President Of The United States - 1210 Words

A politician’s career is like a roller coaster. They face ups and downs with achievements and disappointments. Through the eyes of the media, politicians are watched by the public and need to make good choices for their constituents and the region they represent. The President of the United States is put under enormous pressure, and is counted on to make the best decisions for the country. Throughout Ronald Reagan’s two terms as president, he was both praised and criticized by American citizens. Many policies and choices he made benefited society, while some others hurt his image. Based on the information from Chris Matthews’ book Hardball, Ronald Reagan went through peaks and valleys during his presidential terms, both gaining and losing public support. Reagan excelled at including and accepting other people s’ ideas, as a result of his prior experiences. The public tends to favor public figures and famous people, and Ronald Reagan was both. He had learned the importance of sharing power from his experience as an actor. The separation of powers system within the US government was facilitated extensively during Reagan’s terms, since he was taught that â€Å"...each member of a big organization had his own part to play† (93). Reagan believed a production would not be the same if one character were absent, because every member contributed to the storyline. Rather than appearing as an overbearing figure with absolute authority, he wanted to distribute power and solveShow MoreRelatedThe President Of The United States1532 Words   |  7 PagesThe president is the most important job in the United States. Not the ruler of the United States ,but have some power over the country. The president of the United States i s a person who symbolize the country and leads the country by making decisions of what is the best thing to do. The president needs to know about the past history such as the conflict of World War I and II and different events that led to violence in our own country. The president of the United States needs to know how the systemRead MoreThe President Of The United States1617 Words   |  7 PagesThe President of the United States is a well respect and immensely powerful position. Every 4 years, a new president is elected. Many highly respect individuals hold competition for this career, presenting their ideas and beliefs for the American people to support or refute. The United States current president, Barack Obama, is ending is 2nd term in office. This starts the debate and discussion of who will take his place as president. Currently, there is an enormous selection of individuals who peopleRead MoreThe President Of The United States777 Words   |  4 PagesThere are many flaws in the actions of the President of the United States using executive action to shape policies for the United States, but congress plays a major role in the reasons why there are so many issues pertaining to the use of executive action. Another flaw is that it is not spelled out in the constitution that the president is allowed to bypass congress on any issues that are not attended to. Congress makes a huge fuss about the president executing his executive actions but congressRead MorePresident Of The United States1262 Words   |  6 PagesThe President of the United States of America is literally the most important person on this planet. Why, you may ask? Well, that’s because, he is â€Å"in charge† of the most powerful and influential country of the world. Every decision he makes, in regard to America, can and will affect every other country in some sort of way. Presidents have so much power that every decision they make becomes news. Now, the next logical question wo uld be, where does all this power come from? Who said it was okay forRead MorePresident Of The United States1508 Words   |  7 PagesIn order to become president of the United States, one must meet several qualifications. These include being a naturally born citizen of the United States who is at least 35 years old and has resided in the U.S. for at least fourteen years. Hillary Clinton meets all of these qualifications. Clinton was born on October 26, 1947, in Chicago, Illinois. Her current age is 69. She was raised in Park Ridge, Illinois, which is a picturesque suburb located about fifteen miles from downtown Chicago (â€Å"HillaryRead MoreThe President Of The United States1611 Words   |  7 PagesIn every presidential election, political debates occur with the political party’s main candidate where they offer their views on running the country then citizens decide who should be the president of the United States. In 1984, President Ronald Reagan and Walter Mondale participated in their second debate against each other. Four panelists on the topic of defense and foreign policy issues would prompt the two candidates to certain issues of their concern. Some issues in the dispute that were discussedRead MoreThe President Of The United States930 Words   |  4 PagesThe President of the United States, Jackson M. Washington, was six-foot three-inch’s tall, athletic build, salt and pepper graying hair; he was fifty-three years old. He had served in the Marines after College for four years and ended up getting out as a Captain after his first hitch. From there he started his political career by volunteering for certain candidates for Congress and the Senate that had a message that resonated with him. Back then he switched party affiliations often, like changingRead MoreThe President Of The United States1245 Words   |  5 PagesThe leader of the country In the United States of America is called the President. The title President is deriv ed from Latin, prae- before + sedere to sit. It originally designated the officer who presides over or sits before a gathering and ensures that debate is conducted according to the rules of order. The President is the brain for millions of government workers in the Executive Branch. And as well chooses how the laws of the United States are to be enforced along with singling outRead MoreThe President Of The United States Essay1682 Words   |  7 PagesThroughout United States history, the American people voted for the President of the U.S. and for members of both chambers of Congress, and the 2016 election is not an exception. On November 9th, Donald J. Trump was declared to become the 45th President of the United States by attaining 306 electoral votes, which is clearly past the threshold of the required 270 electoral votes. However, after winning the popular vote in states Trump had won, some electors from those states have expressed their disappointmentRead MorePresident Of The United States860 Words   |  4 PagesA president of the United States must perform various roles such as, Chief Legislator, Commander in Chief, Chief Executive, Chief of State, Chief of Party, Chief Administrator, Chief Diplomat, and Chief Citizen. As the 42nd president of the United States, Bill Clinton was a great president because of his performance in presidential roles and policies put forth during his presidency. According to Compton’s Encyclopedia, Bill Clinton was born in Hope, Arkansas. He attended several universities including

Franz Kafkas Life Reflected in his Work, The...

