Tom Brennan - 624 Words

Into the World- The Story of Tom Brennan TECHNIQUES: First Person Narration †¢ novel is told from the perspective of Tom †¢ audience is privy to the private thoughts and feelings concerning all elements of his life the accident, his brother Daniel, Chrissy, himself and his future †¢ creates an empathetic tone †¢ draws the reader into his emotional turmoil †¢ gain a good understanding of Tom’s feelings and can account for his actions †¢ creates dramatic irony we know more about him than other characters do †¢ enhances the tension and effectiveness of the narration †¢ empathy is created as we grow fond of the protagonist who shares a story of hardship †¢ see Tom’s maturity and growth†¦show more content†¦131 Tom doesn’t know the person his mother has become; low point as he has lost his own identity pp. 140-141 structural centre of the novel; visits Daniel in gaol for the first time; turning point for Tom as he can’t get any worse pp. 143 Tom begins his rehabilitation; running to get fit and attempting to climb ‘the ascent’ †¢ First half of the novel is about Tom’s descent and the second half is about Tom’sShow MoreRelatedTom Brennan Essay1358 Words   |  6 Pagestransition and change. The novel The Story of Tom Brennan by J.C Burke explores the different ways individuals grow when they are taken out of their comfort zones and venture into new experiences. This concept is also conveyed within the song Fast Car By Tracy Chapman and the film Charlie st Cloud Directed by Burr Steers. The Story of Tom Brennan follows the lives of the Brennan family after the events of a fatal car accident, it shows how Tom the protagonist struggles to cope with his pastRead MoreTom Brennan1982 Words   |  8 Pagesindividual’s perception of the world and obstacles may arise which test individual’s strength. This is shown through analysis of the novel ‘The Story of Tom Brennan’ b y J.C. Burke (2005) and the memoir â€Å"At least it’s not contagious’ by Samantha Miles (1995). Hindered by emotional turmoil and an uncontrollable situation in Mumbilli, the protagonist Tom Brennan relieves his devastated life in the new realm of Coghill through forming new relationships and accepting new avenues for personal development. LikewiseRead MoreEssay Tom Brennan762 Words   |  4 PagesIN THIS STORY? Daniel Brennan is the main character of the story, Tom Brennan. He plays an 18 year old son, who makes a decision that completely ruins his life and his reputation. Before the accident, Daniel had the dream life any teenage boy could ever want. He was five-eight and his brother Tom was half-back, they worked as a team. All that is over now. The story begins with the Brennans fleeing town. They packed all their belongings and left. They wereRead MoreTom Brennan Chapter Questions1571 Words   |  7 PagesStory of Tom Brennan, J.C. Burke 1. a) Write a brief overview of the story. My chosen novel, The Story of Tom Brennan by J.C. Burke, belongs to the Australian Literature genre. The book is a pleasant read, holding the prestigious award of The Children’s Book Council of Australia’s: Book of the Year for Older Readers. The novel is written from a first-person perspective, revolving around the character of Tom Brennan. As written in the Prologue on page 2, ‘My name is Tom BrennanRead MoreTom Brennan Character Profile875 Words   |  4 PagesCharacters in ‘The Story of Tom Brennan’ and how they deal with aspects of growing up or transitions into new phases of life and a broader world. Character: TOM BRENNAN Experience encountered | Growth, Change or other consequences as a result of the experience | Key quotes | Language identification and analysis | Car accident | Tom wants his old life back prior to the accident and he sees the accident as the end of his life as he knew it. He loses his sense of identity and sense of familyRead MoreTom Brennan Speech Outline765 Words   |  4 Pagestransformation. The Story of Tom Brennan by J.C Bourke and The Dead Poets Society both explore these concepts through the use of characters who transform due to changes in their lives, which lead to a reevaluation of who they are and what they value. In The Story of Tom Brennan by J.C Bourke , Tom’s life completely changed due to his brother, Daniel’s, drink diving accident which left two people dead and one quadriplegic along with Daniel in jail. This shocking event drives The Brennan Family from the townRead MoreBelonging - Immigrant Chronicles Tom Brennan1243 Words   |  5 Pagesbelonging. This notion is conveyed through the use of language techniques in both the set of poems â€Å"Feliks Skrzynecki†, â€Å"St Patrick’s College† and â€Å"Migrant Hostel† from Peter Skrzynecki’s anthology Immigrant Chronicles (1975) and the novel The Story