Similarities And Similarities Between Langston Hughes And...

In this paper I will be talking about the similarities and differences in the two different poems. The two poems were written by two incredible poets and were probably one of the best in their lifetimes. The first poem is written by Walt Whitman and is called â€Å" I Hear America Singing†. The other poem is by Langston Hughes and is called â€Å"I, Too, Sing America† .Many people believe that Langston Hughes wrote his poem â€Å"I, Too, Sing America† in response to Walt Whitmans poem â€Å" I Hear America Singing†. Some people have a completely opposite opinion and say that the two poems have nothing to with each other. Langston Hughes did many things in his life. Some of them include being an American poet, social activist, novelist, playwright, and a†¦show more content†¦There is also evidence when he said that he is the darker brother and they sent him to eat in the kitchen which is talking about Hughes` being treated unfairly. In the second s tanza he says â€Å" Tomorrow, I’ll be at the table when company comes. Nobody’ll dare say to me, â€Å"Eat in the Kitchen,† then†. He talks about the future when he is a well known poet and everyone will be treated equally, he will be treated the same as the people who used to treat him horribly. The two poems also share a lot of similarities. The first and most obvious similarity is the titles. The two titles I Hear America Singing and I, Too, Sing America both have America singing, or singing about America. In the two poems the poets talk about what they think America is at the time they lived. In Walt Whitman`s he talks about how Americans work together and do good at their jobs to make a great country. In the poem by Hughes he talks about what is wrong with how Americans think discrimination is right and he wants America to be like the way Whitman described it which is Americans helping each other build and sustain their country. The two poets have a lot of love for their country and really want to see America as a safe and unified country. Although there are some people who say the two poems by Hughes and Whitman have nothing to do with each other I believe it is the totalShow MoreRelatedWalt Whitman And Langston Hughes Analysis796 Words   |  4 PagesWalt Whitman and Langston Hughes. Two highly renowed poets. One of Whitmans most known poems, I Hear America Singing, is about living the American life; he explains multiple types of people in his piece of work and how they are all a part of America. Similar to this, Langston Hughes wrote the poem I, Too, Sing America, and in this, he includes African Americans, suggesting that Whitman left some people out. Also saying, that blacks are proud and just as big of a part of America as anyone elseRead MoreThe Difference Between Langston Hughes And I Hear America Singing998 Words   |  4 PagesIn this essay I will be talking about the differences between Walt Whitmans poem â€Å" I Hear America Singing† and Langston Hughes poem â€Å" I, Too, Sing America†. I will also be giving my opinion on whether or not Langston Hughes is responding to Walt Whitmans poem. Langston Hughes was an American poet, social activist, novelist, playwright, and a columnist from Joplin, Missouri. Walt Whitman was an American poet, essayist, and a journalist from West Hills, New York. This is all just background informationRead MoreLangston Hughes Essay1204 Words   |  5 PagesTomorrow, I ll be at the table When company comes. States Black writer Langston Hughes. America is great, isn t it? This country was built on Liberty, and is a beacon to the rest of the world to which refugees can traverse towards. However, the course of actions in this country has not always been rainbows and sunshine, nor is it today even. There was a time in this wonderful country when Liberty seemed to dwindle, and the hope for our country s equality was slight. During this time, lived aRead MoreI Hear America Singing By Walt Whitman2049 Words   |  9 Pagespoem â€Å"I Hear Ameri ca Singing†, one is exposed to an America seen by the eyes of a poet, essayist and journalist during the years of one of the most important times in American history, the Civil War. From 1819 to 1892, Whitman lived through many experiences, including the atrocities and successions of the Civil War, which not only lead to the establishment of his multiple accredited works, but also, the creation of the prideful, positive, jubilant image of America and its citizens in the poem â€Å"I HearRead MoreAnalysis Of Langston Hughes Poetry2405 Words   |  10 PagesLangston Hughes was primarily an American poet and social activist who had tremendous racial pride, to say the least. He played an important role in uplifting his people, especially