people drink Scotch from country to country for different reasons such as success. Since Scotch is widely associated with success and achievement, as well as accelerating thirst for Scotch, understanding each culture is important. The self-satisfaction associated with achieving a goal may not be enough to persuade Chinese consumers to purchase Scotch whisky. The Chinese market for Scotch Whiskey is highly segmented because self-satisfaction from achieving a goal is not enough; they need acknowledgement of achievement from others. For advertising for the Chinese, the scotch would need to be represented in a group in share of an occasion. Not only this, but localizing their advertisingShow MoreRelatedCase Study 3855 Words   |  4 Pagesof global spirits brands localizing advertising campaigns in emerging markets? Diageo, Ricard, and other marketers of global spirits brands are localizing their advertising campaigns in emerging markets because no two countries or their inhabitants are alike. Every country has a diverse set of consumers that have specific tastes and preferences based on geographical location, religion, age, religion, sex, education, and social and economic class as well as consumer perceptions which global brandsRead MoreAnalyzing LVMH Essay1912 Words   |  8 Pagesmakes a legally protected asset available to company B (the licensee) in exchange for some form of compensation. Companies typically license assets such as brand names, company names, patents, trade secret, or product formulation. These agreements typically generate a substantial amount of revenue. It also allows companies to leverage their brands. Another advantage to licensing agreements is that typically the product will be produced and marketed on a local or regional basis, allowing companies toRead MoreJollibe e Entry Mode Into Australia4938 Words   |  20 Pagesmarket share by acquisition, joint venture and franchising, often by initially targeting high Filipino population centres, and also in differentiation by localizing their menus to suit various cultural tastes in all their overseas markets (Jollibee 2009a). JFC has successfully adopted a transnational strategy being able to combine the benefits of global scale efficiencies in its regional management business model with the benefits of local responsiveness by adapting for local tastes. It depends on anRead MoreEntry Mode Strategy for Jollibee Into Australia Essay4941 Words   |  20 Pagesmarket share by acquisition, joint venture and franchising, often by initially targeting high Filipino population centres, and also in differentiation by localizing their menus to suit various cultural tastes in all their overseas markets (Jollibee 2009a). JFC has successfully adopted a transnational strategy being able to combine the benefits of global scale efficiencies in its regional management business model with the benefits of local responsiveness by adapting for local tastes. It depends on anRead MoreCoca Cola Company Analysis7501 Words   |  31 PagesBackground of the company The Coca-Cola Company is the world s largest beverage company, refreshing consumers with more than 500 sparkling and still brands. Led by Coca-Cola, the world s most valuable brand, the company s portfolio features 15 billion dollar brands including Diet Coke, Fanta, Sprite, Coca-Cola Zero, vitaminwater, Powerade, Minute Maid, Simply, Georgia and Del Valle. Globally, the Coca-Cola company is the No. 1 provider of sparkling beverages, ready-to-drink coffees, and juicesRead MoreEssay on Maybelline New York Brand Analysis3484 Words   |  14 Pages Maybelline brands are carried by major Chinese mass-market retailer, according to the company’s website, reflecting the company’s commitment to â€Å"bringing beauty to women of all incomes and cultures.† Maybelline leveraged its relationship with L’Orà ©al, and capitalized on the latter’s position as a trendsetter. Maybelline, though, will still try to appeal to the mass market by offering quality cosme tics at competitive prices. i. Maybellines Brand Mission Maybellines brand is to give womenRead MoreForeign Market Entry Strategy - Four Seasons in Brazil23037 Words   |  93 Pageswhile utilizing its business resources like a partner, is the best mode of entry for Four Seasons. Fasano’s grandiose local brand recognition as a world-class hotelier and partnership with Brazilian real-estate developer, JHSF, makes it an ideal candidate for Four Seasons’ market entry strategy. Exceptional personalized customer service, an integral part of Four Seasons’ brand image and strategy, is standardized and will be directly transferred when entering Rio de Janeiro. Acquiring Fasano’s hotelRead MoreLevendary Cafà ©6535 Words   |  27 PagesAmerican fast food company for seven years. She had started her career at a major global accounting firm, leaving to earn an MBA from Wharton. Upon graduation, she had become a consultant at McKinsey before taking a job in product management at PG, where she worked her way up the ranks. Foster was known for her frank communication style and strong execution. In spite of the promise held by the Levendary brand and Foster’s strong track record, Wall Street was cautious about the stock. WhileRead MoreMarketing Management130471 Words   |  522 PagesTitle Marketing management – an introduction Marketing environment Marketing with other functional areas of management Market segmentation Market targeting and positioning Product management Brand management Pricing Channel design and management Retailing and Wholesaling Integrated Marketing Communication Advertising management Sales promotion Personal selling Public relations Understanding individual consumer behaviour Understanding industrial consumer behaviour Customer satisfaction Customer relationshipRead Moretest bank16982 Words   |  68 Pagesstated B) real C) unstated D) delight E) secret 2) Companies address needs by putting forth a(n) ________, a set of benefits that they offer to customers to satisfy their needs. A) demand B) offering C) target market D) value proposition E) brand 2) _______ 3) Automobile manufactures, new car and used car dealers, financing companies, and insurance companies are all part of the automobile ________. A) marketportal B) marketplace C) metamarket D) marketspace E) metamediary 3)