of Tom Brennan (2005) composed by J.C. Burke. One’s connection to a place greatly impacts on their sense of security and belonging. This idea is explored in Skrzynecki’s poems â€Å"Feliks Skrzynecki† and â€Å"St Patrick’s College†. In â€Å"Feliks Skrzynecki† the composerRead MoreThe Story of Tom Brennan Text Response1671 Words   |  7 PagesYear 10 English The Story of Tom Brennan Complete all tasks in well constructed sentences. During reading the book: Prologue What is a prologue? Why do some writers use a prologue? A separate introductory section of a literary or musical work. Chapter 1 - 5: How do Tom and Kylie feel about having to relocate their lives to their grandmother’s home and the new town of Coghill? Tom and Kylie don’t have a positive response to moving in with there grandmother due to the fact that they were part of aRead MoreEssay on Story of Tom Brennan Quotes1590 Words   |  7 Pages‘The Story of Tom Brennan’ Melany Rooney Prologue ‘In a couple of hours they would wake up and find us gone, far away, so as not to remind them of their pain and what our family now meant to this town’ (p. 2) The novel begins with a journey, both physical and emotional; the Brennans are physically moving houses and towns, but also moving into new, unfamiliar territory. The leaving of ‘home’ is synonymous with the leaving of what id known, familiar and comfortable, in a literal and metaphoricalRead MoreTom Brennan Speech Trial Assessment963 Words   |  4 Pagesmature from these experiences. It makes us mature and has definitely taught me a thing or two and what I’ve learnt is, our lives are defined by our choices and the pathways we choose to take. They might be good or they might be bad. My name is Tom Brennan and I’ve just been through so much this past year and I’m here to talk to you guys about it because I’ve been told talking about it helps. Last year my brother, Daniel, was in a drink driving accident in which he played a big part of and resulted

Constitutionality of the Death Penalty - 1485 Words

On September 9, 1993 a seventeen year old boy, Christopher Simmons, and his a few of his friends met up to discuss and devise a plan to commit a robbery and maybe even a murder, just for fun. Simmons’ plan was not complicated: find someone to burglarize, tie up the victim and either leave the victim tied to a tree or push them off a bridge. Simmons and his accomplice went through a window that was slightly cracked and proceeded into the bedroom of Mrs. Crook. The two teenagers tried the woman up and loaded her into the back of her minivan. They drove to the state park at the edge of town where they had planned to dispose of the body and that is exactly what they did. The boys were caught later on that month put on trial for murder in†¦show more content†¦As it states later on in the test after surveying thirteen years of evidence, the deterrence aspect of the death penalty did not seem to be apparent. The police were not protected from being a homicide victim even though capital punishment was on their side supposedly protecting them. (Bailey, Peterson) According to statistics gathered from the Federal Bureau of Investigation, the areas of the country that had a lower enforcement of capital punishment was actually a place where they police force was safer than in the regions where the capital punishment was heavily enforced.(Death Penalty In Focus) For instance, the number of murders of an official officer in the southern states between the years of 1989 and 1998 was an alarming two hundred and ninety-two total. On average that means that 29.2 police officers were killed each year, and this is in a region where the death penalty is heavily enforced. (Death Penalty in Focus, Table 1.1) On the other side of the pole, the states in the Northeast region were as little as eighty murders in the same time span. These statistics definitely contradict the stated reason for even having the death penalty. President George W. Bush made this statement in support of capital punishment, â€Å"I think that the reason to support the death penalty is because it saves people’s lives†¦ It is the only reason to beShow MoreRelatedThe Constitutionality Of The Death Penalty1270 Words   |  6 PagesThe constitutionality of the death penalty has been a heated topic of discussion for decades. The history of the death penalty in the United States is extensive; from a suspension to a reinstating and individual statutes throughout the 50 states. One of the most controversial of the Supreme Court cases involving the death penalty is Roper v. Simmons. In 2005, the Supreme Court ruled that the execution of people who were under 18 at the time of their crimes violates the federal constitutional guaranteeRead