In the Narrative of the Life of Frederick Douglass, an American Slave Written by Himself, Douglass writes about his life in slavery. Douglass portrays how he overcame being separated from his mother, of witnessing a slave being whipped for the first time and enduring his servitude for multiple masters. However, his major triumphs in life were moving to Baltimore, overcoming illiteracy and gaining his freedom. Douglass was between the age of seven or eight when he was sent to live in Baltimore, a move that would forever change his life. He was introduced to a different way of living for a slave. For example, on the plantation slaves were subject to merciless beatings, hunger, and cold. Clothing was provided, but if slaves did not sustain them throughout the year, they were forced to walk around half-naked. However, in Baltimore slaves were permitted to walk in the street as free men and women; they were properly dressed and well fed. Furthermore, it was considered an embarrassment to the slaveholder if their neighbors noticed they were not feeding their slaves adequately. Baltimore was of great importance since this is where he was sent to live with his new mistress, who forever changed his life. At the beginning of his stay in Baltimore, his new mistress, Sophia Auld teaches Douglass his A, B, C's. However, when her husband find out what was going on, he put a stop to it. Mr. Auld said, "If you teach that nigger how to read, there would be no keeping him. It w...
The guidelines’ first focus is the definition of sepsis, which makes sense, because there is no way to effectively treat sepsis without an accurate and categorical definition of the term. The guidelines define sepsis as “the presence (probable or documented) of infection together with systemic manifestations of infection”. Such systemic manifestations can include fever, tachypnea, AMS, WBC >12k, among others; these manifestations are listed in full in Table 1 of the guidelines. The definition for severe sepsis builds on to the definition of sepsis, bringing organ dysfunction and tissue hypoperfusion (oliguria, hypotension, elevated lactate) into the picture; full diagnostic criteria is listed in Table 2. The guidelines recommend that all
Daniels (2011) said that sepsis is one of the leading causes of death in hospital patient worldwide and severe sepsis causes around 37,000 deaths in the UK every year. Czura (2011) has defined it as a life-threatening condition that arises when the body’s response to infection injures its own tissues and organs and sepsis can be present in any patient and in any clinical setting. Based on the learner’s reading, she became aware of the importance of identifying the early inflammatory markers such as temperature less than 36 degrees or more than 38.3 degrees, heart rate greater than 90 beats per minute (bpm), respiratory rate greater than 20 breaths/minute, altered mental state, white cell count lesser than 4g/l or greater than 12g/l and blood glucose greater than 7.7 millimoles for non-diabetic patients. Presence of any two of these will follow further test and if sepsis is indicated then commence the sepsis six care bundle within the hour, contact the doctor and critical care outreach team. The sepsis six care bundle which was developed by Daniels et al (2010) has shown to improve delivery of reliable care across a range of clinical settings which is now used in many UK
Sepsis has gained much focus as a major global health problem. Since 2003, an international team of experts came together to form the Surviving Sepsis Campaign (SSC), in the attempts to combat an effectively treat sepsis. Although, diagnostics and protocols have been developed to identify high risk patients, the need for human clinical assessment is still necessary to ensure a proper diagnosis is made and appropriate treatment is initiated in a timely manner. The use of a highly efficient and experienced team, such as, the electronic Intensive Care unit (eICU) could close the gap from diagnosis to treatment.
In Tennessee Williams The Glass Menagerie, we are given opportunity to see and understand that even truth can be cloaked by illusion. There are four main characters, we have Tom Wingfield whom is the narrator of the play. By day is a warehouse worker in a shoe factory, often absent minded for he would must rather be focusing on his passion for poetry and writing. By nightfall he often finds refuge from his mother's constant berating in the local movies. Laura Wingfield is Tom's beloved sister. Crippled since childhood from a disease known as plurosis, Laura is also emotionally crippled as an adult, in the sense that she is so incredibly shy attending business school was simply too much for her. To others it is no issue but to her it's all than she can see. Instead of fulfilling her mothers wishes she spends her days carefully attending to her delicate glass animals and listening to her father's record collection.
For the purpose of this assignment, a case study has been selected in order to relate the signs and symptoms of sepsis to the underlying pathophysiology of the sepsis continuum. In order to maintain patient confidentiality, names dates and times have been changed or omitted, in line with Australian Nursing and Midwifery Code of Professional Conduct (ANMCC, 2008).
