Rose for Emily Reader Response - 746 Words

A Rose for Emily Reader Response Essay All men and women are created equal and deserve fair treatment from the opposite sex. However, since the beginning of history, sexual equality has not been a virtue that was closely followed. Men tend to falsely assume that since they are physically more capable than women, they are inherently also more important. Obviously that is not the case and this sexism tends to create a powerful barrier between males and females. Thankfully, modern day culture has vastly diminished the discrimination of women while resorting to more politically correct viewpoints. Though in the early 1900s when â€Å"A Rose for Emily† was set, the Deep South still considered women as major inferiorities to men, which is made†¦show more content†¦When discussing Colonel Sartoris’ invention of an involved and skeptical tale about why Emily had her taxes remitted, it is stated, â€Å"Only a man of Colonel Sartoris’ generation and thought could have invented it, and only a woman could have believed it† (Faulkner, 217). Once again, instead of possibly just hinting at the idea that women have a weak and feeble mind, the narrator just comes straight out and makes his opinion seem like truth. The narrator was so ignorant and naà ¯ve that he presented his idea that the invented story was ridiculous, to the extent that only a woman could believe it. I have never heard something so absurd and wonder how a woman could be conceived as such an incompetent fool. In retrospect, I did not live in this time period and it is a fact that women in the early twentieth century attained less schooling than their male counterparts. However, does that give men the right to go about and treat women like incompetent fools? I realize that authors have the freedom to write a story from whatever perspective they wish, no matter how biased or misleading it may be, but I also think people should take away valuable knowledge from the text they are reading. In the case of â€Å"A Rose for Emily,† I did learn some good morals such as the power of death, but I mostly came away with the idea that I am superior to the women in my life. I am not sure if that is what Faulkner intended, but it is certainly not aShow MoreRelatedA Stream of Consciousness in A Rose for Emily by William Faulkner745 Words   |  3 Pagesâ€Å"A Rose for Emily† is a short story written by American author William Faulkner and centres around an old lady named Emily. The story is written in the classic Faulkner method of a streaming consciousness. By constructing the story through use of the stream of consciousness, Faulkner is able to manipulate the predetermined short story structure and create an outstanding, critically acclaimed story. In using the thematic concept of creating contrasts between two opposing entities, Faulkner is ableRead MoreEssay on Connecting Symbols in A Rose for Emily1248 Words   |  5 Pagesstory to provide the r eader with a deeper understanding and sometimes hidden meaning. In the short story, â€Å"A Rose for Emily† William Faulkner utilizes a vast collection of symbols, as a means to enhance the reader’s visual perceptions but also prompts consideration into theories of motive surrounding the murder of Homer Barron. Modeled after the post-civil war era of the American south, Falkner transports the reader to the fictitious town of Jefferson and into the home of Miss Emily Grierson, a mysteriousRead MoreThe Creepy Old Lady By William Faulkner995 Words   |  4 PagesOld lady The old woman across the street is sleeping with her dead boyfriend. In the story â€Å"A Rose for Emily,† the author, William Faulkner, enlightens his readers about an old, burden of a woman named Emily. He goes back into time and list events in her life that led up to the shocking conclusion when the reader finds out she has been sleeping with her dead sweetheart. This main ending leaves all readers in shock and their stomachs a little weak. In my instance the story built up my curiosity withRead MoreUses of the Conventions of the Gothic Story in The Yellow Wallpaper and A Rose for Emily1467 Words   |  6 Pages In the eighteenth century, Gothic story was an extremely popular form of literature, and it has been a major genre since then. The Yellow Wallpaper by Charlotte Perkins Gilman and A Rose for Emily by William Faulkner are both Gothic horror stories consisting madness and suspense. The Gothic horror story carries particular conventions in its setting, theme, point of view, and characterisation. Both Gilman and Faulkner follow the conventions of the Gothic horror story to create feelings of gloomRead MoreWilliam Faulkner s A Rose For Emily1316 Words   |  6 Pages There are many ways to read a piece of writing. A reader could take the work at face value, investigate and ponder ideas introduced, or