With the setting of the sun Essay -- English Literature

With the setting of the sun In F. Scott Fitzgerald's novel, The Great Gatsby, there is a constant feeling of movement and the desire to get away. Nick, Gatsby, Wilson, Tom and Daisy all move, or have the intention of moving. Not only does this movement seem to foreshadow events in the book, but it also seems to lead to the conclusion that society as a whole in the 1920's was rather unstable and was undergoing constant change. Not all the characters move in the same way, and this shows how different their backgrounds and lifestyles are. The main movement seems to be from west to east. Throughout the decades man is said to be progressing through the steps of evolution and toward the setting sun, or east to west. The characters move in opposite direction from which the sun sets, which seems significant to the physical and psychological patterns of the characters. The two main characters that movement affects are Nick and Gatsby. The movement of Nick and Gatsby in this direction shows us how their personalities and feelings change as the sun goes down. There are also the various meanings that the sun has, that seems to map out, or affect their near future. The sun foreshadows Nick and Gatsby's actions and emotions, which in turn are affected by the many representations the sun has. Jay Gatsby is a character that the sun affects in such a way that it becomes a symbol of his ability to direct his will and, when put together with his dream, this gives him a sense of purpose. Jimmie Gatz was born in a town in Minnesota. After changing his name to Jay Gatsby, he moved to West Egg, Long Island in order to start a new life revolved around impressing Daisy. Here the sun represents a psychological belief that surp... ...nd that they, "had never, all along, intended doing anything at all. But it was done now. It was too late."(139) Just as the colors begin to bloom in the dazzling night sky they fade and disappear out of sight, just as Nick moves away. The rising sun has been used to describe progress and evolution, but as the sun travels backwards, it shows people for who they really are. The light is shone hard on the characters, so much so that they have nothing to hide behind. This minor action seems to set and change the entire novel at the same time. It also fits in perfectly with the flow or plot of the book. It shows how the characters are slowly opening up to their surroundings, and how much the sun, metaphorically, affects them. Throughout the novel, the sun has shone light on certain characters to show the power and hidden creativity of the unconscious mind.

How are tension and suspense created in The Signalman and The Red Essay

How are tension and suspense created in The Signalman and The Red Room? My aim is to analyse the way which tension suspense is built up in two Victorian stories – ‘The Red Room’ (by H.G Wells) and ‘The Signalman’ (by Charles Dickens). These two successful authors were both well known for using suspense and tension in their stories. Wells has written many classical books, which include â€Å"The Time Machine† and â€Å"War of the Worlds†. Dickens has written other illustrious books, such as â€Å"Christmas Carol†, â€Å"Great Expectations†, and â€Å"Oliver Twist†. Also in my analysis I will be briefly mentioning â€Å"The Clubfooted Grocer† (by Sir Arthur Conan Doyle), â€Å"The Monkey’s Paw† (by W. Jacobs) and â€Å"The Tell Tale Heart† by (Edgar Allan Poe). All of these celebrated stories, like most Victorian stories, are short and their genre is gothic horror. Short gothic horror stories were the main form of entertainment in this time period, as there was a lack of electricity then. These stories are strongly related to Victorian beliefs, which were mainly superstition. The reason for this is that the Victorians were slightly uneducated, and didn’t know better. Ghosts, witches, supernaturalism and black magic were the main focus of these short stories. ‘The Signalman’ provides a fine example into how Victorian railways differ from those ones today. Victorian railways were extremely dangerous, and a signalman’s job was exceptionally strenuous and demanding. The story is basically about a hard-working signalman, who claims to have seen a spectre, warning him about future events. ‘The Red Room’ is more directly related to superstition. It is about a relatively young and fearless man entering a ‘haunted’ room, which apparently contains... ...the ending of ‘The Signalman’ is too abrupt, although tension was still created by the tragedy of the signalman. However, the main difference is that in ‘The Red Room’, the reader can actually decide what happens, but in ‘The Signalman’ he cannot. However despite all this, I still believe that these short stories still provide the reader with a thrilling encounter of suspense and tension. I believe that to make a story mysterious and full of suspense you need to create mystery because mystery in the present creates suspense in the future. You must not reveal everything to the reader and leave them to figure it out for themselves. It should keep the reader guessing right till the end of the story. Again, I believe that both these stories achieve this remarkably well and cover all of these points to make the stories full of mystery, suspense and tension.