Franz Kafkas Life Reflected in his Work, The Metamorphosis The Metamorphosis written by Franz Kafka is considered one of the few great, poetic works of the twentieth century. Addressing The Metamorphosis, Elias Canetti, a Nobel Prize-winning author, has commented, In The Metamorphosis Kafka has reached the height of his mastery: he has written something which he could never surpass, because there is nothing which The Metamorphosis could be surpassed by - one of the few great, perfect poetic works of this century (http://www.mala.bc.ca/~mcneil/m4lec5a.htm). There are many symbolisms and parallelisms used in the story. [Kafkas] disturbing, symbolic fiction, especially The Metamorphosis, written in German, [not] only prefigures the†¦show more content†¦With the rise of Gregor, Kafka describes the dull, gloomy and humid environment that foreshadows the decay and deterioration of Gregors life. As soon as Gregor opens his eyes, he finds himself positioned in an uncomfortable manner and transformed into a monstrous vermin or a gigantic ins ect, a worthless creature, with his hard armor-plated back lying on the bed: He was lying on his hard, as it were armor-plated, back and when he lifted his head a little he could see his dome-like belly divided into stiff arched segments? (Kafka 296). With this arresting opening, Kafka has set his mysterious psychological fantasy in motion. He plainly describes Gregors uneasiness of keeping himself balanced in his bed. His numerous pitifully thin legs waved helplessly in the air before his eyes (296). Just so the readers are not left in confusion, Gregor asserts that It was not a dream, and sees for himself, in disbelief, that he is still in his own regular human bedroom, with a collection of cloth samples widespread on the top of the table (296). Slowly and gradually, we notice Gregors difficulty in getting up from his bed and his effort to get up safely without hurting hims5elf. This is clearly seen when the narrator says, If he tried to bend a leg, it first straightened out; and if he finally succeeded in taking charge of it, the other legsShow MoreRelatedThe Metamorphosis By Franz Kafka1147 Words   |  5 Pages27 October 2015 The Metamorphosis Franz Kafka led a life filled with struggles, particularly evident in his relationship with his father. His experiences and feelings in life are manifested throughout his writings, as the themes in his life dominate the themes of his works, especially so in his novella, The Metamorphosis. Through his extended metaphor of Samsa as a vermin, Kafka illustrates the family dynamic present throughout his life, that of his family, and particularly his father, devaluing andRead More Comparing Franz Kafka and Gregor Samsa in The Metamorphosis Essay1549 Words   |  7 PagesSimilarities between Franz Kafka and Gregor Samsa in The Metamorphosis It is unusual to say the least to open a book and the first line is about the main character waking up as a large insect. Most authors’ use symbolism to relate the theme of their work, not Franz Kafka. He uses a writing method that voids all aspects and elements of the story that defy interpretation. In doing this, he leaves a simple story that stands only for an objective view for his own thoughts and dreams. Kafka focusesRead MoreFranz Kafka s The Metamorphosis1544 Words   |  7 PagesFranz Kafka, struggled throughout his life with isolation, which is clearly a great influence and inspiration in his work, The Metamorphosis. Franz Kafka was born in 1883 to an upper middle class Jewish family in Prague. Kafka struggled with many problems in all facets of his life, most significantly in his his health, his relationships with the people in his life, and his relationship with work. Each of these problems contributed to his isolation, which is reflected in his character Greg or Samsa’sRead MoreThe Father Who Changed a Writers Life Essay1026 Words   |  5 Pages1883, Franz Kafka had become one of the most influential existential writers of the twentieth century. Kafka’s works often portrayed ideas such as isolation, alienation, and authoritarian oppression (â€Å"Franz Kafka†). As like most writers, their works are influenced by either an event or a person’s role in their life, Kafka had his influence. Kafka’s father played one of the more prominent roles in his life that can be seen in his writing and even after the day he dies. Hermann Kafka, Kafka’s fatherRead MorePersonal Experiences Reflected in Metamorphosis by Gregor Samsa1061 Words   |  5 Pagesinfluences their piece. Franz Kafka, born into a Jewish family in Prague, incorporated many of his life experiences into his work The Metamorphosis. The Metamorphosis presents many connections between the life of the protagonist, Gregor Samsa, and Kafka himself. Some literary analysts claim it serves as an outlet for his distraught life. Based on the events of Gregor Samsa’s life, it can be deduced that Franz Kafka used his personal experiences as an inspiration for The Metamorphosis. Kafka portraysRead MoreThe Metamorphosis by Kafka1062 Words   |  5 PagesIn the novel, The Metamorphosis, Kafka writes about a man who one