Marxist Literary Analysis - 1129 Words

Metafiction is a term given to fictional writing which self-consciously and systematically draws attention to its status as an artifact in order to pose questions about the relationship between fiction and reality. --Patricia Waugh, Metafiction: The Theory and Practice of Self-Conscious Fiction.New York: Methuen, 1984. In many respects, Tim O Brien s The Things They Carried concerns the relationship between fiction and the narrator. In this novel, O Brien himself is the main character--he is a Vietnam veteran recounting his experiences during the war, as well as a writer who is examining the mechanics behind writing stories. These two aspects of the novel are juxtaposed to produce a work of literature that comments not only†¦show more content†¦As a collective entity, they are not only an audience to his life, but also serve as reflection of O Brien s life in its entirety. Drawing upon the ability of fiction to preserve life against death, O Brien says that, during wartime, that they were able to [keep] the dead alive with stories (239). To the living, stories were a way to keep the memory of the dead alive, but to the dead, it was the simple act of remembering that kept them alive: That s what a story does. The bodies are animated. You make the dead talk (232). This theme of preservatio n is exemplified by story of Linda, in which O Brien uses the power of storytelling and memory to keep people alive: Stories can save us. I m forty-three years old, and a writer now, and even still, right here, I keep dreaming Linda alive...They re all dead. But in a story, which is a kind of dreaming, the dead sometimes smile and sit up and return to the world. (225). Ultimately, this novel is not about Vietnam--in fact, it is not about war at all. It is about the narrator s attempt to find a place where the erosion of time will have no effect. By working through the threads of this novel, O Brien s intentions become obvious: He is fighting to preserve the physical against deterioration, and by extension, to preserve life by immortalizing it in fiction. He is not writing as a result of neurosis or as a form of therapy; he does this sinceShow MoreRelatedThe Gift Of The Magi1022 Words   |  5 PagesIn discussing Marxist literary criticism Peter Barry states, â€Å"So instead of seeing authors as primarily autonomous ‘inspired’ individuals whose ‘genius’ and creative imagination enables them to bring forth original and time-less works of art, the Marxist sees them as constantly formed by their social contexts in ways which they themselves would usually not admit† (Barry 152). His claim is certainly evident through a careful analysis of O’Henry’s short story. The Gift of the Magi appears to be a bittersweetRead MoreSocialist Feminist Criticism1164 Words   |  5 PagesDropped the Bomb on Me, Baby Feminism and gender studies have been described as having the ability to challenge literary and culture theory to confront the difficult task of assimilating the findings of an expanding sphere of inquiry (Contemporary Literary Criticism 567). This area of study has taken center stage during the last fifty years, not only in our society, but also in literary criticism. Although the terrain Feminism traverses can hardly be narrowed down to one single definition, the explorationRead MoreThe Tempest By William Shakespeare1351 Words   |  6 Pagesworking proletariats and wealthy bourgeois. Therefore the focuses of this paper are the implications of hegemony and class alienation, the commoditization of human subclasses, and the commonalities with â€Å"The Tempest† and Shakespeare’s life. The analysis addresses the role of social class, the social context of work, the beneficiaries of work, and the implementation and championing of social value systems. This has releva nce because Shakespeare’s focus until ‘The Tempest’ primarily was through theRead MoreMarxism And Feminism In Sweat By Zora Neal Hurston949 Words   |  4 PagesAnalysis of Marxism and Feminism in a literary work The literary element of Marxist feminism focuses on the idea in which women are oppressed through capitalism and private property. Starting from the Harlem Renaissance the Hurston’s work focuses on issues presenting on the turmoil of African-Americans from American literature in the nineteenth century on. Zora Neal Hurston’s work entitled â€Å"Sweat† is a prime example of how culture is affected by its cultures standards of economic â€Å"base†. The storyRead MoreFreudian Criticism Of Oedipus Complex1130 Words   |  5 Pagesto the analysis of The Narrator and the Oedipal complex, because Tyler says that his father is the one person hed want to fight the most. Again, we know that Tyler and the Narrator is the same person, but the fact that it is Tyler who is saying these hostile words shows us that the hostility that a child feels toward their father is strictly unconscious, because thats what the id is, and thats what