Mahiganting Langit

The poem Mahiganting Langit is from the literary work of Francisco Balagtas entitled Florante at Laura and this was considered as one of the masterpiece on Philippine Literature. Francisco Balagtas wrote several poems but what makes him well-known is the poem Florante at Laura. Florante at Laura is a depiction of the unconditional love between two people despite of all the hardship given by the situation.The selection Mahiganting Langit focuses on the struggle of Florante in trying to explain the agony he experienced in pursuing his love to Laura. It shows the detailed of his sufferings to the point that he started questioning forces above. The entire stanzas in the selected poem I find it interesting but what I like the most on the poem Mahiganting Langit is, â€Å"Bakit Kalangita'y bingi Ka sa akin?Ang tapat kong luhog ay hindi mo dinggin? ‘di yata't sa isang alipusta't iling sampung tainga mo'y ipinangunguling?†I interpreted this as Florante’s questioning of wh y his grievances in life cannot be heard. As shown in the stanza Florante’s having a doubt on the goodness of God. He considered the situation befallen upon him as a direct ill-treated by the God. And God not even pay attention to his plea. This particular stanza can happen to anyone most of the time that we felt that there is no one is listening to us not even God. When we are having hard times in life we always tend to ask why. We question why God is doing this to us not thinking that God give us challenges to be a strong person and God don’t give us test for us not to overcome.For my reaction about the given poem, though the fact that it is written in our native language but still it’s very hard to comprehend the thought conveyed by the author. Nevertheless, having it read a couple of times the meaning of every stanza starts to become clearer, on this point a person reading it will understand and relay it to the current situation especially when it comes to r eal life love scenario, this characteristic of the poem made by the author amaze me the most.

Analysis of Retail Market Essay

Larger businesses in retail are generally more profitable than smaller businesses with many of the largest businesses historically among the most profitable in the economy. The larger retailers in Australia would appear to have enjoyed better returns on capital than their overseas counterparts and have continued to do so since the global financial crisis. Growth in retail sales has been slow in recent years. While short term or cyclical factors have contributed to this slowdown, the growth of retail sales has experienced a long term slowdown due to changes in consumer buying habits. Consumers are choosing to spend a smaller share of their income on retail goods because over the recent past, they are saving more and they are spending greater shares of their expenditure on services such as finance, rent and education. Further, while there has been price deflation in some sub-categories of retail, overall, sales volumes have continued to grow. The level of productivity in the Australian retail industry is low compared to retail in other countries in Europe and North America. However, the growth rate of productivity in retail, over the past two decades, has been similar to the average rate for all industries in Australia. Retailers have achieved productivity growth by increasing the capital intensity of their operations, including through adopting information and communications technology. Furthermore, investments in big box retailing have also been a factor. These changes occurred earlier in the US, and since then, US retailers have continued to achieve productivity growth by improving management and operations to make more effective use of labour and capital. These opportunities appear yet to be fully realised by most Australian retailers. A snapshot of the retail industry Retailing makes a significant contribution to the economy The retail industry is one of Australia’s largest employers. Currently, there are almost 140 000 retail businesses employing about 1. 2 million people or 10. 7 per cent of the total working population. Together, retail workers earn about $32 billion in wages and salaries each year, or 6 per cent of the economy’s total. The retail industry also makes a significant contribution to economic output, contributing $55 billion or over 4 per cent of GDP each year. However, it is a relatively small contributor to investment (table 3. 1). Table 3. 1 The contribution of Australian retail trade 2009-10a Retail trade Gross value added ($m) Employment (‘000s) Wages and salaries ($m) Investment ($m) Capital stock ($m) Number of businesses (end 2008-09) a Includes motor vehicles & parts and fuel retailing. Source: ABS (Australian System of National Accounts: gross fixed capital formation and capital stock, Cat. no. 5204. 0; Labour Force, Australia, Cat. no. 6291. 0, Counts of Australian Businesses, Cat. no. 8165. 0).