day transformed into a bug. Kafka’s own feelings of nothingness caused this story to shape into this unique story. Kafka writes, â€Å"The dream reveals the reality, which conception lags behind. That is the horror of life – the terror of art† (qtd. In Kennedy and Gioia 299). Kafka said this as a rebuttal to a friend trying to pry information out of him about The Metamorphosis. Kafka meant that the true burden of art is that a person’sRead More‘The Metamorphosis’ and ‘A Hunger Artist’980 Words   |  4 Pagesdifferences between Franz Kafka’s â€Å"The Metamorphosis† and A Hunger Artist. Kafka portrays these differences and similarities very effectively through his utilization of elements such as transformation, dehumanization, and dedication to work. Through his works, Kafka communicates with the reader in such a way that almost provokes and challenges one’s imagination and creativity. Kafka is known for his highly symbolic and oblique style of writing. It is no surprise that several of his pieces containRead MoreEssay on The Metamorphosis, by Franz Kafka1973 Words   |  8 Pagesindividual’s life can have a negative or positive affect on their self-concept. Focusing on negative self-concept, we can see reoccurring variables in their social environment that can trigger depressive symptoms. Franz Kafka’s The Metamorphosis, begins when Gregor has awakened from his disturbed dream as a dung beetle. Gregor, the main character and Kafka himself, experienced insecure behavior, alienation and depression in their relationships. For Gregor, these symptoms had a tremendous effect on his self-concept:Read MoreAnalysis Of Franz Kafka s The Metamorphosis 3979 Words   |  16 PagesAustin Day Professor Imali Abala English 357 18 February 2015 The Theme of Alienation in Franz Kafka’s The Metamorphosis The Metamorphosis written by Franz Kafka in 1915 is said to be one of the greatest literary works of all time and is seen as one of Kafka’s best and most popular works of literature. A relatively short novel; the story explains how the protagonist, Gregor Samsa wakes up one morning to find himself transformed into a vermin which completely estranges him from the world even moreRead MoreA Concrete Human Existence, And The Conditions Of Such Existence1689 Words   |  7 PagesThesis. Existentialists focus on the question that is a concrete human existence, and the conditions of such existence; they do not dwell on a hypothesis for human essence, instead they stress that this essence is determined by an individual’s own life choices. Although humans live in the world, a distance is created in order to add meaning to the disinterested world; however, this meaning is fragile and can be disturbed by tragedy or insight. When this disturbance occurs, and human’s precarious

Nursing and Care free essay sample

The concept of Synergy can be applied to the practice of nursing by means of education and service. To obtain Synergy in nursing the nurse’s knowledge and skills are able to meet the individual needs of the patient population that is presented. Currently in Western Pennsylvania, there is a rising number maternal substance abuse during pregnancy. This epidemic in turn creates a different type of population in infants than other areas of the Neonatal Intensive Care Unit (NICU), with specific healthcare needs. One area that is lacking synergy is the care of this rising patient population of infants suffering from Neonatal Abstinence Syndrome (NAS). This creates a gap between nursing education and clinical application. Due to the rise in NAS infants it is important for nurses to be educated in proper care for an infant presenting with this diagnosis, symptom management, communication skills, and the fundamental knowledge Neonatal Abstinence Syndrome. Poor patient outcomes can be caused by a lack of understanding addiction. The Vermont Oxford Network states, â€Å"Fear of stigmatization, discrimination, child removal, poor treatment, and criminal prosecution has deterred women from seeking care. However, the research suggests that providing substance dependent women with comprehensive healthcare, drug and alcohol abuse treatment, and social support improves pregnancy, birth, and child development outcomes. † (Horbar, Soll Buus-Frank, 2013) When the infant is admitted into the acute care setting, the care needs of these patients should focus less on the immediate outcome, and more on what will create the greatest good for each patient as an individual. There is an essential need for the development of collaborative solutions for care and education in the healthcare setting for the care of this rising population. Often this would be to provide care with a realistic goal of maintaining optimal levels of comfort with minimal side effects of withdraw. â€Å"About 40% of infants who exhibit withdrawal symptoms can be treated without medication. † (White, 2013) Nurses who take time to ensure a level of comfort will help to alleviate symptoms of NAS withdraw and also help support the family in their infant’s care. In addition to providing comfort will help decrease the need to be medicated for withdraw and