closely examine each minuscule detail in the writing. In order to fully enjoy William Faulkner’s â€Å"A Rose for Emily† readers must do the latter. Faulkner is a witty writer; some symbols are less obvious than others in his writing. To fully appreciate and obtain full meaning of the text readers must pay attention to his symbols and how they contribute to the greaterRead MoreMurder Has Always Been A Fascinating Element In Fiction1102 Words   |  5 Pagesunbalanced main characters in the two murder stories, The Cask of Amontillado and A Rose for Emily drive the plots of the stories. Montresor and Miss Emily, the murderers in each sto ry, engage the readers, allowing them to have a different perspective on their actions and similar motives of murder. A close examination of the way Montresor, the narrator of The Cask of Amontillado, and Miss Emily, the protagonist of A Rose for Emily, commit the action of murder towards their victims demonstrates how authorsRead More Importance of Human Interaction in William Faulkners A Rose for Emily1372 Words   |  6 PagesInteraction in William Faulkners A Rose for Emily Are human beings responsible for the well being of others that they come into contact with? William Faulkners story A Rose for Emily considers the significance that human interaction has or does not have on peoples lives. Faulkner creatively uses a shocking ending to cause readers to reevaluate their own interactions with others in their lives. Throughout the story, Faulkner uses characters that may relate to the readers more than they want to admitRead MoreA Rose For Emily By William Faulkner1552 Words   |  7 Pagesthe short story â€Å"A Rose for Emily† by William Faulkner, the reader is given a glimpse of the internal conflict of the main character, living in the past, and the involvement of an over involved society causing the reader to look into the consciousness of an individual haunted by a past and lack of a future. The story is set in a post-Civil War town in the South. He is able to give the reader a glimpse of the practices and attitudes that had united the peopl e of the South. Emily is a vibrant and hopefulRead More Horror The Supernatural Genre Essay975 Words   |  4 Pagessupernatural evokes a more effective response from the reader. â€Å"A Rose for Emily† is a good example of horror which contains no supernatural elements. While pieces of the story contain the unusual or violate societal taboos the story conforms very much to the way in which we think the world operates. The reader could easily imagine that this story might really have occurred at some time. While the realism of the story makes it more plausible to the reader, it also lessens its effectiveness. TheRead MoreEssay about A Rose for Emily1634 Words   |  7 PagesFurthermore â€Å"A Rose For Emily† by William Faulkner and â€Å"Metamorphosis† by Franz Kafka were not on the top of my list. In my opinion, the stories were eye catching because of how the author made its characters react and respond toward the suspense and eeriness in certain parts of the climax of the stories. For example, in â€Å"A Rose For Emily† the ladies of the community said â€Å"We did not say she was crazy then. We believed that she had to do that† (Faulkner 81) These two lines were said about Emily after the

Effect Of Music On Depression - 1007 Words

RESEARCH EVALUATION FORM NAME: Leah Ledtje DATE: October 27, 2015 1. Full citation in APA style: Chan, M. F., Chan, E. A., Mok, E., Tse, F. Y. K. (2009). Effect of music on depression levels and physiological responses in community-based older adults. International Journal of Mental Health Nursing, 18(1), 285-294. 2. Purpose of the study: The purpose of this study was to examine the effect of music on depression in elderly patients. 3. Research question(s) posed: 1) Does music intervention reduce depression levels for the elderly in the intervention group versus those in the control group? 2) Is there a considerable change in depression levels among the four time points for the elderly in each group? 3) Does music intervention make a difference in the reduction of physiological measures between the elderly in a music intervention group and those in a control group? 4) Are there considerable changes in physiological measures along four time points for the elderly in each group? 4. Setting of the study (geographic location, institutional surroundings and details): This study took place at a community daycare center in Hong Kong over a four week time period. 