Analysis of The House on Mango Street by Sandra Cisneros Essay

In the wake of having perused the novel â€Å"The House on Mango Street† by Sandra Cisneros I will presently focus on the foundation of the novel that moved Sandra Cisneros to compose it by researching the novel with uncommon respect to its various measurements. 1. The Novel 1.1 Summary The tale â€Å"The House on Mango Street† is composed by Sandra Cineros. It manages family, neighborhood and dreams of a youthful Mexican young lady, Esperanza Cordero experiencing childhood in Chicago. The epic starts when the Corderos move into another house on Mango Street in the Latino segment of Chicago. The way that it is the main house they have ever possessed, do right by them. Be that as it may, when Esperanza sees it, she is baffled by the red, frail house. It isn't the one their folks let them know nor Esperanza longed for. Esperanza isn't simply disappointed with her home, yet she is likewise embarrassed about her appearance and of her name, which is consistently mispronunced, and sounds if the syllables were made of tin and on the off chance that they were a discipline for the ears. Esperanza was named after her incredible grandma, who had to wed and condemned to a real existence loaded with bitterness. In any case, Esperanza swears that she won't have a similar fate like her incredible grandma. Esperanza aches for a name that fits to her, that communicates her character: â€Å"Zeze the X† (Cisneros, p.11). In time, she sees how blissful and brutal reality can be throughout everyday life. Her first kinship is only a concise one on the grounds that Cathy’s familiy before long moves away as a result of the area, that turns out to be progressively possessed by lower-class, individuals like Esperanza’s family. By contributing five dollars for a bicycle, Esperanza is remembered for the friend network of two more youthful sisters. By Lucy and Rachel, Esperanza is presented in the marvels of growing up by discussing mists, hips and marching around Mango Street in high-obeyed shoes. By the more seasoned children, Esperanza can watch the difficulties youngsters are gone up against with in unpleasant neighborhoods: Louie’s vehicle robbery, the passing of a kid by a mishap Marin becomes acquainted with, and Marin’s edgy endeavor to discover a spouse she can escape from this spot. Every one of these things open Esperanza’s eyes and show her the restricted possibilities which are offered and she had in such an area. Alicia, then again, is an exemple for the less who leave nothing to his destiny, yet step up to the plate. In spite of her father’s see, she goes... ...v. ed., 1970) Keller, Jã ¼rg P., The American Dream Gone Astray. (Berne: Peter Lang, European Academic Publishers, 1995) Savin, Ada, â€Å"Mexican-American Literature† in: New Immigrant Literatures in the US. (London: Alpana Sharma Knippling, 1996) Simone, Roberta, The Immigrant Esperience in American Fiction. (Boston: Scarecrow Press, Inc., 1995) Web sources: http://www2.cwrl.utexas.edu/sheila/314s96/understudies/mitch/mach.htm, 2000, 19.Mar.2001 http://twu.edu/www/twu/library/zumwalt.html, Mar. 2001, 24.Feb.2001 http://voices.cla.umn.edu/creators/SandraCisneros.html, Mar. 2001, 24.Feb.2001-03-22 http://www.britannica.com/bcom/eb/article/4/0,5716,121244+1+111233,00.html, 27.Feb.2001 http://www.britannica.com/bcom/eb/article/0/0,5716,115530+1+108719,00.html, 03.Mar.2001 http://www.dictionary.com/cgi-canister/dict.pl?term=home, Jan.1998, 17.Mar.2001 http://www.dictionary.com/cgi-canister/dict.pl?term=machismo, Jan.1998, 19.Mar.2001 http://www.hausaufgabe.de/cgi-canister/information/fetch.pl?id=1469&ids=1469+1188, Nov.2000, 03.Mar.2001 http://www.nclr.org/about/nclrfaq.html, 1999, 03.Mar.2001 http://www.students.depaul.edu/~mrodrig/history.html, 09.Mar.2001