ultimately will lead to a shorter hospitalization. The manager of a Neonatal Intensive Care Unit will need to address this issue and implement change in order to improve patient outcomes. The competencies that make up the Synergy model are clinical judgment, advocacy and moral agency, caring practices, facilitation of learning, collaboration, systems thinking, response to diversity, and clinical inquiry. For the NAS population advocacy, clinical judgment, caring practices and facilitation of learning are most important. Advocacy proposes the nurse to serve as a moral agent to work on the infant’s behalf in order to provide the greatest good to help resolve concerns that are both clinical and ethical. Clinical judgment is the ability for the nurse to take on the leadership role to care for their patient. Infants are unable to make healthcare decisions; the nurse must consider the parent’s wishes and what the result the nurses’ actions will yield for this infant. These actions must positively contribute to their plan of care overall. Caring practices creates a compassionate and therapeutic environment for each the patients, recognizing the unique needs of each infant. The nurse acts as a facilitator of learning when he/she incorporates the understanding of the infant’s family into the care. The Synergy mode includes patient characteristics, which are, resiliency, vulnerability, stability, complexity, resource availability, participation in care and decision-making and predictability. For the NAS population the patient characteristics would immediately associate complexity, vulnerability, and participation in care and decision-making. Complexity as referred to as to the multitude of symptoms that are to be considered for proper care of the patient. These infants are unable communicate pain, symptoms needs, and what their desire’s are. For example, these infant’s cry and are inconsolable until the nurse goes through a trial and error until he/she figures out the needs of the child. They do not understand what is happening to them. Vulnerability includes the stressors that these patients will be exposed to that may affect outcomes. The infants depend on the decisions their families and healthcare professionals. Increased length of hospital stay can lead to problems that may decline in their already compromised condition, for example, infection. Lastly, the NAS patients are vulnerable due to the fact that they are unable to make their own healthcare decisions and have to depend on parents and healthcare providers to be speak on their behalf. The parents participate in care as they receive information and help assist in the care for their child. Analyze the Case Nursing education places emphasis on clinical presentation, physical stressors and conditions that affect the patient and their associated treatments. Increased education is needed for nurses on the postpartum and NICU units about the treatment for this specific patient population. With the increase in drug dependent mothers there seems to be little nursing education provided on postpartum and NICU nursing units about the care for these infants, and this issue needs to be addressed. â€Å"Infants with NAS have higher rates of neonatal complications, prolonged lengths of stay and consume substantial NICU and hospital resources. Further, they impose a growing burden on already strained healthcare resources because state Medicaid expenditures are disproportionately impacted. † (Horbar, Soll Buus-Frank, 2013) The administration and education team needs to identify this problem and incorporate teaching and updated research on these units. One competency that lacks synergy in the nursing care of the NAS population is collaboration. â€Å"Collaboration enhances the capacity of a group and increases the potential for success. † (Hardin Kaplow, p. 75, 2005) It is not uncommon when different discipline areas such as the nurse, doctor, social worker etc. identify different goals for the patient. Poor communication causes the team to not work in unison to collaborate and work towards a common goal. â€Å"A key to collaboration is the communication that must exist between the patient, family, and health care team members as well as among members of the health care team. Another synergy lacking competency would be caring practices, which is the unique nursing care provided to the patient and families. Within the NAS population nurses have to recognize the differences and incorporated them into the infants care. Having compassion and creating a calming environment help provide comfort in a therapeutic environment. Often times the NAS population is considered as level II care, this allows for the nurses to take on a multiple patient assignment of three to five infants at a time. The NAS population is unique; they require much coddling and almost constant attention from the nurse. Having greater than three patients causes a great disadvantage to these children due to the nurse having to spread herself thin to meet the basic needs of feeding, changing and medicating, the nurse does not have adequate time to rock and soothe the