Friday, January 24, 2020

The Demise of Dick and Nicole in Tender is the Night :: Tender is the Night Essays

The Demise of Dick and Nicole in Tender is the Night      Ã‚     When referring to the demise of Dick in Fitzgerald's Tender is the Night, I think it is impossible that we not consider the demise of Dick and Nicole as a couple. They begin the book as a unit rather like a Chinese dragon with Dick at the head and Nicole following behind, both covered by the decorative cloak of the appearances they maintained. There are several transitions that they go through that upset the balance that allowed them to maintain a functioning marriage. I believe that while there were several factors impacting their relationship, it is the increasing independence and strength of Nicole that ultimately ends the marriage, and severs the tie that allows Dick to maintain his identity.    In Italy, after he begins his affair with Rosemary, Dick is disillusioned with her. He finds that Rosemary belongs to other people. In his disillusionment, his thoughts turn to Nicole, and how she is still "his girl - too often he was sick at heart about her, yet she was his girl" (213). Rosemary is no longer his possession solely and this cracks his surface. He returns to his love for Nicole like a guard, because he is weak without it. He refers to it as "an obscuring dye" (217). He is Nicole, and Nicole is he, and at this point the line between them has been blurred to bring them together. Dick does not realize that as much as he believes Nicole depends on him, he is dependent on her. He depends on her neediness to define him. Dick knows, however, that Nicole is important to him and that the thought "that she should die, sink into mental darkness, love another man, made him physically sick"(217). Not only is this excellent foreshadowing on Fitzgerald's part, but it gives us a measu re just how dependent Dick is. Physical illness is uncontrollable. If even the thought makes causes him to have psychosomatic symptoms, it is imaginable what the actuality would bring. Dick needs Nicole badly, more so than ever at this point.    Nicole on the other hand begins to become stronger within herself at this point. Nicole acts on her own to go to her father when she believes he is dying. Franz says to her "I must first talk on the phone to Dick" (250).

Thursday, January 16, 2020

Customer Satisfaction and Quality Care Essay

What started out as a community hospital has grew over the past 50 years into a healthcare organization comprising of seven distinct units helping 300,000 people every year. Such development and growth has been motivated by one reason taking care of the people that call Houston County and nearby peoples home. Houston Medical Center is a typical hospital in Warner Robins, GA, and has 237 beds. The most recent statistics study reveals that 67,439 patients stopped at the hospital’s emergency room, there were 14,179 patients admitted to admissions 1,987 inpatient surgeries and 9,816 outpatient surgeries. While the additional facts of the quality care report the requirements of the hospital, physician, and customer, the patient’s demand to be heard is overcome by a measurement of satisfaction. Frequently, the information collected from the surveys is beneficial for the hospital to measure itself and its accomplishment in keeping a minimum standard of care and sustaining the customer’s needs. 33 Studies have shown that each patient who is dissatisfied will inform up to ten other people of this dissatisfaction (Sitzia & Wood 1997). For instance let’s say with the information given on the percentage of dissatisfaction of patients not being explained what the medicine is they are taking that patient could say that he was given the wrong medication because you have not told him the medication he is taking. I am quite sure this type of dissatisfaction could lead to a lawsuit. Three barriers that existed at Houston Medical Center were the time they had to wait to receive help, explanation of medicine not given before given to patient to take, and the rooms and bathrooms were not as clean as they should be. These three barriers could have a huge significance on the facility. These barriers I am sure impacted the customer satisfaction at Houston Medical Center. The barriers affected whether or not the patient would return to the center due to the facility not being clean, poor communication, and the wait time. All these factors would make a patient skeptical about returning to the center. One tool Houston Medical Center  could have used to study a process barrier related to customer-satisfaction would be the Pareto diagrams or charts. This tool could be used to monitor when the bathrooms were cleaned, patient arrival time and wait time, and also to record the medication given to the pati ent allowing the nurse to at the time of giving medication to explain what the medication is for. References Sitzia J, Wood N. Patient satisfaction: A review of issues and concepts. Social Science & Medicine. 1997; 45:1829–1843.

Wednesday, January 8, 2020

Essay on Christian Attitudes to Abortion - 544 Words

Christian Attitudes to Abortion For Christians there are many sources of authority; leaders of the church, religious teachers, and even their own conscience. The main source however is the Bible; it helps guide Christians, and affects their attitude towards everyday life. Abortion, the act of terminating the life of a foetus (unborn child) before it has had a chance to live, was legalised in England in 1967 (The Abortion Act), however many Christians are still undecided on whether the act is morally correct. The early Christians regarded fertility as one of Gods greatest blessings, and the idea of abortion was totally alien to them. The word abortion is not directly mentioned in the Bible,†¦show more content†¦The Bible teaches Christians about the lesser of two evils, the acceptance of an imperfect world. It is sometimes better to have an abortion, than to have an unfit mother and an unhappy child. The Bible also teaches Christians the greatest commandment: `Love the Lord your God with all your heart, with all your soul and with all your mind. This is the first and greatest commandment. And the second is like it: `Love your neighbour as yourself. If you wouldn’t want to be brought up in the only circumstances you can provide, then you shouldn’t expect someone else to be brought up in them. You should be able to treat your child, as you would want to be treated. Christians who argue against abortion have been taught that life begins at conception: ‘You knit me together in my mother’s womb†¦my frame was not hidden from you when I was made in the secret place†¦your eyes saw my unformed body’ (Psalm 139:13-16). This quote suggests that God created humans, so they should be allowed to grow up the way he wanted. Christians use a number of verses that seem to teach how God knows each and every one of us and plans out the life of us before we are born. 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