Epic Hero Essay

Moral Courage EMMA WALSKY PRE-AP CHALLENGE ENGLISH 9 MRS. PEARSON 2 MARCH 2013 â€Å"It is curious that physical courage should be so common in the world and moral courage so rare. † (Mark Twain) Courage is the mental or moral strength to venture, persevere, and withstand danger, fear, or difficulty. Aragorn, from The Lord of the Rings, Odysseus from The Iliad and The Odyssey, and Katniss from The Hunger Games all demonstrate jarring courage throughout their journey to heroism.As Aragorn leads the Fellowship, they come across many obstacles and interferences. He is required to battle off Urak-hai, Orcs, and Nazgul and protect his comrades, all while continuing his quest to Mount Doom. Aragorn is a very loyal and intrepid leader whom is brought to heroism through his magnificent courage. Odysseus makes a very long journey in order to return home to Ithaca. He is forced to make tremendous sacrifices, survive the wrath of Skylla and Kharybdis, and take the form of an intelligent beggar.Odysseus is brought to his heroic means through his gallant courage and distinctive endurance. Katniss battles for days in order to win victory for her district. She protects fellow members, cunningly kills off enemies, and endures major physical and intellectual damage. Katniss’ stunning dedication and over powering courage lead her to great heroism. Heroes of epic orchestration, such as Aragorn from The Lord of The Rings by J. R. R.Tolkien, Odysseus from The Iliad and The Odyssey, by Homer, and Katniss from The Hunger Games, by Suzanne Collins, establish themselves as superior epic heroes through their intelligent utilization of the twenty-five epic hero steps, along with their astounding courage, bravery, and endurance which ultimately transforms them into three epic heroes that will never be forgotten. As an epic hero the first hero journey step, The Call to Adventure, acts as one of most important steps, as it begins ones strenuous expedition towards victory and t riumph.Odysseus, The Great Glory of the Achaians, was under oath to protect the marriage of Helen and Menelaus. After Helen was taken by Paris to the city of Troy, the Greeks demanded war upon the Trojans. Odysseus was asked by King Agamemnon and King Menelaus to endure war and bring his fleet of ships and soldiers. This marked the start of Odysseus’ lengthy journey to capture Helen, and defeat Troy. Odysseus proudly led the Walsky 2 Cephallenians, with twelve ships, who were settled in Ithaca, Neriton, Crocyleia, Aigilips, Zacynthos, and Samos.He was forced to leave his wife, Penelope, and his son, Telelmachus, for what soon became 20 years. Odysseus’ tremendous sacrifice to his country and his family along with his outstanding courage to bring home victory prove his title of an epic hero. Katniss, The Girl Who Was on Fire, begins her journey in the square of District 12. As the reaping begins, Katniss separates from her sister, Primrose, and waits for Effie Trinket t o announce which two children of the Seam will act as tribute. Effie reaches her hand deep into the ball and pulls out a slip of paper.As she crosses back to the podium, she smoothes the slip of paper and reads out the name in a clear voice, Primrose Everdeen. As a â€Å"strangled cry comes out of her throat and her muscles begin to move again,† Katniss screams out â€Å"Prim! † (Collins 22). Katniss makes way for the stage and pulls Prim behind her with one sweep of her arm as she gasps â€Å"I volunteer! I volunteer as tribute! † (Collins 22). Katniss protects her sister from the dangers of the battle as she unexpectedly volunteers to take her place as tribute. With this, she displays shocking courage and wholesome bravery.Katniss’ great deed is one of many that prove she is a respectable epic hero. Katniss and Odysseus both embark on hearty journeys that force them to make important sacrifices, portray a leader figure, and act courageous in battle, whi ch ultimately prove themselves as epic heroes. Each epic hero heftily utilizes the third hero journey step, The Wise and Helpful Guide and the Magic Tailsman, to assist and guide them in their path to success and glory. Aragorn, The Great Strider, along with the rest of the Fellowship, is led from the shire to Mount Doom by Gandalf the Grey, later Gandalf the White.Gandalf is a wizard, and is also known as the head of the Istari after the fall of Saruman. Gandalf leads and protects the Fellowship through Brandywine, The Old Forest, Chetwood, Bree, Weathertop, Trollshaws, and Rivendell until the final reach of Mount Doom. Aragorn is loyal to Walsky 3 Gandalf’s decisions and respects his strategies and tactics. He allows Gandalf to lead the Fellowship and trusts his knowledge and intelligence. Aragorn’s ability to respect, along with his distinctive loyalty and dedication towards others distinguishes him as an epic hero.Katniss is mentored by Haymitch Abernathy, victor o f the 50th Hunger Games, and won for District 12 at the age of 16. Haymitch first appears to Katniss as drunk and staggering as he dives off the stage at the reaping, and once again as he vomits on the expensive floor of the train headed to the Capitol. After a small fight between the two and Peeta, Haymitch begins to formulate a plan as he is interested in ones who can put up a fight. He