MoreConstitutionality of the Death Penalty1580 Words   |  7 PagesConstitutionality of the Death Penalty Case Law and Prosecution There has been much controversy concerning the death penalty both within society and the judicial system. Courts throughout the nation have waivered back and forth on the subject. Several times in various states the death penalty has been abolished, re-instated, and vice-versa. From 1976 to present day the death penalty has been in effect federally, but that does not mean that the law will remain in place for good. There areRead MoreEssay On The Death Penalty1641 Words   |  7 PagesThe death penalty plays a controversial role in modern society. Many arguments against the death penalty are raised to question whether it is biased against race or violates the constitution. Reuben Greenberg, the first black police chief involved in innovative criminology and author of the article â€Å"Race, the Criminal Justice System, and Community-Oriented Policing,† openly shares his opinion on how race does not affect the death penalty. Reuben Greenberg also proves false accusations o f the deathRead MoreEssay about The Debate Over Capital Punishment1141 Words   |  5 Pagesand learn about the death penalty. The use of this punishment has helped to reduce crime and alter the minds of future criminals to deter them against committing heinous crimes such as murder, treason, espionage, terrorism and in some cases aggravated kidnapping. Advocates say it deters crime while abolitionists say it is unconstitutional. It is historically shown that the use of capital punishment is justified. Capital punishment should be upheld due to its constitutionality, morality, and deterrenceRead MoreShould Capital Punishment Still be Used in the American System1260 Words   |  6 Pagespunishment, also known as the death penalty, â€Å"is the pre-meditated and planned taking of a human life by a government in response to a crime committed by that legally convicted person† (usliberals.about.com). â€Å"Most death penalty cases involve the execution of murderers.† Cap ital punishment can also be â€Å"applied for treason, espionage, and other crimes† (ProCon.org Death Penalty ProCon.org). The death penalty is done â€Å"primarily by means of lethal injection† (ProCon.org Death Penalty ProCon.org). ManyRead MoreThe Death Penalty Is A Punishment For A Crime926 Words   |  4 Pagesthe United States that has the death penalty as part of the state’s sentencing options. Basically, the death penalty is a punishment for a crime, typically murder, where the individual is put to death by some approved execution method (e.g. lethal injection). The death penalty is mentioned in North Carolina’s constitution. Specifically, Article XI, section 2 of North Carolina’s constitution states that the General Assembly has the power to implement the death penalty as a punishment for specific crimesRead MoreHistory of THe Capital Punishment Essay714 Words   |  3 PagesThe capital punishment, known as the death penalty has been a widely debated topic in America over its constitutionality after being reinstated in 1976. There are two distinct sides in the debate over whether the death penalty is an unjust punishment. The debate spreads over to whether mentally ill and juvenile s should be tried as adults and receive the death penalty or if their mental capacity restrains the government from issuing the punishment. Not only that, but the methods used to administerRead MoreCapital Punishment : Deontology Vs. Consequentialism1165 Words   |  5 Pagesdeontological and consequentialist arguments on both sides of the issue of capital punishment in Gregg v Georgia. In this paper I will present the moral arguments of deontology and consequentialism used to determine whether or not using the death penalty was in fact constitutional. I will present both sides of the arguments and present them in the context of this trial and of similar situations where the arguments could also be applied. In the case of Gregg v Georgia the defending party, TroyRead MoreThe Death Penalty : Costly, Counterproductive, And Corrupting1678 Words   |  7 PagesBright, Stephen B.: The death penalty as the answer to crime: costly, counterproductive and corrupting; 35 Santa Clara Law Review 1211 (1995) Summary paragraph: In Stephen Bright’s article, â€Å"The Death Penalty as the Answer to Crime: Costly, Counterproductive, and Corrupting† Bright asserts that capital punishment does not work because it is racially biased, the quality of the lawyers and attorneys supplied by the state to poor defendants is unfair, and that the law system currently in place doesRead MoreThe Death Penalty For Juveniles1169 Words   |  5 PagesResearch Paper: Death Penalty for Juveniles Capital punishment for juveniles is one of the most controversial topics to ever be explored in society and in the criminal justice system. The death penalty is a rare occurrence amongst juveniles since it is so arguable as to whether they should be tried as adults. Lynn Cothern from the Juvenile Justice Resource Center suggests that â€Å"the primary purpose of the juvenile justice system is to hold juvenile offenders accountable for delinquent acts while