Economies of Scale Free Essays

Detroit and a portion of its encompassing territories as Windsor and Ontario, speak to a gigantic factor in the economy of the United States by being one of the significant urban areas where exchange happens. General Motors, Ford and Chrysler otherwise called Americas ‘Big Three’ vehicle organizations are situated in this city. The idea of External Scale Economies can assist us with clarifying why these three significant organizations are situated here. We will compose a custom article test on Economies of Scale or on the other hand any comparative point just for you Request Now Scales economies are significant for a nation since they speak to a development in its economy. Organizations can create more items or administrations at a lower cost of information. Outer scale economies depend on the size of a whole industry inside a particular geographic zone. †1 These organizations mass in one explicit region for this situation Detroit, causing a decline in the expense of the contributions by sharing a portion of these with the other encompassing organizations, â€Å"this way the yield of the business inside the zone is larger†2 But how did Detroit ended up being the spot for these significant organizations? Detroit’s area gave it the bit of leeway to begin developing as a transportation center in the earliest reference point. Toward the finish of nineteenth century Detroit had delivery, shipbuilding and assembling ventures, however what gave Detroit the primary preferred position for the organizations to settle there were the normal assets that it possessed which in the end drove vehicle businesses to be keen on this spot for what implied for them: the outer variables which gave a decrease in the firm’s cost. A portion of these variables were coal, iron, and copper mining, Detroit was additionally effectively open by water and via land; and it was close the nation’s driving, entrenched creation habitats. One of Detroit’s quality was surely the outside variables referenced above; it guided significant businesses towards its bearing turning out to be what is presently known as a worldwide image. The agglomeration of these three major car organizations has permitted the accomplishment of an outside scale economy subsequently an advantage for the United States’ economy. Notes 1. Th omas A. Pugel, â€Å"Chapter 6 Scale Economies, Imperfect Competition, and Trade†, International Economics, fifteenth Edition: Page 94 2. In the same place 3. Thomas J. Sugrue, Motor city: The narrative of Detroit. http://www. gilderlehrman. organization/history-by-period/governmental issues change/articles/engine city-story-detroit The most effective method to refer to Economies of Scale, Essay models

Tips on Choosing 5th Grade Timed Essay Samples

Tips on Choosing 5th Grade Timed Essay SamplesTaking time to look for essay samples is not something that should be left to the last minute either as it is a good idea to take a moment and consider how much time you actually have before you make the decision. Now that you have decided that the last minute rush is simply not an option, you should make sure that you are choosing the right essay samples and taking the time to review the ones that are suitable for your needs.First things first; you need to make sure that you are comparing all the essay samples that you are considering before making a final decision. This will help you ensure that you are only looking at those that really meet your requirements. It can be a very daunting task, especially if you find yourself getting confused, but the truth is that you are not really looking for a perfect essay.The key to choosing good essay samples is to look at the essay examples in terms of what it is trying to do. Once you understand t his, you will be able to spot a few things that you may not have noticed before and find the ones that really work for you.Once you have the essay samples on paper, you should begin to study them carefully. You should not just read over the contents or skim through them, but rather try to think about how they might be used in your own life.Doing this will help you see the potential problem areas that you might find. Once you have gone through them in this way, you will be able to choose the best essay samples from the bunch.One thing that you should do is look at the topics that the essays cover and see how well they are written. If the writers do not have an interesting topic to write about, then you should skip the one that does have an interesting topic and go for the one that has a good grasp of the subject matter.If you find that the essays that are relevant to the topic are very well written and also have an interesting way of presenting the subject matter, then you should loo k for the ones that do this. But if you are reading through the sample essays on your own and they appear to lack a good amount of interest, then you should move on to the ones that do.When you use the essay samples as a basis for your own essay, you should not put too much weight on the fact that the authors that wrote them are experts in the field. This is because you want to be able to use the information that they have to create your own original thoughts and ideas and not be limited by their knowledge.