Friday, December 13, 2019

The Pianist Free Essays

The Pianist 1. ‘The Pianist’ is about a Jewish pianist named Szpilman living in Poland and his time during World War II. He and his family are aware of the Nazis and Hitler’s designs on Poland but were convinced that the Nazis are a threat that will pass when England and France will come to aid Poland. We will write a custom essay sample on The Pianist or any similar topic only for you Order Now In November 1940, all Jews were forced in the Warsaw Ghetto where living conditions were horrible. Soon after, the family was forced to go to concentration camps but Szpilman was saved by a friend. He becomes a slave but escapes and hides with the help of a non-Jewish friend. He was then discovered by another person who realizes that he is a Jew. His next hiding place was a room with a piano but was forced to be quiet. In 1944 he was forced to escape as a tank shells his hiding place. After, he became alone and desperately searches for food and water but was discovered by a German officer named Hosenfeld. After Szpilman tells him that he is a pianist, he was asked to play on the piano close by. His performance moves Hosenfeld and he hides Szpilman in an empty house and brings him food. In 1945, Hosenfeld meets Szpilman for the last time and he promises to listen to him on the radio also giving him his coat. Soon after, Polish soldiers tried to shoot him but stops when they realise that he is Polish. The next scene shows captured German soldiers, Hosenfeld being one of them. Later on, Szpilman is seen performing in an orchestra. 2. ‘The Pianist’ depicts the horrors of war through various film techniques. The lighting of the movie always seemed to be dark and gloomy showing how the war was a dark time for everyone. The realistic sounds of the gunshots create tension and anxiety to the audience. The scene where he was alone after his whole family was taken, is one that demonstrates the loneliness of war. The Jews, especially the main character are shown to have a miserable expression on their face throughout the movie. The music in the background seemed beautiful yet depressing showing how the beauty of life was destroyed by the vicious and destructiveness of war. As Szpilman hides in the destroyed hospital, he looked more gaunt and gloomy, his expression representing the horror and dreadfulness of war. Many of the camera shots portray Szpilman as a weak and small character while the Nazis are shown to be big and strong showing the difference between the Jews and the Nazis during World War II. 3. ‘The Pianist’ have taught me the horrors and dreadfulness of World War II through the perspective of a lone survivor. The film showed specific dates for certain events that were accurate – for example at the beginning it showed the date September 1939. It also showed the restrictions that the Jews had – when all of them had to wear the Yellow Star of David. It illustrates the horrible living conditions of the Warsaw Ghetto and how the Jews were treated there. The scene where an old man was thrown to death on a wheelchair and where a young child was beaten from the other side of the wall was some of them that showed how cruelly the Jews were treated. However, when Szpilman meets the German officer, it demonstrated that not all of the Nazis were bad. Most of the time, Szpilman is shown to be alone showing the loneliness that some people felt during the war. 4. ‘The Pianist’ was very historically accurate. The movie is based on a Holocaust survivor named Wladyslaw Szpilman and his time in Warsaw, Poland during World War II. Throughout the movie, there are specific dates for certain events, for example it showed on the 16th of August, 1942 the Jews were sent to concentration camps. The names were also accurate in this movie. The director of this film was also a survivor from the Holocaust which helps it become more accurate. 5. I would recommend this film to others as it is historically accurate and shows the horrors of war realistically. The film is through a perspective of an actual survivor from the Holocaust. It also received significant critical praise and won multiple awards and nominations. The sounds of war – gunshots were extremely realistic. The lighting and music suited with the mood of the film. The scenes were very detailed showing the horrors of war to a great extent. Therefore, ‘The Pianist’ is one of the most detailed and accurate films, with the atmosphere in Poland well captured and is one of the most realistic and touching Holocaust films. How to cite The Pianist, Essay examples The Pianist Free Essays Johnson 1 Kayla Johnson Prof. Hirchfelder, K-213 ENG2102, Sec. 06 26 March 2013 Scene Analysis Paper Musical Dependency The 2002 film, The Pianist directed by Roman Polanski focuses on the hardships of a well-known, local concert pianist, Wladyslaw Szpilman. We will write a custom essay sample on The Pianist or any similar topic only for you Order Now Wladyslaw Szpilman is played by actor Adrien Brody, who does an excellent job portraying both the warmhearted side of Szpliman and the desperate struggling side we see later on in the film. The film is based on Szpilman’s book, The Pianist where he discusses true events he underwent during the German takeover of Warsaw. He was one of twenty survivors out of the 360,000 Jewish people killed from Warsaw, Poland. â€Å"Passion for Survival in Polanski’s The Pianist† by Diana Diamond reflects the direct and indirect use of music throughout the film. Diamond uses multiple scenes and circumstances to support her thoughts on Szpilman’s characterization as a pianist. Throughout The Pianist, Szpilman goes through a significant amount of trauma, whether it be done to him personally, his family or to strangers in his surroundings. Polanski uses many horrific scenes to prove just how brutal the German police are. Diamond identifies one in particular in her article, which stands out to me as well. â€Å"The Nazi’s disrupt a family at dinner, tossing an old man in a wheelchair out of the window for failing to rise when they enter and Johnson 2 shooting the rest of the family as they run down the street† (427). The German police clearly have no mercy on any of the Jewish citizens of Warsaw. This is only the beginning of the twisted and remorseless actions the German’s render upon the Jews. After about two hours into the film, Szpilman has reached his lowest point. He has been bombed out of just about every hiding place he can find, escaped control under Jewish police and is now struggling to survive in an abandoned house. The director, Polanski, throws certain elements into the scene to depict him this way. He is unshaven, unbathed, and noticeably weak. His cloths are too big for him, signifying he has lost weight from eating so scantily. He is even limping because he was hurt just by jumping over a five foot fence. Szpilman has gone through every obstacle to be thrown at him until he breaks. Stumbling through this huge house he finds a single can of food and eagerly begins to search for something to open it. He finally comes across a fireplace poker. As he tries to stab his way into the can it falls to the ground and the camera enters an extreme close-up on it. By using a close-up we have nothing else to look at and nothing else to think about aside from this fallen can. Suddenly we see feet and the camera slowly tilts upward creating suspense until it reaches an extremely calm yet serious German officer. The officer speaks, â€Å"What are you doing here? † At first, Szpilman at a loss for words, in fear does not answer. â€Å"Who are you? ’ the officer asks, ‘Understand? † When Szpilman assures him he does the officer repeats, â€Å"What are you doing? † â€Å"I was†¦ trying to open this can. † Szpilman mumbles out. Johnson 3 Soon after the officer asks, â€Å"What do you do? † â€Å"I am†¦ I was, a pianist† Szpilman responds with every bit of dignity he has left. (2:01-2:03) The man standing in this scene looks entirely different from the spirited concert pianist we knew. It is almost hard for the audience to view Szpilman as the same man from the beginning of the film. However, with the proper use of dialogue Polanski reminds us he is still that man, he is a pianist. The scene directly following is used in Diana Diamond’s, â€Å"Passion for Survival in Polanski’s The Pianist† for music as a symbol throughout the film. Music is often used in films as a background component. It can create a sense of joy, distress, horror, even confidence can be captured with the use of a simple melody. Diamond finds music to be a source of uplift for Szpilman during the overall film. She exclaims, â€Å"We see him rescued from the edge of extinction, not only by the altruism of the German officer, but also by his own reconnection with his artistic power† (429). By playing the piano at this time Szpilman is proving to the officer he is who he says he is and therefore, unknowingly saving him in more ways than one. As Szpilman plays the piano after all this time he remembers who is he and that saves him more than anything. Diamond uses multiple examples to show how important music is to Szpilman. The importance of it is, in fact, shown as the first scene of the movie and sets the standard throughout the entire film. When the Nazi’s invade Warsaw and German bombs explode in the radio studio where Szpilman is performing, he persists in playing Chopin’s nocturne in C sharp minor, refusing to flee until shrapnel lacerates his face† (429). Even through a bomb attack Szpilman will not stop playing until he is given the signal from his partner th at he has no other choice. Johnson 4 Many parts of the film also use music at times when words aren’t enough. The film is constantly relating music back to Szpilman’s father. Towards the beginning the family decides to hide their money in the father’s violin. Thus symbolizing the sense of security a father carries in the family. Later we see his violin being violently taken from him by a Nazi guard right before deportation, where he loses all control over his families’ security just like losing his violin. Diamond reflects the impact of this scene on Szpilman, â€Å"the instrapsychic trauma of the son witnessing the father’s impending destruction, the state of utter desolation and remorse over this, and the restoration of the father and paternal authority internally in the son’s will to live and survive† (430). Music acts as the symbol of Wladyslaw’s relationship with his father, it brings them together. After Szpilman must watch his father so helpless and defeated it fuels him to survive in honor of him. Roman Polanski’s film, The Pianist and Diana Diamond’s article, â€Å"Passion for Survival in Polanski’s The Pianist† bring together the symbolism of music during the film. We enjoy the beautiful sounds of Wladyslaw Szpilman playing the piano while also understanding how music exemplifies his strength in survival throughout the Nazi’s takeover of Warsaw. Szpilman used music to remember who he was when he was lost the most and also to remember who his father was. He survives and lives on as a musician in his memory. Works Cited Boggs, Joseph. Petrie, Dennis. The Art of Watching Films. 7th ed. New York: McGraw-Hill, 2008. Print. Diamond, Diana. â€Å"Passion for Survival in Polanski’s The Pianist. † Psychoanalytic Inquiry 27. 4 (2007): 425-39. Print. The Pianist. Dir. Roman Polanski. Perf. Adrien Brody. 2002. DVD. How to cite The Pianist, Papers The Pianist Free Essays The Pianist 1. ‘The Pianist’ is about a Jewish pianist named Szpilman living in Poland and his time during World War II. He and his family are aware of the Nazis and Hitler’s designs on Poland but were convinced that the Nazis are a threat that will pass when England and France will come to aid Poland. We will write a custom essay sample on The Pianist or any similar topic only for you Order Now In November 1940, all Jews were forced in the Warsaw Ghetto where living conditions were horrible. Soon after, the family was forced to go to concentration camps but Szpilman was saved by a friend. He becomes a slave but escapes and hides with the help of a non-Jewish friend. He was then discovered by another person who realizes that he is a Jew. His next hiding place was a room with a piano but was forced to be quiet. In 1944 he was forced to escape as a tank shells his hiding place. After, he became alone and desperately searches for food and water but was discovered by a German officer named Hosenfeld. After Szpilman tells him that he is a pianist, he was asked to play on the piano close by. His performance moves Hosenfeld and he hides Szpilman in an empty house and brings him food. In 1945, Hosenfeld meets Szpilman for the last time and he promises to listen to him on the radio also giving him his coat. Soon after, Polish soldiers tried to shoot him but stops when they realise that he is Polish. The next scene shows captured German soldiers, Hosenfeld being one of them. Later on, Szpilman is seen performing in an orchestra. 2. ‘The Pianist’ depicts the horrors of war through various film techniques. The lighting of the movie always seemed to be dark and gloomy showing how the war was a dark time for everyone. The realistic sounds of the gunshots create tension and anxiety to the audience. The scene where he was alone after his whole family was taken, is one that demonstrates the loneliness of war. The Jews, especially the main character are shown to have a miserable expression on their face throughout the movie. The music in the background seemed beautiful yet depressing showing how the beauty of life was destroyed by the vicious and destructiveness of war. As Szpilman hides in the destroyed hospital, he looked more gaunt and gloomy, his expression representing the horror and dreadfulness of war. Many of the camera shots portray Szpilman as a weak and small character while the Nazis are shown to be big and strong showing the difference between the Jews and the Nazis during World War II. 3. ‘The Pianist’ have taught me the horrors and dreadfulness of World War II through the perspective of a lone survivor. The film showed specific dates for certain events that were accurate – for example at the beginning it showed the date September 1939. It also showed the restrictions that the Jews had – when all of them had to wear the Yellow Star of David. It illustrates the horrible living conditions of the Warsaw Ghetto and how the Jews were treated there. The scene where an old man was thrown to death on a wheelchair and where a young child was beaten from the other side of the wall was some of them that showed how cruelly the Jews were treated. However, when Szpilman meets the German officer, it demonstrated that not all of the Nazis were bad. Most of the time, Szpilman is shown to be alone showing the loneliness that some people felt during the war. 4. ‘The Pianist’ was very historically accurate. The movie is based on a Holocaust survivor named Wladyslaw Szpilman and his time in Warsaw, Poland during World War II. Throughout the movie, there are specific dates for certain events, for example it showed on the 16th of August, 1942 the Jews were sent to concentration camps. The names were also accurate in this movie. The director of this film was also a survivor from the Holocaust which helps it become more accurate. 5. I would recommend this film to others as it is historically accurate and shows the horrors of war realistically. The film is through a perspective of an actual survivor from the Holocaust. It also received significant critical praise and won multiple awards and nominations. The sounds of war – gunshots were extremely realistic. The lighting and music suited with the mood of the film. The scenes were very detailed showing the horrors of war to a great extent. Therefore, ‘The Pianist’ is one of the most detailed and accurate films, with the atmosphere in Poland well captured and is one of the most realistic and touching Holocaust films. How to cite The Pianist, Papers

