Sunday, January 26, 2020
Explore the ways in which Isobel Dixon and Mervyn Morris express their personal feelings in their poetry
Explore the ways in which Isobel Dixon and Mervyn Morris express their personal feelings in their poetry Explore the ways in which Isobel Dixon and Mervyn Morris express their personal feelings in their poetry Little Boy Crying by Mervyn Morris and Plenty by Isobel Dixon both explore the vivid childhood memories and experiences of the poets. In Little Boy Crying, a father deals with the troubles of raising a and disciplining a child; whereas in Plenty, Dixon describes her youth when she and her sisters could not afford the things they so greedily stole behind their mothers back; finally comparing it to her prosperous present. I will explore how the poets use imagery and language, voice and tone, and structure and form to create effects and convey their experiences. Little Boy Crying is based on a fathers true story revealing the how he once treated his son. It depicts the themes of sadness, remorse, and love. Morris describes his battle with fighting the regret he feels for slapping his son because he loves him so much, longs to lift you, curb your sadness. This is perhaps to depict the contrast between the two emotions and the danger of what happens when they collide. At first, the reader empathizes with the boy, however, as the poem progresses and the fathers situation is understood, the reader begins to empathize for him as well. Plenty, is based on Dixons chaotic youth with her sisters. It explores the themes of chaos, restriction, and realization. Dixon writes about her memories of the past, often referring to her mothers anger over the chaos she and her sisters create by ignoring the mothers restrictions, her lips anchored down not knowing then it was a clasp to keep us all from chaos. This shows that as you get older, you realize the importance of order and begin appreciating your parents hard labor. Mervyn Morris use of powerful language helps the reader relate to the situation described. The title, Little Boy Crying, already provokes a sad image of what is forthcoming in the poem, creating an instantaneous dramatic effect on the reader. In the first stanza, Morris expresses the changes which his son undertook since the slap, mouth contorting, laughter metamorphosed, and frame so recently relaxed now tight. The word metamorphosed, exemplifies the rapidity of the change of the boys facial expression, creating a more powerful image of the emotions the boy is feeling. These changes quickly introduce the reader to the circumstances. Powerful imagery of water is seen in the phrase swimming tears, splashing your bare feet, where sibilance and personification of the tears have been used to invoke a more dramatic sense of the boys misery. The phrase quick slap stuck, creates a more sped up and violent interpretation of the happenings; and the use of onomatopoeia in slap, creates a more graphic scene. Overall in the first stanza of Little Boy Crying, many sad and angry words are used to create a depressed mood: Howls, frame tight, frustration, swimming tears, and guilt or sorrow. Such powerful phrases are used to invoke a more immediate effect of grief and a relation to the situation by the reader. The reader becomes more compassionate and understanding of the characters. In the second stanza the father imagines himself in the sons position, alluding to the fairytale Jack and the Bean stalk, evoking powerful imagery of hatred as well, The ogre, grim giant, colossal cruel, Chopped clean the tree [the fathers] scrambling down. The use of alliteration of g in grim giant and c in colossal cruel, places emphasis on the phrases to describe the pure hatred the father thinks the boy must feel against him, signifying that he knows he is being mean and understands his decisions were harsh. The reference to a well-known fairytale increases the readers ability to relate to the situation and creates a more vivid scenario. In the third stanza, the line You cannot understand, not yet demonstrates that the child does not acknowledge the fact that his father is teaching him a lesson. The father seems very guilt struck and at fault that he had to take such measures to teach a lesson, The hurt your easy tears can scald him with. The boy does not realize the pain his display of sadness causes his father, who obviously takes no pleasure in making his son cry. The father seems to regret his actions however stays firm to teach the lesson, Longs to lift you, curb your sadness. The alliteration of l emphasizes the longing however the father stays strong to ensure his son is raised with the correct values. The last stanza implies the little boy has been playing in the rain, you must not make a plaything of the rain. This line has several meanings such as the immorality of trying to get