Convictions Paper Free Essays

Convictions 1 Convictions Ohio Christian University CM3000 – Christian Excellence Convictions 2 We all live our lives according to our set of personal convictions. Personal convictions are the blueprints that guide us down the path of life. We generally obtain our core convictions during childhood based on our culture, where we live and our religious beliefs. We will write a custom essay sample on Convictions Paper or any similar topic only for you Order Now It is probably safe to say that no two people will have the exact same convictions because each of our experiences and backgrounds vary in some manner. When thinking about convictions, I am reminded of the following scripture; â€Å"One man esteemeth one day above another: another esteemeth every day alike. Let every man be fully persuaded in his own mind† (Romans 14:5). Although the Bible does not specifically mention convictions, I am sure that Paul was talking about each person’s individual convictions. In the book Christian Excellence Alternative To Success written by Jon Johnston, he tells us that there are four pitfall concerning convictions that we have to be aware of: 1. Superstitious Convictions 2. Convictions that attract attention for selfish egos . Convictions generated by an unwillingness to change 4. Convictions that are negative Convictions 3 Convictions that are Superstitious As a professed Christian, I have often been guilty of looking at horoscopes and once for a lark, going to a psychic. However; even when I was indulging in each of these activities I felt a little squeamish. I was taught to believe that God alone knows our futures. By reading the horoscopes and going to the psychic, I was not being true to my religious convictions. As Christians, we have to be careful to stay away from anything that opposes biblical teaching. When we indulge in something that is superstitious it advocates faith in something other than God, and it is a form of divination. We cannot determine God’s will for our lives through horoscopes or psychics. As Christians, we are to read the Bible and pray to God in order to gain wisdom and guidance. Convictions that Attract attention for a selfish ego Matthew 6: 16-18 states, â€Å"â€Å"Whenever you fast, do not put on a gloomy face as the hypocrites do, for they neglect their appearance so that they will be noticed by men when they are fasting. Truly I say to you, they have their reward in full. â€Å"But you, when you fast, anoint your head and wash your face so that your fasting will not be noticed by men, but by your Father who is in secret; and your Father who sees what is done in secret will reward you,† (King James). For me, this is the essence of not attracting attention for a selfish ego. Everything that we do should be for the Glory of God and not the approval of man. When we live by convictions based on what man thinks, we open our heart to sin, including the sin of egotism. Lucifer, who was one on God’s most glorious creations, fell from grace due to his ego. Convictions 4 When we allow ourselves to be reeled in by our egos, we put ourselves in the â€Å"first place† that belongs only to God. In effect we are separating ourselves from depending on God. I have to be very careful of using the words I and me. I have overcome a lot of issues and now have a great life. However; I try and always remember to leave ego out and remember that it was by and thru the Grace of God. Convictions generated by Unwillingness to Change In the textbook Christian Excellence Johnston says, â€Å"Today, some of us slide into a â€Å"conviction rut† in order to avoid facing change† (p. 132). My Father was 32 years older than my Mother. I was born when my father was 52 and my sister when he was 56. My Father was born in 1910 and had grown up thru the depression and under conditions that were vastly different from my sister and I. My Father had to make many changes in his thoughts, actions and attitudes to ensure that he was able to be the best Father in the world. This included going places he was not used to and participating in activities foreign to him so that we could navigate a modern life. I am absolutely certain this was difficult for him, but because of the love he felt for us he was willing to change. Often when people are