Thursday, August 27, 2020

A Childs Promise.

A Childs Promise. This Friday night appeared to be much the same as some other with Mom and I relaxing on the couch viewing the Grand Ole Opry. I could feel the delight that the Opry brought to my mother just by the look in her eyes as she viewed, tuned in, and at times sang. Well she murmured more than she sang yet that was my mother's method of singing. As we watched her eyes would gleam. Some of the time I would see a radiance. As I watched her I recognized what I needed to do. I embraced my mother and said Mother, when I'm altogether grown up I'm going to take you there. Mother embraced me consequently and stated, I'm certain that you will.As I began supper, I turned the radio on and amazingly the station was doing an extraordinary on The Grand Ole Opry. This brought my beloved recollections thundering back. The Grand Ole Opry played on the radio in the kitchen each night as Mom cooked dinner.English: Grand Ole Opry House, in Nashville, TN. T...She would murmur and I would request that her move (a s I had seen my dad do). She would acknowledge, particularly on the off chance that it were a moderate melody. Mother said that when it came to quick moving she was worried about the possibility that that she would break something and that with nine kids she required all that she needed to stay aware of us. We would move and toward the end I would bow and state thank you madam, she would civility and off I would go. At that point I recalled the guarantee that I had made to her such a significant number of years prior. I had a plan.The following morning at work I put in for seven days of excursion. Next came the hang tight for the endorsement. One day transformed into the following, the following into the accompanying. I...

Saturday, August 22, 2020

Primary Source Analysis Essay Example | Topics and Well Written Essays - 500 words - 5

Essential Source Analysis - Essay Example Class battles emerge when the rulers misuse the managed prompting the negative relationship they share. At the point when the abuse has become an excess of the controlled battle to get power, lastly they become victors since they are many. Consequently, he calls attention to that history is dynamic and dynamic as in has power changes hands from the rulers to the governed, history changes and progress is accomplished. He additionally depicts the advanced material universe of the common, which is the most dynamic class as far as material things like innovation, private property, correspondence and transportation (Marx and Engels, 1948). They esteem cash, and in this way they persecute the proletarians who are the laborers. The laborers get no compensation and, in this manner, endure. Indeed, even globally, the common exchange unreasonably by purchasing at a modest cost yet selling lavishly. The proletarians languish and choose to battle over force yet from the outset, they fizzle since they are not joined together. At last, they assume control over force since they become joined against the common with the help of a couple of average. He advocates for the nullification of the private property since it is the reason for misuse and class battles (Marx and Engels, 1948). These will prompt a ridiculous society which private property has a place with the state. In this specific situation, the peruser is forgotten about to discover different methods of wiping out the abuse of the controlled in the general public and how we can be a piece of the change the general public we live in. we ought not sit and trust that somebody will originate from outside to bring the change we need. The change should originate from inside. Solidarity brings change. Das Kapital is another source by Karl Marx that bolsters the socialist proclamation by featuring the situation of the specialist and their relationship with business people. This work shows how much specialists are misused in this condition of free enterprise (Wheen, 2007). The entrepreneur