tells them to train and learn new things, to avoid practicing skills they excel in. Haymitch successfully trains Katniss, as she comes out with a very high training score.Katniss respects Haymitch, although she is aware of his drinking problem, and obeys his rules and consequences. Katniss’ capability to learn and regard others methods prove her as a true epic hero. Aragorn and Katniss are capable of respecting others and distinguishing loyalty towards their mentors, ultimately giving them the title of epic hero. An epic hero would be nowhere without the sixth hero journey step, Hero Partner s, to lead, guide, and build each other up throughout the course of their journey. To Aragorn, the members of the Fellowship act as his hero partners.Frodo Baggins, Wise by Experience, Samwise Gamgee, The Salt of the Earth, Merry Brandybuck, Meriadoc the Magnificent, Pippin Took, The Hunchback, Legolas, The Green Leaf, Gimli, The Fire, Boromir, The War Jewel, Faramir, The Jeweled Hunter, and Gandalf, The Elf of the Staff, are all comrades of Aragorn. Each member of the Fellowship has a different type of relationship with Aragorn, whether it is family oriented or merely acquaintances. Aragorn utilizes the skills and abilities of each individual Fellowship member to bring them to victory and triumph.His healthy relationship with each Fellowship member allows them to relate to each other and create a Walsky 4 stronger bond, which is very important in the ultimate win. Aragorn’s healthy bonds and strong relationship with his hero partners differentiates him as an epic hero. One o f Odysseus’ hero partners is Diomedes, King of Argos. Diomedes is asked by Nestor to go on a night raid to the Trojan camp to kill guards and destroy their supplies. Diomedes is â€Å"willing to visit the enemy camp. But if one more could go with, that means more courage and more comfort† (The Iliad. 10. 119).Agamemnon orders Diomedes to choose a comrade, anyone he likes, as he knows the force of two will be stronger than one. Diomedes â€Å"could not think of anyone but Odysseus, the best man of all, ready heart and high temper in every enterprise† (The Iliad. 10. 120). Diomedes, along with many other Achaians, trusts and respects Odysseus as a fighter and as a genuine and loyal man. Athena, the Grey Eyed Goddess, is also a hero partner of Odysseus. As Odysseus enters the Phaiakians city, Athena â€Å"poured a sea fog around him as he went† so â€Å"that no jeering sailor should halt the man or challenge him for his luck† (The Odyssey. . 111). She cares about Odysseus’ safety and does everything she can to get him out of harm’s way. Athena knows Odysseus is a caring, genuine man whom deserves protection from danger. Odysseus’ bold relationships with his army and the gods and goddesses, and his strong bonds with generosity associate with the necessary deeds of an epic hero. The intelligent and genuine utilizations of hero partners by Aragorn and Odysseus prove their title as epic hero. The seventeenth hero journey step, The Hero’s Return, is one of the most important steps because it marks the hero’s victorious journey home.Odysseus had a very long expedition back to his home land of Ithaca. Odysseus and his men sail to the island of Cicones where they slaughter soldiers and kill livestock. After leaving Cicones, they sail to the Island of the Lotus Eaters, where many of his men eat the lotus plant and are intrigued to stay. They then sail to the Island of the Cyclopes and are trapped in Pol yphemus’ cave. They brutally drive a pole into his eye ball and escape by hanging under Walsky 5 the sheep he lets out to graze.After leaving the Cyclopes Island, Odysseus and his men sail to Aeolia, where he receives a gift of stormy winds to return home to Ithaca. The men open the bag and are directed to Aeaea, where they are given food and drinks from Circe. They sail to the Land of the Dead, where Teiresias tells them how to fend of the Sirens, Scylla, and Kharybdis. They sail through sirens but 6 of his men are taken by Skylla. As they reach Lord Helios’ island, Odysseus notifies his men not to slaughter and eat the cattle. They do so anyway and they are killed, leaving Odysseus alone. After many days he washes up upon Ogygia, Calypso’s island. He is oused there for seven years, and then lands on the island of Phaeacia, where he is the guest of honor at a banquet in the Phaeacian King’s palace. The king orders his men to give Odysseus a ship and then he sails off to home. He safely arrives in Ithaca, and has completed his journey home. Odysseus has many difficult encounters, near death experiences, and challenging tasks he must complete in order to return home. His outstanding level of endurance, strength and perseverance allows him to complete this miraculous journey and hold the title of en epic hero. Katniss endures many physically harmful situations in her quest to victory.Katniss protects fellow district members, hunts for food, kills off enemies, and builds shelters. As Claudis reinforms Katniss and Peeta that â€Å"the earlier revision has been revoked. Closer examination of the rulebook has disclosed that only one winner may be allowed,† she strings her bow and points the arrow right towards Peeta’s heart (Collins 342). As Peeta drops his knife, Katniss lowers her bow and