sympathy by crying. On another level, it could be the father instructing himself to take his lessons more seriously and his need stay firm to show discipline. Isobel Dixon also uses powerful imagery and language to convey her messages. The title itself contrasts with nearly the entirety of the poem as poverty has placed them far away from Plenty. Isobel Dixon creates an intense mood using vivid description early on in the poem. In the first stanza the reader is introduced to Dixons memory of an enamel tub, age-stained and pocked upon its griffin claws, never full. Such an image conveys the impression that that the family cannot afford proper equipment such as a bathtub and is unable to fill it with water as it is too costly and in short supply. Water is recognized as a representation of their deprivation from basic necessities in the ongoing expanse of drought where dams leaked dry and windmills stalled. The alliteration of d in the phrase drought where dams leaked dry, enhances the effectiveness of the image created by making them more prominent in the description. The stalled windmills are subsequently compared with the mothers smile, Like mommys smile. This infers that her smile has stalled. Dixon uses metaphors to describe her mothers frown, a clasp to keep us all from chaos. The metaphor is used to create a more vivid image of the mothers efforts to keep the family together. Additionally, the onomatopoeia of the word clasp creates a more powerful picture. Many cases of sibilance are found in the phrase she saw it always, snapping locks and straps, the spilling: sums and worries, shopping lists The ongoing repetition of the consonant s creates an almost explosive ringing. The poet uses contradictory phrases to exaggerate their meaning in the oxymoron, each month was weeks too long. A month is always an exact number of weeks long; however Dixon implies that they never had enough money to cover an entire months worth of spending. In the penultimate stanza, when describing the present, Dixon uses enjambment in the line waters plentiful, to excess, almost, here./ This creates a slower progression in the poem and exemplifies how she is disregarding all her previous worries about taking another precious of water. Little Boy Crying, is written from the voice of the father; however it changes perspective several times. In the first stanza, the father is observing the reaction of his son. In the second stanza, the father attempts to view the situation from his sons point of view. In the third stanza a third-person view responds to the happenings, explaining the fathers feelings. In contrast, Plenty, is written entirely from Dixons point of view. She writes in a voice which seems apologetic because of all the disorder she now recognizes she caused, not knowing then, and we thought her mean. Later, she compares it to the present, where bubbles lap my chin. Even though she is grateful for the present luxury in her life, she misses her childhood, miss my scattered sisters. In Little Boy Crying, Morris uses long sentences with small amounts of punctuation to create tension and make the reader keep reading. The first stanza is composed of seven lines, however only one sentence. The stanza length is a little beyond average, and the last stanza ends abruptly as it consists only of one line. Ending a poem with one line creates force and stress to the line, making the reader consider it more. The use of enjambment establishes a greater emphasis on the word previous to it, such as howls, frustration, and tears. This is done to put pressure on specific words, empowering their meaning and adding importance to their effect. They become more noticeable than the rest of the words In Plenty, Dixon uses normal length sentences and stanzas, which contradicts the chaos depicted in the poem. She does not use very much enjambment, creating an ongoing flow of reading. Her use of punctuation varies greatly as in the fourth stanza; three full-stops are used. On the other hand, in the fifth and sixth stanzas, altogether only one full-stop is used. This creates tension when its needed and adds a story-like effect. Little Boy Crying, by Mervyn Morris and Plenty, by Isobel Dixon both delve into the moving childhood experiences they have. In Little Boy Crying, a father resists the urge to apologize to his son for disciplining him; whereas in Plenty, Dixon describes her chaotic youth with her sisters; finally comparing it to her present. Little Boy Crying explores the themes of sadness, discipline, and regret. Plenty, explores the themes of chaos, restriction, and realization. Both poems have their underlying messages such as in plenty, where patience helps us all deal with many of lifes everyday problems. In Little Boy Crying, one learns the difficulty of punishing a child even though it is for the greater good of them.
