Hospital Readmission Rates Among The Elderly Essay

Hospital readmission rates among the elderly are steadily becoming a growing topic of concern. Robinson, Esquivel, and Vlahov (2012) describe readmission or re-hospitalization as a return to the hospital shortly after discharge from a recent hospital stay (p. 338). The elderly, defined as 60 years of age and older, account for the highest hospital readmission rates in comparison to other age groups (Robinson, Esquivel, Vlahov, 2012). With medical advances, life expectancy is on the rise, which means older people will have more comorbidities and consequently be required to take more medications for symptom management. Generally when a person takes anywhere from two-nineteen medications, the term polypharmacy is introduced (Pasina et al., 2014). In hospital settings polypharmacy is not an issue because there are nurses and medical providers to address questions and concerns, administer medications, and monitor a patient for potential adverse effects. However, once discharge occurs, t his patient is left to juggle all aspects of their care on their own. A plan of care formulated to improve the elderly population s quality of life outside of the hospital, speaks to one of the Institute of Medicine s (IOM) core competencies, applying quality improvement. Apply Quality Improvement Applying quality improvement has been recognized as one of the Institute of Medicine s (IOM) core competencies. This competency serves to continually understand and measure quality of care inShow MoreRelatedOutcomes Management of Nursing Essay1567 Words   |  7 PagesMeasurement and Data Management Project: Hospital Readmissions Charmein Garner and Celeste Thomas Loyola University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. 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Educational Leadership Poverty And Learning - 1420 Words

Author/Title (in APA format): Payne, R. (2008). Educational Leadership: Poverty and Learning: Nine Powerful Practices Link: http://www.ascd.org/publications/educational-leadership/apr08/vol65/num07/Nine-Powerful-Practices.aspx. Research Problem/Issue: Children of poverty with little proper education habitually pick up how to talk, act, and obtain information in a method that battles with how education transpires in school. So, teaching students of poverty requires a different approach (Payne, 2008). Purpose of the Research: Making sure educators and teachers recognize the trials they will have to overcome when trying to educate children of poverty (Payne, 2008). Research Question(s): What can schools do to address poverty? How does†¦show more content†¦The relationship built between educators and children of poverty helped them realize that education is a tool that can brighten their circumstances and future. 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Was Lord Capulet a Good Father free essay sample

In contrast to today’s modern world, a good father is one who not only cares, provides and loves but also prepares to make sure their children learn right from wrong in order for them to go out into the world and make their own decisions. You may be quick to judge that Lord Capulet was just as old fashioned as all of Shakespeare’s characters. However what if he could have been a little bit of both? Clearly Lord Capulet loved his daughter very much and even though he didn’t understand her love for Romeo Montague and took matters into his own hands, would that necessarily make him a bad father? Quite the contrary as a matter of fact. Capulet loves his daughter very much, you can tell through the way he speaks about her to Paris in Act 2 Scene 2. When Juliet tells her father that she does not wish to marry Paris, Lord Capulet becomes very hesistant and follows Juliet’s request for the time being only because he knew putting the pressures of forced commitment on his daughter wouldn’t make her happy and also he probably didn’t think Juliet was quite ready. We will write a custom essay sample on Was Lord Capulet a Good Father? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Yes Juliet would have benefitted from marrying someone like Paris, he fit just within her family’s lifestyle, he was a relative to the prince and together they would be wealthy and Juliet would be protected for the rest of her life thanks to Lord Capulet and Paris. However with Juliet voicing her opinions very strongly about her feelings upon marrying Paris, it seemed as if Capulet thought Juliet was in the right mind set and trusted that Juliet’s decision was for the best. That trust is immediately taken back once Capulet discovers that Juliet has fallen inlove with Romeo Montague, the son of his enemy. In result of Juliet’s disloyalty to the Capulet’s he decides to take matters into his own hands and insists that Juliet and Paris get married. Clearly he’s under the impression that Juliet at this point is nothing but a disloyal trouble maker and Capulet believes that he knows better than his own daughter and maybe his decisions instead of her own will lead Juliet in the right direction. Parent’s today would call this damage control, when you see your child taking a fall into the deep end, if you love for that person and care for that person deeply then it is human nature that you will do anything in your power to save them. Capulet uses this tool by threatning Juliet with disinheritence if she chooses to disobey him, which in his eyes would maybe have Juliet reasses her current situation and look at everything she was putting as stake for Romeo and start looking at the big picture. Unfortunately that wasn’t the case. Juliet’s rebellion seemed almost shocking to Lord Capulet. For the first time in his life he saw his daughter as the enemy now. After everything he had done for Juliet by protecting, providing, loving and showing affection to her, this is how she returned the favor. Juliet’s actions were nothing to be proud of and the Lord felt if she were a true Capulet she would have put her family above all else instead of somone who she had just met. There is no worse feeling than when a loved one turns on another family member, nonetheless a child who had been taught right from wrong. The only thing Lord Capulet could be at fault for is not realizing Juliet is young and when you are taught what to do and what not to do the other side looks more entertaining and Juliet’s heart tended to steer towards what Capulet would call a downward path. Lord Capulet is the head of the household and the father of Juliet. He is very strict and wants total control of his daughter and expects her to obey him. However does that make him a bad father? Not necessarily, Lord Capulet being who he is creates the fatherly characteristics of protecting, providing, and making sure your children can grow up to make their own decisions, the only difference bewteen modern day and the days of Shakespeare is that if you watch your children fall into a path of making multiple mistakes, as a parent sometimes you have to step in invited or not to pick up the pieces.

The Cask of Amontillado

Table of Contents Introduction Figurative/symbolic expressions Allegory Works Cited Introduction The ‘Cask of Amontillado’ is a literary classic story, which can pass as an ordinary narrative piece of literature to the average ordinary reader. To readers with a critical eye however, the figurative speech, and the hyperbole contained in the story cannot go unnoticed.Advertising We will write a custom essay sample on The Cask of Amontillado specifically for you for only $16.05 $11/page Learn More Figurative/symbolic expressions Irony – Montresor, who is committed to punishing a perceived wrong, is also committed to carrying out a wrong without being punished for it. By his own admission, Montressor states that â€Å"a wrong is unredressed when retribution overtakes its redresser† (Poe 3). As such, Montressor states that he would punish the person who inflicted him with injuries, because to him, the wrongs committed against hi m were worthy of punishment. Ironically, though, Montresor states that he would be avenging insults with death, since he perceived that as the ultimate revenge. Unfortunately, Fortunato seems not to have suffered the pain of dying, as Montresor would have liked. Paradox – Montresor triggers a paradox by juxtaposing in the same sentence the phrase â€Å"punish with impunity,† two words that are ordinarily antithetical. As human nature would have it, people are often quicker to see weaknesses in other while ignoring their more apparent flaws. As such, Montresor finds his companion’s â€Å"transgression† worthy of the cruelest death, and believes that his cause is so right that he deserves to get away with it. Sarcasm – In human speech, very few styles of expression are as cruel as sarcasm. Although in this case Fortunato is ignorant of the sarcasm, Montresor is nevertheless invoking it when he says, â€Å"my dear Fortunato, you are luckily met†Ã¢â‚¬â„¢ (Poe 3). It is as if Montresor, if he were understood for his true intentions, were saying, ‘It is your ill-luck that you have met me today’. It is often the cruelest hearts that fashion the most effective sarcasms: sarcasms so sharp-edged that they slice through their target audience’s ears without their ever getting to understand their full true meaning. The cruelty resident in Montresor’s dark mind is exhibited in his solitary musing: â€Å"I was so pleased to see him that I