Childhood obesity Essay

If an American government official announces that childhood obesity is reaching epidemic proportions, it is completely unethical for that person to then endorse an unhealthy snack with their name and picture. The person that chooses to endorse unhealthy snacks but makes their living preaching against their sponsor is being an unethical representative of the company that is paying them to endorse the product and is sending a mixed message when on the job. The real ethical violation here is in business ethics. The man in the example is being paid to endorse an unhealthy snack. By accepting that contract, he has agreed to give his name and support to the product. To then preach against it from the pulpit of a government position is a violation of their contract with the business and a violation of their commitment to their job. Theoretically, if he is speaking out about childhood obesity in the course of his job, then he has a position related to the health of the nation. To the turn around and endorse an unhealthy project violates his contract with the American public to promote healthy behavior. In short, anyone who argues that childhood obesity is an epidemic and then endorse unhealthy snacks is the worst kind of hypocrite. This person is taking money from both sides of the argument and cannot effectively represent either side. He has stolen from both his government employer and from his snack time employer, failing to do what either of them paid him for. In that instance, he should be fired from both jobs and sued by both employers for fraudulently accepting their money.

Asthma in Children Essay

Table of Contents Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 Overview †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 What is Asthma †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 5 What are the signs and symptoms of asthma? .. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5 What can make asthma symptoms worse? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 What is the treatment for asthma? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 8 Peak flow and its importance †¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Asthma Action Plan †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 9 Patient Information Leaflet †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 10 Summary †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 11 References †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 13Introduction â€Å"Asthma can affect anyone, any age, anywhere, but it is particularly common among children. Nowadays asthma affects one in five households in the United Kingdom, and i t is increasingly common. So how do you recognize the condition and minimize the impact on you, your child and your family? â€Å"(Barlow 2007). Often times parents of children with asthma are not given much information on what to do with their child after discharge from the Emergency department especially in patients who are newly diagnosed with asthma.This results in them bringing back their child even though the asthma attack is mild due to parents/carers knowledge about asthma or on home care is limited. Recent developments in the management of chronic illnesses such as asthma offer many possibilities for optimal control, but parents/main carers of children with asthma need to take on responsibilities for self-care. This paper reflects an informative approach on paediatric asthma. The aim is to give information about asthma, to give a brief definition, explain the symptoms of asthma, what the treatments are, what exacerbates the symptoms, and what to do if an asthma attack occu rs.The better the parent / carer and the child understand asthma and its treatment the better they will be able to manage and control it. It will also set out why a patient information leaflet should be introduced to help patients and carers to better manage symptoms at home and help reduce hospital attendances. Overview Whilst working in a busy north London Accident and Emergency ( A&E ) department It has been noted that when children attend with asthma they are discharged from the Department with no further information or support with regards to home care, especially the ones who are newly diagnosed.What happens often is that the parents are given the medications by the nurse without even explaining what to do next or what to watch out for with regards to their childs asthma because the nurse has limited time due to the fact that the department is often busy and there is no time to sit down and chat with the parents prior to discharge. After collaborating with the peadiatric secti on of the department a need has been identified for giving information to parents / carers about asthma in children to help reduce / prevent A&E attendances and help children be cared for at home by means of their parents and general practitioners(GP).Through writing an action plan I have identified what areas of information was needed to be covered in the information leaflet, these being: What is asthma? What are the signs and symptoms? What can make asthma symptoms worse? What is the treatment for asthma? What is a peakflow and its importance in managing the child’s asthma? What to do when an asthma attack occurs? An action plan after discharge from the department Useful contact numbers and website address’ What is asthma? At work I have encountered parents who have limited knowledge about asthma.It is a key issue for parents/ carers to know what asthma is In the leaflet, I have briefly mentioned the definition of asthma as derived by the World Heatlh Organization. T he World Health Organization defines asthma as a condition that affects the airways, it is due to the inflammation of the air passages in the lungs and affects the sensitivity of the nerve endings in the airways so they become easily irritated. in an attack, the lining of the passages swell causing the airways to narrow and reducing the flow of air in and out of the lungs. (World Health Organization 2006)The leaflet also contains what signs and symptoms to look out for prior to an asthma attack. Basing from my own experience growing up with my youngest brother who suffered from asthma, I can remember my parents panic as soon my brother developed cough with mild shortness of breath which often times becomes a trip to the nearest hospital. What are the signs and symptoms? The information leaflet includes what symptoms to look out for when an asthma attack occurs. Out of all the research and reading that I have done, I have come up with four common symptoms.The common symptoms of asthm a, they are cough and wheeze which are constant or intermittent in nature. The child may also become breathless, and develop a feeling of chest tightness. the