Saturday, January 18, 2020
Hauroun and the Sea of Stories Compared to Lord of the Rings
Hauroon and lord of rings Frodo Baggins and Haroun Khalifa are both heroes, both from different stories but have a very similar journey. Frodo Baggins from J. R. R Tolkienââ¬â¢s Lord of the Rings is a hobbit of middle earth who keeps to himself and likes to be alone, he goes on an adventure that changes his life. Haroun Khalifa from Salman Rushdieââ¬â¢s Haroun and the sea of stories is a 10 year old boy living with his father in an imaginary sad city. Both characters go on a journey that changes there life forever, the characters quests have many similar stages to the journey.Both begin there quest with a call to adventure, neither characters are expecting it but both seem eager to go. Both characters battle between good and evil and both characters become masters of two worlds, and achieve apotheosis or god like status and then have the freedom to live. Both heroes are called to the adventure in many different ways, Frodo Baggins is called to adventure during his uncles 111th birthday party when his uncle Bilbo disappears. Bilbo left a gold ring for Frodo so Frodo speaks to the wizard Gandalf who says to keep it safe and not to put it on.Years later the wise wizard Gandalf returns to tell Frodo the ring is extremely dangerous and was forged by the dark lord, Sauron and must be destroyed, that is when his journey began and Frodo begins his journey heading towards Rivendell to talk to the elves about how to destroy it. Haroun is called to his journey when he returns home one day to find out his mother has run away with the upstairs neighbor who has always been critical towards Rashid Khalifas story telling which effects Haroun greatly.Haroun argues with his father about the usefulness of stories and why they are important, this crushes Rashid. Haroun struggles with school due to his mothers absence so his father takes him on a story telling trip for some fancy politics, they travel to the Valley of G and when Rashid goes up to tell a story and nothing come s out, this is Haroun's call to adventure, to help his father. Good VS evil. Thats what fairy-tails and stories revolve around, both Frodo's and Haroun's adventure revolves around it.In Lord of the Rings the evil that Frodo is fighting is the darkness of the ring and the evil that dwells within Mordor. Saruman, the evil wizard tries to make Frodo change from good to evil but did not succeed. In Haroun's story the evil that he fights is someone named Khattam-Shud, Khattam-Shud is polluting or poisoning the stories so they can not be told. Rashid and Haroun travel to the Land of Gup to try and figure out what is going on. They get there and the entire land is preparing for war, the guppies Vs the Chupwalas.The war ends with the victory of the Guppies and they reward Haroun with granting his wish that his father can tell stories again. At the end of each story the heroes reach the stage of apotheosis, Frodo reaches apotheosis when he destroys the ring by throwing it in the lava, all th e evil goes away and the good takes over. Frodo is the master of two worlds the world of the non existent Mordor and the Shire, he is looked at as a king and everyone will forever be grateful for his victory over darkness.Haroun reaches apotheosis after the war ends, he is overwhelmed with joy that his father can tell stories, Haroun returns to the sad city with his father to find that the city is no longer sad, the once forgotten city name has been remembered and when Haroun returns home he finds the last person to be there waiting for him, his mother. Haroun's story ends happily ever after as does Frodo's. Both of the heroes were from a classic fairytale , the stories had a call to adventure, both very different calls to adventure but they both fulfill there goals and reach apotheosis, i guess you can say Haroun and Frodo both lived happily ever after. Hauroun and the Sea of Stories Compared to Lord of the Rings Hauroon and lord of rings Frodo Baggins and Haroun Khalifa are both heroes, both from different stories but have a very similar journey. Frodo Baggins from J. R. R Tolkienââ¬â¢s Lord of the Rings is a hobbit of middle earth who keeps to himself and likes to be alone, he goes on an adventure that changes his life. Haroun Khalifa from Salman Rushdieââ¬â¢s Haroun and the sea of stories is a 10 year old boy living with his father in an imaginary sad city. Both characters go on a journey that changes there life forever, the characters quests have many similar stages to the journey.Both begin there quest with a call to adventure, neither characters are expecting it but both seem eager to go. Both