Unfortunately, even today, women are still trying to prove themselves equal to men in many ways. The “glass ceiling” is perhaps one of the most familiar and evocative metaphors to surface from the 20th century. This expression has been used widely in the popular media as well as in official government reports. The image suggest that although it may be the case now that women are able to get through the front door professional hierarchies, at some point they hit an invisible barrier that blocks any further upward movement. “Below this barrier, women are able to get promoted; beyond this barrier, they are not”. Such a situation can be considered a limiting case for a more general phenomenon: situations in which the disadvantages women face relative to men strengthen as they move up executive hierarches. “Traditional approaches to recruitment, organization and job design, performance management and promotions are often designed in ways that are more suited to men than to women. This is what creates the glass ceiling”. Beyond the limit of job titles, the glass ceiling also creates a pay difference between men and women performing the same work requirements.
Wexler, B., & Davidson, T. (2013). Septic Shock. In B. Narins (Ed.), The Gale Encyclopedia of Nursing and Allied Health (3rd ed., Vol. 5, pp. 2995-2997). Detroit: Gale. Retrieved from http://go.galegroup.com.db03.linccweb.org/ps/i.do?id=GALE%7CCX2760400965&v=2.1&u=lincclin_bwcc&it=r&p=GVRL&sw=w&asid=4babc7c1264e66b24e750fff3cb28256
Narrating these stories informs readers not familiar with slavery a clear idea on how slaves lived and were treated. The novel brings a strong political message to our society. If Douglass explains to people what slavery was about, they would be influenced to make a change. Narrative of the Life of Frederick Douglass is the story of Frederick Douglass from the time he was born a slave to the time of his escape to freedom. Through years of physical abuse and assault, Douglass overcame these obstacles to become an advocate against
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
In The Narrative of Frederick Douglass by Frederick Douglass, an African American male describes his day as a slave and what he has become from the experience. Douglass writes this story to make readers understand that slavery is brutalizing and dehumanizing, that a slave is able to become a man, and that he still has intellectual ability even though he is a slave. In the story, these messages are shown frequently through the diction of Frederick Douglass.
“ Sepsis” according to the International Surviving Sepsis Campaign, is defined as the presence of infection together with systemic manifestations of infection (Dellinger et al., 2013) In todays modern society sepsis still accounts for 15% of maternal deaths a year worldwide (Dolea & Stein, 2003). Despite medical advances, aseptic technique, and antibiotic use, sepsis is the most common cause of direct maternal death in the UK. According to the CMACE report the maternal mortality rate increased from 0.85 deaths per 100,000 maternities in 2003–05 to 1.13 deaths in 2006–08 (Harper, 2011). Puerperal sepsis has a long history within obstetrics and midwifery, and yet despite this knowledge it has become, yet again, the leading cause of direct maternal death. Therefore due to the increased maternal mortality, I have chosen to focus on the care of a woman within ...
Literacy plays an important part in helping Douglass achieve his freedom. Learning to read and write enlightened his mind to the injustice of slavery; it kindled in his heart longings for liberty. Douglass’s skills proved instrumental in his attempts of escape and afterwards in his mission as a spokesman against slavery.
Sepsis is defined as a systemic inflammatory response caused by an infective process such as viral, bacterial or fungal (Holling, 2011). Assessment on a patient and starting treatment for sepsis is based on identifying several factors including the infective source, antibiotic administration and fluid replacement (Bailey, 2013). Because time is critical any delay in identifying patients with sepsis will have a negatively affect the patients’ outcome. Many studies have concluded every hour in delay of treatment mortality is increased by 7% (Bailey, 2013). Within this assignment I will briefly discuss the previous practice and the recent practice including the study based on sepsis. I will show what enabled practice to change and I will use the two comparisons of current practice and best practice.
In The Glass Menagerie, by Tennessee Williams, the glass menagerie is a clear and powerful metaphor for each of the four characters, Tom, Laura, Amanda, and the Gentleman Caller. It represents their lives, personality, emotions, and other important characteristics.
Also, the majority of women have been able to secure employment from traditionally female occupations such as teaching compared to male-dominated careers like engineering. Moreover, democratic country like the United States of America has recognized gender inequality as a fundamental issue and espouse equal right between men and women in contributing to social, economic and cultural life. Despite this improvement, gender inequality persists as women are not represented and treated equally in the workplace (Michialidis, Morphitou, & Theophylatou, 2012). The increasing number of women in the workplace has not provided equal opportunity for career advancement for females due to the way women are treated in an organization and the society. Also, attaining an executive position seem impossible for women due to the glass ceiling effects which defines the invisible and artificial barrier created by attitudinal and organizational prejudices, which inhibit women from attaining top executive positions (Wirth