steps back with shame. The two decide to, on the count of three, feed themselves a handful of poisonous berries so that neither of them would feel the pain of killing the other.Just as they lift their hands to their lips Claudis yells for them to stop and is â€Å"pleased to present the victors of the 74th Hunger Games† (Collins 345). A hovercraft materializes overhead and two ladders drop for Katniss and Peeta. As she places a foot on the first rung Walsky 6 of the ladder, she is home. As she steps aboard the plane safety and security fill the air. Katniss endured very harsh conditions, poor consistency, and emotional swings while in battle. Her astounding dedication and devotion for the victory of her district, led her home with triumph.Odysseus and Katniss return home through their astonishing endurance, dedication and courage, ultimately proving themselves as epic heroes. The twenty fifth hero journey step, Final Victory, is the most important as it labels the victory and win of a strenuous expedition, completed by an epic hero. Aragorn leads the Fellowship to triumph through his excellent leadership skil ls, combat abilities, and intelligent methods. The Battle of the Hornburg began Aragorn’s final victory. He revealed himself to Sauron as the heir of Isildur, in order to distract Sauron's attention from Frodo, who was approaching Mordor.Aragorn defended the city with the Dead Men of Dunharrow, who owed allegiance to the King of Gondor. They defeated Saurons allies, and sailed to Minas Tirith. They arrived at the Battle of the Pelennor Fields and with the help of the southern forces the armies of Gondor and Rohan rallied and defeated Sauron's army. Aragorn then led his armies to the Gates of Mordor, to distract Sauron. Sauron attacked with overwhelming force but at that moment the Ring was destroyed by Frodo and Sauron and his forces were defeated. Aragorn was crowned King of Elessar and as the heir of Isildur, bore the shards of Narsil.He demands â€Å"this day doesn’t belong to one man but to all† and vows to â€Å"rebuild this world that they may share in th e days of peace† (LOTR:RK). He is loyal to his country and even after acquiring glory and fame through his crown, he still believes the most important thing he can do as King is distinguish the world with peace and tolerance. As Aragorn is walking out of his coronation with his wife, Arwen, he encounters the hobbits as they bow towards his glory. Aragorn claims they â€Å"bow to no one† as he, along with the rest of the crowd, bow towards their tremendous accomplishment (LOTR:RK).Aragorn beholds genuine loyalty and Walsky 7 respect towards his fellow men and acts as a great role model to future epic heroes. His wholesome courage and bold leadership led the Fellowship to a final victory and prove he is worthy of being an epic hero. Odysseus battles many obstacles in order to share his identity with his family. As Odysseus arrives on Ithaca Athena covers him in a mist which allows him to reach his home without being harmed. Odysseus reveals himself to Telemachus, although it takes some time as he appears god-like.Then Odysseus disguises himself as a beggar and ventures to his home with Eumaeus. A fight broke out between Odysseus and Antinoos, a troublesome suitor, and he was summoned by Penelope as she was perceptive about the â€Å"beggar. † He tells her all he knows about Odysseus’ whereabouts and is then sent away. As he is receiving a cleanse from Eur’ykleia, the nurse, she notices his scar directly above his knee from hunting wild boar. Odysseus grabs her throat as he braces her up against the wall and informs her he will kill her if she tells others his true identity.Penelope believes Odysseus is not returning and decides to have a bow and arrow contest, to see which suitor possesses the skills of Odysseus. One must string a bow and shoot the arrow through a line of twelve axes. None of the suitors complete the task, so Odysseus proposes that he try and Penelope insists that he be given a chance. Odysseus swiftly completes the task, and strings a second arrow through the throat of Antinoos. He reveals himself as Odysseus, and the suitors then realize they have been locked in the room by Eumaeas and Philoetius.A raging battle begins and within no time all of the suitors are killed. Penelope, who slept through the entire fight, was called down to the scene. She didn’t believe it was Odysseus, and thought a god was playing a trick on her. She then orders Eur’ykleia to move her bridal bed and Odysseus immediately flares up. He explains that the bed is immovable, how it is built from the trunk of an olive tree around which the house had been constructed. Hearing him recount these details, she knows that this man Walsky 8 must be her husband.He is reunited with his wife and his son, and becomes part of a family once again. Odysseus cleansed his home with the blood of the suitors and their families were pacified by Athena. After twenty long years, he is finally home. Odysseus’ unimagina ble perseverance and outstanding courage are what lead him home to a final victory and prove that he is an epic hero. Aragorn and Odysseus both utilize their withstanding endurance and bravery to complete their final victory and return â€Å"home. † An epic hero is a brave, noble and courageous