A Of The White City By Erik Larson - 1426 Words

A Devil in the White City, written by Erik Larson, is a novel to remember. Not only does this book entice the ideas and a theme of â€Å"good† and â€Å"evil†, but Erik Larson, a former staff writer in the Wall Street Journal, also tied in historical events that occurred during the Chicago World Fair of 1893. The purpose of the book, that entices a combination of historical events and other fictional opinions, is to inform the audience of the historical content that occurred in the past and to â€Å"fill in the blanks† to what might have been misunderstood or â€Å"empty† during that period in time. Originally, Crown Publishers had published the book in 2003, but currently in the edition that I have read, Vintage Books, a Division of Penguin Random House LLC,†¦show more content†¦The purpose for this book is to bring together stories that have not been put together before. Larson brings together two opposite types of storylines and combines them i nto a unique perspective of writing to inform readers that many things can happen in one location as well. In a short summary of the novel, it takes place in Chicago, Illinois where many architects came together to create the World Fair, or the Colombian Exchange, to celebrate the 400th anniversary to when Columbus helped begin the journey of discovering America. Chicago had been known as the â€Å"Black City† and soon became known as the â€Å"White City† because of the creation of the World Fair and its amazing architecture. Hence the title of The Devil in the White City, the devil being H. H. Holmes and the White City known as Chicago. Two main viewpoints of Burnham and Holmes were introduced throughout the novel that helped give a unique perspective to the history of the growing city. Daniel Burnham, known as one of the many architects that helped in the creation of the World Fair, and H. H. Holmes taking shelter in a â€Å"castle† located in Chicago to use the World Fair to his advantage in luring victims to their death. The World Fair had not been an easy goal t o accomplish. Daniel had faced many obstacles and trials while building the fair with his talented team. Obstacles such as weather, locations, opinions, death, the architecture itself, andShow MoreRelatedThe White City By Erik Larson887 Words   |  4 Pages Erik Larson’s literary nonfiction novel â€Å"The Devil in the White City† surrounds the events of the 1893 Columbian Exposition World’s Fair in Chicago. Larson does a magnificent job intertwining the lives of two men who were changed by the events of the fair. Daniel H. Burnham, the brilliant architect behind the legendary 1893 World s Fair and Dr. H. H. Holmes, the cunning serial killer who used the fair to lure his victims to their death. The purpose of this review is not only to summarize Larson’sRead MoreThe Monster Of The White City By Erik Larson1637 Words   |  7 Pageshad not received any detrimental problem in their life to unleash it. Erik Larson’s novel, The Devil in the White City, foreshadows the characteristic of madness in many of the characters. Larson reveals in his novel that it does not matter what type of individual you are because everyone has some sort of madness inside of her or him, waiting to be revealed. Madness was simple to depict in the character of H.H. Holmes, but Larson hints at the readers that there was a cause to his insanity. AccordingRead MoreThe Devil Of The White City By Erik Larson Essay1326 Words   |  6 Pagescreate a person’s personality. In the novel â€Å"The Devil in The White City† by Erik Larson he develops a character full of evil motives and shows how he slowly develops into the murderous monster he becomes. Although this character in real life argued that he was born with the intent to kill, Larson’s way of writing seems to disagree. Through early signs at a young age, torturous murder tactics, and total control over decisions Larson comes to the conclusion that although Holmes believes he’s beenRead MoreThe Devil Of The White City By Erik Larson1808 Words   |  8 Pagesbooks and movies carry the essence of social history to give the viewers a deeper perspective of major issues. Social history is the use of personal stories t hat shed light on dominant issues by building public awareness. The Devil in the White City by Erik Larson helps highlight the major issue of homicide and publicizes it through personal stories by incorporating it in the story about the Chicago World’s Fair. In 1893, Chicago hosted the World’s Fair during which a man named H.H. Holmes became knownRead MoreIn The Devil In The White City, Erik Larson Tells The Story1063 Words   |  5 PagesIn The Devil in the White City, Erik Larson tells the story of two men, an architect and a serial killer, operating in Chicago during the 1890’s This novel describes the years surrounding the building of the 1893 Chicago World s Fair, also known as The World s Columbian Exposition, which was designed to commemorate the landing of Columbus in America. It is divided into four parts with the first three primarily taking place in Chicago between the years 1890-1893. However, Part four of the novelRead MoreBuilding the World Fair in The Devil in the White City by Erik Larson 2548 Words   |  11 PagesThe Devil in the White City, Erik Larson Prologue The prologue begin aboard the Olympic following a man named Daniel Burnham on April 4, 1912. Burnham is suffering of severe pain in his foot. Burnham tries to send a message to his friend Millet who is aboard the Titanic, but the message was not allowed to be sent. Burnham thinks back to the fair and reminisces of the people that helped with the fair and thinks about who is still alive from the fair. Part 1 The first chapter introduces ChicagoRead MoreSummary Of Erik Larson s The Devil s The Red Devil And Where Is The White City1176 Words   |  5 Pagesprovides an overview of Erik Larson s 2003 book â€Å"The Devil in the White City†, including a summary, an analysis of the book s structure, and a discussion of the real-life individuals and events at the heart of the story. !!!Who s the Devil, and Where is the White City? When Leonardo DiCaprio and Martin Scorsese team up to make a big-budget movie based on your book, you know you ve arrived. This doesn t happen to most nonfiction authors, but it s happening to Erik Larson, best known for his 2003Read MoreErik Larson s The White City, And H.h. Holmes s World s Fair Hotel Essay1760 Words   |  8 Pagesa higher goal. During the turn of the century, a significant representation of a changing culture could be found in numerous cities around the country, especially in terms of the form and function of architecture. Perfect examples of a differing culture can be found in Erik Larson’s Devil in the White City. Through the description of building of Daniel Burnham’s White City, and H.H. Holmes’s World’s Fair Hotel, it can be inferred that both projects had different goals and very clearly representedRead MoreFigurative Language In Erik Larsons Devil In The White City916 Words   |  4 PagesTale of Two Cities Serbian poet, Dejan Stojanovic, once stated, â€Å"Devil and God – two sides of the same face.† When looking at Chicago during the Columbian Exposition, there were two sides of Chicago known as the white city and the black city. The white city was the fairgrounds where the World Fair occurred. The black city, however, is the rest of Chicago where the crime, poverty, disease, and filth was represented. Erik Larson constructs the black and white city in Devil in the White City by incorporatingRead MoreThe Devil in the White City good vs evil793 Words   |  4 PagesGood Versus Evil The Devil in the White City by Erik Larson depicts that wherever there is good, there is evil as well. The note included by Larson,  ¨Evils Imminent ¨ depicts this:  ¨Beneath the gore and smoke and loam, this book is about the evanescence of life, and why some men choose to fill their brief allotment of time engaging the impossible, others in the manufacture of sorrow ¨ (pg. xi). Larso shows this conflict of good and evil by comparing the two main characters, Daniel Burnham and Henry