Friday, August 21, 2020

Final Paper Treaties In Peace And Conflict Example

Final Paper Treaties In Peace And Conflict Example Final Paper: Treaties In Peace And Conflict â€" Term Paper Example > IntroductionThe rise of the United States of America into a most prominent place in world affairs has been naturally attended by an increasing number of agreements with other countries. As their number increases, more attention becomes focused upon them. This attention is not due primarily to the importance of these agreements as they affect relations with other countries. To the typical American the state of foreign affairs is not closely known, the ripe time and conditions for commencing negotiations for agreements are highly problematical, and the intricacies and niceties of negotiations and international law are a complete maze. Much confusion is felt in this regard, but it is a confusion little lamented. This is not because there is indifference to the nation's course in foreign affairs, but because there is no overriding, direct personal concern; any individual will fare in these matters very much the same as all other individuals fare (Davis, Meyer, 1998). In many respects , however, these agreements become domestic law and are enforceable in the domestic courts. Cases in the courts are matters of conflict between juristic persons, and consequently an individual may have occasion to become very much directly concerned personally. Where the foreign operations and effects of agreements may be shrouded in acceptable confusion, a like confusion may become well nigh intolerable in the realm of domestic law. Resulting from this confusion has been a most pressing controversy in recent history over the question of whether or not there are any limitations on the federal government's treaty power; a question which, in view of the climate of opinion regarding United States traditional governmental theory, presents something of a paradox. This problem has been compounded by the various types of international agreements in United States law, along with the varying procedures by which they are consummated or become legally binding within the framework of domestic governmental machinery. There is confusion, for example, over whether there is any difference as to scope between treaties and executive agreements. The results can become frightening when extremities are joined in a sort of syllogism: treaties are unlimited; treaties and executive agreements are interchangeable; ergo, the power of the President or some appointed underling is wholly without legal limit. This terrifying conclusion is used principally in political campaigns, and is not to be found so baldly stated in authoritative and responsible works on the subject, but since the beginning of U. S. constitutional history there has existed a latent source of confusion, not only in the Constitution itself but in the writings of its Founders, in Supreme Court opinions, and consequently in the texts of commentators on the matter. There have been, therefore, rational and legal bases for a limited amount of the confusion. This confusion has reached and thoroughly penetrated the scholar ly world. Although statements on the subject of limitations on the treaty power treat it variously, there appears not to be a modern text on American Government which professes to reveal the limitations on the treaty power or which will state an overall rule on the difference between treaties and executive agreements as to the extremities of subject matter with which they can deal. In the same vein, many respected professors have often admitted inability to point to the outer limits of the treaty power, and on the various instruments have thrown up their hands with the allowance that the difference between treaties and executive agreements is that treaties are called treaties and executive agreements are called executive agreements.