character, whom is admired for their great achievements.Aragorn, Odysseus and Katniss are all classified as epic heroes through their outstanding courage throughout their journey to heroism. Heroes of epic orchestration, such as Aragorn from The Lord of The Rings by J. R. R. Tolkien, Odysseus from The Iliad and The Odyssey, by Homer, and Katniss from The Hunger Games, by Suzanne Collins, establish themselves as superior epic heroes through their intelligent utilization of the twenty-five epic hero steps, along with their astounding courage, bravery, and endurance which ultimately transforms them into three epic heroes that will never be forgotten.Aragorn, Odysseus and Katniss will fore ver be remembered as stunning epic heroes. One’s moral courage determines one’s future. Walsky 9 Work Cited Collins, Suzanne. The Hunger Games. New York: Scholastic Press, 2008. Homer. The Iliad. Trans. W. H. D. Rouse. New York: NAL Penguin Inc. , 1938. Homer. The Odyssey. Trans. Robert Fitzgerald. New York: Farrar, Straus and Giroux. 1998 Tolkein, J. R. R. The Lord of the Rings: The Fellowship of the Ring, The Two Towers, and The Return of the King. Dir. Peter Jackson. New Line Cinema, 2001, 2002, 2003. Twain, Mark. The Quote Garden, 1998. http://www. quotegarden. com/courage. html

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------------------------------------------------- Top of Form Final Exam_MATH302 Table of Contents Part 1 of 1 - | Question 1 of 25 | 1.0 Points | | A lawyer researched the average number of years served by 45 different justices on the Supreme Court. The average number of years served was 13.8 years with a standard deviation of 7.3 years. What is the 95% confidence interval estimate for the average number of years served by all Supreme Court justices? Place your limits, rounded to 1 decimal place, in the blanks. Place you lower limit in the first blank. Place your upper limit in the second blank. When entering your answer do not use any labels or symbols. Simply provide the numerical value. For example, 12.3 would be a†¦show more content†¦These data are also available in the worksheet Batteries in the Excel workbook MATH302_Final.xls. At the .05 level of significance, is there evidence to suggest that the mean life length of the batteries produced by this manufacturer is more than 400 hours? | MATH302_Final.xls | 15 kb | | | A. No, because the p-value for this test is equal to .1164 | | | | B. Yes, because t he test value 1.257 is less than the critical value 1.782 | | | | C. No, because the test value 1.257 is greater than the critical value 1.115 | | | | D. Yes, because the test value 1.257 is less than the critical value 2.179 | | Reset Selection | Question 6 of 25 | 1.0 Points | | A survey of 85 families showed that 36 owned at least one DVD player. Find the 99% confidence interval estimate of the true proportion of families who own at least on DVD player. Place your limits, rounded to 3 decimal places, in the blanks. Place the lower limit in the first blank and the upper limit in the second blank When entering your answer do not use any labels or symbols other than the decimal point. Simply provide the numerical values. For example, 0.123 would be a legitimate entry. | Question 7 of 25 | 1.0 Points | An agent for a residential real estate company in a large city would like to be able to predict the monthly rental cost of apartments

Saladin and the Crusades free essay sample

He is well known for his recapture of Jerusalem from the Crusaders in 1187 after the crusaders were defeated in the Battle of Hattin. He was also able to repel the Third Crusade that was headed by Richard the Lion heart king of England. Saladin is one of the most prominent leaders that ruled over the Muslim world. Salah al Din was born in Tikrit in 1137 his family moved to Syria a year after his birth were his father was appointed as the commander in charge of the Fortress of Imad al-Din Zengid ruler of the Zengid dynasty. With the death of Imad al-Din his son Nur al-Din became the ruler of Aleppo and leader of the Zengids. His military career started in 1164 at the age of twenty six under his uncle Assad al-Din Shirkuh who worked under Nur al-Din. Saladin moved to Egypt with his uncle with orders from Nur al-Din in order to support Shawar, a vizier to Al Adid the Fatimid Caliph, Against Durgham a member of the Banu Ruzzaik Tribe. We will write a custom essay sample on Saladin and the Crusades or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page After shawar’s victory they were asked to retreat to Syria but they refused as they said it was the will of their master Nur al-Din. After this Saladin commanded the right wing of Shirkuh’s army that clashed with crusader forces on the desert border of the Nile River just west of Giza were they triumphed. He played a major role as he faked his retreat as the Crusader forces scattered he attacked from the back. Soon after the marched toward Alexandria were they were attacked by a superior crusader force then Shirkuh split his army and Saladin was commissioned to protect the city. With the struggle between Shawar, Shirkuh, and the Amalric I King of Jerusalem over power over Egypt. Saladin assassinated Shawar and his uncle died the same year, Saladin was appointed by Al Adid as a vizier.

