Mandating Nurse-Patient Ratio Assignment Example | Topics and Well Written Essays - 750 words

Mandating Nurse-Patient Ratio - Assignment Example Comprehensive studies undertaken by the Agency for Healthcare Research and Quality (AHRQ) confirms that there is a relationship between nurse staffing and health care outcomes (Kane et al., 2007). An increase in the nurse staffing leads to a reduction in the prevalence and mortality rates caused by treatable diseases. At the local level, nurses should be encouraged to use the reward power when lobbying for support from the legislators. The candidates should only be assured of votes if they offer their support to the health issue (Abood, 2007). The hospitals should be required to establish nurse controlled staffing committees. This creates the strategies necessary for matching the patient population with the available staffing. The results from such committee are presented to the legislative members to provide them with the real problem for support. At the state level, nurses should be involved in the sponsoring of the annual state legislative days to arrest the attention of legislato rs and influential leaders. The legislative days will be characterized by fellowships and internships that offer information on the importance of maintaining suitable nursing ratios for effective health care delivery. These workshops will bring nurses together and raise awareness on the current health care issues. Once the nurses are made aware of the situation, they can identify the pros and cons of the necessary solutions to the problem. Awareness will also motivate individual nurses to attract the involvement.

Moral Significance of Personhood Essay Example | Topics and Well Written Essays - 2750 words

Moral Significance of Personhood - Essay Example It was John Locke who cut loose the conceptual strands that held together the personal and biological dimensions of humanity in his essay, Of Identity and Diversity. It was this along with his assumption that not all human beings may be persons that launched the debate in regard to the human ascendancy over other beings. The teleological argument has been largely done away with as advances in reproductive technology, medical genetics, and treatments continually assail the rationality of God and his hand in the affairs of the humans. As biological science discover the marvels of the human body, scientists and modern philosophers are emboldened to deny the Creator-variable and the soul, citing the brain as fundamental in the existence of the human reason. Michael Tooley (2001) presented the functional definition of personhood with his dissection of the brain. Here, he outlined that the brain is scientifically divided into two regions and that the upper part is mainly responsible for the personhood of a person: The upper brain†¦ contains the neuron-psychological basis not only of higher mental functions such as self-consciousness, deliberation, thought and memory but also of consciousness of even the most rudimentary sort. (p. 117) The destruction of this region, say in an accident or as a result of a disease, is tantamount not just to the destruction of certain general capacities but of states that underlie personal identity as well. This basis of personhood follows a utilitarian or functional approach.