Tyler is. â€Å"Fight Club† from the perspective of Marxist Theory The Marxist Literary lens isRead MoreThe School Of Marxist Criticism1703 Words   |  7 PagesA Strange American Approach In this particular assignment I want to focus in the school of Marxist criticism. And the reason why is because I find it very interesting to learn every concept of its background and the ways it is used in many literature works. Which this specific lens implies that those point of views are not the way to go. In other words it targets that there should not be an upper nor lower class or division of society rather there should only be one with equal opportunities, equalRead More Colonialism and Imperialism in Heart of Darkness and A Passage to India1683 Words   |  7 Pagesexplore, starkly reveals the contradictions within capitalism in a way that a similar piece of fiction set within one culture and dealing with characters from that culture alone cannot. Prior to the analysis however, I would like to give a brief, pertinent explanation of the Marxist approach to the analysis of literature and of the terms I will be using. After years of study and research, Karl Marx published the first volume of his monumental Das Kapital in 1867. In it Marx presents his theory ofRead MoreMarxism Is A Method Of Socioeconomic Analysis1495 Words   |  6 Pagessocioeconomic analysis, originating from the mid-to-late 19th century works of German philosophers Karl Marx and Friedrich Engels, that analyzes class relations and societal conflict using a materialist interpretation of historical development and a dialectical view of social transformation. Marxist methodology originally used economic and sociopolitical inquiry to analyze and critique the development of capitalism and the role of class struggle in systemic economic change. According to Marxist analysis, classRead MoreStructuralistic Criticism and Gerard Genette1053 Words   |  5 PagesGerard Genette writes at the outset in his essay ‘Structuralism and Literary Criticism’ that methods developed for the study of one discipline could be satisfactorily applied to the study of other discipline as well. This is what he calls â€Å"intellectual bricolage ’, borrowing a term from Claude Levi-Strauss. This is precisely so, so far as structuralism is concerned. Structuralism is the name given to Saussure’s approach to language as a system of relationship. But it is applied also to the studyRead MoreEssay about The Introduction of Feminist Criticism1815 Words   |  8 Pagescontributed a lot to the new rise of feminism. Such literary women as Austin, Bront#235;s, Eliot and Dickenson appeared that time. In the early 20th century, women finally gained the suffrage which marked the climax of the womens liberation movement. In the 1960s, New Feminism concerned with the human rights for black people again came to its climax. This time, it was more pervasive and comprehensive in all fields of society, according feminist literary criticism found its way to critical theories.

The Human Immune System Is A Complex Defence Mechanism...

The human immune system is a complex defence mechanism that protects the body from harmful pathogens. Our innate immunity provides humans with a thorough degree of protection, but epidemics are still common throughout the world. To give an example of scale, over 14 million people die annually from vaccine-preventable diseases. In New Zealand a majority of diseases have been eradicated, but some such as whooping cough and pneumococcal are still present. To reduce and stabilize the amount of cases of infected individuals, vaccines are administered to help our immune systems recognize and counteract harmful microorganisms that cause infection. Due to their proven effectiveness, the National Immunisation Schedule in New Zealand recommends that children be immunised for protection from 11 preventable diseases before they are 5 years old. This is not a mandatory vaccination programme, but is recommended by the Ministry of Health and the World Health Organisation. It is free of charge and the programme begins when babies’ reach six weeks of age. There are numerous conflicting viewpoints concerning the efficacy of vaccines. Globally, the medical community tends to agree that they are a safe, effective method of controlling dangerous epidemics. Incidents such as the MMR vaccine controversy in 1998 (the discredited claim that autism was linked to the combined vaccine) have tainted vaccines’ â€Å"safe† image, and the social backlash from that untrustworthy research paper are stillShow MoreRelatedThe Battle Between Cell in the Body and Pathogens in the Enviornment643 Words   |  3 Pagesconstant battle occurs between the cells in the body and the pathogens in the environment. As a result, humans have evolved a very complex immune system to protect against the pathogens. Some of the cells that make up the adaptive immune system are the T cells and B cells. They are the body’s