thought I never should have done wringing his hands† (Poe 3). Oxymoron – Montresor engages in oxymoronic speech by describing the attendant’s abandonment of their duties at his palazzo as â€Å"making merry in honor of the time† (Poe 4). This was in direct disregard for his instructions to them not to leave the house at all while he is away.Advertising Looking for essay on american literature? Let's see if we can help you! Get your first pa per with 15% OFF Learn More Of course, there is the implication that he knew beforehand what they would do. By the attendants behaving just as he had anticipated, Montresor gets his perfect alibi. To protect themselves from the charge of absconding duty, they would swear that he had been on a journey and had not at all returned that whole day. Hyperbole – There is a sense of this in Fortunato’s statement that he drinks to â€Å"the buried that repose around us† (Poe 5). Dead bodies may be immobile but as to whether they are at rest, is a matter of conjecture. Allegory Poe’s tale can be interpreted as an allegory of the pain, death, and the senselessness of vengeance. To reflect all the three identified themes, Poe (knowingly or unknowingly) divided his story into three parts. In the first part, Monstresor is infuriated by what he perceives as an insult from Fortunato. As a result, he vows to inflict vengeance on Fortunato. This part of the story symbolizes people’s desire to avenge for the wrongs committed against them, and to inflict pain on the people who wrong them. As reflected in the conclusion of Poe’s tale, while inflicting pain on a person may seem like the perfect vengeance, it does not fetch as much pleasure as the avenger would like to. The tale also makes an attempt to convince readers that death, is not necessarily a painful or even bitter experience to those who are dead or dying. This is symbolized by what sounds like Fortunato’s laughter when he finally realizes his fate. Poe also hints at the emptiness of revenge through Montresor’s description of his feeling as â€Å"sick† soon as he realized he had just killed Fortunato. The second part of Poe’s take is apparent when Montresor lures Fortunato underground, and gets him drunk. The third part of the tale on the other hand is reflected in the long journey that two take, only for Montresor to encourage Fortunato into r eaching â€Å"the extremity of the niche† (Poe 7), where he found iron staples hindering his progress further into the crypt. Here, Montresor chained Fortunato up, ready to avenge the perceived wrongs committed against him. His vengeance was only pleasurable for a short period, because Fortunato’s cry only lasted several minutes. At the end, Fortunato made fun of his tormentor, and upon his death Montresor admits that his â€Å"heart grew sick† (Poe 8).Advertising We will write a custom essay sample on The Cask of Amontillado specifically for you for only $16.05 $11/page Learn More Works Cited Poe, Edgar Allan. The Cask of Amontillado. Feedbooks, n.d. Web. This essay on The Cask of Amontillado was written and submitted by user Tyrese N. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here. The Cask of Amontillado Introduction Edgar Allan Poe is perceived as one of the greatest authors and poets of all time. His works have elicited the need for analysis by various scholars and parties from the field of literature. His short story, â€Å"The Cask of Amontillado†, portrays various stylistic approaches, thus necessitating an analysis to evaluate the writing style.Advertising We will write a custom critical writing sample on The Cask of Amontillado specifically for you for only $16.05 $11/page Learn More â€Å"The Cask of Amontillado† is a story involving horror due to Montresor’s vengeful motive upon Fortunato. Poe’s work on this piece of literature has been considered as one of the world’s perfect short stories. The narrative meets the qualities of a classic short story as theorized by Poe since it can be read in a single sitting. This paper will analyze the stylistic devices that Poe applies in the short story, â€Å"The Cask of Amontillado†. Summary The story’s narrator, Montresor, opens up his revengeful motive towards Fortunato, his acquaintance, by claiming that he insulted him irreparably (Poe 1200). Montresor seeks to use Fortunato’s liking for wine in a bid to carry out his revenge in a way that curtails the risks of being identified. Montresor brings the idea of using Luchesi to taste Amontillado, but Fortunato suggests that he is not good enough for the task and regards him as a competitor as well. The two proceed towards Montresor’s burial vaults, which are exposed and filled with nitre. The nitre causes Fortunato to cough, and thus takes the wine to counter the effects even after being told by Montresor to go home. The two continue exploring the vaults that contain body remains of Montresor’s family members. Fortunato tries to see if Montresor is a true mason by making a hand movement, but the latter does not recognize and he justifies himself by showing him a tr owel implying a stonemason (Poe 1202).  