during the Harlem Renaissance. Hughes’ poetry and fiction portrayed the lives of working class blacks in America as well as celebrating African American culture. In his poetry, he strove to speak to, as well as for, the black masses. One of the ways that Hughes would incorporate African American culture and traditionRead MoreRent: A Religious Phenomenon Essay2215 Words   |  9 Pagesalternative rock and `Friends (Royce 11). These things are social icons in America, who hasnt heard of, or owned, effects such as these. Yet digging deeper we see that it is a depiction of the creed of an alternative religion and shows humanity how we should live our lives. Rent etches its place in your hearts with a timeless, transcendent hope: I want to be somebody; I want people to know that I lived, that I had a purpose, and people loved me; life is not just a quantity measure in minutes

Pakistan Day Celebration Free Essays

Pakistan day is observed on 23rd march every year. It is an important day in the history of Pakistan. The Muslims of India demanded a separate homeland for themselves through a resolution called Pakistan resolution or Lahore resolution, This year also we celebrated Pakistan day with traditional zeal and fervor and renewed a pledge to make the country strong, progressive and prosperous Islamic welfare state. We will write a custom essay sample on Pakistan Day Celebration or any similar topic only for you Order Now The day dawned with 31 gun salute in federal capital Islamabad and 21 gun salutes in provincial capitals. Special prayers were offered in all mosques. It was a public holiday. National flags were hoisted on all public and private buildings. Newspapers published special supplements featuring articles highlighting the importance of the day. They also printed rare photographs of the historical events. Radios and television channels aired special programmes including talk shows. The highlight of the day was the armed forces parade which was held at Jinnah sports stadium. The president and prime minister took the salute of the parade. Similarly in Karachi, the day was celebrated with great honor and dignity. The Governor and Chief Minister of Sindh visited the Mausoleum of Quaid-e-Azam. They laid floral wreath at Quaid-e-Azam’s mausoleum. The National museum Karachi arranged a special exhibition in connection with the Pakistan Day. This day is indeed one of the most important days in the history of our country. Energy crisis or Load Shedding of Electricity in the town. The people of Karachi know it very well that Karachi has become a city of problems. All these problems go together to make the life of Karachi ties very difficult. Perhaps the most serious of these is what we may call energy crisis there have been an acute shortage of electricity in our city during the last ten years. As a result the load shedding has become unavoidable. In fact the whole country has fallen a victim into this menace. But the situation is worst at Karachi and with the passage of time the duration of load shedding has greatly increased . Generally we have to pass six to twelve hours without electricity every day. Load shedding is the basic problem which gives rise to many other problems. People cannot sleep at night when the temperature is at its peak. The business of shopkeepers is also hampered particularly the people working on computers and owners of photo state shops are the worst sufferers. During the darkness the criminals get a free hand and there is an alarming increase in crimes during load shedding. The patients in the hospitals also have to suffer as all the hospitals do not have generators or ups, so it is clear that everybody living in Karachi has to undergo great difficulties. Promises in the reduction in the duration of load shedding are never fulfilled so the problem remains as it was years ago. The Book I like Most. The Holy Quran is my favorite book. It is the name of Allah’s book which has been revealed upon the last Prophet for mankind through the angel Gabriel. It is most often read and memorized and the most influential book in the world from literary point of view. Holy Quran is considered as the specimen of purest Arabic. It is a master piece of Arabic language and literature. The Quran is guidance for the whole humanity. It is essentially a code of human conduct. It covers all the aspects of human life. It offers guidance to those who seek it. It also defines the causes of decline of the nation. It prompts man to be practical in his daily life. Its importance is recognizes even by the non-Muslims. Its teachings are practically rational. The knowledge in the Holy Quran is not merely knowledge of religious affairs but also the knowledge of physical and other phenomenon of life. There are thirty chapters’ one hundred and fourteen surahs and six thousand six hundred and sixty six verses (Aayats) in it. By the grace of Al-mighty Allah, I have memorized many surahs with their Urdu translation. Holy Quran is the book which gives me guidance about both the worlds. It tells us what reward we can get if we do good deeds. We can get physical as well as spiritual guidance from it. In short Holy Quran is not only for an individual or a nation but also for the whole universe. How to cite Pakistan Day Celebration, Papers