unable to accept change, they become isolated. I don’t think by making changes in our lives we have to go against God. Titus 3:5 states, â€Å"He saved us, not because of works done by us in righteousness, but according to his own mercy, by the washing of regeneration and renewal of the Holy Spirit,† (King James). The scripture speaks of renewal and regeneration and they both require change. We have to be able to change our attitudes in order to ge Convictions 5 along with others. Johnston is not saying that we have to change our values, but we have to be willing to adapt ourselves to situations. In the textbook, he gave an example of how some were not willing to accept new medical advances. I am one who believes that God provides the knowledge available to Doctors to save lives. Accepting the benefits of medical technology is a form of being able to accept change. The Jews wandered in the wilderness for 40 years because they were unable to accept change. They were unable to move beyond the life of slavery and cruel masters to the lives that God had ordained them. Their inability to accept change induced them to be grumblers and complainers. It literally isolated them from God. Convictions that are Negative In the course of life, I have heard dialogue from some Christians and thought to myself, â€Å"they do not inspire anyone to become a Christian. † This was due to their negativity. It seemed as if everything was a sin. They treated everyone else as a condemned sinner not worthy of God’s love. Alfred A. Montapert said, â€Å"Avoid destructive thinking. Improper negative thoughts sink people. A ship can sail around the world many, many times, but just let enough water get into the ship and it will sink. Just so with the human mind. Let enough negative thoughts or improper thoughts get into the human mind and the person sinks just like a ship† (worldofquotes. com). Jesus encountered many negative people even while he was attempting to save them from sin. Even one of the men hanging on the cross with Jesus instead of asking for mercy, went to his death a pathetic and negative person. When we are negative, are hearts are heartened to good news. I think this is a sin. The Bible admonishes us to â€Å"In the same way, let your light shine Convictions 6 before men, that they may see your good deeds and praise your Father in heaven,(Matthew 5:16). As Christians one of our primary roles is to lead others to Christ. When we are negative and sour faced we are unable to do that. In closing, although we all do have different convictions, If we are Christian, we have a common denominator, Jesus Christ. I think we have to occasionally examine our convictions and determine if they are Christ like. We have to determine if we have wrapped ourselves in a self-righteous cloak of convictions that is more worldly than Godly. Convictions 7 References Johnston, J. (1996). Christian Excellence Alternative To Success. Second Edition. JKO Publishing. Franklin, Tn. World of Quotes. Retrieved March 2012. Alfred A. Montepert. http://www. worldofquotes. com/Negative: How to cite Convictions Paper, Papers Convictions Paper Free Essays Convictions are defined as: 1. An unshakable belief in something without need for proof or evidence. 2. We will write a custom essay sample on Convictions Paper or any similar topic only for you Order Now (Criminal law) a final judgment of guilty in a criminal case and the punishment that is imposed; â€Å"the conviction came as no surprise†. 3. The act of convicting; the act of proving, finding, or adjudging, guilty of an offense. 4. A judgment of condemnation entered by a court having jurisdiction; the act or process of finding guilty, or the state of being found guilty of any crime by a legal tribunal 5.  The act of convincing of error, or of compelling the admission of a truth; confutation 6. The state of being convinced or convicted; strong persuasion or belief; especially, the state of being convicted of sin, or by one’s conscience. .[Websters] As we look at convictions in our lives it is important for us to discern where those convictions are rooted and based. Not all convictions are always rooted in God. Some convictions are little more than superstitions which are based on a notion or illusion. There is a distinct difference between feelings and conviction†¦. Feelings are defined as, â€Å"an awareness of something; a notion or belief not based on reason; emotions rather than intellect. † We need to be sure that we are grounded in what God tells us. There are many voices that we hear; of these we have the voice of self, the voice of the world, and the voice of God. We should be able to determine whether the convictions we hold true to us and follow are from God or another