5. Participants: The study included 47 (23 music intervention, 24 control) male and female participants, who were aged 60 or over, from a community daycare center in Hong Kong. 6. What data were collected? (If historical, list the primary and secondary sources. If philosophical, list the premises) The participantsShow MoreRelatedThe Effects Of Music Therapy On The Rate Of Depression Essay855 Words   |  4 PagesObjective: In patients with recurrent episodes of depression, does music therapy reduce the recurrence rate? P = patients with recurrent episodes of depression I = music therapy C = no music therapy O = decrease in recurrence rate of depression Search Strategy: In order to answer this question, the Cochrane Controlled Trials Register, MedLine, PsycInfo, PubMed, and ACU library databases were searched.   In addition, past reviews, articles and studies from government agencies in United States, UnitedRead MoreEffectiveness of Music Therapy Essay1564 Words   |  7 PagesMusic is composed of sounds intertwined with melody and rhythm that can have powerful effects on a person. It can help people focus on tasks or calm the mind. Research has shown that music has beneficial effects on the mind, body, and health of a person. A journal article by Rastogi, Solanki, and Zafar (2013) refers, on the contrary, to: ‘Controlled use of music and its influence on the human being in physiological, psychological, and emotional integration of the individual during treatment of anRead MoreThe Effects Of Music And Music Therapy On Mental Health1540 Words   |  7 PagesThe Effects of Music and Music Therapy on Mental Health A Review of Studies Done â€Å"The American Music Therapy Association (AMTA) defines music therapy as ‘an established health profession in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals’† (Barnett Shale, 2013, p.48). Music Therapy (MT) is shown to be able to help people with many different kinds of mental health problems such as anxiety, stress, and minorRead MoreThe American Music Therapy Association1529 Words   |  7 Pages â€Å"The American Music Therapy Association (AMTA) defines music therapy as ‘an established health profession in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals’† (Barnett Shale, 2013, p.48). Music Therapy (MT) is shown to be able to help people with many different kinds of mental health problems such as anxiety, stress, and minor cases of depression. There have been many studies done showing that MT is an effectiveRead MorePerioperative Case Study1302 Words   |  6 PagesSummary of Study Two: Perioperative Music and Its Effects on Anxiety, Hemodynamics, and Pain in Women Undergoing Mastectomy This second study delves into finding a cost-effective intervention with potentially minimal adverse reactions on perioperative patients, specifically of those diagnosed with breast cancer suffering with anxiety and pain. The diagnosis of breast cancer, especially in women brings on a slew of negative feelings due to the threat they feel on their life, change in body imageRead MoreMusic Therapy And Depression922 Words   |  4 Pagesthe findings to other populations. Anxiety and depression can also be relieved through music therapy and muscle relaxation training exercise; nurses can supervise patients several times through deep muscle relaxation (McGregor Antoni, 2009) and through tension relaxation exercise which can cultivate their abilities to perform the exercise by themselves (Stuart and Laraia, 2008). Music therapy refers to the clinical and evidence-based use of music interventions to accomplish mental relaxation (DeRead MoreJake Fuller. 05-16-2017. Hec 357. Music Therapy How It1621 Words   |  7 Pages05-16-2017 HEC 357 Music Therapy; How it effects emotional and physical health. Purpose of Study The purpose of this study is to analyze the effects that music therapy has individual and family health. The purpose of study relates directly to benefitting the community. Research Questions How can music therapy effect an individual with a disability? How does music therapy effect an individual’s emotions? How can music therapy help with health issues? Definitions and Terms Music Therapy- Music therapy is aRead MoreMusic Therapy On Depression Compared With Psychotherapy1000 Words   |  4 PagesOrganization, depression affects over 300 million people worldwide. Many treatments have been created to combat this disease, which at its worst results in suicide and death. Treatments often include psychotherapy and antidepressants. Researchers have been seeking other ways that depression can be treated. One such alternate treatment is music therapy. The application of music to treat depression in various patients has been proven to be equally or more successful than psychotherapy, therefore music therapyRead MoreMusic : Music And Mindfulness951 Words   |  4 PagesMusic and Mindfulness Music is vitally important to humans, and has played a role in society since the beginning of time. From the way that the wind whistles, or birds chirp, to the many new different types of music that exist in modern society. Music has a great impact on people’s minds and can impact the way they interact with one