Failure-To-Rescue Safety or Quality Indicator - myassignmenthelp

Question: Discuss about theFailure-To-Rescue Safety or Quality Indicator for Stroke. Answer: This safety indicator was proposed by Silber as one of the powerful tools to detect the true differences in patients outcomes across different hospitals(H., 2017, p. 678). The fact behind this indicator is that hospitals which are better, are differentiated not by the fact of having fewer adverse occurrence but by their ability to successfully rescuing the patients who experience the complications(Mullner, 2013, p. 300). Silbers original definition was totally based on the clinical findings which were abstracted from the administrative medical records of 2856 patients of cholecystectomy and 3034 patients of transurethral prostatectomy who were admitted to 546 different hospitals in 1986.The major postoperative diagnose which was used to define the failure to rescue indicator included the congestive heart failure, pulmonary embolus, stroke, cardiac arrhythmias, cardiac arrest, pneumothorax and return to surgery which is not planned(Healy, 2012, p. 239). Recently, Beerhouse and Needleman adapted this failure to rescue to administrative sets of data showing that this indicator might be very sensitive to the nursing staffing. Silber and colleagues have published many studies which establishes on the validity of the failure to rescue rates via their close associations with the hospital characteristics and the different measures of the performance of different hospitals, among the patients of cholecystectomy and transurethral prostatectomy patients who are admitted to hospitals(OECD, 2010, p. 342). Failure to rescue safety indicator was independent of how severe the patients complications were during the time of admission but it was strongly associated with the availability of surgical house staff and a lower number of anaesthesiologists who are certified by the board(Williams, 2015, p. 125). The rate of adverse occurrences was not related to the hospital characteristics. More recently Buerhaus and his colleagues indicated that a higher number of registered staffing nurses were consistency related to the lower rate of failure to rescue among patients who undergo surgeries, even using administrative data in hospitals to define complications shows an increase in the failure to rescue indicator of safety(Oster, NewYork, p. 225).In a study where a large sample of patients who of patients of the general surgeries procedures resulted in a lower rate of failure to rescue in hospitals with a high number of registered nurses this was attributed to the good nurse-patient ratio which in turns results in provision of better health care(Roussel, 2013, p. 611). The failure to rescue in this instance was associated with the risk of adjusting the mortality rates. Finally among the 16578 patients who were admitted because of the condition of coronary arteries surgery in different hospitals which the study was conducted by Silber showed that the failure rates in this were much lower in the hospitals with a high number of registered nurses(Kennedy, 2016, p. 222). The safety indicators are focused on improving the future safety of the patient safety the indicators are in a way protective and they monitor what employees in health centres are doing on the day to day activities to prevent the patient from complications which may arise from the health care being provided and also the hospital characteristic in which the patients undergoes various treatments and surgeries. There are a number of safety indicators (Acton, 2013, p. 234) Complications of anesthesia are one of the accepted safety indicators, this safety indicator was proposed originally by Iezzoni as being part of the other safety and quality indicators it usually deals with the CNS depressants and other anesthetic agents. Their definition general definition includes accidents which poison by nitrogen oxide and poisoning which is due to the centrally acting muscle relaxants, the ones which were omitted from the patient safety indicators(S, 2011, p. 246). Deaths in low mortality DRGs indicators. This type of the safety indicator was proposed by Hannan as et al.as a criterion for targeting instances which may be having a quality of problems which are at a higher percentage than in the cases which are without criterion as shown by the review of the medical record.it mainly focuses on the surgical procedures rather than the DRGs. according to the constructive evidence patient demographic data and the hospital characteristic in the sub-standard care the patients were attributed at least in the part to the care which was provided the relationship between the substandard care was much stronger for the DRG-based definition(Farrar, 2016, p. 345). Deaths in health centers some are unavoidable. Different hospitals record different rates of deaths this has little to do with the quality of care which the patients receive in these health centers, but this is more of them to the level of illness and co-morbidity of different patients who are treated in this facilities and their degree of vulnerability. Measures such as the health center mortality rate always try to use statistical techniques to account for this.