severity of symptoms differ from child to child – from mild to severe. The leaflet serves as a guide in what to do when these symptoms occur. What can make asthma symptoms worse? A part of the information leaflet is about what makes the symptoms of asthma worse. What factors can cause the exacerbation of asthma or â€Å" trigger factors â€Å" .According to the American Lung Foundation, â€Å" the cause of asthma is not fully understood, but it is thought that it may be a combination of genetic and environmental factors, that asthma attacks are often triggered by certain conditions or stimuli. † ( American Lung Association 2007 ). The common triggers of asthma are exercise, infections, allergy, irritants, weather and emotions. â€Å"Exercise induced asthma (EIA) affects about 40-90% of children with asthma, an d occurs when a child's asthma is triggered by exercise or physical activities. Symptoms f coughing, wheezing, chest pain and difficulty breathing usually begin a few minutes after starting the activity and worsen over the next 5-10 minutes. Symptoms usually continue for about 20-30 minutes. â€Å" ( keepkidshealthy. com 2008 ) â€Å"Severe episodes of asthma are often triggered by respiratory tract infections including flu. Research shows that these infections are most frequently caused by virus more than bacteria. Bronchodilator medication, sufficient hydration and steroids (if indicated) are needed to control an asthma attack caused by viral infections.Allergies can trigger an asthma attack in children with asthma. † ( American Lung Association 2007 ). Allergies can trigger an asthma attack in children with asthma. â€Å"Histamine is released during an allergic reaction causing mucous to be excessively produced, the lining of the airway becomes swollen then muscle contra ction in the airway thus leading to an asthma attack. Allergens associated with asthma are common things like dust mites, feathers, moulds, pets, insects, pollens and ingested food such as egg, soy milk, etc.These causative agents can cause minimal reactions sometimes which are of no obvious consequence but daily exposure to the allergens can cause in gradual worsening of asthma. † (American Lung Association 2007 ). Irritants such as air pollution, cigarette smoke, fumes, chemicals and strong odours can irritate the respiratory system causing reactions such as cough, wheeze and mucous secretions. â€Å"Weather or climatic conditions can trigger an asthma attack; it basically affects outdoor inhalant allergens (pollens and moulds).On a windy day more allergens will be scattered in the air, while a heavy rainfall will wash the air clean of allergens but on the other hand, a light rain might wash out pollen, but actually increase mold concentration† (American Lung Associat ion 2007 ). â€Å"Emotional factors are not the cause of asthma, though emotional stress can infrequently trigger asthma† ( American Lung Association ). A child’s asthma might only be noticeable after crying, laughing or yelling in response to an emotional situation. These normal emotional responses involve deep breathing which in turn can trigger asthma.Emotional stress itself like anxiety, anger or frustration can also trigger asthma, but the asthmatic condition precedes the emotional stress. Emotions are associated with asthma for another reason, many children with asthma suffer from severe anxiety during an episode as a result of suffocation caused by the asthma attack. The anxiety and panic can then produce rapid breathing or hyperventilation, which worsens the asthma condition. The panic and anxiety should be controlled as much as possible; the parent should remain calm, encourage the child to relax and breathe easily and give appropriate medications. The aim is to control the asthma with the appropriate treatment, and when the asthma is well controlled the emotional stress level will be reduced† ( American Lung Association 2007 ). It is an important part of the care of asthma for the parents / carers to know what these factors are, knowing these triggers can help minimize an asthma attack, though some are unavoidable like weather or the fact that a child tends to be more active, the aim of management of the child’s asthma is to enable the child to live a normal life by teaching the parents / carers to recognize their own triggers as avoidance will prevent symptoms from occurring.A part of the information leaflet enumerates the most common triggers with given examples that can act as a stimulus to set off an asthma attack. What is the treatment for asthma? â€Å"There is no cure for asthma, although it can always be controlled† ( World Health Organization 2006 ). â€Å" For most children, asthma is a condition that can be controlled by inhaled medication at home. Continuity and stability of treatment is important. † (Barlow 2007 ) The devised information leaflet enumerates and briefly defines the medications for asthma.It is quite important for the parents / carers to know what the medications are, what are they for, when to use them, and how to use them properly. Hopefully, the literature will help parents / carers to understand asthma medications, for it is worth of consideration that asthma medications must be taken properly. This helps in the care of the child’s disease. Together with the Asthma Action Plan, an appropriate assessment of the child’s symptoms and administering the proper asthma medication at the right time helps in the control of the disease at home.The primary goal for the treatment of the child’s asthma is to achieve the greatest possible control over the disease by reducing exacerbations, and limiting symptoms in order to optimize the quality of lif e of the child. â€Å" the potential for limitation of normal living is immediately apparent, but the actuality is related to a patient’ ability and willingness, to adhere to, and the nature of, a health professional’s recommended regimen† Christie et. al ( 1993 ). Peak flow and its importancePeak flow has it’s place in the care and management of asthma. The information leaflet briefly defines what is peak flow and justify why it should be monitored. The literature emphasizes that in managing asthma in children, parents are encouraged to obtain their child’s peak flow rate for measuring the peak flow helps in monitoring their asthma. The correct technique in obtaining the peak flow should also be reiterated for a false reading can greatly affect the management.However, in children who are under five years it is unreliable due to the fact that their ability to use the peak flow meter properly is doubtful, therefore it should only be attempted in chi ldren who have formerly and regularly used the peak flow devise. A criteria in the Asthma Action Plan is to measure the child’s peak flow rate for it helps to determine the