another. Mindfulness can be characterized as the state or quality of being aware of your surroundings. Music can help bring about vast mood changes and help people expressRead MoreThe Effects Of Music Therapy On Patients With Cancer910 Words   |  4 Pagesknown complete music compositions dating from about 2nd century B.C., an Epitaph believed to have been written by Seikilos himself while still alive. The (Seikilos) Epitaph has been translated from the original Greek of that period as: â€Å"As long as you live, shine feel no grief at all Life is short Life demands its toll† (Pilich). The interesting fact about this composition is that the tempo is expressive of â€Å"religious solemnity† (Pilich). Obviously one can comprehend the fact that music contains not

Management Of Chronic Arthritis Pain In The Elderly †Free Samples

Question: Discuss about the Management Of Chronic Arthritis Pain In The Elderly. Answer: Introduction The assignment is the annotated bibliography pertaining to the chronic health condition. The aim of the annotated bibliography is to develop the critical analysis and the solution focused skills. The annotated bibliography is based on the critical evaluation of the evidence-based literature. For the purpose of the assignment, a chronic health condition is selected and a clinical practice issue related to chronic care nursing. The assignment deals with the arthritis in the aged-care setting. The issue with the chronic care nursing selected is the pain management. In order to guide the literature review a research question is developed. For annotated bibliography the completed search strategy is detailed. The annotated bibliography consists of summary and critical discussion. The bibliography consists of atleast 5 scholarly sources. It is followed by the synthesis of all the articles reviewed. Chronic health condition A chronic illness is the long term condition that has no complete cure and is associated with several comorbidities. One of the chronic health conditions that will be discussed in the paper is arthritis in the aged care setting. Rheumatoid arthritis, gout and osteoarthritis are the common problem faced by the elderly patients. Arthritis is the chronic disease that attacks women, men and children at any age. It damages the body joints causing intense pain and discomfort. The most commonly affected joints are the Knees, ankles, neck, back, hips, hands, wrists, fingers, ankles and toes (Walker, 2012). This chronic deforming disease and associated pain can render anyone disabled without proper treatment. Patients with this disease live in uncertainty about the unknown consequences in future. Some types of arthritis are difficult to diagnose. The treatment for arthritis usually consists of pain killers, anti-inflammatory disease and anti-rheumatic drugs. Apart from the pharmacological treatment, non-pharmacological treatment includes modification of lifestyle and pain management techniques. Some of the symptoms of the arthritis is so debilitating that the patients lose mobility and joints strength. The patients are thus forced to change the lifestyle to be able to manage the activities of daily living (Jia Jackson, 2016). Issue related to chronic care nursing The common challenge for the nurses caring for arthritis patients is the symptoms management such as pain and flares. On a daily basis in the emergency room it is heartbreaking to see the patents with arthritis. The patients arrive in ER with intense pain or flares. Middle aged men and women are most frequently encountered in the emergency room. Arthritis and ageing are associated with several comorbidities. It includes osteoporosis, cardiovascular disease and malignancies. With the increasing aging population the prevalence of arthritis especially rheumatoid arthritis is estimated to increase (van Onna Boonen, 2016). These factors significantly hamper the management of arthritis. Over the years there is an increasing concern among the nurses failing to handle pain management concerns of the patients with arthritis. On the other hand, the elderly patients too lack the knowledge required to manage the symptoms, which is a challenge for nurses. As per the literature, there is inadequa te treatment of the pain as it tends to be underestimated. In the management of the patient care, the nurses act as mediator between the patients and the physicians. Nurses play a vital role in outpatient pain management. Pain management is centre in health care today given the opioid crisis (Fitzcharles, Lussier Shir, 2010). There is a lack of knowledge on factors acting as barriers for nurses to implement effective pain management strategies. The rationale for the chosen nursing issue is the experience observed from one of the relative suffering from the arthritis and dissatisfied with the pain management