Thursday, December 5, 2019

Marketing Analysis free essay sample

The North Face is a retail and manufacturing corporation of equipments and outdoor apparel also improving in casual sportswear and outdoor sports equipment markets. The North Face is one of the lead servers in casual sportswear market, rather than specialty market. The products offered at REI has great variety, one of the product category is fitness clothing product line. Men’s fitness clothing includes shirts, shorts, hats, gloves and mittens, pants, jackets, vest and gaiters. Fortune Magazine has ranked REI number nine in 2011. 100 best companies, 2011) The North Face is a well-known brand and popular among youth and college students. North Face is The product availability is very less in men’s running clothing it is limited. The current availability in mega sale for men’s running is two socks product, which are of North Face at 35%, which is not enough for to grab customer’s attention at the sale products. They offer outdoor school, which provides begin ning to advanced-level classes and outings in many different activities like kayaking, rock climbing, mountain biking, camping skill and mountain biking for families and individuals. REI offer’s about hundred and sixty men’s fitness clothing, which has hundred and twenty running wears also includes hiking and yoga clothing’s pricing, is any where from dollar twenty to two hundred, out of which eleven items are on sale. The North Face is a well-known brand and popular among youth and college students. Due to high price of the brand many counterfeit The North Face products. The North Face has over fifty retail store locations in United States and many others around the world. North Face offer’s thirty-one products but are strictly men’s running clothes pricing from dollar twenty to hundred and fifty. The North Face doesn’t offer any sale items on official website but there are many places The North Face products are offered on sale like Macy’s carry the brand and offer’s fifty percent sale on fleece jackets. REI offer’s more variety over The North Face even REI it self carries the brand itself. The price ranges for both are same if not looked at clearance and sale. REI offers sale priced tems on the official website itself which The North Face doesn’t a customer has to look at other stores for discount on North Face. According to Michael Fickers’s article ‘REI Explores New Heights’ Recreational Equipment Inc is expanding business basically everyday of the year. REI’s sales are increasing in 2000 sales rose by nearly 7 percent. The North Face is a well-known brand and popular among youth and college students. Due to high price of the brand many counterfeit The North Face products. The North Face has over fifty retail store locations in United States and many others around the world. The product distribution channels are organizations way to distribute the product of service they offer to the customers. It is very important for organization to get their product to users at the right place and at the right time. There are two types of channel of distribution methods: Indirect distribution which involves distributing your products by the use of an intermediary for example a manufacture selling to a wholesaler and then on to the retailer where as Direct distribution involves distributing direct from manufacturer to consumer. North Face use indirect distribution for their products. The products are sold at different stores some third party retails store like North Face Retail stores, North Face Outlet Stores and North Face online store through out world. The North Face products are often sold at sports authority places; north face retail stores and other high-end stores like Macy’s. The products are priced high but the price is justified because of the material being used, brand recognition and lifetime warranty of the product offered by the company. The customers can easily access the products through the website or local stores. The Men’s GTD crew full sleeve is $42 and shorts are $55 comparing to REI the men’s full sleeve is starting at $29. 50 and shorts are priced at $55. So, many clothing’s are priced same and some are higher than competitors. The price is competitive to highly technical offerings but well above most competitors. The North Face offers many things with their products like lifetime warranty. The products are fully warranted for defects and tears for lifetime, which is a big plus for customer’s advantage. The pricing is not much different from REI if not compared with sales. As North Face doesn’t offer many clearance or sale items on their website but seasonal promotions are always available. The product material is much superior and the brand is well recognized worldwide. The product technologies feature PrimaLoft Eco insulation, which is a good example of environmentally preferred ingredients, used in North Face’s Products. Many of North Face products are made out of 00% recycled fabrics. Communication is the â€Å"promotion† part of the marketing mix. The marketing communication focuses on product and service of the company compared to corporate communications. Marketing communication is concerned about creating customer demand for product and service and positing the product in the market. North Face provides customers with promotions through store clearance, coupons and sales. A successful communication channels is when the customer can difference between your and competitors message. â€Å"The classic model of effective communication postulates that the sender’s message will be most effective when the sender has correctly anticipated the needs and preferences of the receiver, that is, when the sender’s encoding of the message corresponds with the receiver’s decoding of it â€Å"(Shannon and Weaver 1949). North Face communicates direct and face-to-face which gives high communicating control over situation, receives feedback immediately, and has two-way direction of message from the company and customer. They use personal selling because they get in contact with customers on daily basis at retail stores Every employee at North Face represents the service from the CEO of the company or to a employee who greets the customers at front door. It is said the first impression is the last impression. A customer who receives a great service at North Face will go and tell others about the service received and one mistake will take that away. North Face provides people with best equipments to use for their enjoyment and for daily purposes. North Face makes sure there stores have enough stock in stores to fulfill customer requirement to do so they have great communication between distribution and stores. North Face has more of a push strategy because they advertise their service at the best so customers feel comfortable and safe using their products for any adventure. North Face care about the customers and keep a safe and health environment so; customers chose their service over other companies. North Face provides customers with various types of gadgets need to be safe at camping or other sports activities; clothing’s to be safe from a mosquito bite or be comfortable in a cold weather. North Face provides direct service to consumers instead of going through other channels. They reach customers through the retail stores nationwide and through their website. North Face accomplishes main objectives of promotion, which are to present information to consumers as well as others by providing a safe and healthy environment for their customers. Increases demand and differentiate services because at North Face they make sure all the rules and regulations are followed provided by the law. They make sure customers are satisfied with the equipment being provided to them. Also not reach to customers the products are sold at different stores some third party retails store like North Face Retail stores, North Face Outlet Stores and North Face online store through out world. Promotion strategy is to communicate with others about the service and convince them to use the service being provided. North Face has loyal customers whose families have been with North Face for generations. Customers feel comfortable using North Face’s products to be safe during any activity they are involved in or their children are involved in. North Face is using Facebook as external social touch point, which is a great way of communication with customers. North Face has uploaded over hundred videos to provide customers with information about the products and activities. North Face provides iPhone app to feature mobile shopping so iPhone customers can shop anytime anywhere through their iphone. North Face advertisements portray outdoors activities that seem impossible but customers want advantage and North Face makes customers feel North Face makes these activates possible with their product and services. North Face has a successful promotional strategy that generates customer’s interest in the company’s products. Looks, style, durability, ability and brand are the most important attributes that a consumer is looking for when purchasing. Consumers are wearing sneakers for their style and appearance, as well as for their performance and North Face reaches this in market.