(Farrar, 2016, p. 457) Failure-to-Rescue can also be referred to as the rate of investable deaths of patients who undergo surgery of treatable complications, this indicator offers another way of exploring the performance of a hospital; it offers some advantages that it relates to a specific group of patients(H., 2017, p. 670).Complications such as bleeding or pneumonia usually develop in people who are undergoing surgery, this is has a strong relation to their age and other underlying conditions. The quality of care offered by a hospital determines the success of treating a complication once it occurs. The main intention of Failure-to-Rescue indicator is to prove how efficient hospitals deal with a complication once it occurs(Healy, 2012, p. 345). Recent reports and research has shown the potential significance of the Failure to-Rescue indicator of safety, this significance emphasises on the complexity of responding to the patients whose condition is deteriorating and shows potential points which result in the failure, these points include; the hospital staff not taking close observation of the patients, failure to record the observations of the progress of the patient, the medics not be able to recognise sins of deterioration and failure to communicate the observations. Due to that Failure-to-Rescue has often been considered sensitive particularly to the quantity and quality of health care that is available to the patient whose condition is deteriorating(Lloyd, 2016, p. 247). Failure-to-Rescue indicator rates which are used for both purposes of research and as a safety indicator are generally derived from the health center administrative databases. However, their accuracy can be questioned if the recording of the complications which are identified is poor; this is because the indicator depends on the identification of a group of a patient whose condition is complicated.(Lloyd, 2016, p. 223) Where there is less coding of diagnoses shows that the recording of complications is poor.it has been found out that data from the hospital databases were not sufficient for deriving Failure-to-Rescuer indicator rates due to the poor rates of coding(Michell, 2013, p. 789). Non-risk adjusted Failure-to-Rescue rates cannot be accepted to be used in making a comparison between different providers. Approaches to measuring Failure-to-Rescue as a safety indicator in health care were in 1992 developed for the first time by Silber and his colleagues. Silber hypothesized that death which is as a result of complications in most of the surgeries is strong as a result of the hospital characteristics rather than the complications which result from the surgery itself, this was confirmed in Silber's study. He indicated that comparing mortality in patients with surgical complications had some benefits over comparing the overall patient mortality rates. The concept behind this approach of measurements that hospital of high quality can be in a position of preventing the patient from dying once complications arise, even if the hospital is serving a big population of patients with h9gh surgical risks(Mullner, 2013, p. 567). Due to the variations in complications, rates can be driven by the characteristics of the patient during the time of admission, the ability to patients from complications reflects hospital resources and preparedness. Many studies in the past decades have shown that a hospital can have a high failure-to-rescue but a low a low complication rate and vice versa. The main explanation for this phenomenon is because hospitals with a higher complication rates have a better experience of responding and recognizing to complications in case they develop, in the case of hospitals with low complications they have lower chases of improving their rescue skills(Mullner, 2013, p. 231). Buerhaus and Needleman also developed an approach of measuring failure-to-rescue which would be directly derived from the readily available data from the administrative databases, which includes both medical-surgical patients and medical patients populations, they used the outcome which they thought that they were very sensitive to the nursing care, and they included rules which were targeting to eliminate instances in which the complications that were present during the time of admission or preoperatively. This approach sometimes is known as "failure-to-rescue nursing" which was later referred to be associated with nursing staffing and it was modified and ultimately adopted by the National Quality Forum as a quality indicator(Mullner, 2013, p. 659). The development of the approaches of measuring the Failure-to-Rescue indicator was considered to be a very important advance in safety and quality measurement. Controversies however emerged and they lasted for some time. The stakeholders in the health sector raised concerns about which kind of deaths which were to be included in this measure, questioning whether the measure was applying to the all population of the hospitalized patients or it was for specific patients of surgery. Also, the reliability of various approaches was questioned on how to identify cases of failure to rescue. There was also a strong interest in being able to show the difference where serious complications were acquired in hospital unlike to be being due to the pre-existing conditions(OECD, 2010, p. 235). In the current context, there is the software's for calculating the failure to rescue PSI version 5 for the ICD-90 and there is version 6 which is used for measuring ICD-10 which is publically available. The usually reported by CMC and a national average of 13.7% is currently reported at the hospital. Many surgical services which include trauma care, adult cardiac surgery, gynecologic surgery and also gastrointestinal surgery have developed specific approaches for measuring failure to rescue. The high rate of failure to rescue has been associated with communications failure, higher hospital patient's volumes and a low number of staffing nurses. The agency for healthcare research and safety algorithms of version 1 and version 2 were applied to the children administrative hospital data .in the case where mix comparative databases, create are measured for the complication of anesthesia, diagnostic-related groups, death in low mortality, decubitus ulcers, foreign body.PSIs which are derived from the administrative databases indicates the safety of the patients and other concerns and can be a very relevant tool for screening in children's hospitals; in cases identified by the indicators does not always represent events which are preventable(Oster, NewYork, p. 400). Some of them such as an iatrogenic pneumothorax, infection attributable to health care and venous thrombosis, they seem to be very appropriate for nursing care and may be amenable to the system changes. Based on the evidence and