strategies. Patients satisfaction with pain control is known to be associated with the key contributions of the nurses. Thus, it is necessary to identify and understand the barriers of the nurses to manage pain symptoms of the arthritis patients. Search strategy: Research question The research question to guide the literature review as a part of the evidence based medicine, which involves developing a question based on the issues identified with the disease or the patient. Using the research question, evidence will be identified. The research question for the annotated bibliography is- What are the educational needs and barriers of the nurses caring for the patients with arthritis (gout, rheumatoid arthritis, and osteoarthritis)? 2. The key topics expressed in the research question are the nursing education needs in caring for arthritis patients. The topic also expressed is the challenges faced/perceived by the nurses in caring for the arthritis patients. 3. Search terms The search terms used for extracting the research papers for annotated bibliography and narrowing the research are- Arthritis care, rheumatoid arthritis care, gout management, osteoarthritis, nursing care, arthritis nursing care, pain management arthritis, nursing educational needs for arthritis, nursing barriers for arthritis treatment, provider barriers in gout management, and patient and provider educational needs in osteoarthritis. For effective research the Boolean operators AND, OR and both were used. Databases used To find the best available literature the electronic databases searched were MEDLINE, Cochrane library, and Google scholar. The Cochrane and MEDLINE database are chosen as it is regularly updated. The hierarchy used for searching is the prospective cohort studies and then moving down to the case reports (Rollyson, 2016). The search was restricted to articles published in English language and between 2015-2018. 5. Database searched with keywords and phrases. A total of 110 articles obtained The articles were scanned for titles, and abstracts to determine the relevancy. It will help eliminate the irrelevant articles. For further elimination the full text articles are scanned to determine the relevancy. 6. The first 20-30 articles were related to dementia, knee arthoplasty, aged care setting and the challenges faced by the nurses in these areas. In addition there were some more papers on the recommendations for the arthritis management and patients barriers in arthritis management. There were a total of 67 articles and not many were relevant. Therefore, the search was refined by modifying the search terms. 7. For researching the databases the search terms used were: rheumatoid arthritis AND provider barriers, osteoarthritis AND nursing barriers, gout AND provider barriers, nurses training needs AND arthritis management, nurses educational needs AND caring arthritis, nurses educational needs AND rheumatoid arthritis OR osteoarthritis. These key terms further helped to narrow down the research. The search generated 33 relevant articles 8. The same databases were again used for extracting the research papers using the modified search terms. The inclusion criteria were research paper published between 2012-2018. The patients must be suffering from arthritis and includes nurses and the patients as the research participants. The study conducted in Australia as well as in other country is considered for broad perspective. The exclusion criteria were review papers, reflection reports and case reports. This further narrowed the search. Using these criterion 12 articles were excluded. The search then generated 21 articles and after scanning through titles, abstracts, and full text 16 articles were excluded. Finally five articles were selected for annotated bibliography considering it to be most appropriate. Annotated The study explored the patient and providers perception of the illness, which is gout. The study used qualitative research paradigm. Upon conducting the semi structured face-to-face interview with the patients and the nurses, it was found that the nurses had lack of knowledge about the nature of gout and its recommended management. The nurses failed to utilise the clinical guidelines for gout. The nurses were found to give only suboptimal information. It was due to lack of training and education of gout related best practice. Another barrier for nurses was lack of incentives to improve treatment and symptoms management. Based on the interview the patients too had misconceptions concerning the nature of gout. However, the findings of the study limit generalisability due to caveats and there is small sample size (Green et al., 2015). The strength of the paper is its implications with improving the standards of care and education needs in this condition. The overall text is well organis ed and the