infants causing greater withdraw symptoms. The rational decision-making model will help identify and implement the appropriate changes that are essential in optimizing care for the NAS population. Improvement in the education of the healthcare staff will create better patient outcomes. This decision making process includes three steps to achieve this objective: identify possible outcomes, determine probability of each outcome, and take action with the highest probability to achieve a positive outcome. The considered actions are increased in-person training, mandatory review of printed materials, or an on-line training course. The greatest positive outcome would come from increased in-person training. Create a Change Proposal Part of the nursing orientation for staff will be to participate in a class specified for the training related to care of the NAS infant prior to working in the NICU. Written material as well as a presentation will be provided. The attending physician will make a statement about services provided to the NAS infant, medications and important facts that the physician would like in report. For the staff nurses’ senior nursing projects are assigned yearly and are presented to maintain their status on the unit. Assigning NAS care to a few nurses each year will keep the most up to date research on the unit. These nurses will participate in Internet presentations that focus on quality, safety and care for infants and families of and NAS infant. Finally, a staff member from the social work team will join and present his/her role in the case of a NAS infant. The unit will provide CEU’s for this training. This proposal will affect the unit internally by involving the management team and multiple staff disciplines. The management team will help aid in this proposal by providing a day that is designated this additional training and appoint the appropriate nursing, physician and social work staff to participate in running the program. Finally obtaining CEU’s approved by the state board of nurses to offer education credits for after the completion of training. The designated nurses assigned to NAS as a senior project must keep up to date with the training information prior to the class of new staff, doing so will ensure they are prepared for questions that may arise. With this proposal the staff has the potential to increase the patient stability, outcome and satisfaction. Also this proposal will be aimed to help the nurses caring for NAS infants to promote patient care through evidenced based research. A change model that applies to this proposal would be the Lewin’s change model. This model is based on unfreezing, moving, and refreezing. First the unfreezing stage, the current beliefs and ideas will change with the desired outcome. The health care team will sufficiently identify the epidemic and need for changes in care for the NAS infant, inspiring the education and treatments needed to move the staff towards bettering practices. Lastly, refreezing, the nursing staff will have a new outlook or attitude towards NAS infants. Changes in the treatment process will be instituted based on the staff’s new outlook. Having the knowledge and resources for the care of the NAS infant will allow the care team to handle each unique case with evidenced based approach. Along with any type of change there will always be positive and negative outcomes on the environment. Positive outcomes will include an influx in nursing knowledge, better patient outcomes and an increased amount of resources for the staff. Negative outcomes may include not having the adequate amount of staff to run this program and the biases formed by individuals prior to participating in this class. A way to follow up with the care provided to these patients and their families would be an optional survey completed by the families allowing the unit to see their strengths and weaknesses. The survey will allow for improvement of care. â€Å"Nurses who have confidence in their ability to positively impact maternal parenting behaviors through education and skill building may impact patient care outcomes. It is imperative that the management and supervisors recognize the issues that nurse’s experience when caring for NAS infants. Educating staff will allow for a balance of practice and the nurses actions. Instituting this educational program will provide synergy to the NICU units and the epidemic of withdraw infants. The unit directors will be able to see that the changes to the unit and education instituted has worked when NAS infants have a shorter hospital stay, a decrease in the use of morphine and phenobarbital and finally patient/parental and nurse satisfaction. In conclusion, with the epidemic of substance abuse mothers on the rise it is imperative that neonatal nursing units properly educate their staff about the treatment and care of NAS infants. With the changes proposed in this case the care of this specific population will be enhanced. These infants are very fragile and require a lot of special attention. The proper care and education could make the world of a difference in a baby’s life.