characters battle between good and evil and both characters become masters of two worlds, and achieve apotheosis or god like status and then have the freedom to live. Both heroes are called to the adventure in many different ways, Frodo Baggins is called to adventure during his uncles 111th birthday party when his uncle Bilbo disappears. Bilbo left a gold ring for Frodo so Frodo speaks to the wizard Gandalf who says to keep it safe and not to put it on.Years later the wise wizard Gandalf returns to tell Frodo the ring is extremely dangerous and was forged by the dark lord, Sauron and must be destroyed, that is when his journey began and Frodo begins his journey heading towards Rivendell to talk to the elves about how to destroy it. Haroun is called to his journey when he returns home one day to find out his mother has run away with the upstairs neighbor who has always been critical towards Rashid Khalifas story telling which effects Haroun greatly.Haroun argues with his father about the usefulness of stories and why they are important, this crushes Rashid. Haroun struggles with school due to his mothers absence so his father takes him on a story telling trip for some fancy politics, they travel to the Valley of G and when Rashid goes up to tell a story and nothing come s out, this is Haroun's call to adventure, to help his father. Good VS evil. Thats what fairy-tails and stories revolve around, both Frodo's and Haroun's adventure revolves around it.In Lord of the Rings the evil that Frodo is fighting is the darkness of the ring and the evil that dwells within Mordor. Saruman, the evil wizard tries to make Frodo change from good to evil but did not succeed. In Haroun's story the evil that he fights is someone named Khattam-Shud, Khattam-Shud is polluting or poisoning the stories so they can not be told. Rashid and Haroun travel to the Land of Gup to try and figure out what is going on. They get there and the entire land is preparing for war, the guppies Vs the Chupwalas.The war ends with the victory of the Guppies and they reward Haroun with granting his wish that his father can tell stories again. At the end of each story the heroes reach the stage of apotheosis, Frodo reaches apotheosis when he destroys the ring by throwing it in the lava, all th e evil goes away and the good takes over. Frodo is the master of two worlds the world of the non existent Mordor and the Shire, he is looked at as a king and everyone will forever be grateful for his victory over darkness.Haroun reaches apotheosis after the war ends, he is overwhelmed with joy that his father can tell stories, Haroun returns to the sad city with his father to find that the city is no longer sad, the once forgotten city name has been remembered and when Haroun returns home he finds the last person to be there waiting for him, his mother. Haroun's story ends happily ever after as does Frodo's. Both of the heroes were from a classic fairytale , the stories had a call to adventure, both very different calls to adventure but they both fulfill there goals and reach apotheosis, i guess you can say Haroun and Frodo both lived happily ever after.
Friday, January 10, 2020
Romare Bearden
The art of Romare Bearden has been viewed and influential to many artists, musicians, political figures, scholars, and everyday people. Born in Charlotte, North Carolina in 1911, and soon moved to New York, also spending little time in Pittsburgh , Pennsylvania, Bearden was raised in a middle class household where both his parents held decent jobs. At an early age Bearden was exposed to great diversity of artists, musicians and writers, his home was a frequent hangout spot for major figures such as Duke Ellington, Langston Hughes and many more. Art was not always the main focus of Bearden.He studied at Boston University where he played baseball and eventually after taking a few art classes he illustrated the cartoons in the Baltimore Newspaper. Bearden also traveled the world to places such as Paris and the Caribbean islands, which all influenced his work to come. He also served in the U. S. army. Being raised in the south and black Harlem New York during the Harlem Renaissance and c ivil rights would be the birthplace of Beardenââ¬â¢s diverse ideas and extraordinary talents. Bearden became the most original and famous due to his unique collages that he mastered in isolation working methods.This artwork was displayed in abstract complicated positions and showed intricate details made from magazine and newspaper clippings, as well as foil and different fabrics. Pablo Picasso, Jose Clemente, and Diego Rivera were a few artists that also influenced his work. Romare broke many boundaries and