severity of the episode, it helps decide when to use the prescribed asthma medications, and decide when to seek emergency care. Asthma Action PlanIn managing the child’s asthma, it is important to know what symptoms to look out for, what medicines to take, how much and when to take them, all of this should be recorded in the Asthma Action Plan. Prior to discharge from the emergency department, the Asthma Action Plan together with the information leaflet is given to the parents/ carers to use at home to act as a guide in managing an attack of their child’s asthma. It contains the symptoms to look out for and what to do if they occur.It also acts as a tool for the parents and their doctors to monitor the child’s asthma, prior to discharge from the Emergency Department the doctor and the Peadiatric nurse should have completed and discussed the form to the parent. Patient Information leaflet In the current political climate of patient autonomy, patient information leaflets can aid patients, parents and carers to achieve this autonomy. Research has shown that patients may forget half of what they have been told within five minutes of a medical consultation and retain only twenty per cent of the information conveyed to them. â€Å"Providing patients and families ith written information may reduce anxiety, improve use of preventative or self care measures, increase adherence to therapy, prevent communication problems between health care providers and patients and lead to more appropriate and effective use of healthcare services† (Moult et al, 2004). The importance of written patient information has been recognized by the department of Health and the NHS. The NHS Plan states that patient information is an integral part of the patient journey. The Centre for Health Information Quality identifies three key attributes of quality health care information materials: a. he information should be clearly communicated; b. be evidence based; and c. involve patients in the development of the materials (Centre for Health Information Quality in Moult et al, 2004). Research has exposed problems with the readability and usability of a wide range of patient information leaflets (PILS) on diverse matters. The majority of PILs, regardless of their subject, require relatively high reading skills that may not exist in a large proportion of their target population (Zorn & Ratzan, 2000 in Gal & Prigat, 2005).In 2002, the Department of Health published the ‘Tool kit for providing patient information which provides detailed guidelines for writing and designing health care information. The toolkit includes guidelines in the form of ‘points to consider’ and checklists for presentation of various types of information. Readability is often mentioned a s a measure of the quality of written health care information an several scales have been deployed to evaluate the reading level of written information and several scales have been developed to evaluate the reading level of written information. Spadero, 1983). Moult et al. (2004), explains that the lower the reading level, the more likely that the information can be read and understood by a large proportion of the public. Summary The purpose of this essay is to discuss the need which has been identified and to implement change in the peadiatric area in the Emergency Department ( ED ) with regards to patient information about asthma in children. â€Å"The appropriate selection of medications is only one aspect for the provision of a comprehensive approach to all aspects of managing asthma.In particular, parents / carers need education, support and guidance, on how to manage their child’s condition† ( National Institute for Clinical Excellence 2007 ) I have accessed many online web sites and read articles to see what information was available to combine together to produce such information leaflet. The intention of the devised information leaflet is to give information to parents / carers about asthma in children to help reduce or hopefully prevent ED attendances and help children with asthma be cared for at home by means of their parents and GPs. Technological and pharmaceutical developments make feasible the more effective control of chronic conditions, but clinician’s perception of optimal management may result in patients carrying increased responsibilities for maintenance of their physical well – being that can compromise the quality of their daily life† ( Christie et. al. 1993 ), hopefully the information leaflet can facilitate and provide advice, as a part in the holistic approach in managing the child’s asthma at home when the child is discharged from the Emergency department.The information leaflet can also be ut ilized as useful tool to teach junior staff in the Emergency Department. A reading material for the newly qualified staff members to read and use to further enhance their nursing knowledge about asthma, that it can aid the nurse as guidance in their initial assessment and help in anticipating the needs of a child who presents in the Emergency Department with asthma.Hopefully in the future, the information leaflet can be used as a useful tool for health promotion which can be utilized by other members of the health care setting such as health visitors, school nurses, and others in the community settings. Reference: American Lung Association (2007): childhood Asthma Overview http://www. lungusa. org/site/pp. asp? c=dvLUK9O0E=22782. [accessed Dec 2007] Barlow(2007)http://www. childrenfirst. nhs. uk/families/features/illnesses/managing_childhood_asthma. html [accessed Jan 2008] Christie et. l (1993)Development of child – centered disease – specific Questionares for living with asthma , Psychosomatic medicine 55:541 – 548 Department of Health. ( 2002 ) Toolkit for Producing Patient Information. London: HMSO, 2002. London: Department of Health Gal, I & Ayelet Prigat (2005) Why organizations continue to create patient information leaflets with readability and usability problems: an exploratory study: Health Education Research Vol. 20 no. 4 pp485 – 493. Keep Kids Healthy (2007) :Exercise Induced Athma http://www. keepkidshealthy. com/asthma/exercise_induced_asthma. html [accessed Dec 2007]Moult, B. et al (2004) Ensuring Quality Information for Patients: development and preliminary validation of a new instrument to improve the quality of written care information: Health Expectation Vol 7 pp165 – 175. National Institute for Clinical Excellence:Inhaler devices for routine treatment of chronic asthma in older children, ;www. nice. org. uk [ accessed Dec 2007 ] Spadero, DC (1983) Assessing readability of patient information materials. Pae diatric Nursing, Vol 9 pp274 – 278. WorldHealthOrganization:Asthma in children; http://www. who. int/mediacentre/factsheets/fs307/en/index. htm. [accessed Jan 2008]