defence against pathogens at a cellular level by recognising a range of features which may be present on a pathogen and are able to f acilitate the destruction of the pathogen by binding to it. Additionally, the cellsRead MoreHow the Body Defends Itself Against the Influenza Virus1005 Words   |  4 Pages This essay will outline the mechanisms by which the body defends itself against the Influenza Virus, more commonly referred to as ‘Flu’. Influenza viruses need to infect host cells in order to replicate. Most flu viruses are destroyed by the innate immune mechanisms involving components such as macrophages, interferons and natural killer cells, however some manage to avoid being detected by these early defence mechanisms and so are eliminated by the adaptive immune response. Although the skin barrierRead MoreA Complex System Or Context Of Your Choice1548 Words   |  7 PagesDescribe a complex system or context of your choice What is the system you have chosen? Describe some of its qualities The immune system is a defence mechanism inbuilt in all living organisms comprised of specific biological processes and structures. Its purpose is to protect against disease using the networks of cells, tissues and organs that work cohesively for protection. In order to function correctly, the immune system must be able to detect and distinguish an expansive variety of pathogens thatRead MoreA Report On Biological Knowledge Essay2261 Words   |  10 Pagesindividuals are shot-lived leaving little or no damage which is due to the immune system which combats infectious agents. The immune system is a complex system of organs and processes of the body that provide resistance to infection and has a primary purpose of identifying foreign substances known as antigens. Antigens stimulate immune responses through the production of antibodies and the immune system provides protection from infectious diseases by noting them as foreign, killer microbes and supplyingRead MoreMicrobial Communitie s Found Within the Human Body.1451 Words   |  6 PagesMicroscopic studies of the human body have found that microbial cells greatly outnumber somatic cells with National Institutes of Health estimating the figure to be around 90%; these either being bacterial, fungal or otherwise non-human. Even though DNA sequencing techniques have allowed scientists to analyse the structures components and functions of some of these normal microbiota, a large fraction of them still remain unstudied and so therefore we have not yet understood the full extent as toRead MoreEstimation Of Plasma And Salivary9963 Words   |  40 Pageswithout which this task would not have been possible. Date : Place : Davangere. [Dr.Sachin Ganesan] VII LIST OF ABBREVIATIONS USED 5-ASA 5-Aminosalicylic Acid ANS Autonomic Nervous System BD Behcet’s Disease CAPB Coloamidopropyl Betaine CAT Catalase CD Cluster Differentiation CHF Chronic Heart Failure CNS Central Nervous System CO2 Carbon Dioxide CuZn - SOD Copper Zinc Superoxide Dismutase DMI Dimethyl Isosorbide DNA Deoxyribonucleic Acid EIA Enzyme Immuno Assay EM Erythema Multiforme ESR ErythrocyteRead MoreSexually Transmitted Diseases35655 Words   |  143 Pagesthe recognition and appreciation of the application of scientific principles are of utmost importance. If the resources of our world are to be properly utilized for the enhancement of man’s life, then an understanding of the responsibilities that human beings have to each other and their environment must be developed. Embedded in this portfolio is a wealth of information covering many aspects of science and will therefore play a major part in preparing citizens who can survive in the changing worldRead MoreNanotech 1AC Essay13565 Words   |  55 PagesNanotechnology,† 03/12/2012, http://www.tierramerica.info/nota.php?lang=engidnews=3920olt=568, AC) MEXICO CITY, Mar 12 (Tierramà ©rica).- Nanotechnology, which is currently unregulated in Mexico, could pose serious threats to human health and the environment, cautions a new study. Far from a policy of precaution vis-à  -vis these new technologies, products are entering the market without regulation to guarantee their safety or labels to inform of their use, researcher Guillermo Foladori of the public AutonomousRead MoreMerger and Acquisition: Current Issues115629 Words   |  463 PagesUnion and other countries. ISBN-13: 978-0230-55379-8 ISBN-10: 0-230-55379-6 This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. Logging, pulping and manufacturing processes are expected to conform to the environmental regulations of the country of origin. A catalogue record for this book is available from the British Library. Library of Congress Cataloging-in-Publication Data Mergers and acquisitions : current issues / edited by Greg N. G regoriou

Cialis Free Essays

