The First World Problems

America stresses over issues that individuals in different nations could never get the opportunity to dream of or even get the opportunity to discuss in the course of their lives. America’s â€Å"first world problems† are things that normally are underestimated. For instance, the following refreshed electronic coming out or out and pair of sneakers put out in plain view at the stores. As Americans realize that those things are for the most part great to them, they don’t see how an individual from the eastern half of the globe battling in a sweatshop for low compensation manages attempting to break through to the day.In Where Sweatshops Are A Dream by Nickolas Kristof from the New York times, he concurs that sweatshops are terrible yet broadcasts that they are required. His contention appears to sort of repudiate one another. He underscores by shouting that less fortunate nations that don't have sweatshops have it more awful on the grounds that they have no work b y any stretch of the imagination. As though he is attempting to demonstrate that some work is superior to no work. He bolsters his contention by discussing how nations without the shops compelled to plumage through trash have it more awful on the grounds that they are progressively inclined to injury and disease.Yet, he doesn’t illuminate perusers about the circumstances in the real sweatshops themselves. He doesn’t note that individuals in sweatshops are dealt with terribly consistently. Sweatshop laborers manage getting misled about pays, hours, beaten to serious wounds and even passing. Kristof infers that having work is better than none and individuals in shops are better than in the avenues. He may think they have things somewhat simpler however it doesn’t imply that sweatshops merit the exertion and setting up more will transform anything. On the off chance that anything, it would expand the competiveness advertise, thus losing more positions and other out in to the avenues.

evilmac Comparing the Evil of Macbeth and Lady Macbeth Essay -- compa

Contrasting the Evil of Macbeth and Lady Macbeth   â€Å"At the core of William Shakespeare's Macbeth is an assessment of the idea of malevolence and it's numerous countenances and facets†(Cathell 119). The key abhorrence characters in the play, Macbeth and Lady Macbeth, are both underhandedness, however the sign of malevolence is distinctive in each.  Macbeth's detestable is a unique character characteristic. He starts the play as a commended saint, faithful to his companions and committed to his ruler. He is solid and honorable, a man to be appreciated by his crowd. Macbeth and Banquo are visited by the three witches, who guarantee him that he will be above all else. This hidden hint touches off a mystery aspiration inside Macbeth. Detestable has unfolded inside him, however at this beginning period of his change Macbeth is embarrassed about his malevolent inclinations. He says,  Stars, conceal your flames; Let not light observe my dark and profound wants; The eye wink at the hand; yet let that be, Which the eye fears, when it is done, to see. (Shakespeare I, iv, 50)  Before long, notwithstanding, Macbeth is overwhelmed by his aspiration and his fall starts. He says,  I have no prod to prick the sides of my expectation, however as it were  Vaulting desire, which o'erleaps itself/and falls on the other. (Shakespeare I, vii, 25)   When the descision to kill Duncan is made, and until his demise, Macbeth is a vessel constantly loading up with detestable. Macbeth is the wellspring of all the obnoxious deeds in this play. The witches light his underhanded desire, Lady Macbeth stirs the fire, however the fault for Duncan's homicide lays soundly on the shoulders of Macbeth. Macbeth might not have held the blades that slaughtered Banquo or Macduff's family, however the agression is his.  Woman Macbeth doesn't descen... ...pauses, Macbeth hurries to brutality. His fiendishness is ruthless and restless. His shortcoming is his powerlessness to control his brain.  Works Cited and Consulted:  Cathell, A.L. The Diabolic Evil in Macbeth in Shakespeare Survey: Volume 5. Altered by Allardyce Nicoll Cambridge: Cambridge University Press, 1996  Elliot, G.R. Presentation: On 'Macbeth' as Apex of Shakspearean Tragedy in Shakespearean Criticism, Volume 3. Altered by Laurie Harris (Gale: 1984)  McElroy, Bernard, 'Macbeth': The torment of the Mind in Shakespearean Criticism, Volume 3. Altered by Laurie Harris (Gale:1984)  Ribner, Irving. Macbeth: The Pattern of Idea and Action, in Shakespearean Criticism, Volume 3. Altered by Laurie Harris (Gale:1984)  Shakespeare, William. Macbeth. Altered by Norman Sanders. (Cambridge: Cambridge University Press, 1984) Â

Discrimination of Women Nurses in Qatar Essay Example | Topics and Well Written Essays - 2000 words