Thursday, November 28, 2019

Baby Dumping Issue Essays - Midwifery, Child Abandonment

Recently we always see that baby dumping cases come out on the front page of the newspaper. Everyday there are several numbers of infants being found in rivers, dustbins, and even sometimes somewhere that we cannot imagine such as travelling bags.These babies are died in the situation that cannot be accepted by most of the people as the ways of killing these babies are too cruel and cold-blooded. As the number of baby dumping cases has been increasing days by days and it has reached an alarming state, researches are carried out to determine which group of people is the biggest contributor to these serious cases. The outcome of the researches are pointing towards teenagers, who are under age.There are several reasons on why teenagers commit in the baby dumping cases the most and the consequences of baby dumping cases to society. The first reason is teenagers are lacking of sex education. Parents and schools do not inject sex education onto teenagers' mind since they were small. Parents always think that their children will understand everything about sex when they grow up. This is the natural ability that everybody has and they no need to talk to their children about sex. Most of the parents feel ashamed and uncomfortable everytime their children ask them questions about sex.They refuse to give a positive explanation and a clear view to their children and always claim that they are too small to know about sex. The same thing also happens in schools at where schools do not have sex education as one of their compulsory courses. Most of the schools also never hold any activity about sex education such as talks.They remain quiet and proclaim that these small children will get to know what is sex when they grow up.But, children still gain nothing when they grow up. They do not understand their bodies and some of them may not know what is the differences between boys and girls.Due to the lack of these basic knowledge, surely they do not know how and where a baby comes. When these teenagers reach puberty, they will curious about themselves and also other people.At the level of puberty too,teenagers are full of curiousity and they want to try everything that they have not tried before.They will feel curious about their boy friends and girl friends. Urged by their strong curiousity,they have a special relationship with their partners.After the process, they might have a baby.When they face problems such as pregnancy, they will try to solve the problems illegally and the best solution to them is baby dumping. Besides that, the economic state of teenagers also contributes to baby dumping cases. Teenagers are not able to raise a baby on their own. They are under age and what they have to do now is enjoying their school or college lives. They do not have to work to support a family because they are not able to carry such a huge responsibility. Themselves also have to rely on their parents at this stage of early ages and how could they raise small families on their own. They will never ever get into the matter.In order to solve their problems, most of them would choose baby dumping as the best way inspite of other methods.Only through baby dumping, they will forever say goodbye to their burden of raising a baby.Most of them consider baby dumping as the best way because it will not leave over effects on them in the future.But, their thoughts are definitely wrong because they have killed innocent babies and they will suffer from that bad and memorable nightmare throughout their whole lives. Baby dumping brings a lot of negative effects to the society. As we know, teenagers are our hopes by which they will be the leaders of tomorrow and they are the one who will lead the world. They will do all the good deeds in order to protect our country and create a transquil and order environment for the future generation.But,sadly things go negative sides.Teenagers are not naive as they should be anymore.They show a bad and cruel attitudes towards problem solving.They kill babies and their hands are full of reddish bloods.They are demon.Once a teenager starts

Monday, November 25, 2019

How to Make LinkedIn Work for You

How to Make LinkedIn Work for You On July 30th, I was interviewed by the charismatic Pete Mockaitis of Awesome at Your Job on â€Å"Making LinkedIn Work for You.† We covered lots of ground, including Two keys to crafting an eye-grabbing LinkedIn profile Who needs a LinkedIn profile and who maybe doesn’t What to do to be both searchable and likable on LinkedIn How to make an impact with your LinkedIn Summary How to grow your LinkedIn network past 500 people quickly and responsibly The case for making recommendations I won’t spend a lot of time talking about this interview, because you can both listen to it and get a full transcript at this link: Making LinkedIn Work for You with Brenda Bernstein To view the transcript, scroll down to this section of the article and click on the + sign: Or listen here: document.createElement('audio'); https://theessayexpert.com/wp-content/uploads/2018/07/326_-_Making_LinkedIn_Work_for_You_with_Brenda_Bernstein.mp3 What I will say, because I want you to get all the goodies you can get from this podcast, is that I talk about everything from Big Bird and my Sesame Street failures to the lessons we can learn from bamboo trees. Oh and I talk about blenders. That’s a lot of Bs from Brenda Bernstein! I also threw a little neuroscience in there about how to create an impression before you even meet someone in person. And there’s more! I highly recommend listening to or reading this interview, even if you’ve listened to my podcasts before. The tidbits on my favorite things and life lessons are especially charming, if I do say so myself, plus you get to learn about how to make LinkedIn work for you! 🙂 Hit the â€Å"Connect† too soon 🙠 Really liked what you had to say! Working on updating my LinkedIn profile to focus on my day job while mentioning my joy being a professional musician on the side. Thank you for the tips you offered on this podcast interview with Pete! Log in to Reply Brenda Bernstein says: August 29, 2018 at 9:49 pm Thanks for your comment and for connecting with me on LinkedIn, Sten. That balance between two careers can be tricky. Let me know if you are interested in my LinkedIn Profile Review service! Log in to Reply

Thursday, November 21, 2019

Electing Judges Essay Example | Topics and Well Written Essays - 250 words

Electing Judges - Essay Example ready served before, my decision will dependant on how fairly the judge has been operating and whether or not he has previously based his decisions in compliance with my believes. The president is responsible for the selection of the chief justice of the US courts. The president should take various factors into consideration before the selection of the chief justice. In the past, those individuals have been able to obtain the seat of chief justice who was representatives of the President’s political party (Segal 182). Secondly, presidents even elect chief justices on the basis of their opinion; those justices who shared similar opinions as held by the president have even been assigned to the seat of chief justice. Justices have even been elected for the position of chief justice on the basis of experience and seniority. I believe that chief justice should be selected by considering how fairly he has been operating in his judicial holdings and whether he/she has made biased to unbiased decisions in the

Wednesday, November 20, 2019

Short Answer Questions Essay Example | Topics and Well Written Essays - 1250 words

Short Answer Questions - Essay Example A mental status examination refers to an evaluation of a patient’s reasoning capability level, expressive mood, appearance and speech. Normally, a nurse evaluates the patient’s attitude and willingness to cooperate in answering certain questions. A mental status examination seeks to evaluate the degree and presence of an individual’s mental damage. The reasoning abilities examined engross an individual’s sense of place, time and personality identity, speech, judgement and problem solving. Mental status examination is mostly used on patients suffering from dementia (Fatemi et al., 2008). Tardive Dyskinesia disorder is an illness where an individual experiences involuntary movements particularly in the lower face. Tardive dyskinesia occurs as a severe side effect of taking neuropletics drugs. It occurs when an individual takes these drugs for a long period. The symptoms of this illness include finger movement, jaw singing and tongue thrusting (Australian Government Department of Health, 2015). Pica is an eating condition where an individual persistently eats substances with no nutritional value such as paper at an age that is developmentally unsuitable. It may be mild or may be life threatening (Sane Australia, 2014). This is an illness where individuals recurrently and involuntarily bring up undigested food from the stomach, re-chew it, and either spit it or swallow it back. This is caused by unintentional contraction of abdominal muscles (Sane, 2014). Catatonic disorder is an illness typified by instabilities in motor behaviour that may have either physiological or psychological basis. The most common symptom of this illness is immobility where an individual may have a rigid body position for hours (Reach out, 2014). Amnestic disorder is a psychological illness that engrosses disruption of the memory. This

Monday, November 18, 2019

Machines in Modern World Essay Example | Topics and Well Written Essays - 2250 words