Pistis in Classical Rhetoric

In classical rhetoric, pistis can mean  proof, belief, or state of mind. Pisteis (in the sense of means of persuasion) are classified by Aristotle into two categories: artless proofs (pisteis atechnoi), that is, those that are not provided by the speaker but are pre-existing, and artistic proofs (pisteis entechnoi), that is, those that are created by the speaker.A Companion to Greek Rhetoric, 2010 Etymology: From the Greek, faith Observations P. RollinsonThe opening [of Aristotles Rhetoric] defines rhetoric as the counterpart of dialectic, which seeks not to persuade but to find the appropriate means of persuasion in any given situation (1.1.1-4 and 1.2.1). These means are to be found in various kinds of proof or conviction (pistis). . . . Proofs are of two kinds: inartificial (not involving rhetorical art—e.g., in forensic [judicial] rhetoric: laws, witnesses, contracts, torture, and oaths) and artificial [artistic] (involving the art of rhetoric).Daniel BenderOne aim of speech within a Western rhetorical tradition is to produce pistis (belief), which will, in turn, produce consensus. A student trained to imitate models, to speak in different ways, could conform language and reasoning to the capacities of different audiences, and thus create that consubstantiality between speaker and audience, the rhetorically created scene of community.William M. A. GrimaldiPistis is used to represent the state of mind, namely, c onviction or belief, at which the auditor arrives when the correctly chosen aspects of the subject-matter are placed before him in an effective manner. . . .In its second meaning, pistis is the word used for a methodological technique . . .. In this sense, pistis means the logical instrument used by the mind to marshal the material into a reasoning process. It is a method which gives the matter a logical form, so to speak, and thus produces that state of mind in the auditor which is called belief, pistis. . . . It is this meaning of pistis which is applicable primarily to enthymeme, but also to paradeigma (example). For in rhetoric enthymeme (the process of deduction) and paradeigma (the inductive process) are the logical instruments which one is to use in constructing argumentation directed toward krisis, or judgment, on the part of another.