traditional ideas and expectations of artists. He put a unique twist on the already established European collage method by using different techniques such as quilt work, print, many fabrics, textures, nature, landscapes, oils water colors and of course photo montage.These techniques gave his art a personality a vibe a feeling that made views want more the pieces always had many details and messages. Romare Beardenââ¬â¢s art work was extraordinary enough that his work was s een in museums worldwide but also displayed in books, album covers, and even the city of Berkley, California has a public display in the city council chambers called The City and its People that incorporates the cityââ¬â¢s diversity and culture. Romareââ¬â¢s pieces were also easy to relate with. The intersection of art and everyday life such as school, home, clubs and nature ere very obvious in his work, for example in The Block and the Block II his everyday life that he seen on the streets was displayed, from working people to kids playing to mothers looking out their windows holding their baby. He embraced the elements of popular culture at the time, jazz clubs, blues, social realism of African culture, religion and childhood memories were all displayed in his works The Blues, Train Whistle Blues, Palms Sunday Procession, and The Street to name a few. Romare Bearden suffered from bone cancer and passed away in 1988 as a world renowned African American artist, author, songwri ter, and award winner.Although he left his love for art many times, as many artists do, he took a journey and always found a way back to express his love of art embracing culture and society. His works grew and changed throughout his whole life picking up pieces as his environments changed. Bearden displayed the beautiful, the ugly, and the in-betweens of African and African American life with European and Spanish influences along the way. His works were improved and iconic, leaving you wanting to see more of what you have never have seen before.
Thursday, January 2, 2020
Current Diagnostic Criteria For Sarabeth s Disorders
Current diagnostic criteria for SaraBethââ¬â¢s disorders is better explained by criterion A ââ¬â D in Obsessive-Compulsive Disorder (OCD) and criterion A ââ¬â E in Anxiety Disorder due to another medical condition. OCD criteria A requires that the individual have the presence of obsession and/or compulsions. SaraBeth reports obsessions of recurrent and persistent thoughts about harm coming to her parents and although she had attempted to ignore these thoughts she continues with performing her compulsions. SaraBethââ¬â¢s compulsions are evident by reported repetitive behaviors of performing ritual prayers, persistent checking on the iron and stove and although SaraBeth can admit that her fear is unrealistic, she continues the compulsions in order to feel better or to relieve oneself. Criteria B requires that the obsessions and/or compulsions be time-consuming (more than one hour) or cause clinically significant distress or impairments in important areas of function. Sara Beth has stated that can spend three to four hours during the day engaged in checking behaviors. Criteria C entails that the obsessions-compulsive symptoms are not attributable to the physiological effects of a substance or another medical condition. SaraBeth currently has no indication of a medical condition or substance use prior to the first onset of her obsessive-compulsive symptoms. Criteria D requires that the disturbance not better explained by the symptoms of another medical condition. Currently there is no evidence
Wednesday, December 25, 2019
Growth Performance Of Boiled Diets A Study - 887 Words
In this study, overall growth performance was not affected by diets supplemented with different sources of L-Lys. Similarly with results from another study in different species. Emmert et al. (1999) reported that growth performance of broiler fed diets with supplemental liquid L-Lys did not difference when compared with diets supplemented with L-lysine HCl. In addition, other studies suggested that forms of supplemental L-lysine did not affect growth performance and nitrogen retention in newly weaned pigs. Moreover, alternative source of L-lysine such as L-lysine sulfate had equal relative bioavailability when compared to standard L-lysine HCl. (Smiricky-Tjardes et al., 2004; Liu et al., 2007; Ju et al., 2008). For the intestinal proteinâ⬠¦show more contentâ⬠¦Therefore, several factors such as protein contents in diets and also forms of supplemental L-Lys which are difference in terms of absorption rate could potentially show differences of dietary lysine utilization and intestinal mucosal