Segregation of Women Nurses in Qatar - Essay Example Qatar is one of the nations that pull in work searchers who venture to every part of the nation to abuse various business openings, and nursing has been one of the territories that draw in many would be fans who accept that the nation has the best methodology towards treating and compensating attendants (Hassan, Hassan and King, 2012). In any case, the converse is the situation in light of the fact that a significant number of these medical caretakers who end up Qatar face separation at work environment particularly ladies as they are doled out obligations that degrade their ethics and character (SYMES, 2015). A meeting with the medical attendant in Qatar focuses to another heading on how people who end in Qatar face genuine segregation in the wake of being brought into the nation through occupation organizations. The victimization medical caretakers clarifies why these ladies get poor compensation, as the interviewee affirmed and this is a difficult that is profoundly established in the society.â The separation of ladies in nursing is better comprehended by first distinguishing the level of ladies cooperation in labor as suggested by the general public. When all is said in done, ladies are not genuinely spoken to in the work showcase as obvious from the predominance of male experts in a large portion of the profession parts. In spite of the fact that ladies are similarly instructed in Qatar to accept the jobs in different business positions like nursing and different fields, the lady nurture interviewee learned that segregation dependent on sexual orientation contrast is a significant limitation to guaranteeing sex equity in the nursing calling (Interview).

The Overdiagnosis of ADD/ADHD Essay - 898 Words

Attention deficit hyperactivity disorder is the most widely diagnosed â€Å"mental-illness† in children in the United States today, and approximately 99% of children diagnosed are prescribed daily doses of methylphenidate in order to control undesirable behaviors. (Stolzer) Many children exhibit such behaviors as energetic, running, jumping, playing, and excitement in their daily learning activities. But at what point is a child’s exuberant behavior considered to be hyperactive? All children are supposed to be full of life, wonder, and questions. Today, though, it seems that these qualities are not appreciated; they are seen as compulsions that need to be controlled. While it is true that hyperactivity, compulsivity, and inattention are†¦show more content†¦Young children do not have the ability to adequately how they are feeling and the symptoms they are experiencing, so a diagnosis of ADD/ADHD is based on symptoms described by parents and teachers. Accor ding to Dr. Rosemary Hutchinson, ADHD is one of the most difficult conditions to diagnose and at least three evaluations with the family should be done before making a diagnosis. It is important for a doctor to have knowledge of the child’s illnesses, developmental milestones, and family life. ADD/ADHD have the symptoms of inattention, hyperactivity, impulsivity are common to a number of other conditions that can be mistaken for ADD/ADHD. Children may show signs of these behaviors due to family and social problems. (Hutchinson) White boys are diagnosed with ADHD more frequently than white girls, or black or Hispanic children. (SCHNEIDER) Another reason that ADHD may be under recognized in girls because they tend to demonstrate lower levels of disruptive behaviors and higher levels of social impairment, inattention, and internalizing symptoms.Black, Hispanic, rural, and poor children may be diagnosed with ADHD less frequently compared with white children because of various factors, including lack of access to mental health care services, negative parental beliefs about ADHD, or previous negative experiences with mental health treatment. There are several other issues that may be going on with theShow MoreRelatedAttention Deficit Hyperactivity Disorder ( Adhd )1692 Words   |  7 Pagesfrom a person than it has ever before. Day by day, people move at a lightning pace to keep themselves afloat in a never ending sea of tasks and goals. For individuals with ADD, managing to keep their own personal boat on course is difficult. Attention Deficit Disorder (ADD), also known as Attention Deficit Hyperactivity Disorder (ADHD), is a condition where a person may have trouble focusing, sitting still, or performing day to day executive functions. To those affected, everything is interesting andRead MoreStimulants in Combination with Other Methods to Modify Student Behavioral Issues892 Words   |  4 PagesOutline: Stimulants in Combination with Other Methods to Modify Behavior I. Students today with behavioral issues, like ADD and ADHD, are plagued with a wide variety of issues that disrupt their ability to concentrate in school and socialize well with other children and adults. A. ADD and ADHD are serious issues that many students face on a daily basis. 1. According to the research, students with such behavioral issues may have difficulty concentrating on schoolwork, frequently interrupt conversationsRead MoreAttention Deficit Disorder : Adhd / Adhd1550 Words   |  7 Pageslikely had ADHD/ADD. In simple terms, ADHD/ADD is described as being a developmental, behavioral condition in which an individual struggles with focusing on everyday tasks and activities. ADHD and ADD actually are not that different from one another. In fact according to Raspan Gomez from the University of Ballarat, Australia â€Å"ADD and ADHD have the Same 18 symptoms covering inattention (IA), hyperactivity (HYP), and impulsivity (IMP).