Montresor tells an intoxicated Fortunato to access a small recess through a wall made of bones to get the Amontillado before trapping him. Fortunato starts squalling as the walls go up. The alcohol levels in his system drop as he starts moaning helplessly and later laughs at Montresor, who is not in the mood for jokes, as he continues piling the layers of the wall. Fortunato stops conversing with Montresor after making the final plea, â€Å"For the love of God, Montresor† (Poe 1204), but the latter continues to call his name twice. Montresor positions the final brick and plasters the walls before reassembling the bones on the fourth wall. Montresor says that the bones have not been disturbed for fifty years, and he makes a conclusion in Latin that translates to â€Å"May he rest in peace† (Poe 1205).Advertising Looking for critical writing on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More Analysis Poe’s short story depicts a simple plot that portrays various aspects of his style in a compact way. Therefore, the analysis will explore the title, the use of irony, and other aspects writing and stylistic devices that Poe applies. The Title The title, â€Å"The Cask of Amontillado†, sounds mysterious and it tends to elicit fright. â€Å"Amontillado† simply refers to an alcoholic beverage that is linked to sherry. The title seems to conceal the story’s subject since moat people are not familiar with the various types of liquor unless one is a wine connoisseur. On the other hand, â€Å"Casks† are used for the storage of alcoholic beverages. Montresor communicates that Fortunato possesses a â€Å"pipe of what passes for Amontillado† (Poe 1201). In this light, the â€Å"pipe† implies the â€Å"cask†, which could mean a â€Å"casket†. Poe uses the title to conceal and reveal the horrific nat ure of the story artistically as depicted by Fortunato’s ambitions of finding the Cask of Amontillado only to discover his death casket. Additionally, Amontillado has different meanings to Montresor and Fortunato. To Fortunato, Amontillado represents pleasance and delectation, while Montresor uses it for the pursuit of his vengeful mission. The use of irony Poe uses three types of irony in the story as a literary tool that facilitates the readers’ understanding of the friendship that exists between Montresor and Fortunato. He uses situational, dramatic, and verbal irony throughout the story to make it intriguing to the audience. In verbal irony, the speaker uses parables to imply the opposite meaning of what is being said. For instance, the name â€Å"Fortunato† implies good fortune, but it seems to be the contrary in this story. Fortunato turns out to be unfortunate as he is eventually trapped and killed by the revengeful Montresor. Verbal irony is also depicte d as Montresor leads Fortunato to the vaults. Montresor pretends to be caring about Fortunato’s health by noting, â€Å"We will go back; your health is precious†¦You are a man to be missed. For me, it is no matter. We will go back; you will be ill, and I cannot be responsible† (Poe 1203).Advertising We will write a custom critical writing sample on The Cask of Amontillado specifically for you for only $16.05 $11/page Learn More Montresor’s intentions are the opposite since he intends to destroy Fortunato’s health by killing him. Fortunato proceeds deeper towards the vault as his coughs persist, but Montresor tells him that they will go back before it gets late and that his cough is nothing to worry about at the time. Going deep into the vaults means that Fortunato would meet his dark fate, which is signified by Amontillado. Fortunato’s source of pleasure turns out to be his painful ending as Montresor revenges on him.  Poe also uses dramatic irony in the story whereby he reveals some things to the audience, which are unknown to the characters. Fortunato’s dress code appears ironical as it depicts his eagerness to taste the rare alcoholic beverage. He posits, â€Å"The man wore motley. He had on a tight-fitting parti-striped dress, and his head was surmounted by the conical cap and bells† (Poe 1202). In this regard, Fortunato’s dressing mode symbolizes a fool that can be easily tricked into his death. Fortunato also says, â€Å"I will not die of a cough† (Poe 1202). Montresor affirming, â€Å"The cold is merely nothing† (Poe 1202). The readers know what is looming for Fortunato, but he is not aware of what may happen to him according to his enemy’s plans. Fortunato toasts bodies that had been buried in the catacombs without realizing his impending death (Poe 1203).  