A Negative Impact of the Social Media on the Student Performance Research Paper

Essays on A Negative Impact of the Social Media on the Student Performance Research Paper The paper â€Å"A Negative Impact of the Social Media on the Student Performance" is a meaningful example of a research paper on sociology.  The top management of the university strongly believes that the students spend most of their time chatting and communicating on Facebook. The report will find out the time spend by the students on social media and the devotion to the university studies. The interviews o the student will assist to determine the opinion of the students in regard to the impact of the Face book on their performance. There have been massive cases of students performing poorly in academic work. This is strongly attributed to the high time the students spend on social media. The poor performance may be a result of many factors some of which are within the control of the university administration. The university can guide and counsel the students on the value and importance of devotion to their academic performance. Social interactions do shape the discipline and per formance of the students. Positive utilization of the Face book will see them exchange and share academic information which is the core of being in the university. It is appreciated in the research report that students are also social beings. There ought to be a striking balance between socialization over the media and devotion to the academic work for high performance. The research problems focus on the spending of too much time on Face book at the expense of academic devotion. This is a concern by the university administration.Literature reviewInstitutions of higher learning intend to train students on the value of personal responsibility and effective time management in the type of activities the students engage in. research into production issues is the core role of the students. Students ought to engage actively in the research of the wide range of issues that affect the community at large. The institutions are research centers for the universal use of all citizens in a country . There is a new trend in students spending most of their time on social media. It is believed the time spent on social media does compromise the quality of learning in higher institutions. Time management determines a sense of responsibility among the student. It is clear to note that the students prioritize the social factor at the expense of good grades. The socialization factor is crucial in the building of the complete personality of a student. Time management involves students drawing schedules and time tables for effective studies. Students ought to concentrate on a discussion to promote their performance in the academic world. The allocation of time between the priority areas will determine the academic success of the student. Co-curriculr activities are crucial in the academic growth of the student. The overemphasis on social media is detrimental in the performance of the student.