research objective is fulfilled. The cross-sectional survey intended to identify the educational needs of nurses caring for osteoarthritis and rheumatoid arthritis. The nurses respondents were found with less confidence in their skills and knowledge when caring for osteoarthritis patients. The method of investigation was appropriate considering the research objective. The nurses were incompetent in pain medication for the patients, advising patients on exercises and unsure about the symptoms management when caring for the rheumatoid arthritis patient. The study implies for future training that must contain key components like medication and joint protection. The study is based on adequate background research and the arguments are well supported with the relevant sources. The results are well explained with graphical illustrations and text is well organised. The survey however, had limitations like small sample size and the recruitment resembles that the professionals were already acquainted with the nurses. The char acteristics of the non respondents were not known thus, there must be bias in the interpretations of the results (Little Rubin, 2014). The nurses perceiving that they do not have the adequate knowledge and skills may not be related to the actual skills and knowledge. There is a need of objective assessment. The study described the kind of education needed by the nurses caring for patients of rheumatoid arthritis. The author conducted survey and analysed using the thematic and summative content analysis. It was found from the survey that the nurses demanded to strengthen their knowledge in medically reacted care. There was lack of knowledge among nurses about the medicine-based information about rheumatoid arthritis. Lack of continual and update education was perceived as a barrier by the nurses. Rheumatoid arthritis has considerable impact on the patients life and nurses need ever widening areas of knowledge (Walker, 2012). Only then nurses can provide the patients with suboptimal information. The overall study is well organised with supporting literature. The research objective was clearly defined; the methodology and the results were presented in easily understandable format. Owing to the difficulty in performing the summative content, the reliability of the paper may be doubted (Gree n et al., 2015). There are different natures of the expressions provided by the nurses and there may be difference in the exact amount of simplifications. The strength of the paper is the consistency in results with other sources. The study explored the nurses involvement in educating patient with rheumatoid arthritis. According to author, the important part of the nurses role is to provide the patient education in rheumatoid arthritis. Based on the qualitative study the nurses perceived educating the non-adherent patients as challenge. It was easy to educate the patients who were committed to their health. The non-adherent patients have different perception of the disease and acceptance, motivation and autonomy. As per the semi structured interview the nurses would be benefitted with more training on dealing with the non-adherent patients. The interview was not enough to understand the experiences faced by the nurses. As the interview is conducted only in one hospital the transferability is doubted. However, the study is helpful in addressing the research question. The results have an important implication which is strong involvement of nurses in patient education in rheumatoid arthritis. The results are valu able as it implies about nurses training to deal with non-adherent patients. Unlike other studies this study has opened a new ways of seeing a problem from the eye of non-adherent patients. The conclusion thus satisfies my own investigation. The method of investigation was appropriate considering it an exploratory study and it very well addresses the research objective. The study conducted cross-sectional descriptive correlational study to examine factors in gout patient affecting the adherence to urate-lowering therapy. The study results imply for nurses to learn skills to educate patients on mechanism of urate-lowering therapy and help them adhere to medication. It implies for the nurses to take lead in educating the gout suffering patients to help them adhere to the management. The results implies for nurses to learn skills to modify patients beliefs about medication. The study did well contribute to the limited research on gout patients issue with medication errors. The methodology of investigation is well justified as per research objectives. It implies for nurses the need to develop skills to explore the patients opinions and concerns about gout and ULT. Only with the help of proper training of nurses will be able to develop appropriate interventions. The limitations