In situational irony, the opposite of the anticipated outcomes occurs. Poe utilize s this type of irony during the night of the carnival. He posits, â€Å"I had told them that I should not return until the morning and had given them explicit orders not to stir from the house. These orders were sufficient, I well knew, to insure their immediate disappearance, one, and all, as soon as my back was turned† (Poe 1203). This assertion implies that the Montresor wants his servants not to leave without him, which ensures that they would do the contrary. Another instance of situational irony is whereby the non-existent cask containing the Amontillado turns out to be the connoisseur’s casket. Fortunato ultimately discovers his coffin instead of the rare wine that he anticipates.  Montresor commits a premeditated murder of Fortunato, which is not punished legally after fifty years (Poe 1205). Therefore, it is ironical that Fortunato has been resting in peace as Montresor lives freely with impunity. The plot A good story should entail aspects of an initial con dition, the conflict, complication, climax, suspense, and the conclusion. Poe initiates the story by depicting the painful history between Montresor and Fortunato. Montresor claims, â€Å"Fortunato had hurt me in other ways a thousand times, and I had suffered in quiet† (Poe 1200) implying that there were personal differences that existed between them.Advertising Looking for critical writing on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More Fortunato also insults Montresor, thus causing him to vow for revenge. This section provides a good basis for the story’s initial situation. The conflict aspect of the story is comes out when Montresor posits, â€Å"I must punish him with impunity† (Poe 1201). This statement translates into his vengeful strategies that depict the conflict in the story. The story is not complicated and it might only confuse the reader on the aspects of Amontillado and Luchesi. The climax of the story stands out when Fortunato is chained in the catacomb as Montresor starts erecting the walls that would act as Fortunato’s casket. The suspense is created where Montresor positions and plasters the bricks for the tomb. The denouement of the story happens when Montresor places the final brick thereby ending the suspense that calls for the conclusion by writing, â€Å"In pace requiescat!† (Poe 1205). The Tone Montresor describes various events elegantly, which intrigues the reade r. For instance, Montresor describes the bones and human remains in a tone that does not evoke fear. He says, â€Å"We passed through a range of low arches, descended, passed on, and descending again, arrived at a deep crypt, in which the foulness of the air caused our flambeaux [torches – pronounced â€Å"flam-bow†] rather glow than flame† (Poe 1204). The Setting The story adopts a horrific and gothic setting. The setting of the story proceeds from freedom to confinement as Montresor kills Fortunato by confining him in a casket. The carnival aims at creating happiness and celebrating freedom, but it turns out to be the opposite for Fortunato. The dusk hours imply that something horrific is imminent as manifested by Montresor’s trap. The season is considered as a period of â€Å"supreme madness† (Poe 1203), and thus it evokes a feeling of uncertainty. However, the actual setting of the story is not specified, but events are perceived to take place in the European setting since the names of the characters like Fortunato and Luchesi have a European origin. Amontillado is a wine of Spanish origin whereas Montresor’s coat of arms originates from Scotland. Conclusion â€Å"The Cask of Amontillado† is a perfect short story that depicts Poe’s stylistic features of his works. The title creates a concealed horrific topic that requires the readers’ interpretation of the â€Å"Cask† and â€Å"Amontillado†. Poe uses symbolism, irony, suspense, and horror to give the story a creative element as the setting flows from freedom to confinement. The plot used is simple as it initiates the issue between Montresor and Fortunato before proceeding to build up the conflict that climaxes at Montresor’s catacombs. Therefore, Poe depicts his exceptional writing skills in authoring the short story, thus making him one of the greatest writers and poets of all the time. Works Cited Poe, Edgar. â€Å"The C ask of Amontillado.† The Norton Anthology of English Literature. Eds. Nina Baym et al. New York: W.W. Norton Company, Inc., 2012. 1200-1205. Print. 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