† (Gomez) When it comes to Attention d eficit disorder (ADD) thereRead MoreAdhd Research Paper1840 Words   |  8 PagesIs ADHD Being Wrongly Misdiagnosed and Over diagnosed in Children? Imagine having your mind constantly shifting from one thought or image to the next. The task at hand is easily distracted by every sound or activity around you. You’re easily bored, yet distracted by unimportant sights or sounds. To your family and teachers, you seem to be in a constant whirlwind of disorganized activity. As a result, your daily life, relationship with others, and self-esteem may be damaged. One of the major causesRead More Adderall, Ritalin, AD/HD, and Abuse Essays1173 Words   |  5 Pagessuch as Ritalin or Adderall, (methylphenidate and dextroamphetamine, respectively), concern over these disorders surrounds problems such as over-diagnosis or misuse of the prescription medications. ADD is characterized by an inability to concentrate, poor self-control, and short attention span. ADHD is essentially characterized by the same deficiencies except it includes hyperactivity and impulsiveness. The two are generally grouped together in the acronym AD/HD and are treated the same way, althoughRead MoreThe United States And South Korea1015 Words   |  5 Pagesthey’re not going to be able to go to a good college, get a good job, and get a good grade on the college examination. Another issue that both countries are demonstrating is the overdiagnosis of students with ADHD. In both South Korea and the United States, teachers encourage parents to test their kids if they have ADHD or ADD even if they show minor or even irrelevant â€Å"signs† of these disorders. This creates a problem because more and more children are in medication, and that is not the solution forRead MoreShould Bipolar Disorder Be Diagnosed? Children?1731 Words   |  7 Pagespossibility of bipolar disorder being overdiagnosed. He also makes a point of saying this is especially seen in the United States (Birmaher, 2013). A reason for the overdiagnosis of bipolar disorder in children, according to Stuart Kaplan is because it is being mistaken in place of the child having attention deficit hyperactivity disorder (ADHD) as well as oppositional defiant disorder (ODD). When the two are combined they have very similar symptoms as a manic episode, therefore causes misdiagnosis. KaplanRead MoreBipolar Disorder ( Bd )1954 Words   |  8 Pagesby bipolar disorder are emotional stability, psychosocial functioning and personality. Bipolar disorder can disrupt and cause changes in all of these things in a person. It can also be misdiagnosed by professionals for other minor disorders such as ADHD or post-traumatic stress disorder. Psychology can also be extended to look at biological influences as well. Things such as inheritance, age, sex/gender and temperament are all characteristics that cause bipolar disorder to affect people differentlyRead MoreAttention Deficit Hyperactivity Disorder ( Adhd )3138 Words    |  13 PagesAttention deficit hyperactivity disorder, or ADHD, is a condition causing constant inattention, hyperactivity and (or) impulsivity. Attention deficit disorder, or ADD, is a condition of attention deficit in individuals. The main difference between them is that patients suffering from ADHD are usually hyperactive whereas ADD patients, on the contrary, remain shy and day dreamy. Both terms may be used interchangeably in conversations, for instance. However ADHD is an official term used by the AmericanRead MoreAttention Deficit Disorder is Overdiagnosed Essay2001 Words   |  9 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Some children are being diagnosed as having attention deficit disorder with insufficient evaluation, and in some cases stimulant medication is prescribed when treatment alternatives exist (Hales 156). There is evidence of widespread overdiagnosis and misdiagnosis of attention deficit disorder and widespread overprescription of medications by physicians. Attention deficit disorder manifests itself in many ways and may vary with the individual (Silver 109). nbsp;nbsp;nbsp;nbsp;nbsp;Attention

Genetic Modification Of Food And Plants - 1228 Words

Genetic modification of food/plants Genetically modifying food is also known as genetically engineering food or GM food. The process of genetically modifying food starts with genes. Genes are sections of deoxyribonucleic acid (DNA) and DNA is made of a complex chemical compound that is made up of molecules called nucleotides, the molecules in the DNA determines the characteristics of living things. DNA has a strand which contains a genetic code that has instructions for specific protein; proteins determine many characteristics and functions in the body, somewhat like the molecules in DNA. Genes contain different traits so genetically modifying food is based off a gene transfer however before farmers discovered the process of modifying†¦show more content†¦Sometimes when genetically modifying a crop it can be to enhance the life expectancy of a plant. When growing a plant insects can get to it before the humans do and decrease the life expectancy of the plant, this can be somewhat put off by a type of gene tran sfer. For example as shown in the image of a type of