Chronic And Complex Care Nursing Patients â€Myassignmenthelp.Com

Question: Discuss About The Chronic And Complex Care Nursing Patients? Answer: Introduction Guiding principles on management and treatment of patients with chronic and complex conditions are all important for healthcare providers, the patients and their caretakers, to understanding the guiding principles in the management of chronic and complex decisions. Nursing plans in this setting must be in tandem with these guiding principles which include the need for advocacy, healthcare coaching, self-management and empowerment (Cramm Nieboer, 2013). This presentation will thus entail the highlights of the main guidelines on the developing of nursing plans in chronic and complex care setting and their different ways of improving health outcomes of patients. The discussion also focuses of highlighting the nursing plan for a patient presenting with COPD exacerbations and further, the situations at which the nurses can find opportunities to collaborate with other members of the interdisciplinary team in carrying out the nursing plan. Nursing Plan Guiding Principles in Chronic Complex Conditions Self-management and Empowerment The nursing plan drawn in caring for patients in chronic and complex care must include actions that will enhance self-management and empowerment, on the part of the patient. Self-management in this regard refers to the patients ability in conjunction with the healthcare professionals, their family members and the community, to manage the signs and symptoms of the condition, the treatment involved, necessary changes in lifestyle, and its psychosocial, spiritual and even cultural consequences (Cramm Nieboer, 2013). The nursing plan should therefore include the facilitation of the patient to pursue optimal self-management where they are can monitor their chronic and complex illness develop and engage behavioral, emotional and even cognitive strategies that can help them sustain the quality of life that is satisfactory. Among the specific actions on self-management include facilitating the patient directly or through the family to be able to move, eat and even do grooming on their own ( Sonola et al, 2013). The interdisciplinary team should ensure that as the patients medical needs are managed, and that the patient is also gaining abilities to support themselves through specialized therapies such as occupational therapy, physiotherapy and respiratory therapy. The nursing plan should include a modification of the patients hospital and home environment including empowerment approaches so that it is healthy enough for the patient to be safe (Elder, 2017). It can also help in preventing factors which trigger the elevated levels of a condition, a case of COPD exacerbation. Health Coaching Health coaching as guideline should be carried out with the intention of ensuring collaborative approach in improving the health outcomes of a patient under chronic and/or complex care. Nursing plans should thus factor in the need for health coaching of patients and their caretakers on different aspects of their complex and chronic condition (Sciarra, 2012). The nurse thus has to ensure that they focus on coaching patients and their caretakers using the health promotion approach. The nurse through the interdisciplinary team members recognizes and provides necessary informational needs for health coaching (Straughair, 2011). The sessions for this engagement can take a formal or even an informal approach on convenience basis. The nurse can focus on coaching the patient and their family members on personal hygiene, pain management, exercise, treatment procedure and medication, sexuality, meal-time management among others (Schitz et al, 2016). It is necessary that nurses and members of t he interdisciplinary team identify particular coaching moments where the patients seem to present like they have some knowledge deficiency and address them adequately. The different members of the interdisciplinary team have specific areas of professionalism and therefore they should be facilitated to coach the patient and their caretakers on each informational need in regard to the management of their health