Monday, May 25, 2020

Free Trade and the Environment Essay - 1003 Words

Free Trade and the Environment Economic Implications of Free Trade Throughout the academic discipline of economics, much attention has been lavished on the purely economic benefits of free trade as opposed to autarky. Economists have argued that both consumer and producer stand to gain from uninhibited international trade. The consumer gains access to greater quantities of a specific good at a more competitive price, while the producer is able to shift his resources into the economy’s comparative-advantage industries. In addition to static gains from trade such as increases in economic well being, free trade brings about dynamic gains as well, which further increase the expand the economic resources of the involved country.†¦show more content†¦The debate in recent years has mainly revolved around the claim that increased trade undermines environmental quality, which has an especially significant effect in lower-income countries. The traditional rebuttal is that free trade allows developing countries to break out of the cycle of pove rty and to increase in economic prosperity, thereby growing out of their environmental problems. It should be apparent that the latter argument is most conducive to free trade, and has thus been harped on by trade advocates, who insist that economic success enables a country to generate the revenue needed to enact stricter environmental regulations. The raw data, which has been subjected to much analysis, can lead to either of the two conclusions; the primary question facing economists thus is one of direct causality. Has free trade ever been a direct cause of improvements or degradations in the environment? Any study of the environment and economics would be remiss not to include a discussion of industrial emission standards and pollution controls, the main instruments through which decisions of environmental economics are most evidently manifested. Often, such regulatory controls are linked to international trade agreements. One of the oldest theories is that due to differentials in environmental regulations among different nations, there will exist â€Å"pollution havens† where firms will move their operations in order to escape tightShow MoreRelated Can We Have Free Trade and Reduce Pollution of the Environment?779 Words   |  4 PagesCan We Have Free Trade and Protect the Environment? nbsp; Endorsing free trade is easy. Ask an Economics professor why free trade is good and you will surelynbsp; be shown a graph with three or more intersecting lines that show a higher rate of output for nations that participate in free trade than nations that do not. Opposing free trade, at least on economic grounds, is a bit harder-unless you are an environmentalist. nbsp; The economic advantages of free trade were recentlyRead MoreThe Role Of The International Trade Environment On A Free Market Type Environment Versus One With Heavy Government Regulations Essay1137 Words   |  5 Pagessustainable share of the benefits of the international trade environment. There is a large contrast between a system operating in a free market type environment versus one with heavy government regulations and intervention. It is important to examine industrial policy, strategic trade policy, trade problems facing developing nations, import substitution and export-led growth. Government Role in Developing Countries with Regard to International Trade Developing countries is a term that has been usedRead MoreFree And Open Trade Policies, Liberal Business Environment And Good Economic Order1855 Words   |  8 PagesBusiness environment Free and open trade policies, liberal business environment and good economic order UAE government always has implemented an open free trade policy; there are no trade quotas, barriers and foreign exchange control and management organizations; no income tax, value added tax, consumption tax and other middle parts of tax, the profits can be freely transfer to anywhere you want. There is 5% tariff for most of commodities except tobacco and liquor, etc. Dollar and theRead MoreGlobalization: A Free Trade Phenomenon Essay866 Words   |  4 Pages Globalization is â€Å"the integration of states through increasing contact, communication and trade to create a holistic, single global system in which the process of change increasingly binds people together in a common fate† (Carey 2002). Some economists recognize globalization as being in the best interest of all states. While others believe that increasingly liberated trade and global economic interaction is necessary in many ways. While globalization marks a move toward a more open world-tradingRead MoreInt ernational Political Market Values And Subsequent Free Trade Agreements869 Words   |  4 PagesIn relations, international liberal market values and subsequent free trade agreements are at the forefront of economic globalization. As the global markets and economic competition intensifies, nations move towards trade liberalization. International trade agreements by extension of economic globalization are more often prioritized before environmental agreements. In fact it is evident that environmental policy is rarely prioritized over economic growth. The neo-liberal market ideals have encouragedRead MorePros and Cons of Free Trade1495 Words   |  6 PagesGeography: Pros and Cons of Free Trade Few can contend that the world is more interconnected and interrelated more than ever. This web of interdependency is primarily made possible by trade, and in the twenty-first century, a large and significant portion of trade is conducted on a global scale. Furthermore, while the majority of people agree that free trade can benefit both parties in terms of economic development and an increase in overall production, many critics have voiced their fears of theRead MoreShould Free Trade Be Allowed?904 Words   |  4 PagesAllowing free trade to happen will allow many benefits like having larger varieties of goods and services for a lower price, growth for the economy and as well as increased exports for producers. Free trade will especially help the Trans-Pacific Partnership, a free trade agreement among 12 countries that border the Pacific Ocean. The countries included in the are: Australia, Brunei Darussalam, Canada, Chile, Japan, Malaysia, Mexico, Peru, New Zealand, Vietnam, and the United States.The benefits ofRead MoreThese Concerns Will Be Addressed In The Next Paragraph.1547 Words   |  7 Pagesnumber of countries, which are not currently self sufficient, do have to rely on trade to meet food requirements such as nations in North Africa (D’Odorico et al. 2014). Additionally, in the same study, it was determined that trade, in the majority of cases did not cause a loss of sufficiency, and more often played a beneficial role to nations. Especially in an environment today, a number of nations are becoming more trade dependent to meet basic food needs, especially nations traditionally viewed asRead MoreInternational Factors and Multinational Corporations1724 Words   |  7 PagesRegional Trade Agreements and Global trade liberalization are common terms that are used to analyze different market structures in the market. According to international economics, RTAs (Regional Trading Agreements) are the agreements in which members give each another privil eged treatment with respect to the extent by which the trade barriers have been established. On the other side, Global Trade liberalization is a general term referring to the depletion of trade boundaries globally to ensure freeRead MoreFree Trade And Trade Agreements1408 Words   |  6 PagesFree Trade Free trade is a policy in which the government does not interfere against imports or impedes with exports by applying tariffs (Encyclopedia, 2015). Free trade is about removing barriers like tariffs, quotas, and other restrictions. Tariffs are taxes that the countries enforce on imported goods and services, they are set in place to make trade harder. This ultimately causes the price of goods and services for consumers to be more expensive. Quotas are a limited quantity countries put