voice. This only becomes possible by knowing God’s voice from the other voices we hear on a regular basis. The bible tells us â€Å"The sheep that are My own hear and are listening to My voice; and I know them, and they follow Me. † (John 10:27 Amplified Bible) I cannot personally recall a time when I held convictions that were not in line with God’s word but there have been times in my life that I feel my thought process slipping of course and need to align myself with God’s through time in his Word. For the Word of God is quick, and powerful, and sharper than any two-edged sword, piercing even to the dividing asunder of soul and spirit, and of the joints and marrow, and is a discerner of the thoughts and intents of the heart. † (Hebrews 4:12 KJV) Convictions that attract attention for a selfish ego puts us first rather than putting God first, these convictions are often rooted in pride or a desire for attention. Being in the spotlight and gaining attention can be attractive but as we know as Christians we must die to ourselves and seek to put God first in every area of our lives. The Bible speaks in many places of how God feels about pride. â€Å"To fear the LORD is to hate evil; I hate pride and arrogance, evil behavior and perverse speech. † (Proverbs 8:13 NIV). And in (Romans 2:8 NIV) â€Å"But for those who are self-seeking and who reject the truth and follow evil, there will be wrath and anger. † Some convictions are generated by an unwillingness to accept change. It happens sometimes we get comfortable with how things are and how things have been and in general change can be difficult. In change lies a fear of the unknown. Sometimes we fail to see that along with change come opportunities for growth. The Bible tells us â€Å"God is our refuge and strength, an ever-present help in trouble. Therefore we will not fear, though the earth give way and the mountains fall into the heart of the sea, though its water roar and foam and the mountains quake with their surging. † (Psalm 46:1-3 NIV). I see this in me as well at times it is easy to be complacent and go with the flow and not seek change in our lives. I cannot recall any convictions I have held that were rooted in an unwillingness to change but I can definitely see how this could be possible. For a while I knew that God has been calling me into ministry as a vocation but wasn’t sure where to start or how. I would make excuses on why I couldn’t do it or why it wouldn’t work. I had chosen a career path and the change and transition not to mention the uncertainty would not be easy. For years I wrestled with this. Sometimes I would say maybe I can just spend more time in prayer for the lost and hurting or work in my sphere of influence. It came down to a resistance to submit everything including my future to God. I still feel lost in at times. But I know that I am one step closer as I am now pursuing an education which will support this calling. I am confident God will open the doors that need to be opened when the time comes. But I know that this is the first step in that process. That’s much how God works, revealing His plan to us on a step-by-step basis. How to cite Convictions Paper, Essay examples

Contemporary Clinical Manifestations Patientâ€Myassignmenthelp.Com

Question: What is the Contemporary Clinical Manifestations of the Patient? Answer: Introducation The contemporary clinical manifestations of the patient include the increase in the ischemic stroke which he got diagnosed within the last six months. The ischemic stroke gets caused by the reduction in the blood flow into the brain of the patient. Thus, the patient experiences a decrease in the cerebral blood which accelerates the reperfusion through the thrombolysis using the recombinant tissue of the plasminogen activator (rt-PA)(Brambilla, et al., 2013). The rt-PA has got an association for an improved clinical result. Further, his hypertension has increased with the high prevalence of the Ischemic Heart Disease. Hypertension involves the chronic surge of the blood pressure which in the long-term results to the destruction of the organ. It also leads to the increased morbidity and the mortality rate. Moreover, the patient complains of the continued gastro-oesophageal reflux. The patient narrates that he feels kind of a gastric juice that comes back into the esophagus exceeding th e reasonable limit. The Patient Information Mr. Tim Hewson, aged 61 years old, who got widowed and left with no children. He lives alone in the apartment block. As a nurse, I feel that my client does not receive entirely any family-centered care and support since there is no family member or relative living with him. Hence, the patient may develop stress and have a feeling of loneliness