Machines in Modern World - Essay Example Planting the seed is done manually and as the time for reaping comes you spend hours in the fields reaping the corn or wheat with a scythe. It is slow, frustrating and backbreaking work. Of course, the scenario given above did exist some time in the distant past. Maybe one has even read about it or seen such a life in some movie. But after experiencing all the conveniences of the machine filled it is difficult to imagine going back to a world without machines. This article is about machines and how they have enriched our lives both at the workplace and at home. It was also look at some of the disadvantages also. It will also take into account all the advantages and some disadvantages of using machines and in the end will show that after taking into account all the pros and the cons, the world is a better place to live in because of the abundance of machines that we see and use everyday. Man the machine: In effect the human body or the body of any creature that can move can be called a machine. The body is used to carry loads and perform tasks with hands and feet just like machines. Even animals use their body as machines. In fact, no machine quite as complex as the human body has ever been built. The human body has the circulatory system, the nervous system, the reproductive system, the skeletal system, the muscular system and the excretory system and no machine has even come close in complexity. If the body is such an efficient machine it could be asked as to why machines have been built. The answer would be that the body has its limitations. It cannot work continuously as machines can, it cannot carry the heavy loads that machines carry and it cannot repeatedly carry out error free operations as a machine can. But what it can do is, think creatively, and constantly look for ways to make life more convenient. This is the main difference between the human being whe n compared to other creatures.. With their limited thinking capacity, very few animals creatively use tools for more efficiency. The ant still carries its food on its back instead of using a trolley and tigers and lions still hunt using their feet and claws to kill instead of using a gun. But human beings have over the long period of its existence thought of and invented a wide array of machines that can perform tasks far more efficiently and quickly and will continue to do so. So machines are essentially a thing that is intended to make life more efficient and in some cases dangerous for us. To make the matter more clear a detailed look at the limitations of the human body and the advantages machines have over it would be appropriate. Limitations of the human body as a machine: a. Fatigue: No living organism can live or do work without getting energy. Energy is obtained from nutrients that are found in the food that is eaten by a person. A body needs adequate nutrients like fat, proteins, minerals, carbohydrates and water to perform tasks and to survive. A depletion of these nutrients will result in fatigue which in turn will affect his performance. A person can work without food relying on his internal reserves of energy for a few days. Some who are healthier can extend this period for a few more days. But ultimately there is a limit to what the body can take and there will come a time when it will refuse to function the way we want. Of course, energy is needed for machines to work too. But that will be discussed later in the article. b. Thirst: Thirst is taken up for special mention because the human body can