Thursday, May 14, 2020

`` The Miller s Tale `` - 1258 Words

Often in Medieval Literature, we are introduced to a leading female character who takes the backseat to her husband. It is the stereotypical woman of the time, a housewife taking care of the home and children, a belittling husband who controls her every move. It was a time period where this was simply understood, women knew their roles and complied without question; that is how they were seen in life and how they were portrayed in literature. Chaucer’s, â€Å"The Miller’s Tale†, defies the stereotypical â€Å"repressed† woman; through Alison’s character, she is shown to be a naive woman not letting herself be taken advantage of, acting on impulse and making her own decisions, as opposed to being her husband’s property. When Alison is first†¦show more content†¦However Chaucer add’s more to Alison’s story, changing not only Alison’s image, but the possible image of a reformed housewife. Although resisting at first , Alison enters into an affair with Nicholas. While it is obvious that Nicholas is merely attracted to Allison because of her looks, it can also be interpreted that Alison is doing the same thing. Nicholas is a young clerk, closer to Alison’s age and far more appealing than her husband John. Despite the fact that she know’s it is wrong, Alison enters into the affair because she wants to, she makes the decision for herself, the first signs of her character as a strong woman. As long as John is in the dark about the affair, Alison is more than willing to comply. â€Å" My husband is so jealous that unless you are secretive and watch your time, I know very well I am no better than dead. You must be very sly in this thing.† (Chaucer 3294-3297). It is a complete role reversal to other works of literature. In most works of medieval literature it is the husband that makes a rash decision, disregarding how it will affect his wife. Chaucer reverses the role, making Aliso n the dominant figure in the marriage as opposed to John. This role reversal manifests Chaucer as an author ahead of his time, portraying a woman as the preeminent figure in a marriage. Alison can not only be looked at as strong, she can be seen as naive and careless. Not only is she admired by Nicholas, she is also craved by Absalom, who greatly desire