gene transfer, gene-gun, (Creation of an Insect Resistant Tomato Plant n.d) When doing gene transfers there are multiple different gene transfer methods. A gene transfer is when the desired gene is transferred into the chosen plant’s cell where it’ll go into the DNA to help change and add some characteristics to the plant. Some gene transfer methods are; - Microinjection, using a needle to directly inject the gene into the plant’s cell or protoplasts. - Particle gun/particle bombardment, where the genes are going to be transferred the DNA in that area is then coated with gold or tungsten particles on the surface and then goes onto the target tissue or cells by using a particle gun. - Lipsome mediated gene transfer or lipofection, lipsomes are a different type of molecule, a lipid circular molecule, which carry nucleic acids. Lipsomes take the DNA fragment which then combines to the cell membrane and allows them to fransfer the DNA fragments. - Gene Transfer Methods in Plants (2015) state that conjuction â€Å" is a natural microbial recombination process and is used as a method for gene transfer. InShow MoreRelatedBiological Basis. There Are Few Topics That Are More Controversial1260 Words   |  6 Pagesare few topics that are more controversial in our country than the production of genetically modified plants for human consumption. Genetically modified plants are created through transgenic processes that rely on recombinant DNA technology. This is a process in which farmers and crop growers are able to incorporate genetic material that would not normally be innate to the composition of the plant. There are several reasons that this represents a valuable process for farmers. A crop could be madeRead MoreBenefits Of Genetically Modified Foods1553 Words   |  7 Pages Genetically Modified foods are made when genetic material from the DNA of one species of a plant’s genes is extracted and forced into the genes o f different plants in a laboratory. Everything that is living is made of billions of cells. Inside each of these cells there is a nucleus that contains DNA. DNA is what carries the genetic information that the organisms on from one generation to another have to make a new organism and keep it functional. Genes are made of DNA. They make up the partsRead MoreSociology Paper877 Words   |  4 PagesWhile genetic management of foods can be traced throughout history, the modern phenomena of GMOs and transgenic plants have come to light in just the last few decades. In today’s modern society, the science of biotechnology and the process of genetic modification are developing throughout the planet. As of 2004, 8.25 million farmers in 17 countries were using genetically modified crops. Today, approximately two- thirds of all food offered in supermarkets has been genetically modified. However, theRead MoreThe Effects Of Genetic Modification On The Environment And The Human Race1475 Words   |  6 PagesAlthough many oppose the genetic modification of crops, genetic modification also poses an opportunity to lower the price of crops and increase production, which could help solve world hunger. While it may seem like negative effects would be outweighed by the possibility of solving world hunger, an important issue, the conceivably detrimental effects on the health of the environment and the human race would outweigh the humanitarian goal of stopping world hunger. Genetic modification of crops is not theRead MoreThere Have Been Ongoing Debates About The Adoption Of Gmos1487 Words   |  6 Pagesof GMOs over natural food growth. Out of these discussions, there is a rising need to do research on genetically modified food verses naturally grown food. According to (Mary Colson., 2017), Genetically Modified food can be defined as a growing plant or animal that is modified and grows not a normal, natural way. The growth of this plant, animal or microorganism is triggered by altering its genetic mater ial. The genetic material is usually changed in a way that makes the food not to occur naturallyRead MoreGenetic Effects Of Genetically Modified Food750 Words   |  3 Pagesto disease† (p. 1). GM foods have the propensity to cause food allergies because of the change in the food’s genetic make-up or the means used to modify the food. The addition of unnatural genes – that creates the transgene – in the food interferes with its normal functioning and this may disrupt the plant’s acquisition of nutrients from the soil as well as cause reactions in those consuming the food. Weirich (2007) notes that the new protein the genetically modified food originates from a sourceRead MoreA Research On Genetic Modification1260 Words   |  6 Pagesthe year Japanese company Showa Denko attempted to produce tryptophan, a food supplement, more efficiently by genetically modifying a natural bacteria. Unexpectedly, a toxic substance inside the tryptophan formed, cau sing five thousand people to became ill, fifteen hundred to become permanently disabled, and thirty-seven to die. This tragic event is one of many issues that sparks the continuous debate on genetic modification, which concerns the purposes, benefits, and dangers of modifying an organism’sRead MoreThe Biological And Physiological Mechanisms Of Action, Regulation Of