Friday, November 15, 2019

Role of the nurse in management of COPD

Role of the nurse in management of COPD Chronic Obstructive Pulmonary Disease (COPD) is a treatable condition that is defined as being a disease characterised by airflow limitation that is not fully reversible. This airflow limitation is usually both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases (Fabbri, 2003). One in every four acute admissions to hospital is due to respiratory difficulties, and 50 per-cent of these are caused by the complications of COPD (Roberts, et al., 2001). In the United Kingdom, it is the third most common cause of overall adult morbidity and mortality, especially among smokers, (Barnes, 1999), and it is a significant burden to the NHS. In recent years, nurse-led primary care interventions have become more widespread. Although there has so far been insufficient evidence to support their implementation, there appears to be no difference in quality of care between doctor-led and nurse-led COPD programmes (Pye, 2008), and they may offer a cost effective and holistic solution to both the NHS and patients respectively. This essay will use a case based discussion to illustrate the role of the Nurse Practitioner (NP), and nurse prescribing issues for a patient with COPD. Case study The patient is a 62-year-old married Caucasian female who attended for a routine primary care nurse-led COPD evaluation during 2010. The patient had no other past medical history, apart from moderate COPD. This was diagnosed three years ago, following recurrent respiratory infections, two of which had necessitated hospitalisation. The NP had not seen this patient before and after familiarising herself with the notes and establishing a rapport with the patient took a medical history asking important questions about the history of the presenting complaint, the COPD, the patients past medical and surgical history, medication lists, allergies to medications, social history and smoking habits. The NP used a template questionnaire that was part of the COPD care pathway to identify how the COPD impacted on the patients quality of life. She herself had introduced this questionnaire herself as a result of her own reflective learning and had based it on one from a paper by Vandevoorde, et al., (2007) that included aspects about patient symptoms that patients do not always volunteer to medical professionals, such as side effects from medication and qualitative measures of fatigue and mental well-being (Vandevoorde, et al., 2007). Three months earlier, the patient had one exacerbation, which resulted in admission to the local hospitals medical assessment unit, and she recovered well. She occasionally had moments of shortness of breath, but these were typically on exertion and doing other strenuous activities. During this visit, she reported that her condition was stable. Her sputum production was approximately  ¼  ½ a cup/ day, and she needed to use 2.5l of oxygen at night. The patient continued to smoke six cigarettes/ day, and being a much heavier smoker previously she had a history of 60 pack years. She was compliant with her regular inhalers and had no problems with side effects, apart from a bad almost metallic taste in her mouth that she had occasionally recently started if she had forgotten to wash her mouth after using her inhalers. She had also been started on a Corticosteroid inhaler by the hospital respiratory team following her last exacerbation, but she mentioned that she had not noticed any difference in her COPD symptoms in using this. On direct questioning, she remembered that she also did have an unpleasantly sore mouth and voice was becoming hoarser since she had commenced using this steroid inhaler, but she didnt know if this was the effect of the steroid inhaler, the drying effects on mucous membranes of using oxygen therapy, or something else. She had noticed these symptoms for at least three weeks, and two weeks ago she had noticed white patches on her tongue. Apart from oxygen, and the newly introduced Corticosteroid inhaler that she was using; in terms of her other medication, she was taking the long acting beta 2-agonist Salmeterol twice a day, and the anti-cholinergic bronchodilator, Ipratropium Bromide. She had been using both Salmeterol and Ipratropium Bromide for several years, and she had no side effects with either of these medications. Antibiotics had been stopped for some time since her last exacerbation, and she had finished her Prednisolone some time ago. Overall, from a medical perspective she felt well in herself apart from the mouth problem. On examination, the patient spoke in short sentences, and occasionally her wording was stifled by shortness of breathe, but she did not appear to be in distress, and she was alert. Her skin was pink in colour and she appeared to be breathing with pursed lips, which is a characteristic feature of being a pink puffer and having the diagnosis of emphysema (Flenley, 1990). The NP then examined the patients vital signs, checking her pulse, which was 96 beats/ min and regular. Blood pressure, was 140/ 78 mmHg, and she was apyrexial. The NP then looked for signs of peripheral and central cyanosis by checking the colour of the patients hands and asking the patient to show the underside of her tongue. There were none, but the patient appeared to have oral candidiasis. The patients hands had a fine tremor, a side effect of her taking the long acting beta 2-agonists (Rossi, et al., 2008), but when questioned, she reported that it was not a problem as she was still able to write housework instructions to her husband. The patients respiratory rate was slightly higher than normal at 18/ min, but this was satisfactory. The NP listened to the patients chest and bilateral breath sounds were equal, but with a few polyphonic wheezes. There were no crackles and no crepitations were present. Heart sounds were normal. Spirometry was done, after explaination to the patient how to do the test in detail beforehand, giving the opportunity to ask questions. The patient had done the test many times beforehand, but expressed appreciation. The results showed airway obstruction and ventilatory impairment, consistent with the diagnosis of moderate COPD. A blood gas analysis was not taken, but the oxygen saturation on air was 96%. Inhaler technique was checked and this w as satisfactory. She lived with her husband, although she mentioned he had recently had to stop work due to him having ill health, and this was causing her a lot of anxiety from both the worry over his health and also the potential impact of the loss of income to their household. He had previously worked in a factory that stored and distributed flour products, and he had over several years started to develop breathing problems himself, despite him being a lifetime non-smoker. He was under investigation by the respiratory physicians, and this was causing a significant amount of tension to both of them. She reported that when she had her last exacerbation, he had become ill at that time, and she had to help him with personal care at home for a period of time, and the increased workload caused her shortness of breath to increase. She felt that her energy levels had been depleted for several weeks in the run up to her last admission to hospital, and that she did not even have time to smoke. Despite her COPD being relatively stable on this visit, the patient appeared depressed. When asked if she was depressed, she answered that she was and she was also having difficulty sleeping at night with financial issues caused by the ill-health retirement of her husband being the biggest stressor. The NP explained to the patient that she had identified several areas that needed action and further discussion with the GP. One was on the appropriate use of the steroid inhaler, the second was the oral thrush perhaps caused by the use of steroid inhaler (Ellepola, et al., 2001), the NP explained that there are treatments available for this that might be appropriate for her. Furthermore, she told the patient that the issue of depression needed further assessment by the GP. The patients medical records were updated with the findings of the assessment, as per good note keeping practice (NMC, 2009), and the patient was left in the room while the GP was consulted. The NP presented the case to the patients GP and mentioned her concerns about both the depression, and also the appropriateness of using the Corticosteroid inhaler and the oral candida. The NP recalled a lecture she had received during her course on nurse prescribing for COPD and discussed this with the GP. The GP took the opportunity to do an informal teaching session and agreed with the NP reminding her about the findings from a paper in 2000, by Barnes, which suggested that inhaled corticosteroids are not indicated for the treatment of COPD anymore. Unlike in asthma, where inhaled Corticosteroids are the mainstay of treatment, they have been found to have a limited role in the maintenance of function in patients with COPD. It was observed that only 1 in 10 patients with COPD will show a significant improvement in lung function following treatment with inhaled corticosteroids (Barnes, 2000) and the reason is thought to be that different inflammatory mediators are accountable for th e airway hyper reactivity that is present in asthma and COPD, and those that are responsible for COPD are less responsive to inhaled steroids (Barnes, 