Wednesday, May 6, 2020

The Text Of A Children’S Book Is Usually Organized Into

The text of a children’s book is usually organized into simple sentences and short paragraphs. How is the text organized in the book that you have chosen to review? Explain whether this organization was sufficient for the story that this book is telling. The text is in short sentences and the paragraph on each page only focuses on one concept at a time. The paragraph is usually on the bottom of the page, sometimes on both pages and sometimes only on one page while the rest of the page is entirely picture. Children’s book authors often employ literary tools to help make the story more vivid in the readers’ minds. Commonly used literary tools are rhythm, alliteration, repetition, refrains, onomatopoeia, simile, personification, rhyme, and†¦show more content†¦Another device used by the author is only stating part of a phrase and then continuing it onto the next page. â€Å"The Waiting Place†¦ next page â€Å"...for people just waiting. Area B: Illustrations Some picture books have an illustration on the front cover that presents the main conflict or point of the story. Identify two or more elements from the front cover of the book you are reviewing and explain how they relate to the story. The front cover is extremely colorful, which a recurring theme in the rest of the book’s illustrations. It also has bright colors which are mostly reflected within the positive part of the book’s illustrations while the negative part of the story (in which the character is not succeeding) has mostly dark, gloomy colors. The front cover also has the main character on it, standing on the top of what looks like a tower or mountain. Within the book, we also see the main character conquering tough challenges that seem like mountains. What is the primary medium (collage, drawings, photographs, etc.) used in the illustrations? The primary medium used in the illustrations are vivid and colorful drawings. Identify the illustration that in your opinion is the most effective in developing the story as a whole. Explain how two or more elements in the illustration help support and develop the story. The most effective illustration is one in which the mainShow MoreRelatedThe Classroom Case Study : Ad / Hd Twelfth Grade : Language Arts1520 Words   |  7 Pagesknown as ADD, usually deals with students that are more predominantly inattentive than hyperactive. They usually have difficulty focusing. They are commonly disorganized and/or easily overwhelmed. They tend to daydream. They usually appear shy or unsociable. Attention Deficit Disorder is harder to spot because the students can appear to just be disorganized or disinterested. They usually do not disrupt the class. Attention Deficit Hyperactivity Disorder, otherwise known as ADHD, usually deals with studentsRead MoreAcademic Philosophy Of Early Childhood Education1356 Words   |  6 PagesIntroduction Children’s academic performance in schools is not only based on the type of schools attended by them, children exposed to early education are expected to outperform those that were not. This paper focused on Philosophy of Early Childhood Education with interest on whether Children with early education perform well academically than those that do not. In most countries in West Africa, parents take their children to preschools before going through primary education. This preschool educationRead MoreRacial Identity By Dr. Beverly Tatum1141 Words   |  5 PagesAuthor, Dr. Beverly Tatum a clinical psychologist whose main study of interest is Black children’s racial identity development wrote the text Why Are All the Black Kids sitting Together in the Cafeteria? After receiving a letter from a school principal in New Jersey applauding her on her reason of why, in racially mixed schools all over the country, Black kids were still sitting together in school cafeterias. In the text Tatum shares her thoughts about the development of racial identity faced by the AfricanRead MoreThe Process of Adolescent Development Essay1566 Words   |  7 Pagesin which myelination occurs is in the cortex with the neurons associated with complex thinking skills. This pattern of brain growth continues through late adolescence (Swanson, 2010). Attention span has also been linked to myelination. Therefore, children’s ability to concentrate and attend to novel stimuli increases with age and brain development. Because of these important development differences, the school-based practitioner needs to be aware that younger children may need shorter sessions andRead MoreEssay on Parenting Styles1213 Words   |  5 PagesParenting Paper Diane Baumrind’s typology has two major dimensions. The first dimension is responsiveness. In the text it mentions that responsiveness â€Å"refers to the extent in which parents respond to and meet the needs of their children.† (Knox 364). This is when parents support, encourage, and foster their children’s needs. The second dimension is demandingness which is â€Å"the matter in which parents place demands on children in regard to expectations and discipline.† (Knox 364). This is aboutRead MoreThe Murder Mystery Of John Wright1690 Words   |  7 Pageslife in Provincetown by continually exploring the major suspect of the story â€Å"Trifles†, the environments that frustrated full development of human potential as well as the impact of gender on the complex process by which explains to us the social texts and literacy. â€Å"Cofounder in 1915 of the Provincetown players, Susan Glaspell was also a noted dramatist and prolific fiction writer. She published ten novels and more than forty short stories. â€Å"Trifles† was an act play included in 1916† (GlaspellRead MorePhysical Response : A Language Teaching Method Developed By James Asher Essay1566 Words   |  7 Pagesemotions inhibit the natural language-learning process. He regards the stressful nature of most language-teaching methods as one of their major weaknesses. Asher recommends that teachers focus on meaning and physical movement to avoid stress. The main text in total physical response is James Asher’s Learning Another Language through Actions, first published in 1977. Total physical response is an example of the comprehension approach to language teaching. Methods in the comprehension approach emphasizeRead MorePsy 308 Lab Assignment Essay1446 Words   |  6 Pagesintellectuals. This has more than mere historical significance. In recent decades, psychologists have looked to philosophers for insights into the nature of consciousness and ho w people form beliefs about the social world but these philosophers usually contradict each other. This is when we are lost because we do not know who to believe. 2. Compare the self-esteem approach and the social cognition approach in terms of the motivations assumed to underlie human behavior. Answer: The self esteemRead MoreLost And Found Of American History2822 Words   |  12 Pagestruth, including the ugly details of terrible times, of the foundation of this country taught in schools as well as in children’s literature that claim to be historically accurate. The average American textbook gives very little detail about the real history of the country and leave out large portions that do not adhere to the stereotypical history of the American dream. Children’s books, such as the American Girl and Little House series are just two examples of historical fiction for adolescents thatRead MoreEffective Schools1726 Words   |  7 Pages Effective Schools According to our text, what are the characteristics of effective schools? In the book Introduction to Teaching: Becoming a Professional, Kauchak and Eggen (2014) identified schools as social systems and wrote, â€Å"Social systems work effectively when their components work together to meet their goals† (p. 181). The components listed were the staff and faculty members of a school, the physical building of the school itself and surrounding areas, and the curriculum. The characteristics