Student Essay Example for Free

Student Essay Art is one of many ways of communication. Art is used to express feelings or to deliver a message to a viewer. It is also used to leave a record of things that happened during the time the artwork was created. Ancient artwork usually talks about religious practices, spiritual beliefs or even their dependence on nature for survival whereas 21st century street artwork are usually personal opinions on something such as politics, action done by someone or new law. It also contains the artist’s feeling of the time the artwork was created. Every street artists of the 21st century has different styles whereas ancient artists used similar (close to same) styles. Creative Purpose†¦. Fig. 1, Elderly Woman, Street Art London, 2011 Fig. 1, Elderly Woman, Street Art London, 2011 The ancient artworks, in this case, ancient Egyptian art, were used to keep record of achievements, spiritual beliefs and spiritual practices. Most of the spiritual practices were practices of mummifying dead bodies, believing that the soul from the dead body will go to either heaven or hell. Ancient Egyptians believed in afterlife quite heavily. Most of the ancient Egyptian kings (Pharaohs) were mummified due to this belief. Furthermore, many of the ancient Egyptian artworks have Gods in them. There are Gods for certain things such as God of the Sun and God of Death. However, the 21st century street art is more of expressing the artist’s feelings and commenting on certain things such as politics. For example, there is a famous street artist who lives in Paris, France, who has a nickname called ‘C215’ (real name is Christian Guemy). His artworks usually have people involved in them. However, his artworks are not just about normal people but people like beggars, elderly people, refugees and street kids because he is ‘obsessed’ with making an artwork of them, artwork of people who grew up in streets and lived in streets. He said, â€Å"I paint mostly tramps, refugees and street kids, people who really live the experience of the street and to whom the  street art  is almost never intended. † Visual Character†¦. Fig. 2, Ancient Egyptian Art, Tutt’ Art, 2011 Fig. 2, Ancient Egyptian Art, Tutt’ Art, 2011 Ancient Egyptian artworks often have people and Gods with appearances with human in them. The people in the ancient Egyptian artworks have their arms and shoulders positioned facing the front while their faces are facing the side, along with their legs and hips. The artworks of ancient Egypt are very symbolic. They have many meanings in the artwork, especially when it talks about spiritual practices and beliefs. Sometimes, they also have writings around or in the artwork. It probably could be understood by many other cultures except for those cultures wit completely different beliefs. However, street arts are understood by nearly everyone in the world as they have similar beliefs and religions. When it Fig. 3, Smiling Refugee, Street Art London, 2011 Fig. 3, Smiling Refugee, Street Art London, 2011 comes to personal comments on politics, it may be hard for some people to understand. The 21st century street artworks are very stylized, having different themes and styles for every street artists, except for those street artists who only leave their names or nicknames on walls. Theses can be seen as mess on the wall because it has no meaning in it. A street artist called ‘C215’ has very colourful style. This artist is told to be realistic but stylized. C215 describes the facial expressions of the main characters in his artworks very precisely to deliver a hidden message behind the art piece. As shown Fig. 4, Street Kid, Street Art London, 2011. Fig. 4, Street Kid, Street Art London, 2011. in figure one, three and four, he describes the facial expressions of elderly woman, refugee and a ‘street kid’ very precisely. Also, famous street artists often leave their special ‘logo’ somewhere in the artwork. For instance in figure four, a ‘logo’ for C215 can be seen next to the face. Medium and Technique†¦. Most of the common ancient Egyptian artworks were painted with paints made of mixed pigments with gum, which were the basic colours. Before papyrus leaves were used as papers, the paintings were often done on walls, which were sometimes carved in. These kinds of techniques were used in ancient Egyptian times because the actual paints and paintbrushes weren’t properly developed. Today, many kinds of tools and styles can be used. For example, C215 usually used stencils to paint on street walls. He makes a background on the wall either free hand or painted using stencils, and then puts his main character in the background. He either uses spray paints or paints and paintbrushes, but mostly, spray paints. It shows his personal style and it helps him to paint precise parts of painting such as facial expressions. Personal Response†¦. I think that every kind of art has one thing common in them; the artist’s feeling and expression of the time he/she created the artwork. If there is a slight difference between ancient Egyptian art and the 21st century street art, I have go to say that the artworks from ancient Egypt do not have sense of depth and they were all dull whereas 21st century street art has wide range of colours being used and vibrant. Most people will find street art more attractive than ancient Egyptian art as street art has different styles and they are very vibrant. Conclusion†¦. To sum up, ancient Egyptian art has many meanings for spiritual beliefs and practices. It was very symbolic as it represented human by its body parts, so the head is facing the side, shoulders and arms are facing the front and shoulders and arms are facing the side. It is mostly painted with basic colours that are made of mixed pigments and gum. On the other hand, graffiti is more like expressing a personal opinion on certain thing. It has many themes and styles along with many choices of colours. Almost everyone can understand street art. Furthermore there are many ways to paint for street art and one of many ways is stencils and paints.