Rhetorical Analysis Essay Example | Topics and Well Written Essays - 1000 words

Rhetorical Analysis - Essay Example In this case, he found himself writing about President Barack Obama's job speech. He is a man who has heard it all before and has grown weary of Washington politics but he knew better than to ram his personal opinion down his readers throats. He chose to let his readers judge the president's speech for themselves. This was the message he delivered in his editorial and I must say that he presented good arguments that could persuade any reader to agree with him about the inefficacy of the Obama job speech. He analyzed all the important aspects of the speech. What he thought was effective, discussion points that he believed were of importance but were skimmed over in the speech, and other topics the president covered which may not be of any real benefit to the people of America. His point of view is conveyed with such strong sentiment and sympathy for the working class people is geared towards opening the eyes of his readers. Fredericks asks his middle class readers to not be the blind followers that the President Obama believes the American people to be. Instead, he is asking the working class to learn how to say no to the president. He asks the readers to look back on what we should all consider to be the failed policies of this administration that did not do anything to stimulate the economy but rather, added to the already heavy tax burden of the people. His editorial has an ethical appeal about it. Instead of appealing to their pathos directly, he presents the readers with sentence, that are sure to appeal to and engage his readers emotions upon reading it. Take for example the following statement from his editorial: The style and delivery of the president's address was true to form: fiery, powerful, passionate and exquisitely conveyed. It's the substance of his message that's the problem. Mr. Obama offered more of the same policies that got us into this mess in the first place: deficit spending and government-sponsored job creation initiatives. He called his plan the American Jobs Act. (Fredericks, Editorial: Obama's Job Speech -- There He Goes Again, DaliyPress.com) For this particular editorial, he employs the Intrinsic Ethos. Although Mr. Frederick is not a seasoned politician, neither is he on the political staff of any politician, he has the ability to intrinsically convey his thoughts and sentiments regarding President Obama's job speech because this is a matter that directly affects him through his job as a reporter. The speech also affects his family directly because of the lessened buying power of the U.S. dollar that comprises his salary. He is a man who works hard for his living and is worried about whether he will still have a job tomorrow. He worries about the thought that he could lose his job and he would have nowhere to turn. He is the kind of man who, because of the nature of his job, knows that less government interference in the affairs of the economy would actually lead to a resurgence of jobs and a stimulated econo my. It is very easy to understand why his logic can easily persuade the reading public to believe in the weakness of President Obama's job speech. His claims sound highly valid and reasonable and the proof that is needed in order to believe the inefficacy of the president's job plan can be seen in everyday life by the common man. His writing style does not merely ride on the strength of the emotions he created within his audience (pathos) or the status or credentials of Mr. Fredericks himself