Tuesday, May 5, 2020

Nursing Care Using Clinical Reasoning Cycle-Samples for Students

Question: Discuss about the Health Care Industry. Answer: The health care industry is changing every day, with the newer and better advancements coming out every day, the potential of this industry have long surpassed the expectations of the human society. The number of diseases that used to be incurable once upon a time has a varied array of treatment options now. Apart from just the treatment options, revolutions has come in the diagnosis procedure, prognosis, and even in documentation. Today a properly documented care regime along with proper patient education and consent is a part of proper and legit health care procedure (Estes et al., 2015). However with all this advancements to the health care industry the health conditions of the society is deteriorating with a vengeance to outrun the advancements. Coronary heart diseases, kidney failures, respiratory diseases or digestive disorders, the adverse effects of the fast paced lifestyle have encompassed individuals of all age group. Gall bladder disorders that are the onset of many more complicated health related disorders have now become one of the most prevalent public health disorders in the current scenario. The number of adult population succumbing to these health concerns has worried the health care authorities worldwide (Estes et al., 2015). Gall bladder disorders have become one of the most prevalent lethal health disorders there is that has a vast majority of the society crippled. This essay will attempt to carve out a care plan for the gall bladder disorder of Mr kasim al-mutar case taking the aid of the elements of the clinical reasoning cycle. The most important part of the job of the nursing professional in the health care scenario is to ensure that the patient is in complete and optimal cared situation. As the patients in most cases are under the care of the nursing professionals it is their responsibility to make challenging clinical judgments for the patients. However in most cases the nursing professionals find themselves in the conundrum to make the logical decisions in the health care scenario that will be in the best interest of the patient and the health care scenario. However the innovations like the clinical reasoning cycle have made it easier for the nursing professionals to make clinically reasonable decisions that will ensure that the patient is optimally cared for (Levett-Jones Hoffman, 2013). Various studies have suggested that the need for health care at the moment has become the critical thinking and evaluation to ensure that the health care and treatment related judgments that have been taken are at com pliance with the health care standards along with being compatible with the particular needs of the patients. Clinical reasoning cycle has provides the opportunity to the health care professionals to achieve this goal by the means of a number of strategic step by step actions. A clinical reasoning cycle generally has a number of distinct steps that started with the healthy care professional to consider the condition of the patient, collect viable information from the patient, process and reflect at the information collected and the arrive a clinical judgment that will be compatible to the scenario (Levett-Jones Hoffman, 2013). The very first step to a clinical reasoning cycle is to consider the health situation that the patient is in. In this case the patient is a 49 year old male, who is suffering from acute pain the right upper quadrant. Along with that the patient is also suffering from nausea and fever which has rendered him very weak and irritated. The symptoms that the patient is experiencing are indicative of acute cholecystis (Gutt et al., 2013). Considering the demographic data for cholecystis it has to be mentioned that cholecystis is a common health care disorder in the adult population. Studies suggest that the risk of cholecystis increases with age and the lack of proper treatment can lead to other more complicated and fatal health concerns as well. Hence it can be stated that the health related complaint from Mr. Al-Mutar is common and expected considering his age and gender as the males are found to be more prone to this particular disease (McGillicuddy et al., 2012). The next element of the clinical reasoning cycle is where the health care professional is supposed to collect cues and information about the patient and the medical concern he represents. This phase is crucial in the clinical reasoning cycle in order to arrive at a reasonable clinical judgment and hence the nursing professional responsible for the patient must elicit all the information not just about the present signs and symptom that the patient is exhibiting but also consider the past medical history, lifestyle habits and dietary habits as well (Potter et al., 2013). Apart from that this step is incomplete without considering the vitals and metabolic rates of the patient as that informs the nursing professional about the present needs and requirements of the patient, and nursing handovers are crucially beneficial in this scenario. The handover information about the patient opted for this case scenario reveals that the patient has a heart rate of 126 beats per minute, and he had his blood pressure ranging around 100/45. The body temperature of the patient is feverish at 38.8 F and the patient had the last episode of vomiting two hours ago which has left him tired and weak. The pain that the patient had been experiencing in the right upper quadrant has been acute for him as he had scored the pain 7 out of 10 