which most likely would render the medications he receives ineffective and have a reduced efficacy(Ringoir, Pedersen, WIddershoven, Pop, 2014). The patient has got a medical history for ischemic stroke, high blood pressure, ischemic heart disease and the signs of gastroesophageal reflux disease. There is strong medical rationale currently for the patient that include the drug and the prescribed dosage. For instance, the 20mg Lisinopril, the Frusemide 40mg each day, 150mg of aspirin for a daily dosage. Furthermore, the Coloxyl and Senna tablets for a dosage of 2 tabs daily, the Nexium which is 40mg mane, Panadol, 400mg Ibuprofen TDS (taken prio r retire to bed). Further Assessments and the Issues to Consider I would like to acquire more information regarding Mr. Tims height, weight, whether he smokes or not. Moreover, would require additional information if the patient consumes alcohol and the kind of meal that has got prescribed for him. The height and weight would assist me to check on the patients basal mass index (BMI) so as to rule in or out obesity condition based on the index value obtained. In most instances, patients who are obese do experience high blood pressure(Shekelle, et al., 2013). Information about smoking gets critical in determining whether the patient might have any signs of the cigarette components related cancer or noncancerous lung disease as a result of the hydrogen cyanide gas from the cigarette smoke. The type of meal prescribed for the patient would assist me in knowing what balance diet I should offer my client during the nursing care(Aust, 2013). The knowledge about patient alcohol consumption would create the basis for determining whether the patient suffers from alcohol-related diseases in case he drinks. Establishment of the Care Goal As a competent nurse, I would first start by introducing to my client and bring to his attention that I would be the one taking of him. I should listen to him carefully and note any difficult in his communication if therein and devise a mechanism for effective communication. Based on the nursing practice standards, I should show empathy and deep concern for my client by creating enough time to stay close to the patient(Kitson, Marshall, Bassett, Zeitz, 2013). Thus, fight the loneliness feeling and offer more opportunity to learn more about how my patient feels. Besides, I shall encourage the client to enjoy his meal and take the medication rationales as prescribed for the faster recovery. Finally, I would always give my patient hope that he shall recover and all shall get well. Evaluation I would apply three strategies to evaluate my patient. The strategies include monitoring, outcome and the impact evaluation. The follow-up evaluation is the kind of assessment that takes effect shortly after the nursing intervention begins and goes up to the midway. The monitoring assessment would allow me to determine what I should do for my patient next. The patient outcome evaluation would enable me to assess the medication results on my client(Arora, Goldeberg, Menchine, 2014). The outcomes may be short-term or long-term. The impact assessment would assist in measuring the changes in the patient before and after receiving medication and other nursing care services. Examples of other nursing care services include the consolation, stress management, and the loneliness feeling fight. Usually, the impact assessment would help to answer some nursing questions on how much have the patient condition has improved References Arora, S., Goldberg, A. D., Menchine, M. (2014). Patient impression and satisfaction of a self-administered, automated medical history taking device in the emergency department.Western Journal of Emergency Medicine,15(1). Aust, M. P. (2013). Critical care nursing: a holistic approach. Brambilla, G., Bombelli, M., Seravalle, G., Cifkova, R., Laurent, S., Narkiewicz, K., ... Grassi, G. (2013). Prevalence and clinical characteristics of patients with true resistant hypertension in central and Eastern Europe: data from the BP-CARE study.Journal of hypertension,31(10), 2018-2024. Kitson, A., Marshall, A., Bassett, K., Zeitz, K. (2013). What are the core elements of patient?centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing.Journal of advanced nursing,69(1), 4-15. Ringoir, L., Pedersen, S. S., Widdershoven, J. W. M. G., Pop, V. J. M. (2014). Prevalence of psychological distress in elderly hypertension patients in primary care.Netherlands Heart Journal,22(2), 71-76. Shekelle, P. G., Pronovost, P. J., Wachter, R. M., McDonald, K. M., Schoelles, K., Dy, S. M., ... Bates, D. W. (2013). The top patient safety strategies that can be encouraged for adoption now.Annals of Internal Medicine,158(5_Part_2), 365-368.