2000). Respiratory physicians will still use them, but usually only in cases where symptoms are not optimally controlled with bronchodilators alone (Fabbri, 2004), hence explaining why they were introduced when this patient had her last exacerbation. It was thought very likely that the oral candida as well as the metallic taste and hoarse voice could be due to her use of the steroid inhaler. The NP showed to the GP that the patients pulmonary function, as demonstrated by the Spirometry taken that day, was no worse than on her previous visit, prior to the Corticosteroid inhaler being started. Since a significant clinical response had not been objectively observed, both the GP and the NP decided together that the steroids should be discontinued from the point of view of risk v benefit and also evidence-based best practice. Both the GP and the NP then explained to the patient about the likelihood of the steroid inhaler not offering her that much benefit, instead causing her new symptoms. Her mouth was examined and it was confirmed that the patient had oral thrush, which is a known side effect of using steroid inhalers (Ellepola, et al., 2001). It was decided to wean off the Corticosteroid inhaler over a couple of weeks before stopping completely, and see how things go. She was also advised by the GP to rinse her mouth thoroughly after using the steroid inhaler, as well as the others. If the situation became worse, with regards her breathing she was advised to call the surgery for an urgent appointment to review her medication. The NP then suggested that the patient was started on an antifungal medication for the Candida albicans infection, such as Fluconazole, a decision that had been made following consideration and reflection, in line with the steps of the prescribing pyramid (National Prescribing Centre, 1999). The NP had already consulted the British National Formulary online (BNF, 2010a) to check for contraindications. The patient had none and also there were no history of liver problems or cardiac arrhythmia where caution should be exercised. The decision was made to commence treatment using a course of oral Fluconaz ole. The patient was advised about this, and also she was told of the possible side effects such as headache, dizziness, nausea, vomiting, abdominal pain, diarrhoea and the small possibility of liver problems (BNF, 2010a). She understood the information given and found the decision acceptable and so agreed to commence treatment, and to report any side effects that she noticed. With regards the patients depression this was assessed by the GP, after taking a psychiatric history and risk assessment. Both the patient and GP together decided to try a short course of antidepressant medication, which would be kept under close review. She was also encouraged to pursue social service channels with regards to disability living allowance if she was finding it difficult to care for her husband, especially because she was also infirm. The NP provided her with relevant paperwork for local social services and offered to make some enquiries on her behalf to arrange a home assessment. Before the patient left the room, both the GP and the nurse reinforced the importance of smoking cessation on her COPD and the possibility of nicotine replacement. The patient smiled and said she will give it some thought. Influenza vaccination was also mentioned as a reminder for later in the year. A follow up telephone consultation had been arranged for two-weeks time with the NP. The notes were then completed by both the GP and nurse with regards this part of the consultation. Two weeks the telephone consultation took place and the patient reported that she felt much better about her quality of life, her oral symptoms were almost back to normal and since taking the antidepressants, she had noticed a higher ability to perform day to day activities, and overall she seemed to have a more positive and bright outlook on life. The patient mentioned that she had also finally decided to stop smoking and wanted assistance with this in the form of nicotine patches that the nurse had previously mentioned. The NP arranged for the patient to attend a smoking cessation clinic, during which she made a mental note to apply the prescribing pyramid to this particular issue of nicotine replacement, and offered her congratulations on the patients progress. A further review appointment was also made with the GP to monitor the antidepressant treatment. Discussion This case illustrates the role of the COPD NP in primary care, and discusses prescribing issues. The nurse had taken a complete history and identified several medical, psychosocial issues and prescribing issues and taken appropriate action. From a medical and functional viewpoint, the examination and spirometry showed the patient had stable, moderate COPD, however holistic assessment revealed that she was taking steroid inhalers that were ineffective in her condition and were also causing her to develop an oral thrush infection. The NP also identified that the patient was depressed and there were social problems at home, caused by the patients husband being unwell. The COPD NP correctly identified several issues that needed referral to her GP colleague, and she had worked through a prescribing pyramid to identify that both the steroid inhaler may not be needed anymore, and that the patient would benefit from using an antifungal medication for her thrush. The prescribing pyramid The prescribing pyramid (National Prescribing Centre, 1999) is a stepwise approach that has involves seven stages (1-7), and each stage should be considered carefully before climbing to the next: Consider the patient. Which strategy should be used? Consider a choice of product Negotiate a contract Review the patient Record keeping Reflection With regard the oral thrush infection, the patient had a full history taken and clinical examination. A holistic viewpoint that took into account the fact that the patient was experiencing unpleasant side effects led the nurse to conclude that GP referral was necessary to confirm the diagnosis and also to tackle the concurrent issue of the steroid inhalers and depression. When considering step four, the NP had reviewed the British National Formulary online (BNF, 2010a) and had decided that Fluconazole was the most effective product for this patient as the patient also had a dry mouth because of her oxygen therapy. Nystatin, another antifungal can be used for oral thrush, but it is less suitable for patients who have dry mouths (BNF, 2010b). The patient also had no contra-indications to Fluconazole, and she was not taking and other drugs that had known drug-drug interactions with this new agent. The patient was informed of all the possible side effects in a form that she could underst and. This patient had a central role in the decision making process in this consultation in line with stage four of the prescribing pyramid (National Prescribing Centre, 1999). Effective communication skills are an important part of good nursing practice, as originally outlined by the UKCC in 1996 (UKCC, 1996). In the context of nurse prescribing, this includes explaining what the prescription in for; how to take the medication; how long it takes to work and what the possible side effects may be. The nurse also referred to the BNF as reference when making this decision, which is an example of good, evidence-based reflective practice. In accordance with step five, a review of the patient was organised to establish whether the treatment was effective, safe and acceptable. The patient was also advised to make contact if there were any problems, which is in line with guidance (National Prescribing Centre, 1999). For step six, the nurse practitioner made detailed notes in the medical records immediately after the consultation as per recommendations by the NMC (2009). The NP reflected on her own practice in this situation and asked the GP to give her constructive feedback, which was useful for improving her own learning and practice. Her need for continuing professional development was acknowledged in the original planning of the service within that practice and as a specialist member of the team, having a good working relationship with all the GPs she had the clinical support to hand and was able to obtain medical advice, supervision and guidance when required. The department also had regular visits from pharmaceutical companies and teaching on local formulary practices. The NPs own educational programme included critical appraisal training to enable her to be aware of the influences on prescribing. Conclusion Nurse-led COPD primary care assessment services where specialist NPs are responsible for performing assessment, investigation and are able to act as liaison officers for patients are becoming more widely implemented in the UK as an integrated medical-social and holistic approach to COPD management. Such nurses prescribe full treatment packages for patients and provide them with a point of contact for specialist advice should the patients have an exacerbation at home, as well as forming the link to the tertiary respiratory units should the need arise. Keeping the majority of COPD care in the community should offer better patient centred care as well as cost savings for the NHS. NPs have a crucial role in the management of COPD, and must be aware of prescribing issues reflective learning to give their patients the best possible care.