Cialis Case Analysis I. Problem: Lilly ICOS LLC (â€Å"Lily†), a young biotech start-up, is going to launch a new drug Cialis for male impotence treatment. In the existing ED drug market, Viagra has gained a huge success and Pfizer is accelerating its marketing pace. We will write a custom essay sample on Cialis or any similar topic only for you Order Now The problem with Lily is which patient segment to target and how to position itself in the marketplace in launching the Cialis. II. Alternatives: ) Follow a Beat Strategy and Come Up with a Differentiated Positioning + High profit prospect by reaching a broad market including current users, dropouts and new users + Easy to build the brand by differentiation of 36-hour effectiveness, more flexibilities and rare visual irregularities + Consistent with Lily’s innovative marketing strategy of integrating into product development and introduction (i. e. first-† and â€Å"best-in-class†) – High risk as a new entrant due to Viagra’s domination in the ED treatment marketplace – Significant marketing investment and innovative marketing tactics are required to make the differentiation – Lack of competency to convince the physicians of its superiority and difficult to persuade the current Viagra users to switch to Cialis 2) Follow a Compete Strat egy and Go Head-to-Head with Viagra’s Positioning + Seize the competitor’s users and re-capture the dropouts as 90% of Viagra currents users and 84% dropouts are interested in trying the new drug + Quicken its prevalence by making analogous positioning, i. e. similar level of price and target customer, etc. + Save marketing costs on segmentation and targeting Fierce competition to confront directly with the ED treatment giant Viagra which has five-year history – Me-too positioning is not consistent with Lily’s focus on development of innovative drugs and competitor may fight back – The characteristics such as flexibility and less onset time may be ignored by customers 3) Follow a Niche Strategy and Target a Specific Segment + Modest competition and lower risk by targeting a specific segment (i. e. the dropouts from Viagra) + Less investment in marketing and sales force + Easily accepted by this specific targeted segment – A limited market sh are restraining the profits – Need to price much cheaper than competitors – Difficult for future growth and expansion to other segments III. Recommendation: Lily should adopt a beat strategy with a differentiated positioning to pursue a broad market. The current needs of the customers for ED treatment are primarily longer duration and flexibility. By targeting the ED patients and their partners demanding for a quality life, Lily should position Cialis as a â€Å"quality-of-life† drug which is best-in-class and more than a treatment drug. To patients, Lily may emphasis the 36-hour effectiveness and intake without regard of food, which offers great flexibility for men. Meanwhile, Lily can educate the female partners to identify the cause for their male partners’ ED and implicate that Cialis can improve their relationship with high satisfaction. To the physicians, it’s important for Lily to convey the information of Cialis’s effectiveness and safety, such as less onset time and rare visual irregularities. It’s advisable to employ the direct-to-consumer advertising, beyond the media reports, to arise both the patients’ and partners’ attention to ED problem and address Cialis’s prowess of creating flexibility. In addition, Lily should price Cialis a little bit cheaper than Viagra or the same as Viagra. It will label Cialis as a premium product and gain a comparative advantage over Viagra. Moreover, offering free samples to customers can accelerate the acceptance and prevalence of Cialis. How to cite Cialis, Essay examples Cialis Free Essays They have DEED problems- which lead to feeling personal embarrassment; Question their role In their relationships; Sense of unfairness to their female partners; trained relationships; Self-identity problems; questioning role in all contexts of life; questioning place in the world. Where? From a local drugstore; directly from a Doctor; from a mail order drugstore; Not usual drug store; another party getting it; in other countries. How? They intake prescription to engage in intimacy with sexual partner. We will write a custom essay sample on Cialis or any similar topic only for you Order Now SOOT Analysis Strengths: 1 Eli Lily and CICS is a great source for product team. Eli Lilly have plenty experience to bring drugs to the market. CICS have strong technical competence with proven trench in clinical result. 2 Compared to Vicarage, Scalia can last up to 36 hours, unaffected by meals, rare visual Irregularities etc. 3 Good operationally and financially positioned to enter the market. Weakness: 1 Low compound Annual Growth Rates (CARR) In Germany (3. 6%) and France (14. 8%) Much lower value than comparable countries such as the US. This may lead to low return in these markets. Brayer’s likely positioning as a â€Å"niche† drug treating diabetes along with DEED, limits the strategies that Lilly CICS LLC can explore ND employ. 