Contemporary Clinical Manifestations Patientâ€Myassignmenthelp.Com

Question: What is the Contemporary Clinical Manifestations of the Patient? Answer: Introducation The contemporary clinical manifestations of the patient include the increase in the ischemic stroke which he got diagnosed within the last six months. The ischemic stroke gets caused by the reduction in the blood flow into the brain of the patient. Thus, the patient experiences a decrease in the cerebral blood which accelerates the reperfusion through the thrombolysis using the recombinant tissue of the plasminogen activator (rt-PA)(Brambilla, et al., 2013). The rt-PA has got an association for an improved clinical result. Further, his hypertension has increased with the high prevalence of the Ischemic Heart Disease. Hypertension involves the chronic surge of the blood pressure which in the long-term results to the destruction of the organ. It also leads to the increased morbidity and the mortality rate. Moreover, the patient complains of the continued gastro-oesophageal reflux. The patient narrates that he feels kind of a gastric juice that comes back into the esophagus exceeding th e reasonable limit. The Patient Information Mr. Tim Hewson, aged 61 years old, who got widowed and left with no children. He lives alone in the apartment block. As a nurse, I feel that my client does not receive entirely any family-centered care and support since there is no family member or relative living with him. Hence, the patient may develop stress and have a feeling of loneliness which most likely would render the medications he receives ineffective and have a reduced efficacy(Ringoir, Pedersen, WIddershoven, Pop, 2014). The patient has got a medical history for ischemic stroke, high blood pressure, ischemic heart disease and the signs of gastroesophageal reflux disease. There is strong medical rationale currently for the patient that include the drug and the prescribed dosage. For instance, the 20mg Lisinopril, the Frusemide 40mg each day, 150mg of aspirin for a daily dosage. Furthermore, the Coloxyl and Senna tablets for a dosage of 2 tabs daily, the Nexium which is 40mg mane, Panadol, 400mg Ibuprofen TDS (taken prio r retire to bed). Further Assessments and the Issues to Consider I would like to acquire more information regarding Mr. Tims height, weight, whether he smokes or not. Moreover, would require additional information if the patient consumes alcohol and the kind of meal that has got prescribed for him. The height and weight would assist me to check on the patients basal mass index (BMI) so as to rule in or out obesity condition based on the index value obtained. In most instances, patients who are obese do experience high blood pressure(Shekelle, et al., 2013). Information about smoking gets critical in determining whether the patient might have any signs of the cigarette components related cancer or noncancerous lung disease as a result of the hydrogen cyanide gas from the cigarette smoke. The type of meal prescribed for the patient would assist me in knowing what balance diet I should offer my client during the nursing care(Aust, 2013). The knowledge about patient alcohol consumption would create the basis for determining whether the patient suffers from alcohol-related diseases in case he drinks. Establishment of the Care Goal As a competent nurse, I would first start by introducing to my client and bring to his attention that I would be the one taking of him. I should listen to him carefully and note any difficult in his communication if therein and devise a mechanism for effective communication. Based on the nursing practice standards, I should show empathy and deep concern for my client by creating enough time to stay close to the patient(Kitson, Marshall, Bassett, Zeitz, 2013). Thus, fight the loneliness feeling and offer more opportunity to learn more about how my patient feels. Besides, I shall encourage the client to enjoy his meal and take the medication rationales as prescribed for the faster recovery. Finally, I would always give my patient hope that he shall recover and all shall get well. Evaluation I would apply three strategies to evaluate my patient. The strategies include monitoring, outcome and the impact evaluation. The follow-up evaluation is the kind of assessment that takes effect shortly after the nursing intervention begins and goes up to the midway. The monitoring assessment would allow me to determine what I should do for my patient next. The patient outcome evaluation would enable me to assess the medication results on my client(Arora, Goldeberg, Menchine, 2014). The outcomes may be short-term or long-term. The impact assessment would assist in measuring the changes in the patient before and after receiving medication and other nursing care services. Examples of other nursing care services include the consolation, stress management, and the loneliness feeling fight. Usually, the impact assessment would help to answer some nursing questions on how much have the patient condition has improved References Arora, S., Goldberg, A. D., Menchine, M. (2014). Patient impression and satisfaction of a self-administered, automated medical history taking device in the emergency department.Western Journal of Emergency Medicine,15(1). Aust, M. P. (2013). Critical care nursing: a holistic approach. Brambilla, G., Bombelli, M., Seravalle, G., Cifkova, R., Laurent, S., Narkiewicz, K., ... Grassi, G. (2013). Prevalence and clinical characteristics of patients with true resistant hypertension in central and Eastern Europe: data from the BP-CARE study.Journal of hypertension,31(10), 2018-2024. Kitson, A., Marshall, A., Bassett, K., Zeitz, K. (2013). What are the core elements of patient?centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing.Journal of advanced nursing,69(1), 4-15. Ringoir, L., Pedersen, S. S., Widdershoven, J. W. M. G., Pop, V. J. M. (2014). Prevalence of psychological distress in elderly hypertension patients in primary care.Netherlands Heart Journal,22(2), 71-76. Shekelle, P. G., Pronovost, P. J., Wachter, R. M., McDonald, K. M., Schoelles, K., Dy, S. M., ... Bates, D. W. (2013). The top patient safety strategies that can be encouraged for adoption now.Annals of Internal Medicine,158(5_Part_2), 365-368.