Wednesday, November 13, 2019

My Philosophy of Teaching Essay -- Philosophy of Education Teachers Es

My Philosophy of Teaching In the field of education there could arise many philosophical ideas of each individual teacher. Many of the past philosophies have been and still are used in today’s education programs, such as the Socratic method. My philosophy will also contain some of the many philosophies of the past and possibly the future. I will state the nature of students, the nature of knowledge, the purpose of public education, method, and curriculum according to my own philosophies, which also may be based the philosophical ideas of previous individuals. The nature of human beings in my opinion, as well as Jean-Jacques Rousseau, is that all human beings are born innocent. We are born into the world without the knowledge that is to be acquired throughout time. When it comes to the nature of knowledge however I do not agree with Rousseau. I believe that each person should construct his own knowledge at the same time as he memorizes other knowledge. In other words, the student should learn and memorize what he has been taught; yet at the same time hold his own opinions and philosophies in mind as well. I believe that the nature of knowledge is also purely relative; it does depend upon the person, place, and time. Not every student is going to be the same. One might not be able to learn in a larger classroom than another might; he may require special attention possibly for the reason that he may have a learning disability, or possibly a short attention span. The overall purpose of education in my opinion is for survival in today’s society and economy. For one person to survive comfortably in this computer –based world of today, one would require skills in mathematics, English, science, and ma... ... retain the lessons. From past experiences I have observed that if the teacher involves the students in the lesson, the children forget that they are learning and realize that they are having fun. This area of participation is important in elementary schools for the purpose of accomplishing the goals in which almost every school sets forth. It also allows the children to feel in control of their thoughts and opinions. My professional development plans include a wide variety of experiences with children in general and in the education field. In the above paragraphs, I have made it clear what my expectations are in terms of the nature of students, the nature of knowledge, the purpose of education, method, and curriculum. I do however, expect them to be subject to change after I have completed the required field experience or my own professional experience. My Philosophy of Teaching Essay -- Philosophy of Education Teachers Es My Philosophy of Teaching In the field of education there could arise many philosophical ideas of each individual teacher. Many of the past philosophies have been and still are used in today’s education programs, such as the Socratic method. My philosophy will also contain some of the many philosophies of the past and possibly the future. I will state the nature of students, the nature of knowledge, the purpose of public education, method, and curriculum according to my own philosophies, which also may be based the philosophical ideas of previous individuals. The nature of human beings in my opinion, as well as Jean-Jacques Rousseau, is that all human beings are born innocent. We are born into the world without the knowledge that is to be acquired throughout time. When it comes to the nature of knowledge however I do not agree with Rousseau. I believe that each person should construct his own knowledge at the same time as he memorizes other knowledge. In other words, the student should learn and memorize what he has been taught; yet at the same time hold his own opinions and philosophies in mind as well. I believe that the nature of knowledge is also purely relative; it does depend upon the person, place, and time. Not every student is going to be the same. One might not be able to learn in a larger classroom than another might; he may require special attention possibly for the reason that he may have a learning disability, or possibly a short attention span. The overall purpose of education in my opinion is for survival in today’s society and economy. For one person to survive comfortably in this computer –based world of today, one would require skills in mathematics, English, science, and ma... ... retain the lessons. From past experiences I have observed that if the teacher involves the students in the lesson, the children forget that they are learning and realize that they are having fun. This area of participation is important in elementary schools for the purpose of accomplishing the goals in which almost every school sets forth. It also allows the children to feel in control of their thoughts and opinions. My professional development plans include a wide variety of experiences with children in general and in the education field. In the above paragraphs, I have made it clear what my expectations are in terms of the nature of students, the nature of knowledge, the purpose of education, method, and curriculum. I do however, expect them to be subject to change after I have completed the required field experience or my own professional experience.