New Zealand Services to Support the Elderly

New Zealand Services to Support the Elderly Abstract Elderly care is a steady industry in New Zealand. It is one of the most stable industries in New Zealand because the New Zealand population is an old population. In light of this attempts to improve the geriatric care standards in New Zealand should always be a priority. Present services and healthcare organizations should always be reviewed and accredited to make sure that they are qualified and their services are not obsolete or redundant. Introduction There are different organizations which provide services to the elderly in New Zealand. We should take the time to know these organizations because since most of us work in a healthcare setting with a lot of geriatric clients, we should know the services that are made available to them. We should always provide accurate and useful information about the elderly care system in New Zealand because there are still a number of misconceptions about it. Question 1 a.) Age Concern NZ Age Concern NZ has 6 main services, and I will discuss three of the services. The first service is about eliminating the feeling of loneliness in elderly people. The purpose of this service is because most elderly people feel that they are neglected and abandoned by their families or the society. The effects of loneliness can have negative repercussions on the mental and physical health of elderly clients. They may often feel left out because they can no longer keep up with the fast paced world that we live in. Age Concern NZ is offering a service which includes visiting elderly clients and spending time with them. This can be a learning experience which can greatly benefit both the client and the volunteer. The client will no longer feel lonely and will somehow be alleviated from their feelings of isolation from the society. The volunteer will be able to learn and correct about some of the misconceptions that society has about the effects of aging, and will greatly make a positive i mpact on the elderly clients they are visiting. The second service that they offer is about Elderly Abuse. The elderly are especially susceptible to being victims of abuse because usually they are no longer at the peak of their physical and mental health, which is interpreted by others as a sign that they can abuse an elderly person and get away with it. What some people tend to forget is that elderly people still deserve to be treated with dignity and respect. I believe that elderly clients should always have a say in what they want and they should be given choices rather than other people deciding what is best for them, unless they are no longer able to decide what may or may not be good for them, or if they may inflict harm to themselves and to others if left to their own means. Some elderly people are also victims of exploitation because most of these people are looking for someone to help them care for themselves. There may be some people who are only showing love and support to these clients because they know that they can g et something from them in return or because they can manipulate their decisions. The company offers support to the people going through any form of elderly abuse and they educate people who work with elderly clients and their families about the different types of abuse and their warning signs. The third service is about the wellbeing of the elderly clients. If the clients are happy, have healthy relationships there is less risk for depression. Depression can be avoided even in the later years of life by promoting the wellbeing and happiness of the client. One way of promoting the happiness of a client is allowing him or her to continue doing his or her hobbies if it is still safe for him or her to do so. It minimizes the negative effects of aging and can make the client feel uplifted and empowered. We can also introduce new activities to emphasize the fact that we are never too old to try new experiences. b.) GreyPower GreyPower provides superannuation or what is more commonly known as pension. They try to provide a better level of pension to people aged 50 and above. They argue that what the pensioners are currently getting is not enough for them to live a relatively comfortable life in their old age. They are forced to make some compromises to their standards of living. One of the main problems that they are trying to solve is that when the prices of commodities go up, the pension stays the same. It does not adjust to the economy. What some of the people at GreyPower are trying to do is to lobby for the increase of pension as the costs of living in New Zealand also increase. They primarily focus on providing the adequate health needs of each pensioner and help them in being able to pay their electricity bills. c.) SuperGold Card The SuperGold Card is given to seniors and it gives the card holder certain discounts from different businesses, free public transportation, and free services from the local government. Residents who are 65 and above are eligible to avail the SuperGold Card. They can use the public transport system for free after the peak hours, which is an extremely useful benefit because public transport in New Zealand can be very expensive especially when you have to take 2 or more buses to get to where you want to go. They can also avail of discounts on petrol prices and when buying gadgets at certain electronics stores in New Zealand. I don’t know about you but this card makes me want to grow old! d.) Seniorline Seniorline promotes â€Å"Positive Ageing† and it is all about giving more attention to the elderly and still appreciating what they can do for our society. I will liken the elderly to the predators of the ecosystem. Most of us think they are nuances and dangerous but without them, there will be imbalances in nature. It’s the same with the elderly. They may seem like they have no use at all except for bothering us but they are excellent sources of wisdom and advice, and they are able to help us more than we think. e.) Global Action on Aging The Global Action on Aging does not offer any concrete services but they do one of the most important jobs towards the advancement of elderly rights and care, which is advocacy. They advocate for the rights of the elderly and in doing so, help prevent theft, abuse, and neglect of the elderly. Question 2 1.) Hospitals Hospitalization is the last resort for elderly patients because this means that there are complications with regards to the client’s health which cannot be handled at the rest home or the out-patient level. It is a risky place to be in as an elderly patient because aside from the reason for their hospitalization, there is a risk of nosocomial infection, which is an infection acquired in the hospital. Since elderly patients are at a higher risk of acquiring infections because of their decreased immunity, we should safeguard against these risks meticulously. The benefits of the elderly patient staying in hospital care are that the staff and are trained for any possibility or situation that may arise and they are equipped to respond to these situations, and it is easy to refer them to another department if it is needed. Another benefit is that if they experience a medical emergency, they do not need to be transported anymore to a facility which can cater to them because they are already in the hospital. They are also at less risk for falls because hospitals usually assign a watcher if a patient has an elevated risk for falls (confusion, disorientation, etc.) and the hospitals beds usually have side rails installed. The most important advantage that the hospital has is that it can assess the risks associated with a patient and in theory, they can prevent these risks from happening instead of having a client stay at his or her home, where most risks are not identified. These interventions can prolong the length of the life of the individual and elevate the standards of living that the patients enjoy and give the relatives of these patients some peace of mind knowing that most of the probable emergencies and scenarios are being prevented. 