Management And The Ethical Concerns Related-Myassignmenthelp.Com

Question: Discuss About The Management And The Ethical Concerns Related? Answer: Introduction The case study below shows an illustration of a patient, with external ventricular drain. This reflective essay illustrates on the pathophysiology , nursing intervention and management and the ethical concerns related to the case. The case involves Mr. Knight admitted in the health facility with numerous diagnostics symptoms which is attributed to occurrence of Cerebrospinal fluid. The nursing intervention employed is EVD administration as a way of easing the pressure on the intracranial region. This essay covers the environmental and family issues which affect the nursing intervention and the legal issues pertaining health care delivery. History of the Patient This is a cases study of Mr Knight, aged 35 years old male, who was admitted in the health facility with complains from dysphagia and weakness throughout the body. His medical history is negative with no record of previous surgical procedures. The patient was well till 3 months when he started to develop general weakness and sleep apnea, with dysphagia and experiencing difficulty in swallowing. Upon admission, he was taken through blood investigation, with CBC, ABGs reflecting normal values, the CXR showed no abnormalities. The brain showed mass lesion in the 4th ventricle which was diagnosed with brain tutor. Upon this discovery, the patient underwent craniotomy procedure. Post operation status was that the patient was admitted in the ICU mechanical ventilation, with physical signs showing he was a wake, while spontaneously opening the eyes. The progress was positive on the next day with improvements on the limbs signifying 5/5 limbs. Comprehensive Nursing Assessment Integrating Pathophysiology The patient was taken through physical examination, whereby his head temperature was at 30 degrees, with key vital signs depicting temperature of 95.5degress F, while BP was of 130/79mmHG, pulse of 63, respiratory rate of 25 and oxygen saturation at 97%. His Glasgow coma scale was at 14, with dense left hemi paresis. There was occurrence of generalized symptoms of unconsciousness with mild headache with vomiting. The patient exhibited seizures similar to mild stroke. There was presence of binocular blindness, facial drop and aphasis. Other symptoms depicting subarachnoid haemorrhage included sudden onset of severe headache with vomiting and nausea. The physical signs on vital organs such as the heart, lungs and other extremities showed exacerbation. Altered level of conscious was also evident from the patient with signs of semi coma. This is associated with hemorrhagic stroke, which is often caused by the increased intracranial pressure. Subarachnoid haemorrhage can occur among patie nts without signalling any signs. It has devastating effects on the patient state, (Van, Kerr Rinkel, 2007). The physiological process that the patient exhibited altered levels of blood pressure, body temperature, blood glucose and blood oxygen saturation, (de Rooiji et al., 2007). The impacts this changes have on stroke have an impact on stroke and blood haemorrhage related factors. Thus the limits for offering treatments to these level of treatment incorporate well elaborated physiological variables process. Studies have shown that patients with internal bleeds often correspond to brain damage by the bleeds which lead to rise in intracranial pressure. Often severe headache with vomiting accompanies this condition. Gastrointestinal functions have been shown to have an effect on the patient eating pattern like swallowing and other impairments which often leads to effects on swallowing and impairment factors. Impaired nutritional functionality in brain haemorrhage can lead to reduced functional improvement and increased complication rates. The prevalence of brain haemorrhage is much associated with chronic kidney disease. Thus management of kidney related factors play a critical role in managing the patient. Neurological observation is crucial for early management and caring for complications of subcranoid haemorrhage. At times pain might persist due to intracranial pressure and is often important to make pain relief plan for such patients, (Rodrguez Gregorio, 2005). Evaluation of Nursing intervention/Management Strategy As a practising nursing practitioner, I administered the insertion of external ventricular drain. It is termed as the most common and important lifesaving technique often encountered in the neurological care unit, (Lo et al., 2007). This technique has been applied in brain injury such as intracranial haemorrhage, brain injury and meningitis. These conditions have been closely linked to .intracranial hypertension above 20 mmHg related to the obstruction of cerebrospinal fluid, (CSF) Upon closer examinations, the production of CSF was estimated at higher than 500-6000mL normal levels, (Loiselle et al., 2012). The fluid is often circulated in the ventricular system into the subarachnoid space and then taken into the nerves. There often exists equilibrium between the production and at levels of production and absorption. The disruption of this balance leads to intracranial hypertension with acute hydrocephalus, condition of excess fluid in the part of the CSF space in the brain lobe, (Sl azinski et al., 2011). Thus nursing intervention treatment of EVD, was evident to offer medical help and assistance to this patient. EVD administration aided on reduction of intracranial hypertension through diversion of CSF and the intravenous blood, which allows continuous intracranial pressure which helped in the resuscitation of these patient in the ICU bed, (Sarrafzedeh, Smoll Schaller, 2014). As a medical nurse I used freehand technique on the surface of the land marks as done by the clinicians, (Stanojevic et al., 2008). In this process I preferred the frontal cerebral hemisphere as the right entry for given to non dominance for language function for this patient. I maintained the patient on head of bed elevated at a degree of 45 degrees in the supine mode. I removed the hair using the callipers and the scalp which it was prepared in a sterile function. I placed a burr hole at Kocherr position order to avoid the superior sagittal sinus and the frontal cortex on the motor strip, (Kim et al., 2015). This point can be located through the drawing of the one line along the midpoint from the nasion to appoint of approximately 10 cm back and another from the previous point to a different location. After i had administered anaesthesia, I made linear incision down to the bone and i scrapped the perostema. I made a drill in order to penetrate the cranium in the trajectory area in order to determine the ventricular cannulation . I passed the ventricular catheter entering not more than 7 cm towards the coronal plane into the medical canthus of the eye in the ipsilateral area. Once the CSF flow had visualized, I removed the catheter sty let and trans duced it to obtain an opening in the intracranial pressure. I then tunnelled it down into the skin away from the skin away from the point of entry, (Wong, 2011). As a way of managing the EVD, after insertion, i raised the height of the mean pressure in collections system. While doing this i undertook carefully the pathology displayed by the patient to determine the height of the collecting duct. Using the unsecured aneurismal subarachnoid haemorrhage, the first height of the collecting system is set low so that the CSF was drained quickly to avoid rapid change in the transmural pressure in the aneurysm wall, which can be a factor in bleeding process, (Sheifer , 2010). At this level negative drainage was encountered with these patients with negative pressure