of the study include potential response bias, due to participants misinterpre tations of the questionnaire. Overall the study contributes well to the personal research question. Synthesis Based on the literature review the nurse barriers to care for arthritis patients are lack of knowledge, inability to provide optimal information to the patient on managing gout, rheumatoid or osteoarthritis, lack of skills among nurses in educating the non-adherent patients, insufficient medical information about the arthritis pain management, lack of incentives for nurses to manage the arthritis symptoms and patients confusion about the nature of the arthritis. These barriers also imply the training and educational needs of the nurses. Upon synthesising the relevant data, the educational needs of the nurses caring for the arthritis patients is a matter of serious concern. The training and educational programmes can address the knowledge gaps of the nurses, enhance the communication with clinicians and improve relationship with patients. The results aligns with the study of Edgerton et al. (2017), according to which adequate training and education will bring behaviour change among nu rses that in turn will increase patients adherence to arthritis management. It will also help nurses to engage in effective communication with patients. Having adequate education among nurses on arthritis management will allow nurses to manage the dissonant patient expectations and provide care that is consistent with the clinical practice guidelines. The results are appropriate and are also confirmed by study of Larsson et al. (2010). According to this study the when the nurses educate the patient about drugs; it gave the patients power, autonomy and security. Thus, it can be concluded that nurses must be well trained about the arthritis symptoms management and educated about skills to address the patients concerns. References Chua, X. H. J., Lim, S., Lim, F. P., Lim, Y. N. A., He, H. G., Teng, G. G. (2017). Factors influencing medication adherence in patients with gout: A descriptive correlational study.Journal of clinical nursing. DOI:10.1111/jocn.13918 Egerton, T., Diamond, L. E., Buchbinder, R., Bennell, K. L., Slade, S. C. (2017). A systematic review and evidence synthesis of qualitative studies to identify primary care clinicians' barriers and enablers to the management of osteoarthritis.Osteoarthritis and cartilage,25(5), 625-638. DOI:https://doi.org/10.1016/j.joca.2016.12.002 Fall, E., Chakroun, N., Dalle, N., Izaute, M. (2013). Is patient education helpful in providing care for patients with rheumatoid arthritis? A qualitative study involving French nurses.Nursing health sciences,15(3), 346-352. DOI:10.1111/nhs.12042 Fitzcharles, M. A., Lussier, D., Shir, Y. (2010). Management of chronic arthritis pain in the elderly.Drugs aging,27(6), 471-490. DOI: https://doi.org/10.2165/11536530-000000000-00000 Green, C. A., Duan, N., Gibbons, R. D., Hoagwood, K. E., Palinkas, L. A., Wisdom, J. P. (2015). Approaches to mixed methods dissemination and implementation research: methods, strengths, caveats, and opportunities.Administration and Policy in Mental Health and Mental Health Services Research,42(5), 508-523. DOI: https://doi.org/10.1007/s10488-014-0552-6 Jia, X., Jackson, T. (2016). Pain beliefs and problems in functioning among people with arthritis: a meta-analytic review.Journal of behavioral medicine,39(5), 735-756. DOI: 10.1007/s10865-016-9777-z Larsson, I., Arvidsson, S., Bergman, S., Arvidsson, B. (2010). Patients' perceptions of drug information given by a rheumatology nurse: a phenomenographic study.Musculoskeletal care,8(1), 36-45. DOI:10.1002/msc.16 Lillie, K., Ryan, S., Adams, J. (2013). The Educational Needs of Nurses and Allied Healthcare Professionals Caring for People with Arthritis: Results from a Cross?Sectional Survey.Musculoskeletal care,11(2), 93-98. DOI:10.1002/msc.1035 Little, R. J., Rubin, D. B. (2014).Statistical analysis with missing data(Vol. 333). John Wiley Sons. Retrieved from: https://books.google.co.in/books?hl=enlr=id=AyVeBAAAQBAJoi=fndpg=PT8dq=characteristics+of+the+non+respondents+were+not+known+thus,+there+must+be+bias+in+the+interpretations+of+the+results+ots=uyRU7GqVfzsig=z37i7gGdThpwe_P5cmtx4Pyz9Cs#v=onepageqf=false Rollyson, C. (2016).Biography: an annotated bibliography. Open Road Media. Retrieved from: https://books.google.co.in/books?hl=enlr=id=HbFgDAAAQBAJoi=fndpg=PT4dq=annotated+bibliography+of+the+literatureots=7NRgrZErtssig=Peo-fwl8akEHVAUinBqUhB72UB8#v=onepageq=annotated%20bibliography%20of%20the%20literaturef=false Romppanen, T., Rantanen, A., Kuokkanen, L., Roine-Mentula, K., Vuorinen, R., Suominen, T. (2015). The educational needs of nursing staff taking care of patients with rheumatoid arthritis.Journal of Nursing Education and Practice,5(8), 44. DOI:https://doi.org/10.5430/jnep.v5n8p44 Spencer, K., Carr, A., Doherty, M. (2012). Patient and provider barriers to effective management of gout in general practice: a qualitative study.Annals of the rheumatic diseases,71(9), 1490-1495. DOI: https://dx.doi.org/10.1136/annrheumdis-2011-200801 Van Onna, M., Boonen, A. (2016). The challenging interplay between rheumatoid arthritis, ageing and comorbidities.BMC musculoskeletal disorders,17(1), 184.DOI: https://doi.org/10.1186/s12891-016-1038-3 Walker, J. (2012). Rheumatoid arthritis: role of the nurse and multidisciplinary team.British journal of nursing,21(6), 334-339. DOI: https://doi.org/10.12968/bjon.2012.21.6.334