protein synthesis. In this study, pigs fed diets with supplemental liquid L-Lys shown reduction of proliferation in jejunal crypt and lower concentration of TNF-à ± in jejunum compared with pigs fed diets with supplemental crystalline L-Lys HCl. Villi atrophy and crypt undergo hyperplasia commonly found in the newly weaned pigs due to several stressors. When the villi are digressed, the cells associated with the crypts attempt to rebuild the villi. This is appropriate because the cells residing on the periphery of the villi originate from the crypt (Kitt et al., 2001). Nevertheless, healthy weaned pigs or germ-free pigs usually have lower proliferation rate, whereas, infected pigs have large numbers of Ki-67 positive cells and high proliferation of intestinal crypts due to the process to improve the intestinal epithelium cells (Jung et al., 2015). In the situation that pigs experience significant physiological, environmental, and social challenges when they are weaned from their sows. This incidence predispose these pigs to subsequent infectious diseases and other production losses (Campbell et al., 2013). Number of stressors, such as, separation from the sow, transportation and handling stress, a different forms of food and feedstuffs,Show MoreRelatedDietary Programs for Various Types of Lifestyles Essay2891 Words à |à 12 Pagesage, the issue of nutrition has become even more of important subject. 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Tuesday, December 17, 2019
Essay on Princes and Paupers - 1400 Words
Princes and Paupers Year by year the world becomes more sharply divided by two. On the one hand, there are the advanced, industrial, developed, with mature economics. And then there are the rest--developing, less developed, underdeveloped, undeveloped, and pre-industrial. The exact description is unimportant; for the basic division is, of course, one between the rich and the poor. What does it mean to be poor? It has always been advantageous to be born on the right side of the tracks. But the accident of birth has never had quite the significance that it holds today, for every child born to parents in the developed countries, seven are born in the underdeveloped world. This fact, above all else, will determine the course ofâ⬠¦show more contentâ⬠¦These, of course, are basic items that are consumed daily in the West. Next time you have a cup of coffee or a glass of iced tea think about where it came from and what it took to get it to you. 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When Twain was a young boy read a story about the royalty in England and that story along with his travels to Europe are what mused Twain to write The Prince and the Pauper and A Connecticut Yankee in King Arthurs Court. The historic legends of the royalty along with modern influences are what the novels are built on. Mark Twain utilized influences from his own biographical information; he also employed theRead MoreLocke And John Lockes Theory On Personal Identity860 Words à |à 4 Pagestheory. A common story that is linked to Lockeââ¬â¢s theory goes as follows and was mentioned in a video titled ââ¬Å"What Makes Me Human?â⬠the video explains that Locke thought that if ââ¬Å"a Prince and a Pauper switched memories, and the Pauper had committed a crime then it would be the person with the princeââ¬â¢s body and the Paupers memories that deserved punishmentâ⬠(Video source. Unit 2) so according to Locke, if the memory remains, then you are the same person, realistically this could not be valid becauseRead MoreHamlet, Play and the Movie Essay examples532 Words à |à 3 Pagesthe internal and external character of Hamlet. The character of Hamlet can be interpreted in many different ways because Hamlet would be executing a reasonable act of vengeance that any infuriated person would carry out in the position which the Prince is in, however he keeps avoiding the mission through four out of the five acts in the play. In the movie version of Hamlet, Denmark is described to be more of a combatant type of nation. This type of setting proves beneficial for actor Mel GibsonRead MoreRighteousness, By Mark Twain2411 Words à |à 10 Pagesnests of cruelty, poverty, drunkenness, and loneliness. The three novels that I chose to read through my exploration of this author are The Adventures of Tom Sawyer, The Prince and the Pauper, and A Connecticut Yankee in King Arthur s Court. Throughout Mark Twain s novels, The Adventures of Tom Sawyer, The Prince and the Pauper, and A Connecticut Yankee in King Arthur s Court, Twain questions the moral aspects in everyday life, specifically, righteousness. The changing characterization of theRead More Causation1055 Words à |à 5 PagesLuther and his supporters were one such social force, but were not the only ones. Merchants of the time were disgusted by the infusion of cash to Rome. The papacy was raking in all sorts of financial acquisitions, and the majority of people were paupers. The common folk living in the sixteenth century were upset at what they saw: a continuous drain on national wealth. It would only take a single person to begin sowing seeds of dissent among them: Martin Luther. Luther was part of the chain that developedRead MoreStage Fright By Mark Twain Analysis855 Words à |à 4 Pagesdislike are. One thing heââ¬â¢s fond of are cats.