placed on the hydrocephalus. When i had determined the needed height of the collection system, the EVD management remained to be a crucial activity. As a effective approaches in nursing management, there is need to adjust the height so that the transducer is nil in the Forameno of Monro. I had to adjust the drip so that it reaches the desired height. This way the CSF will be in a position to drain the intraventricular pressure, (Hunn et al., 2014). As a way of ensuring cleanliness i, ensured that the EVD collection is obtained and rinsed using clean detergents and using sterile technique to avoid risks. As a way of ensuring sober recovery, i ensured the vitals and signs and symptoms are always checked for any intracranial hypertension. Environmental Considerations and Family The environmental surrounding the admission of the patient to the ICU units and the surgical process to be initiated for the patient is often stressful to the patient and the family members, (Benarroch , 2006). Often when admitted to ICU units have always been viewed as crisis moment for both the patient and their families. Thus mental preparedness is always the key aspect in managing the patient affairs. Having loved ones in the intensive care units is often helpful and triggers changes in the family roles and shift in responsibilities roles, (Rincon et al., 2014). Often the fear of death and permanent disability has always been the fears of the family towards managing the patient. In this case study, the family of this patient was so worried and being unsure of what might take place with their patient in the facility upon the EVD process, (Guerra et al., 2017). These feelings of fear can trigger panic among the family members. The family often experiences feelings of high anxiety and insecurity which often leads to increased stressful circumstances. These events lead are catapult by the presence of the huge medical equipments and machines often employed in managing the patients. This scenario often affects the patient recovery process and dampens confidence of easy recovery. Family members have been found to experience difficulty in managing the stress and painful emotions and have often resorted to maladaptive coping strategies. At this juncture the patient family was forced to make decisions regarding the process of treating and managing the patient. This was significant in that it raised the stress levels of the patient. The nurses on the other hand play crucial role in managing the patient. As a nurse my role in being constantly managing the patient, was very crucial. My role in helping the patient was very crucial in helping even the parents to make certain decisions which are not in the capacity. As much as nurses being in a position to help and manage such situations, the needs of the family members are often neglected. The experiences of the nurses on the psychological needs they often encounter are enormous. Nurses and families have different priorities in terms of the needs and the psychological needs of the families are often critical, (Li, Gao, Wei and Wang, 2016). In health care practice, the health professionals are not well conversant with the needs of the patients. The knowledge that most health care professionals are not in a position to ensure that patients outcomes are improved, (Bijitterbier et al., 2001). Health care practitioners, I included as a nurse need to ensure that families are supported during the most needed time especially during the crisis moments. Thus meeting their immediate needs will often reduce the effect of the disease in both families and the health care system. The need to support the family to clarity of roles is essential in helping them gain confidence in the health care system. There is need to be aware of the treatment plan offered to their kin, which may have an effect on enhancing confidence among family members team. As much the anticipation from the family members has often been seen to reduce the tension and stress levels in the early phases of disease prognosis. Legal and Ethical Issues As a way of ensuring that there is informed consent on behalf of the patient, ensure that the family is clearly explained while the use of medical jargon and language. The information given must be in accordance with the patients rights and understanding. While ensuring that there is explanation for the need for the EVD, the reason for the EVD, the procedures it entails and length of EVD if placed. This is crucial in managing and building consensus for easier work during. As a way of ensuring that the patient information is kept in a non disclosed manner, there is need to ensure confidentiality in the nurse-patient relation. Often patients do share their information regularly. Failure to protect this crucial information from the patient will lead to diminish trust on the patient towards patient client relationship. The patient will thus be less likely to share sensitive information regarding this state. Creating an environment of trust among the different levels of care both the patient and nurse ensure the patient seek care and be honest as possible during the process of health. The duty of being confidential in health care practice is meant to ensure that the provider discloses that the information concerning the patient without permission and thus encourages the healt h care team to be more cautious and ensure unauthorised access. When family members seek the program of the patient, the obligality often dictates that they share the information of the patient. However the obligalities for sharing the information may not be met and thus if there is no explicit permission, t is always non ethical and non justifiable to do so, however this is exceptional in cases when the harm is significant and at high risks. Disclosures of patient information are often common and come in various ways. At times health care practitioner can discuss the status of the patient in places such as an elevator or in public. In which the act of maintaining privacy in these case is often hectic. Access to patient medical information by third parties is often prohibited. Thus the nurses have the responsibility of protecting this information in a comprehensive manner as much as possible. At times there comes a situation which you believe that the ethical and legal exception is often exception in confidentiality process. There is need to ensure the disclosure of the patient information can signify potential harm or damage which might be disastrous, thus there is need for critical care for patient privacy information. Avoidance of medical errors are often critical steps in these critical places. Especially when dealing with an EVD case, due diligence is needed as any medical error while facilitating nursing interventions puts the patient at jeopardy of death. There is an urgent need for preventing adverse effects which often include diagnosis, treatment and infection process. Research has put that 1% of hospitals admissions are happening due to adverse effects of negligence. Mistakes have led to immeasurable effects on the patient. The cost of these error management are often highly expensive and thus puts the health care practice of anyone at jeopardy, the impact it has on the nursing practice is so immense in that, there is need to avoid such errors as they are costly and have negative impacts. Thus with this view, there is need for comprehensive approach when dealing with patients. The nursing practice they receive should be geared towards promoting the health and positive outcome. In the case study, that patient diagnosed with EVD, has been successfully been managed to ensure the applied nursing practice management care is essential and productive. 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