in the pain assessment scale. From the information that the patient handover is representing it can be stated that the patient is suffering from an acute cholecystis and is in need of a cholecystectomy (Riall et al., 2010). The next part of the clinical reasoning cycle is the evaluation and analysis of the information that has been accumulated and elicited from the patient, about his past and present medical history. This step provides the health care professional to reflect and establish the link between theory and practice and draw the most logical and clinically scientific prognosis for the patient and his medical concern (Riall et al., 2010). Here in this case scenario the patient is suffering from acute right upper quadrant pain, now abdominal pain can be due a number of health care concern. Diseases like pancreatitis, liver sclerosis, colitis, appendicitis, the primary symptom of all these health concerns are abdominal pain. However the patent under consideration for this assignment is experiencing a nausea and vomiting along with right upper quadrant pain which narrows down the prognosis, and represents cholecystis to be the most plausible diagnosis (Schmidt et al., 2011). In order to process the information more and arrive at a definite conclusion about why the patient is suffering from these symptoms, investigative health assessments need to be performed. The testing should initiate with competitive blood cell count test as a marker to check inflammation. As increased concentration of white blood cells and bilirubin hint at bile congestion in the gall bladder which is the marker for cholecystis. Xray radio imaging of the right upper quadrant is a more definite assessment method which can confirm the presence of inflammation or stones in the gall bladder which are confirmative markers of cholecystis (White et al., 2012). Cholecystis is considered to be a gall bladder inflammation which blocks the cystic duct, most often due to presence of gall stones, and blocks the digestive bile, imperative for digestion of fatty food items. In this disease the symptoms of pain and nausea, that the patient is going through is generally spiked after a heavy meal rich with oily and spicy food items, as that spikes the biliary colic production. The patient, considering his condition, will need a laparoscopic cholecystectomic surgery and will require the service of certified gastrointestinal specialist, nursing professionals, dietician and a community service worker. The care plan for the patient should focus on the relieving the pain of the patient through analgesia and antipyretics as well (White et al., 2012). The responsibility of the nursing professional, prior to the surgery is to minimize the vomiting urge and fever, and also educating the patient properly about his treatment plan. Post the surgery the patient w ill need to bring a few changes in his lifestyle and will also require following precautions to help him attain speedy recovery. The regular visits from community social service should be offered to ensure that the patient follows the post surgical guidelines (Yokoe et al., 2013). On a concluding note, it can be stated that cholecystis or gall bladder inflammations are considered to be a highly common health care concern among the adults and the risk factors rises with the increasing age. The deteriorating lifestyle habits of this generation are only adding more fuel to the myriad of medical complications that are prevalent. The health care industry needs to outsmart the increasing complication with its technology and care standard advancements. The innovations like clinical reasoning cycle can aid this process of improving health care to offer the best at all times to the patients. References: Estes, Calleja, Theobald, Harvey (2015).Health Assessment Physical Examination(2nd ed.). Australian New Zealand: Cengage Giger, J. N. (2014).Transcultural nursing: Assessment and intervention. Elsevier Health Sciences. Gutt, C. N., Encke, J., Kninger, J., Harnoss, J. C., Weigand, K., Kipfmller, K., ... Klar, E. (2013). Acute cholecystitis: early versus delayed cholecystectomy, a multicenter randomized trial (ACDC study, NCT00447304).Annals of surgery,258(3), 385-393. Levett-Jones, T. Hoffman, K. (2013). Clinical reasoning: What it is and why it matters. In: T. LevettJones (Ed.). Clinical Reasoning: Learning to think like a nurse. Frenchs Forest: Pearson McGillicuddy, E. A., Schuster, K. M., Barre, K., Suarez, L., Hall, M. R., Kaml, G. J., ... Longo, W. E. (2012). Non?operative management of acute cholecystitis in the elderly.British Journal of Surgery,99(9), 1254-1261. Potter, P. A., Perry, A. G., Stockert, P., Hall, A. (2013).Fundamentals of nursing. Elsevier Health Sciences. Riall, T. S., Zhang, D., Townsend, C. M., Kuo, Y. F., Goodwin, J. S. (2010). Failure to perform cholecystectomy for acute cholecystitis in elderly patients is associated with increased morbidity, mortality, and cost.Journal of the American College of Surgeons,210(5), 668-677. Schmidt, M., Sndenaa, K., Vetrhus, M., Berhane, T., Eide, G. E. (2011). Long-term follow-up of a randomized controlled trial of observation versus surgery for acute cholecystitis: non-operative management is an option in some patients.Scandinavian journal of gastroenterology,46(10), 1257-1262. White, L., Duncan, G., Baumle, W. (2012).Medical surgical nursing: an integrated approach. Cengage Learning. Yokoe, M., Takada, T., Strasberg, S. M., Solomkin, J. S., Mayumi, T., Gomi, H., ... Gabata, T. (2013). TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos).Journal of hepato-biliary-pancreatic sciences,20(1), 35-46