condition. Advocacy In The Collaborative Management of The Patient and Her Family It is necessary that nursing plans incorporate advocacy for patients and their caretakers rights. According to Sonola et al (2013) advocating for patient safety and health in chronic and complex care is a crucial requirement in nursing practice. The multidisciplinary team including family members has the responsibility to advocate for the rights of the patient and each other in their quest to provide a collaborated care. Under advocacy, providing culturally appropriate care that considers equity and/or social justice is important (Schitz et al, 2016). Advocacy also requires that the collaborating team members in patient care should in their nursing plan identify and also explain different policies and practices which can infringe patient and familys rights. They should further provide information on policies, plans, particular guidelines on what the patients can do where these rights have been compromised (Sciarra, 2012). There is need to ensure that ethical considerations are fully complied with in the provision of patient care in complex and chronic management settings. Access to appropriate healthcare for patients with chronic and complex conditions is paramount. The multidisciplinary team including the social workers in the community, the family and home-nurses should ensure that the patient accesses medication when necessary (Sonola et al, 2013). The nurse should facilitate the continuity of care making sure that there is both connected and/or coherent care for the patient by the interdisciplinary team. The continuity of care helps in ensuring that at each stage of disease management, every member of the interdisciplinary team is able to advocate for the rights of the patient and those of their families The Role of a Registered Nurse, Nursing Planning Nursing Interventions for Patients with COPD Exacerbation. Managing Imbalanced Nutrition COPD patients may present with imbalanced nutrition while under care. At this point, the patients body has insufficient nutrients that can meet metabolic needs. Managing imbalanced nutrition in complex and chronic care units is in line with the guideline that emphasizes the need for healthcare and support (Parikh et al, 2016). Among COPD patients, imbalanced nutrition can be caused by dyspnea and the production of sputum. It is also caused by nausea, side effects of medications, anorexia, recurrent vomiting and fatigue. To address imbalanced nutrition, it is important for the dietician within the interdisciplinary team to determine the patients and/or caretakers understanding of nutritional needs (Lau et al, 2017). The approach will enable the dietician to determine their informational needs so as to effectively teach and coach them regarding the same. An evaluation of patients dietary habits including the recent food intake is necessary to confirm the extent of eating difficulty the patient has been experiencing. Determination of the patients weight and their size to inform on the BMI can inform nutritional options for the patient. The nurse should auscultate the patients bowel to check any decrease in gastric motility as this indicates low fluid intake, poor food choice and hypoxemia. The expectorated secretions by the patient should be immediately removed as they bring about noxious smells and negative altering their appetite while at the same time bringing about nausea and increased difficulty in breathing (Jan, 2013). Sufficient rest time should be allowed before mealtime to minimize any fatigue while eating. Lastly, the respiratory therapist should avail supplemental oxygen during mealtime to lower dyspnea and that might reduce the patients energy needed for eating. Ineffective Airway Clearance Intervention COPD presents with difficulties in breathing and therefore a nursing plan must involve the management of ineffective airway clearance. The patent should be encouraged to rid respiratory tract secretions and unblock the airway (Kuharic et al, 2015). The nurse with the assistance with the respiratory therapist will auscultate the patients breath sounds in order to determine any crackles, wheezes and rhonchi (Parikh et al, 2016). Usually, the presence if moist crackles indicate that the patient should be treated for bronchitis. Expiratory wheezes on the other hand indicate the need for treatment for emphysema. There is need for the patient to be assisted to maintain a comfortable position and their head elevated so as to enhance respiration. The nurse can let the patient have her arms and/or legs supported using pillows to reduce fatigue while enabling chest expansion (Fromer, 2011). Any air pollutants should be removed to avoid re-triggering of the acute level of