ââ¬Å"Papa is fond of animals particularly catsâ⬠(p.98). Th is is one of the advantages of Suzy when she is writing about Mark Twain. She also has a opinion of his books. ââ¬Å"One of Papas latest books is ââ¬Å"The Prince and the Pauperâ⬠and it is unquestionably the best book he has ever written,â⬠not all the people agree with that to. Most of the things she says are options, but some are facts. In my opinion, the view that Susy Clemens gave of her father is a more accurateRead MoreBreakfast Is Essential For Children And Adults Alike866 Words à |à 4 Pagesbe sweet or salty. A good breakfast consists of fruits or veggies, protein, carbohydrates, and a good fat like avocado. It should also be the biggest meal of the day. Follow the popular proverb, eat breakfast like a king, lunch like a prince, and dinner like a pauper.
Sunday, December 8, 2019
Patient Education Script Between RN and Mrs Carolin â⬠Free Samples
Question: Discuss about the Patient Education Script Between RN and Mrs Carolin. Answer: Introduction Well, communication with a patient means a lot in relation to patient's recovery. The way doctors and support staff communicate with a patient can result in the quick recovery or a prolonged recovery (Colwell, Kupsick and McNichol, 2016). The content of this paper presents an ideal script between RN and the patient on post-discharge Mrs. Caroline. She has been prescribed some medication for pain (Targin). It is therefore crucial for Mrs. Caroline to know about the medication. Script Justification Good morning Mrs. Caroline, I am a registered nurse in charge of your discharge. I can see you are happy and ready to go home. I have been sent to talk to you about your medication before you go home today. According to medical scholars, introduction, and creation of rapport with a patient in a way that makes them feel comfortable talking is basic towards development of a therapeutic relationship (Colwell, Kupsick and McNichol, 2016. Thus the use of polite introduction phrase such as good morning is the first steps in moving up the therapeutic relationship ladder. Am happy to go home nurse. Mrs. Caroline, I have been sent by the pharmacist, and I would like to talk to you about the medicine, and I have your medicine here with me. This is the first part initiating communication about the medicine and setting the communication agenda. Ok, you can put them in the bag together with the other items. Mrs. Caroline, I feel that you have missed home and would like to go as soon as possible. However, the medicine is new for your, and it would be important for you to understand its purpose and how you will take them. May I sit down please I will only take a few of your minutes. Greeting and talking to the patient with empathy for the wait is an important part of the communication as it makes patients feel that you are there for her (Goldberg et al. 2018). Talking to Mrs. Caroline with empathy for taking her time is, therefore, a crucial part of her medical education. Sure you can sit down, I think I should know something about the medicines so that I can quickly recover and go back to my work, I dont want to end in the hospital again. According to adult learning principles, it is advisable to keep adults motivated and being lively during education. Thank you, Mrs. Caroline, I am going to tell you all that you need to know because I would love to see you fully recovered. Please, Mrs. Caroline, feel free to ask any question as we go through your medication. Adult learning principles outline for adults to receive relevant orientation regarding the medicine and make them aware of the medication (Lorig, 2011). It is therefore important for Mrs. Caroline to be fully aware of the given medication and have knowledge regarding her medication. Eye contact and confidence is required when providing information to the patient .as a nurse I would sit down and make eye contact with Mrs. Caroline. I will also observe body language which shows comfort and confidence as well as moving forward to Mrs. Caroline (Rajala, Kaakinen, Fordell and Kriinen, 2017.). Adult learning also requires a supportive environment for the patient thus a supportive environment is crucial for Mrs. Caroline. This can be done by providing Mrs. Caroline with time to ask questions as well as encourage her to do so. Mrs. Carline, I hope you can see the package of the medicine, please take a keen observation. This medicine is Targin; it is equivalent to oxycodone hydrochloride and so powerful for your pain management. As indicated on the sachet, you will be taking this medicine only twice a day meaning one dose of 10mg of oxycodone hydrochloride after an interval of 12hours a day. According to your Pt. report you were informed about pain management by the doctor who was taking your care. Mrs. Caroline, do you remember what the doctor talked to you about yesterday? It is important to ensure that the patient has a clear observation of the medicine package as well as the instruction regarding the prescribed medicine. Moving closer to the patient is crucial as it helps Mrs. Caroline to observe the package. Yes, the doctor told me various actions to take while in pain at home as well as what should not do like nor lifting heavy objects. According to adult learning principles, adult patients like Mrs. Caroline should be allowed with an opportunity to build on the knowledge they already have thus asking Mrs. Caroline question is crucial and gives an opportunity for her to build on already existing knowledge (Marrocco, Kazer, and Neal-Boylan, 2014). That is nice Mrs. Caroline if you remember that the doctor had said. When taking your medication as instructed, you will have to take it with a lot of water. You need to take the tabled with at least 125 ml clean water. This is because the oxycodone may course side effect related to constipation as a result of narcotic analgesics. Mrs. Caroline must be provided with clear information about the side effects of Targin. To understand the side effects, I included various learning preferences (Redman,2007). A clear understanding of the side effects is crucial so that Mrs. Caroline can be able to report complications. In case of constipation, how should I manage the effect? Thank you, Mrs. Caroline, that is a very nice question. To manage constipation will drink a little porridge and more of clear fluids. You also need to take food with fiber such as brown bread and fruits like apple. Do you have any other question, Mrs. Caroline? Nice comments when the question is asked by the patient is crucial and encourage them to ask for more clarification. No am okay now a nurse. Well Mrs. Caroline if you there are no more questions. I would now make sure that you know how you will take your pain medicine, would you please tell what you are going to do? This is almost the last point, and I will employ teach-back techniques to make sure that Mrs. Caroline is aware of what I have explained to her regarding the medicine. I will take medicine twice a day at an interval of 12hours with a lot of water to avoid constipation. Thank you Mrs. Caroline, if you have any question do not hesitate to call the doctor or the pharmacist. I have printed a document regarding the medication which you will take home. You also are expecting a stoma nurse to assist you with your recovery Using a printed document is one of the best ways to reinforce patient learning, and this justifies printing of the document. Conclusion Ideal communication helps with patient education and recovery thus should be properly observed by doctors and support staff. References Colwell, J.C., Kupsick, P.T. and McNichol, L.L., 2016, Outcome criteria for discharging the patient with a new ostomy from home health care: A WOCN society consensus conference,Journal of Wound Ostomy Continence Nursing,43(3), pp.269-273. Goldberg, M., Colwell, J., Burns, S., Carmel, J., Fellows, J., Hendren, S., Livingston, V., Nottingham, C.U., Pittman, J., Rafferty, J. and Salvadalena, G., 2018, WOCN Society Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary OstomyAn Executive Summary,JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING,45(1), pp.50-58. Lorig, K., 2011, Patient education: a practical approach, Sage. Marrocco, G.F., Kazer, M.W. and Neal-Boylan, L., 2014, Transformational learning in graduate nurse education through podcasting, Nursing education perspectives,35(1), pp.49-5 Rajala, M., Kaakinen, P., Fordell, M. and Kriinen, M., 2017. The quality of patient education in day surgery by adult patients.Journal of PeriAnesthesia Nursing. Redman, B.K., 2007,The practice of patient education: A case study approach, Elsevier Health Sciences.
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