3 CICS have no marketing competence to date. How much control will they realistically have marketing decisions given their lack of experience? Will their lack of marketing competence slowdown elements of the launch/ complicate processes? Opportunity 1 . Promoting to couples (both married and living together) in a comb ined campaign. 2. The high dropout rates of Vicarage after first year offers potential targeting for Lilly CICS LLC. Threats: 1 . Little evidence of market research conducted in Brazil, Canada, Mexico and Australia. 2. Competitive reaction of Pfizer could prohibit Lilly CICS LLC Clans† compete with the advertising â€Å"blitz† that Pfizer have exercised? Marketing strategy suggestion Price Since Scalia is going to face to face compete with Vicarage, we highly recommend it launch at the same price with Vicarage. It is easy for customer to accept a safer and longer-lasting DEED drug at the original price. Distribution Channels Management 1. Wholesalers: Lilly CICS LLC are in charge of manufacturing the drug, at which point they distribute he drug to wholesalers. Given the unattractiveness of the channel for wholesalers and the low margin that is obtained, a 5%increase may give Lilly CICS LLC more influence over the terms of the arrangement. This would also encourage the wholesaler to distribute more extensively and effortlessness more favorable terms such as buying back stock unsold. 2. Patients: Directly sell drugs to the patients who have DEED problem via doctors would be a very good way to reach target consumer. . Website: Sell drugs on Physician website or Patients and partner website. Promotion 1. Free sampling: Since Scalia is the direct competitor of Vicarage, send free sampling to Vicarage user would be a very good way to reach target consumer. 2. Advertisement in hospital Scalia is a safer and longer-lasting DEED medicine, patient in hospital can get more advice from doctors after they saw the advertisement. 3. Website advertisement Physician website or Patients and partner website would be a very good way to add exposure of the new product. How to cite Cialis, Papers Cialis Free Essays 1. Why was Viagra so successful? Viagra’s success was due to: * Viagra was the first orally taken drug that addressed ED. Other alternatives that had already existed in the market were: penile implants, vacuum pumps , ED injection and urethra suppository, none of them were really user friendly. We will write a custom essay sample on Cialis or any similar topic only for you Order Now * Viagra was the first affordable solution for ED, its retail price was $10/dose, whereas Caverject injection cost $25/dose, vacuum pumps $300 to $500, and the most expensive, penile implants ranged from $12,000 to $18,000. Pfizer employed advertising which reached out to all men. They featured celebrities in their ads, such as Bob Dole, Raphael Palmiero, Mark Martin. Seeing these celebrities publically confess to having ED, made men feel more comfortable in acknowledging their own ED issues and communicating it to their physicians. * Unlike injections, Viagra could be taken everyday. * Some people saw recreational usage to Viagra. * Viagra was approved by Medicaid in 11 states. * There was a huge market for ED drugs. In 1996 the number of ED prompted doctor visits was at the all time high of 1. 3 million visits. 2. Draw a perceptual map that summarizes the positioning strategies adopted by Viagra, Levitra and Cialis and evaluate those strategies. Viagra’s positioning strategy: Pfizer first started out by featuring older celebrities, like Bob Dole, trying to capture attention of their target market. Statistics showed that over 50% of Viagra’s customers were men over 50. Later, Pfizer changed its strategy and started featuring young celebrities, such as a baseball player, NASCAR driver. They wanted to show that even â€Å"manly mans† could have a problem and they also wanted to put out a message that Viagra is not only for older men but for men of all ages, who might even only have a slight problem. Basically, their message to men was â€Å"you’re not too young for Viagra†. I think this was the right move on Pfizer’s side since it expand their target market to men of all ages, at the same time maybe draw out men who didn’t feel comfortable with the subject. Levitra’s positioning strategy: Bayer and Glaxo positioned Levitra as a way of enhancing the sexual experience. It was not about the number of times a man could have sex, it was all about quality. They also wanted to educate the public about ED and about their solution to it. Their reps spent 50% more time talking to doctors about Levitra than Pfizer’s did about Viagra. This was a good positioning strategy for Bayer and Glaxo. With Levitra, coming to market after Viagra, they had to differentiate themselves somehow. And doing this from a quality angle, I believe they hit the right note with a lot of men. Cialis’ positioning strategy: Lilly Icos, after doing several years of research and seeing both, Viagra and Levitra’s performance in the market, decided to position Cialis as a stress-free, more spontaneous, fitting into an every-day lifestyle type of a solution to ED. Men didn’t have to feel stressed to perform because of the time constraints. They can live their normal lives, with Cialis kind of in the background. I believe it’s a really good strategy, given the characteristics of Cialis. People with ED want to put their problem out of their mind and not think about it. And Cialis would be the perfect solution – there’s no pressure to perform, they can have sex at their own convenience. No major changes would need to be made to their lives. 