COPD in the critical c are setting and at home after discharge. A respiratory therapist should advice the patent to practice pursed-lip exercises and/or abdominal breath exercises (Ides et al, 2011). These will help Angela to cope with dyspnea while minimizing the chances of air-trapping as is the characteristic of COPD. They should confirm whether the patients cough is characteristically hacking, moist, or persistent, in order to assist her improve the effort for effectiveness (Kuharic et al, 2015). The approach is important especially understanding that while the cough might be persistent it could be ineffective. Chest percussion is important in ensuring effective clearance of the airway (Lau et al, 2017). Hydration is important also as it will boost expectoration by reducing Audit viscosity of secretions. In this regard, patient needs to be given about 3000mL each day according to her cardiac tolerance as determined by the respiratory therapist. Managing Knowledge Deficiency Management of a patients and/or the caretakers knowledge deficiency is important in chronic and complex care for COPD according to the guiding principle on teaching and coaching. The nurse will identify a patients knowledge deficiency from going through their request forms, the misconceptions the patients present with, and a poor way of following instructions (Jan, 2013). Particularly on COPD, it is important for the nurse to explain the whole disease process to the patient and make repeated messages to emphasize the different messages on the disease and self-care (Cramm Nieboer, 2013). The patient should take part in the discussion actively where possible as well as the family members. This can be through question and answer sessions that are free of anxiety. Particular concern should be focused on breathing exercises, their importance, effective coughing, and prevention of factors that bring about COPD exacerbations (Chin, 2017). Breathing exercises can enable the patient to have improved respiration muscle strength and also prevent small-airway-collapse. As a result, the patient will have minimal or no dyspnea. Dental care and/or oral care are imperative in caring for patients with COPD as it helps in preventing bacterial growth and multiplication that can bring about pulmonary infections. The interdisciplinary team under the nurse should be able to outline and explain the different factors that trigger exacerbations of COPD so that the patient and the family are able to avoid them. Some of them include fine pollen grains, extreme temperatures, cigarette smoke, dry air, aerosol sprays among others. It is thus important that the patient be taught and coached on the effects of smoking and encouraged to cease the behavior as it aggravates COPD. The teachings should be directed also at the need to adhere to medication and participation in follow-up care. Angela who is the patient in the case study should be encouraged to go for regular sputum culture analysis and chest x-rays (Jan, 2013). These tests are very important considering that therapeutic regimen can be altered depending on their results. A respiratory therapist can feed the patient with information on side effects of different medications used including any adverse reactions so that they understand when to request for a change of the medication regimen. Collaboration Opportunities with Inter-disciplinary Team Care Coordination One collaboration opportunity is at the point of managing the COPD patients ineffective airway clearance. A respiratory therapist will be needed to ensure that the patients respiration is managed professionally and dyspnea is minimized. They will provide and control mechanical ventilation means for the patient, incentive spirometry, and also recommend and administer respiratory medication (Kuharic et al, 2015). The therapist will intubate the patient and even facilitate bronchoscopy procedures. The respiratory therapist will also offer pulmonary hygiene and also do necessary chest physiotherapy to minimize the chances of cardiac arrests. Secondly, it will be important for the nurse to collaborate with a specialized occupational therapist in the management of COPD patients. The therapists task will be to support, coach and educate the patient in regard to movement. The occupational therapist can assess the COPD patient, organize and implement interventions that will enable the patient achieve independence in doing routine activities like walking, eating, and grooming (Jan, 2013). The nurse should collaborate with the occupational therapist especially in assessing and recommending modifications to be done both within the critical care clinic and at Angelas own home. A further opportunity will be where there will be need for managing