practices concerning those specific indicators that have been reported in the adults need to be investigated in the population with the condi tion of pediatric.in the present form in which they are the failure to rescue indicator and the low mortality are considered to be inaccurate for the patient whose condition is deteriorating ,the failure to rescue indicator does not represent preventable deaths where the majority of the paediatric cases are many, and this indicator should not be used to determine the quality of care of the patients whose surgery cannot lead to their deaths in hospitals of children(Q. Ashton Acton, 2014, p. 650). The PSIs can assist in the institutions by prioritizing the chart revised based investigations if the cluster of validated does emerge in the reviews then it is important improvement activities which can help in the establishment(Research, 2011, p. 900). The failure to rescue is associated with the deaths which occur after a treatable complication it is used as a very sensitive safety indicator in many countries, it is mainly associated with the number of nurses in a health facility in relation to the number of patients who are administered in the facility, however easements which have been carried out shows that the ratio of the nurse to the patient whose condition is deteriorating shows that many deaths are as a result of lack of observation and monitoring once the patient has been admitted(S, 2011, p. 356). Continuous observation of the patients whose health is deteriorating, proper communication and enough nurse's workforce can enable the rate of failure to rescue to go down even if the rate at which complications are occurring is high.one can use the failure to rescue indicator to solve clinical problems which occur usually in the normal conditions. this is my first accessing the problem and understanding the root cause of the problem, then carry out the careful following of the progress of the patient which should start immediately the patient is admitted, this is to ensure that the rate of failure to rescue goes down in case of rising of any complications which may result in the patient losing life. Due to the improvement in technology in the current time's software have been developed which can be used to monitor the progress of the patients(Kennedy, 2016, p. 123). There were 4567 patients and 500 nurses who were randomly chosen to facilitate the study which was to be carried out in order to determine the different approaches which were to be used in measuring the failure to rescue indicator of safety were achieved, the nurses who were to be interviewed described how nursing in the many health cares is influenced by the failure to rescue indicator. Belgian hospital and other acute related hospitals were also surveyed during the exercise. The AGEE approach analysis method which was used also used to find out the determine the effects of organization of nursing in healthcare sector which was reported to be having an aim to leave the monitoring processes during the exercise due to the differences in the regions in the world such as the Walloon city, the Flanders area and the city of Brussels in Belgium.it was also found out that the other hospital characteristics and their technology level, their experience in teaching the nursing workforce and th e size and of nurses and their character such as their experiences,. For the other reasons such as the semi-structured in the organization of the different people in the health care interviews were organized with the head of nursing of the hospital facility(j, 2016, p. 689). The patient safety and quality indicator which were developed by the agency which deals with health care reached are usually very useful tools which are used for highlighting Ares in which the quality of healthcare provisional should be investigated in order to meet the required standards of healthcare. They are very important tools to monitor the safety of the patient, monitor the performance of hospitals and also predict future safety-related performances in hospitals(Kennedy, 2016, p. 641). The relationship between and also surgical volume and mortality rates is well established using the failure to rescue indicator, the concept behind this is the associations which remain uncertain. In a study which was carried out Using 2005 to 2007 Medicare data, they identified that the patients were undergoing very high-risk cancer surgeries: gastrostomy, pancreatectomy, and also esophagectomy. The first ranked different hospitals in their area according to the patient's volume during the operations and they then divided them into 5 categories (quintiles) which were based on according to the procedure volume and cutoffs that closely resulted in the equal distribution of patients across the groups. They then started to do a comparison the incidences of complications which were to result in "failure to rescue" for example the case of fatality among patients with different complications and across hospital categories. They performed this process to analysis for all operations which they combined and each of the operation again individually(Tweedy, 2014, p. 300). With the 3 operations when combined, failure to rescue there was a much stronger relationship to the hospital volumes than to the complications. Very low-volume of patients each hospital had only a very slightly higher complications the other hospitals such as rates of (42.7% and 38.9), but there was noted a higher failure-to-rescue rates of30.3% and 13.1%; compared with very high patient volume hospitals (highest quintile)(Tweedy, 2014, p. 332). During the early stages of solving the clinical problem by using the indicator you will already have identified some number of measures which that you will want to use to show what you are going to solve is variable, In improvement the methodology one was to use Run in solving the clinical problem(Siedine K. Coetzee, 2015, p. 563). In conclusion, Failure to rescue can be referred to as deaths which result from the treatment of complications