Gene Expression, And Safety Of The Gene1277 Words   |  6 Pages　　Transgenic or Genetically Modified (GM) crops are plants used in agriculture that have been genetically modified using recombinant DNA technology. The aim for GM plants/crops is to express a gene or a trait that is not found in the species of the plant. The scientist that modify the plants insert a foreign gene into the plant’s original DNA. As a result to the modification, the plant receives characteristics within the genetic code. Most, GM plants become resistant to pesticides, however there areRead MoreGenetic Modification : Genetically Modified Organism1067 Words   |  5 Pages Genetic modification will improve life everywhere by helping to feed the hungry and curing the sick. GMO stands for genetically modified organism. According to the New Oxford American Dictionary, this means an organism containing genetic material that has been artificially altered so as to produce a desired characteristic. Generally, genetic modification happens one of two ways. First, picks the organism with desired traits and breeds it to another with the same traits, making the desired traitsRead MoreGenetically Modified Foods : An Overview1411 Words   |  6 Pagesprocessed foods available on store shelves contain genetically modified ingredients†, according to George Erdosh and Marcia Amidon Lusted in â€Å"To GMO or not to GMO? Genetically engineered food has strong advocates and harsh critics.† Genetically modified organisms can be found in most conventional foods processed in the United States, and ge netic modification of crops is extremely common on classic Minnesota farms. Crops such as corn and soybeans or even papaya and zucchini are viable for genetic modification

Benjamin Franklin An Influential Entrepreneur - 994 Words

Benjamin Franklin was one of the most impressive and iconic figures in American history, and perhaps around the globe. According to the autobiography of this astonishing individual, despite of all the obstacles in his thorny path such as obscurity and misery, he never surrendered and all the time followed his dream to succeed and make the world a better place. In fact, his role in securing the independence of the United States and building it as a nation is sensational. Moreover, his great achievements that he made in order to become outstanding and wealthy made him a greatest among our self-made men. In spite of his considerable participation in diplomacy and civics, Franklin also was an influential businessman, scientist and inventor. In this essay, an interesting and useful autobiography of the one of the most remarkable and inspiring individuals in our history will be described. Afterwards, three possible reasons which made Benjamin Franklin a prosperous person will be explained, including the potential impacts of both his personal characteristic and life circumstances. Benjamin Franklin was born on January 17, 1706 in Boston. He was the youngest son among the all 17 children. From his early years, Franklin was extremely impassioned about reading that he could stay awake in his room by reading whole night long. Although his clear abilities in Education, because of Josiah’s financial load, he could not study in grammar school and was forced to help his father in the workShow MoreRelatedShould College Become An Entrepreneur?1060 Words   |  5 Pagespeople who are entrepreneurs who start their own business without college degrees. Also, many Jobs do not require college, many people transfer to trade schools, or other programs for a specific job occupation instead of wasting time and money. Over a hundred years ago some of the richest men in the world believed that college was nonessential to be successful in life. It is a proven fact that only 4% of men would actually attend college becoming an entrepreneur was more influential at that timeRead Morefamous people1742 Words   |  7 PagesJefferson The author of the five most important words in American history: â€Å"All men are created equal.† 4 Franklin Delano Roosevelt He said, â€Å"The only thing we have to fear is fear itself,† and then he proved it. 5 Alexander Hamilton Soldier, banker, and political scientist, he set in motion an agrarian nation’s transformation into an industrial power. 6 Benjamin Franklin The Founder-of-all-trades— scientist, printer, writer, diplomat, inventor, and more; like his country, he containedRead MoreImportant Soft Skills for University Students3118 Words   |  13 Pagessuccessful people like â€Å"Abraham Lincoln (Lawyer, U.S. president, finished one year of formal schooling, self-taught himself trigonometry, and read Blackstone on his own to become a lawyer), Benjamin Franklin, (Inventor, scientist, author, entrepreneur, primarily home-schooled), Frank Lloyd Wright (The most influential architect of the twentieth century. Never attended high school), Amadeo Peter Giannini, (Multimillionaire, Founder of Bank of America, dropped out of high school) (Toren, 2012) so manyRead MoreApush Timeline 1607-17754368 Words   |  18 Pagesthey did share a common vision of freedom from British control. Thus, the Great Awakening brought about a climate, which made the American Revolution possible. 