3. How can the product attributes of Cialis be translated into a successful positioning platform for the product’s launch? Cialis differentiated itself from the rest of the available ED treatments in the following ways: * Cialis took faster effect than Viagra and remained effective longer than Viagra (around 36 hours and the effect kicked in only when needed). This was a huge plus on Cialis’ side since it was so flexible. It had effect even after eating fatty foods. It could also be taken by patients who had high blood pressure, and it could be taken along with alpha blockers. The bottom line – it accommodated most everyone under most every circumstance. * Cialis had less physical side effects than its competitors, Viagra and Levitra. Outlined below are some of the different way s Lilly Icos could have positioned Cialis: * To men of any age and of any physical condition with any level of ED severity. * To men who love their routines and don’t want to change them. Emphasize on the fact that men’s partners don’t even have to know that they’re taking drugs for their condition. This might especially be important to men who start dating a new person; they might not want their partner to know about their condition, at least maybe not right away. * Can be taken before/after any type of activity: work, sports, romantic dinner out. * Can be taken by men of many different lifestyles (busy professionals, busy parents, retired, etc. ) * End benefit is that anyone with any sort of ED dysfunction can feel problem-free again! It works for any man, anywhere, anytime! How to cite Cialis, Papers

Complex Patient Plan of Care Samples †MyAssignmenthelp.com

Question: Discuss about the Complex Patient Plan of Care. Answer: Complex Patient Plan of Care Patient/Nursing Problem Patient Assessment Data Optimal Patient Outcome/Goal Pain related to bone fracture, soft tissue injury, muscle spasms, traction/immobility devices, anxiety and movement of bone fragments (Brown 2017). As evidenced by patient verbalizations of pain scale of 4/10, guarding, facial mask of pain, alteration in the tone of muscles and distractions. Patient should verbalize pain relief, rest and sleep appropriately. Patient should demonstrate relaxation techniques and diversional activities (Gordon, 2014). Risk for infection related to open and dirty wounds due to broken skin, damaged skin tissues, compromised blood circulation and invasive surgical procedure (Gordon, 2014). Open and dirty wounds on the skin that are filled with sand from the scene Exposed body tissues Compromised flow of blood to the foot due to the fracture Patient to remain free of infection as evidenced by vital signs which are within normal ranges. Patient demonstrates meticulous techniques of handwashing and preventing infection (Brown et al, 2017). Impaired physical mobility related to restrictive therapies such as limb immobilization, discomfort, pain and muscular skeletal impairment. As evidenced by reduced muscle control and strength, limited range of movements, imposed surgical restrictions and inability to purposely move within his physical environment. Patient regains and maintains mobility and demonstrates tactics of enabling resumption of normal activities. Patient maintains his position of functioning and shows increased strength and control of the compensatory and affected body parts. Impaired tissue/skin integrity related to compound fracture, altered level of circulation, puncture injuries, physical immobilization, surgical interventions and insertion of wires, pins and screws during traction (Brown et al, 2017). As evidenced by reports of pain by the patient, skin surface disruption, destruction of skin tissues and layers and invasion of structures into the body. Patient verbalizes relieved discomfort and demonstrates techniques and behaviors of preventing breakdown of skin to facilitate faster healing. Achievement of timely healing of lesions and wounds (Gordon, 2014). Risk for falls and trauma related to weakness, movement of fragments of bone and loss of the integrity of body skeleton due to fractures. Bone fractures and dislocations Displaced fragments of bones Limited movements due to the bone injuries Maintain alignment and