imbalanced nutrition. The dietician in this case will be the most appropriate for collaboration to help the patient with meal-time management (Fromer, 2011). The dietician thus will assess the patient, organize interventions, implement them and then evaluate them to ensure that the patient gets sufficient dietary needs. On the other hand, the dietician should teach the patient and her caretaker on the necessary dietary requirements within the hospital and when discharged (Chin, 2017). A dietician must thus be fully incorporated in patient teaching, coaching, assessment and advice on balanced nutrition. Conclusion In conclusion, it is important for healthcare providers, the patients and their caretaker to understanding the guiding principles in the management of chronic and complex decisions. The discussion above highlights the main guidelines on the developing of nursing plans in chronic and complex care setting and their different ways of improving health outcomes of patients. Among the guidelines include advocacy, health coaching, self-management and empowerment. The discussion also focuses of highlighting the nursing plan for a patient presenting with COPD exacerbations and further, the situations at which the nurses can find opportunities to collaborate with other members of the interdisciplinary team in carrying out the nursing plan. References Chin, E. (2017). The COPD exacerbation experience: A qualitative descriptive study.Applied Nursing Research,38, 38-44. https://dx.doi.org/10.1016/j.apnr.2017.09.005 Cramm, J., Nieboer. (2013). The relationship between self-management abilities, quality of chronic care delivery, and wellbeing among patients with chronic obstructive pulmonary disease in The Netherlands.International Journal Of Chronic Obstructive Pulmonary Disease, 209. https://dx.doi.org/10.2147/copd.s42667 Elder, C. (2017). Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain Management Initiative.The Permanente Journal. https://dx.doi.org/10.7812/tpp/16-101 Fromer, L. (2011). Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes.International Journal Of Chronic Obstructive Pulmonary Disease, 605. https://dx.doi.org/10.2147/copd.s24692 Hodson, M. (2016). The nurse role in addressing malnutrition in COPD patients.Practice Nursing,27(10), 502-504. https://dx.doi.org/10.12968/pnur.2016.27.10.502 Howard, L., Ceci, C. (2012). Problematizing health coaching for chronic illness self-management.Nursing Inquiry,20(3), 223-231. https://dx.doi.org/10.1111/nin.12004 Ides, K., Vissers, D., De Backer, L., Leemans, G., De Backer, W. (2011). Airway Clearance in COPD: Need for a Breath of Fresh Air? A Systematic Review.COPD: Journal Of Chronic Obstructive Pulmonary Disease,8(3), 196-205. https://dx.doi.org/10.3109/15412555.2011.560582 Jan, R. (2013). Pulmonary Embolism as a Cause of Acute Exacerbation of COPD in Patients marketing Exacerbation of Unknown Etiology.Chest,144(4), 680A. https://dx.doi.org/10.1378/chest.1704030 Kuharic, J., Sustic, A., Marcun, R., Lainscak, M. (2015). NT-PROBNP PREDICTS THE NEED FOR VENTILATORY SUPPORT IN THE PATIENTS WITH ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE.Intensive Care Medicine Experimental,3(Suppl 1), A390. https://dx.doi.org/10.1186/2197-425x-3-s1-a390 Lau, C., Siracuse, B., Chamberlain, R. (2017). Readmission After COPD Exacerbation Scale: determining 30-day readmission risk for COPD patients.International Journal Of Chronic Obstructive Pulmonary Disease,Volume 12, 1891-1902. https://dx.doi.org/10.2147/copd.s136768 Parikh, R., Shah, T., Tandon, R. (2016). COPD exacerbation care bundle improves standard of care, length of stay, and readmission rates.International Journal Of Chronic Obstructive Pulmonary Disease, 577. https://dx.doi.org/10.2147/copd.s100401 Rezapour Nasrabad, R. (2017). Introducing a new nursing care model for patients with chronic conditions.Electronic Physician,9(2), 3794-3796. https://dx.doi.org/10.19082/3794 Schitz, M., Hst, D., Frlich, A. (2016). Involving patients with multimorbidity in service planning: perspectives on continuity and care coordination.Journal Of Comorbidity,6(2), 95-102. https://dx.doi.org/10.15256/joc.2016.6.81 Sciarra, E. (2012). The Importance of Practice Guidelines in Clinical Care.Dimensions Of Critical Care Nursing,31(2), 84-85. https://dx.doi.org/10.1097/dcc.0b013e3182445f62 Sonola, L., Thiel, V., Goodwin, N. (2013). Care co-ordination and continuity of care for patients with complex needs: emerging lessons from five models in the UK.International Journal Of Integrated Care,13(5). https://dx.doi.org/10.5334/ijic.1253 Straughair, C. (2011). Safeguarding vulnerable adults: the role of the registered nurse.Nursing Standard,25(45), 49-56. https://dx.doi.org/10.7748/ns2011.07.25.45.49.c86