14. (1754) The Albany Plan: This was the first attempt at uniting the colonies. Benjamin Franklin devised the plan. It was so they could unite for a common defense. It allowed them to tax, pass laws, and supervise military defense. This was important because it made the colonies start to realize that they needed to come together to be successfulRead MoreMax Weber’s The Protestant Ethic and the Spirit of Capitalism2427 Words   |  10 Pagesbut in its purely religious characteristics† (Weber, 10). Weber next goes on to talk about what, exactly, the definition of the â€Å"spirit of Capitalism† really is. He examines and essay by Benjamin Franklin to determine what one particular interpretation of the spirit of capitialism is. According to Weber, Franklin describes the spirit of capitalism as â€Å"this philosophy of avarice appears to be the ideal of the honest man,†¦and above all the duty of the individual towards the increase of his capital,Read MoreThe American Political Tradition and the Men Who Made It Essay7033 Words   |  29 PagesHofstadters The American Political Tradition and the Men Who Made It, he identifies twelve of the most influential men and the political traditions they created, including the Founding Fathers who started it all. Additionally, Hofstadter informs the reader of other significant government officials including Andrew Jackson and his democracy, the progressive, trustbuster Theodore Roosevelt, and ending with Franklin D. Roosevelt a nd his programs of the New Deal. Richard Hofstadters ideas are brilliantly elucidatedRead MoreSociology and Other Sciences7090 Words   |  29 PagesReformation view, that all the spheres of life were sacred when dedicated to God and His purposes of nurturing and furthering life, profoundly affected the view of work. To illustrate and provide an example, Weber quoted the ethical writings of Benjamin Franklin: Remember, that time is money. He that can earn ten shillings a day by his labor, and goes abroad, or sits idle, one half of that day, though he spends but sixpence during his diversion or idleness, ought not to reckon that the only expense;Read MoreNew World Order in Conspiracy Theory13987 Words   |  56 Pagesthrough an  authoritarian  world government, which replaces  sovereign  nation-states, and an all-embracing  ideology, which indoctrinates  cosmopolitanism. Significant occurrences in  politics  and  finance  are speculated to be orchestrated by an extremely influential  cabaloperating through many  front organizations. Numerous historical and current events are seen as steps in an on-going plot to achieve world domination through  secret political gatherings  and decision-making processes.[2][3][4][5][6] Prior toRead MoreAmerican Civil Rights Movement Essay15820 Words   |  64 Pageswas only to revise the articles of confederation. In fact, they wrote a new document. May, 14 1787. 74 delegates were to come, representatives of 12 states. George Washington, James Madison (is considered to be the father of the Constitution), Benjamin Franklin, Thomas Jefferson, John Adams, Alexander Hamilton and others. They prepared The American Constitution, which established the system of separation of powers, the system of checks and balances. Compromise 1: Small states insisted on equal representationRead MoreMasculinity in the Philippines12625 Words   |  51 Pageshanger-on of the Spaniards. Thus, when the US Army formed its colonial forces, the Philippine Scouts, the soldiers would all be Filipinos, but their officers were to be white Americans selected from the line of the Regular Army (Woolard 1975, 13, 225; Franklin 1935). In sum, Americas high colonial rhetoric celebrated the special bond between American officers and their Filipino troops, and, by implication, denigrated elite Filipino character and capacity for command. Writing from retirement at the end

Case study of Mr Harold Blake-Free-Samples-Myassignmnthelp.com

Question: Discuss about the Case study of Mr Harold Blake. Answer: The following assignment involves the case study analysis of an 83-year-old man, Mr Harold Blake who had a complex medical history of angina and left cerebral vascular accident. He was admitted to hospital after an episode of left cerebral vascular accident (CVA) followed by angina. The patient had an episode of CVA on his left side that impaired his mobility and sudden weakness and numbness resulting in paralysis on one side of the body. Moreover, after an angina episode, focused diagnosis is required looking into the medical history, physical examination and various signs and symptoms assessed in the emergency department (ED). Therefore, the assignment involves the plan of care for the patient along with rationale, short and long-term goals for recovery followed by legal and ethical considerations required for the case study analysis. The plan of care also requires inter-professional collaboration in giving well-articulated care that will also be discussed in the following essay. Anxiety is one of the main priorities after an angina episode, as Harold may fear of threat of sudden death. The patient that is accompanied by autonomic response experiences the condition of vague and uneasy feeling of discomfort or dread. This condition may be situational crisis or threat as he had encountered a second