the failure to rescue can be derived from English administrative databases and may be used to show that failure to rescue a valid quality indicator. This is the first study to assess the association between failure to rescue and medical staffing. This suggests that it is particularly sensitive to nursing is not clearly supported, nor is the suggestion that the number of patients with an extended hospital stay is a good proxy(Roussel, 2013, p. 789). The failure to rescue can be used to solve a number of clinical problems and that will also enable the safety of the patients to be improved and also the general performance of the hospital also can be boosted by the indicator as it is used to monitor the deaths which arise from different surgeries in hospitals in relation to the healthcare which is provided by the nurses in the health facilities(Mullner, 2013, p. 345). References Acton, .. A., 2013. Issues in Quality in Healthcare and Quality of Life: 2012 Edition. 2nd ed. London: ScholarlyEditions, 2. Farrar, F. C., 2016. Transformational Tool Kit for Front Line Nurses, An Issue of Nursing Clinics of North America, E-Book. 2nd ed. London: Elsevier Health Sciences. H., L., 2017. International Journal of Nursing Studies. 4th ed. London: Shao-mei Shang. Healy, D. J., 2012. Improving Health Care Safety and Quality: Reluctant Regulators. 3rd ed. Paris: Ashgate Publishing, Ltd. j, w., 2016. First, to examine the impact of the nursing practice. 2nd ed. NewYork: fff gj publisher. Kennedy, f., 2016. International Journal of Nursing Studies. 3rd ed. London: ff bright. Lloyd, R. C., 2016. Quality Health Care: A Guide to Developing and Using Indicators. 2nd ed. Berlin: Jones Bartlett Learning. Michell, V., 2013. Handbook of Research on Patient Safety and Quality Care through Health Informatics. 2nd ed. Chicago: IGI Global, Mullner, R. M., 2013. Encyclopedia of Health Services Research: Ed. by Ross M. Mullner. 4th ed. London: SAGE, Mullner, R. M., 2013. Encyclopedia of Health Services Research: Ed. by Ross M. Mullner. 2nd ed. Paris: SAGE. OECD, 2010. OECD Health Policy Studies Improving Value in Health Care Measuring Quality: Measuring Quality. 1st ed. Manchester: OECD Publishing, Oster, C., NewYork. High-Reliability Organizations: A Healthcare Handbook for Patient Safety Quality. 3rd ed. 2015: Sigma Theta. Ashton Acton, 2014. Issues in Quality in Healthcare and Quality of Life: 2012 Edition. 1st ed. London: ScholarlyEditions, Research, A. C. F. H., 2011. Health Care in Australia: Prescriptions for Improvement. 1st ed. London: ACHR, Roussel, L., 2013. Management and Leadership for Nurse Administrators. new: Jones Bartlett Publishers. S, D. J., 2011. Foundations of Clinical Nurse Specialist Practice. 1st ed. London: Springer Publishing Company. Sardine K. Coetzee, 2015. Changes in hospital nurse work environments and nurse job outcomes: An analysis of panel. 2nd ed. Paris: bright ways. Tweedy, J. T., 2014. Healthcare Hazard Control and Safety Management. 3rd ed. Yokohama: CRC Press. Tweedy, J. T., 2014. Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. revised ed. Toronto: CRC Press. Williams, L., 2015. Indicators Over Time: Lessons From the. 2nd ed. London: Lippincott Williams Wilkins.

Live to Encourage free essay sample

Throughout my life, I have had many different experiences that have taught me useful life lessons, encouraged me to push forward through adversity, and help prepare me for my future endeavors. I want to use the gifts I was blessed with to help encourage others. Everyone faces trials on a daily basis. They need someone to see possibilities and guide them in the right direction. â€Å"A good teacher can inspire hope, ignite the imagination, and instill a love of learning.† I want to fulfill this role. It is important to encourage those who are despondent to inspire hope and purpose in their life. People need love and companionship in order to not feel alone. Everyone desires to be apart of a community. I have been blessed with opportunities to lead, teach, and mentor others. I believe one of my character traits is loving others and including those who are overlooked. I am blessed to have people who have loved and encouraged me throughout my life. We will write a custom essay sample on Live to Encourage or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This gives me a greater desire to do the same for others. In my opinion, fighting through adversity is a challenge, but very rewarding when accomplished. They may feel like the waves of life are drowning them, but the waves can be overcome. Whenever I was nine years old my teacher and physician diagnosed me with dyslexia and memory problems. The thought of being different scared me. I did not want to feel left out or dumb. Over the years I have been able to overcome it with the help of others. Though I still struggle on occasion I have improved tremendously. This taught me how to work hard for things that are important to me. I may put in double the hours and get the same result as someone else, but that has built my character. I serve at a special needs camp every summer. This is a place for them to feel loved and normal. I developed patience through my trials to improve my abilities as a counselor. I chose to work at the Preschool at my church and I have encountered opportunities to encourage four to six year old children. Weekly we encourage teamwork, sharing, and good behavior. These little things develop respect and honoring each other. My school has asked me to speak at lower school chapels. I also serve as a class officer and I am a member: Key Club, Leadership Academy, Students Against Destructive Decisions, National Honor Society, and in Junior High Impact. Loving and helping others can trump the negative of a lower salary that teachers often encounter. I believe it is more important to love your career and spend your time in a fulfilling job than to work for a high income. I am looking forward to the educational classes in college and learning the skills to inspire children to develop a love for learning.