stabilization of fractures. Display formation of callus and bone union as expected. Patient demonstrates body mechanics aimed at promoting fracture site stability (Gordon, 2014). Patient Background Mr.Ben Casey is a male patient aged 38 years. He was brought to the UTS Emergency Department this morning by an ambulance with injuries secondary to MVA. X-rays at ED showed Left femoral Fracture and Left tibia open-displaced fracture. Ben was then scheduled for an urgent surgery for reduction and fixation of the noted fractures. The surgery went for 3 hours and was uneventful. Estimated blood loss during the surgical procedure was 750mls and 750-1000mls during the scene. Bens major complaint was pain. He had been given 25mg of Intravenous Morphine but he reports that the pain is tolerable at a score of 4/10.The dressing on the left thigh is intact and dry with slight oozing. The Glasgow Coma Scale was 15/15. Based on the last observations done, there were no major variations and patient reported improved pain with a score of 7/10. Pain This was an unpleasant emotional and sensory experience for the patient which arose from bone fractures, skin and tissue damage following the scene. Assessment data for this problem was patient verbalization of pain at a score of 4/10, discomfort, distractions and alteration in the tone of muscles. This data was both subjective and objective. It was identified by a collaborative team of nurses and physicians. Based on this problem, the expected outcome was that patient should report relived pain, display relaxed manner, relaxation and ability to sleep and rest comfortably (Trentz, 2014). The A-G style of physical assessment was applied to obtain and organize data from the patient to plan for care. Regarding nursing interventions, all affected areas were maintained immobile using tractions, cast and bed rest was encouraged in order to relieve the level of pain and avoid displacement of the bones and extension of tissue/skin injury (Trentz , 2014).The injured extremity was supported and elevated to promote venous return, reduce pain and edema. Evaluation and documentation of reports on discomfort and pain was done noting the intensity at a scale of 0-10, aggravating and relieving factors. All the non-verbal cues of pain such as vital signs, behaviors and emotions were noted. All this was meant to evaluate the effectiveness of the nursing interventions implemented (Resick, 2014). Nurse encouraged Ben to discuss problems which were related to his injury in order to alleviate the level of anxiety as it relieved the experience of the accident. All procedures were fully explained to the patient and consented to allow him prepare him psychologically and enable him cope with the level of discomfort associated with the procedures (Resick, 2014). Emotional support was fully offered and the patient was encouraged on use of techniques of managing stress such as deep-breathing exercise and visualization imagery to refocus his attention and promote sense of control which enhance his abilities of coping with stress associated with the traumatic scene which led to the pain (Gandhi et al, 2012). When on pain, the patient was given stat doses of analgesics to relieve pain. Performance and supervision of exercises on active and passive Range of Movements was carried out to maintain mobility and strength of the unaffected muscle to enhance resolution of inflammation in injured body tissues. To evaluate on the outcome of the nursing intervention implemented, the patient was re-assessed. Patient reported reduced pain and he displayed relaxed manner. The patient could sleep and rest comfortably without any form of distractions. The two outcomes were achieved because patient verbalized relieved pain and demonstrated relaxed manner and could sleep comfortably (Gandhi et al, 2012). Risk of Infection Ben had risk of infection associated with inadequate primary defense which was caused by tissue/skin damage and broken skin integrity due to the traumatic scene that happened. This was also associated with the invasive procedures performed on him during the reduction and fixation of the fractures. On assessment, Ben had open wounds which were filled with dust from the scene, therefore this led to identification of the problem that he had an increased risk of contracting infections (Eiff, Hatch and Higgins, 2012). Based on Bens scenario, our goal was to ensure that he remained infection-free despite the increased risk. Nursing care also aimed at ensuring that Ben developed meticulous techniques of washing hands before and after everything he did. To achieve these outcomes, various nursing interventions were implemented. Teaching on maintenance of asepsis in wound care, change of dressings, peripheral IV and catheter management. Aseptic technique decreased the chances of spread and transmission of microorganisms to Mr.Ben during nursing care. Transmission of infection was effectively