angina episode or due to underlying pathophysiological response (Anderson et al. 2013). In the case study, Harold was accompanied by negative thoughts, as he was worried about the effect of the diseased condition on his lifestyle and family. This was evidenced in him, as he was unable to comprehend as what was happening to him accompanied by restlessness, uncertainty and apprehension. The immediate and main nursing goals in the plan of care in reducing anxiety to a manageable level and verbalize awareness among the patient about feelings of anxiety with effective demonstration of coping skills. For reducing anxiety attributable to fear of unknown prognosis and diagno sis, it is important to perform stress testing in order to gather information about activities that preceded and precipitated the episode of angina detecting his response to the condition. It is important to promote the patients expression of fears and feelings because unexpressed feelings can create turmoil and presence of negative talk contributing to exacerbation of the condition (Jespersen et al. 2013). The nurse should administer tranquilizers, sedatives as indicated to relax him until he is able to cope up with the present condition. The nurse need to reassure Harold that medical regimen designed for him is aimed at reducing the future chances of angina attacks and increase stability. The rationale for this intervention is to encourage Harold to control his present symptoms, increase confidence and integrate his abilities in the plan of care (Amsterdam et al. 2014). As Harold is worried about his position in the family and lifestyle, his family need to be encouraged to treat h im as before so that he is reassured about his position in family and in turn reduces his anxiety levels. This is both a short and long-term goal as family need to maintain healthy relationships with Harold so that he feel secured and have fast recovery (Huffman et al. 2014). The second priority for the plan of care is impaired physical mobility as CVA affected his left side of the body and impaired mobility. The sudden onset of neurological deflects as a result of compromised blood flow affected his mobility, verbal and non-verbal response (Inglis et al. 2013). As a result, there is impaired physical mobility and affected physical movement in one or more extremities in the body. Decreased superficial reflexes, weak neuromuscular involvement, paralysis and perceptual or cognitive impairment can possibly evidence this condition. The nursing goals increase in function and strength of physical movement by the compensatory affected part and maintenance of optimal functioning in Harold and demonstration of behaviours that enable his activities resumption (Yi?iner et al. 2016). The plan of care involves assessing of extent of impairment on a scale from 0-4 because it helps to identify the deficiencies and strengths of Harold regarding recovery following the sec ond day. He should be made to change positions every 2 hours for reducing tissue injury, poor circulation and sensation. He should also be positioned in prone position depending upon his activity level because it helps to maintain his hip extension. There should also be beginning of passive (Range of Motion) ROM after admission and encouraging exercises such as squeezing, gluteal exercise, and extension of legs, fingers and rubber ball because there is minimization of muscle atrophy. This also promotes circulation and prevention of contractures along with reduction of risk of haemorrhage (de Oliveira Medeiros, de Arajo and de Arajo 2013). The nurse should assist Harold in developing sitting balance by head raising from bed and assisting him to sit on the bed. Moreover, the patient should also be supported at the lower back and knee positioning using parallel bars. The rationale for this intervention aids in enhancing proprioception, retraining of neuronal pathways and motor response . The long-term goal is to prevent pressure ulcers by positioning the patient and aligning of extremities correctly using high-top sneakers for footdrop prevention or pulsated mattresses (Evans et al. 2015). Fluid imbalance is the third priority as it is a common complication in CVD. Electrolyte and fluid imbalance can be life threatening for Harold due to rapid heart rate and tachycardia. The nursing goal involves maintaining normovolemic conditions, demonstration of lifestyle changes for avoiding dehydration progression and encouraging Harold to verbalize awareness of behaviours and causative factors for detecting correct fluid balance (Aronson et al. 2013). For the plan of care, the vital signs like heart rate and blood pressure should be monitored and documented as alteration in heart rate and decrease in volume of circulating blood can result in tachycardia and hypotension. There should also be assessment of oral mucous membranes and skin turgidity for dehydration signs as elderly skin losses elasticity and hence skin turgor assessment is required (Floras and Ponikowski 2015). There should also be monitoring of fluid status that is related to dietary intake and this is important to verify that Harold is on fluid restraint or not. There should also be monitoring of serum electrolytes, urine osmolality