John Stubbs Love And Role Playing In A Farewell To Arms John Stubbs Es

John Stubbs' "Love and Role Playing in A Farewell to Arms" John Stubbs' essay is an examination of the defense which he believes Henry and Catherine use to protect themselves from the discovery of their insignificance and "powerlessness...in a world indifferent to their well being..." He asserts that "role-playing" by the two main characters, and several others in the book, is a way to escape the realization of human mortality which is unveiled by war. Stubbs thinks that Hemingway utilized role-playing as a way to "explore the strengths and weaknesses of his two characters." Stubbs says that by placing Henry's ordered life in opposition to Catherine's topsy-turvy one, and then letting each one assume a role which will bring them closer together, Hemingway shows the pair's inability to accept "the hard, gratuitous quality of life." Stubbs begins by showing other examples, notably in In Our Time and The Sun Also Rises, in which Hemingway's characters revert to role-playing in order to escape or retreat from their lives. The ability to create characters who play roles, he says, either to "maintain self-esteem" or to escape, is one Hemingway exploits extraordinarily well in A Farewell to Arms and therefore it "is his richest and most successful handling of human beings trying to come to terms with their vulnerability." As far as Stubbs is concerned, Hemingway is quite blatant in letting us know that role-playing is what is occurring. He tells that the role-playing begins during Henry and Catherine's third encounter, when Catherine directly dictates what is spoken by Henry. After this meeting the two become increasingly comfortable with their roles and easily adopt them whenever the other is nearby. This is apparent also in that they can only successfully play their roles when they are in private and any disturbance causes the "game" to be disrupted. The intrusion of the outside world in any form makes their role-playing impossible, as evidenced at the race track i n Milan, where they must be alone. The people surrounding them make Catherine feel uncomfortable and Henry has to take her away from the crowd. He goes on to describe how it is impossible for them to play the roles when they are apart and how they therefore become more dependent upon each other's company. Stubbs goes on to explain how, "neither mistakes role-playing for a truly intimate relationship, but both recognize that it can be a useful device for satisfying certain emotional needs." He says that originally Henry and Catherine are playing the "game" for different reasons but eventually move to play it as a team. Henry is role-playing to regain the sense of order he has lost when he realizes the futility of the war and his lack of place in it. Catherine is role-playing to deal with the loss of her fiance and to try to find order in the arena of the war. When they are able to role-play together, "the promise of mutual support" is what becomes so important to them as they try to cope with their individual human vulnerability. He also analyzes the idyllic world introduced early in the story by the priest at the mess and later realized by Henry and Catherine in Switzerland. They fall fully into their roles when they row across the lake on their way to their idealized world. The fact that they actually are able to enter this make-believe world strengthens their "game" and allows it to continue longer than it would have otherwise. And once they are in this new world they adopt new roles which allow them to continue their ruse. They also need to work harder to maintain the "game" because far from the front they are both still aware the war is proceeding and they are no longer a part of it. The world in which they exist in reality (!) is not conducive to role-playing because it tries repeatedly to end their "game". Stubbs manages to uncover numerous instances in which the two are role-playing and he makes a very interesting case that this is exactly what they are doing and not just his imagination reading into the story. He does make certain assumptions, that their love is not "real",