prevented since the chain of infection was interrupted (Gordon, 2014). All health care workers were enlightened on importance of washing their hands before and after contact with the patient especially when conducting a procedure that involved the exposed skin areas. Hand washing was done before and after gloving, touching the patient, dealing with an invasive device, coming into contact with body fluids of the patient and when moving from a contaminated to a sterile area (Perry et al, 2013). Running water and friction when washing hands was meant to effectively reduce transmission of pathogens from one procedure to another. Health care providers washed their hands with plenty of water and antiseptic soap for at least 10-15 seconds and an alcohol rub as an antiseptic to kill microorganisms which could lead to increased risk of infection to Mr.Ben (Gulanick and Myers, 2013). Patient was provided with diet-rich in proteins to support the responsiveness of the immune system. Adequate fluid intake of about 2000-3100mls of water every day was encouraged to promote formation of diluted urine and increase the frequency of bladder emptying and reduce the chance of urinary tract infection associated with irritation of urinary bladder by concentrated urine. The number of visitors was restricted to two people per patient to reduce the chances of transmission of pathogens (Morton et al, 2017). Visitors were fully enlightened on covering their nose and mouth when sneezing or coughing to help in reducing the risk of infection. Protective garments were used by health care providers when dressing wounds (Masters, 2013). Masks were used in protection of the mucous membranes of the mouth, eyes and nose during procedures that involved direct contact with the patient that may generate fluids or splashes hence leading to infections to the patient. Additionally, patient was fully encouraged on importance of adhering to the prescribed medications (Hung et al, 2012). Generally, aseptic techniques were fully implemented. To evaluate the applicability of the nursing interventions, patient was assessed for sign of infections and all the vitals were within normal range (Neuman et al, 2014). Secondly, the patient, health care professionals and visitors demonstrated meticulous techniques of hand washing. Patient had no infections and he reported improvements of his complaints regarding his traumatic scenario (Masters, 2013). Conclusion Bens case was handled using multidisciplinary and multidimensional approach to ensure achievement of the set goals of nursing care. The priority nursing diagnoses for Bens care were impaired physical mobility, pain, risk for infection, impaired skin or tissue integrity and risk of falls. Nursing goals, interventions, implementation and evaluation of nursing care were all carried out based on the priority nursing diagnoses. Pain was managed using techniques such as psychological support, breathing exercises, ensuring minimal movements and medical management. To prevent the risk of infection to Ben, the health care professional were fully enlightened on aseptic techniques such as washing hands and use of protective garments when handling patients. The visitors and the patient himself were also educated on all measures of preventing infection spread from one place to another in the health care setting. References Brown, D., Edwards, H., Seaton, L. and Buckley, T., 2017.Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier Health Sciences. Eiff, M.P., Hatch, R. and Higgins, M.K., 2012.Fracture management for primary care. Saunders/Elsevier. Gandhi, K., Baratta, J.L., Heitz, J.W., Schwenk, E.S., Vaghari, B. and Viscusi, E.R., 2012. Acute pain management in the postanesthesia care unit.Anesthesiology clinics,30(3), pp.e1-e15. Gordon, M., 2014.Manual of nursing diagnosis. Jones Bartlett Publishers. Gulanick, M. and Myers, J.L., 2013.Nursing Care Plans-E-Book: Nursing Diagnosis and Intervention. Elsevier Health Sciences. Hung, W.W., Egol, K.A., Zuckerman, J.D. and Siu, A.L., 2012. Hip fracture management: tailoring care for the older patient.Jama,307(20), pp.2185-2194. Masters, K., 2013. Nursing Practice.Role Development in Professional Nursing Practice, p.235. Morton, P.G., Fontaine, D., Hudak, C.M. and Gallo, B.M., 2017.Critical care nursing: a holistic approach(p. 1056). Lippincott Williams Wilkins. Neuman, M.D., Silber, J.H., Magaziner, J.S., Passarella, M.A., Mehta, S. and Werner, R.M., 2014. Survival and functional outcomes after hip fracture among nursing home residents.JAMA internal medicine,174(8), pp.1273-1280. Perry, A.G., Potter, P.A. and Ostendorf, W., 2013.Clinical Nursing Skills and Techniques8: Clinical Nursing Skills and Techniques. Elsevier Health Sciences. Resick, P.A., 2014.Stress and trauma. Psychology Press. Trentz, O., 2014. Polytrauma: pathophysiology, priorities, and management. InGeneral Trauma Care and Related Aspects(pp. 69-76). Springer, Berlin, Heidelberg.