to report abnormal values as elevated levels of blood urea nitrogen may indicate fluid deficit. The patient should be administered daily for fluid intake and need comparison with 24-hour output and input. This is important because these measurements indicate intravascular volume. There should also be monitoring of vital signs like orthostatic and hypotension and temperature elevation because these measurements are helpful in the determination of fluid deficit from the body (Lee et al. 2015). The nurse needs to ascertain the beverage preferences of Harold and encourage high fluid intake while consuming foods because it relieves discomfort and thirst. The plan of care should also involve taking safety precautions using bedside rails, bed placed in low position and if required soft restraints should be used. This would help to prevent patient fall and injury as decre ased cerebral perfusion often results in altered thought process and created confusion (Moorhead et al. 2014). Legal and ethical considerations are present in geriatric care and in case of Harold; ethical issues are involved as he is vulnerable as compared to an average adult. Ageing is a dynamic and complex process that is intricately inseparable and interrelated psychological, physiological and sociological aspects of human life. In this case, the ethical considerations involve conflicts of interest that may arise between Harold and professional caregivers or his family members. Harolds interests may interfere with healthcare professionals and these conflicts may interfere with the actual plan of care and treatment of Harold. Therefore, in context to elderly care in the case study, confidentiality should be maintained, as substantial amount of patient information like past medical history is required from Harolds family members. The healthcare professionals owe a duty of confidentiality to the patient that personal information should not be shared with others except for medical purpose (Car lson and Idvall 2015). In this case, informed consents should be taken from Harolds family maintaining confidentiality and disclosing only with prior consent from the patients family. The legal consideration involves decision-making capacity in case of elderly care, Harold. As the thought process is altered in the patient due to CVD accident, he may or may not be competent in participating in the medical decision-making process (Sahota et al. 2013). Therefore, in this case study, it is important for the healthcare providers should focus on including the family members in the decision-making process, as Harold is unable to think clearly about the medical decisions and consequences thereafter. For providing integrated care and assure that his needs are fulfilled, a specialist multi-disciplinary team (MDT) comprising of healthcare professionals like cardiologist, cardiac rehabilitation specialist, nurses, case managers and nutrition specialists are required. This combination is helpful in providing spectrum of approaches and manages Harold individually through tailoring in meeting patients needs. Depending upon the angina episode, cardiologists attended by junior medical nurse staffs perform assessments and develop plan to manage the emergency condition of angina episode. The case manager has the responsibility to undertake the assessment, planning, monitoring and advocate Harold case, linked it with support and rehabilitation services like cardiac rehabilitation specialist functioning for the illness management and prevention of further angina episodes. Nurses play the most important role in patient care as Harold is critically ill and it is their responsibility to relieve him from acute pain and cardiac workload reduction. The nurses in collaboration with nutrition specialists execute the plan of care for Harold monitoring his vital signs, fluid and nutrition balance, administration of medicines while working with families in indentifying their risk factors and necessary lifestyle modifications (Feltner et al. 2014). The allied healthcare professional in case of Harold is speech pathologist. Due to CVD, Harold exhibited sudden weakness, numbness and paralysis that results in decreased verbal and non-verbal response. Therefore, there is need for a speech pathologist or therapists for assessing, diagnosing, treating and assisting Harold in speech, voice, language, swallowing, cognitive-communication and fluency. Speech therapist is a part of team working in collaboration with cardiologists, rehabilitation nurses and specialists and physicians in improving communication and speech with Harold (American Speech-Language-Hearing Association 2016). From the above discussion, it can be concluded that angina episode requires integrated care for the better management of the patient by a MDT. In the case study, Harold was admitted to hospital after an episode of angina and CVA and at the hospital, the MDT provided a plan of care from emergency treatment to recovery. The plan of care involves three main priorities; anxiety, impaired physical mobility and fluid imbalance. The essay discussed the plan of care and rationale for the patient for managing and stabilizing his condition. 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