2.) Respite care Respite care is usually given during a stay in the hospital to take the pressure off the usual caregiver. It is usually a short-term arrangement and lasts about less than a month per year. It can be done in the hospital which is advantageous because the patient does not need to be transferred anymore and will save the patient time, money, and the energy which is required when moving from one healthcare facility to another. It can also be done at the home of the patient and an agency will provide care for the patient, which is also has its advantages one of which is that the patient will return to a familiar environment and may feel more relaxed during his stay at home. The potential disadvantage of this is that when a medical emergency occurs, the patients has to be taken back again to the hospital in short notice and the process may give unnecessary stress to the patient. 3.) Nursing homes Nursing homes are very popular here in New Zealand and are heavily subsidized by the government. Based on what I’ve heard from my friends and classmates, the elderly clients living in a nursing home are very relaxed and are well taken care of. They eat at the right time, have people to talk to, and it decreases the chance of them feeling alone and isolated. They are checked-up by a physician before being admitted to a nursing home because each client is unique and they need to find out what medications they need and the additional care that they may require. The staff working at nursing homes is also trained to deal with geriatric clients. These healthcare facilities also retain most of their staff and has a low rate of staff turnover to ensure that the continuity of care is established and maintained so that the patients will have less adjustment every time that there is a new staff member in the facility. 4.) Domiciliary Care In Domiciliary care, the patient is living in his own home but he is still being assisted by support workers in doing activities of daily living, which includes assisting with the personal care of the client, and accompanying the client in going to appointments, and helping the client in preparing meal. The family of the client should always be involved in planning his care because they are the ones who know the client the best and would know what he would want in a certain situation and they can then pass these information to the support worker assigned to the client. 5.) Pharmacists Pharmacists are essential since they educate the client in knowing what drugs to take and their indications, contraindications, side effects, and adverse effects. They also educate the client in knowing the different drug interactions so that they know if drugs are safe to take together and if they should take the drugs with meals or without. They also teach the client how to take the drugs when there is a special indication (sublingual, inhaler, etc.) needed to take the drug. They also educate the client in what they can’t and can do with the drugs, like splitting a tablet into two, and giving the client a complete printout of the schedule of the drugs. 6.) End of Life Support The client can choose where he wants to stay during the last days of his life. Whether it is in a nursing home, a hospital, or at home, the client deserves to be treated with dignity and respect. There is a type of care which we call palliative care. This type of care alleviates the symptoms of a certain client. For example, if the client is suffering from colon cancer and he suddenly obtains a cough or a flu, then the treatment of that cough or flu is part of the palliative care of that client. It is about maintaining the â€Å"quality of life† of the patient. Question 3 Social Isolation of the individual and their families Most of the elderly clients feel isolated from the community because most people don’t want anything to do with them due to the misconception that most people who are retired or over the age of 65 are fragile and weak people who will only be liabilities and not assets. This can lead to depression of the elder because he or she feels disconnected to the society and he or she may feel unwelcome by the world or the community that they grew up in. the family may feel that they are isolated because of the elderly patient who is with them and this pressure from society makes them disassociate themselves with the elder in their care, and in turn will make the individual more isolated. Assumption of automatic loss of independence Out of all the stigmas related to geriatric care, I think this is the one stigma that has the most impact on how individuals, families, and society as a whole view caring for the elderly. This has the most negative effect on how geriatric care is viewed because most people are unwilling to care for a fully dependent patient, not knowing that the patient can still perform activities of daily living. Family members and healthcare providers should try to help the patient maintain their skills for them not to be fully dependent on the people who are taking care of them. Unable to make decisions about own care One of the worst stigmas that elderly clients have to undergo is that there is the misconception that they can no longer decide for themselves and that they are merely living out the rest of their days. They are fully capable of making their own informed decisions about how healthcare professionals should handle their care plan and they should always have a say in their plan of care. Dissatisfying interactions with the medical community Unfortunately, this is a recurring problem in most medical fields not only in geriatrics. Sometimes members of the healthcare community do not have or do not take the time in talking to the clients and most will not explain properly to the patient what they are experiencing and what their options to treatment are and only expect other healthcare professionals to do it. This makes the patient confused and doubtful of how the medical community is treating him or her. This may lead to loss of established rapport between the healthcare providers and the patient because a healthcare professional did not have a few minutes to spare to talk to the client and reassure the client properly that the healthcare team will make sure that the client is comfortable and that the team will properly carry out all medical procedures with care and the client will be treated with dignity and respect at all times. Uncertainty of support services and treatments Due to the lack of time of some of the medical professionals in explaining treatment options and services to the patients, the client is now unsure of what will happen to him or what his plan of care is. The patient is kept in the dark about how his care will be handled by those assigned to take care of him. This is a fundamental flaw in providing care because the client should always be included in planning his care because he knows best what he wants and he should always be given choices on whether he wants a certain service or treatment and he should be given the right to decline the treatment or the service if he so chooses. Conclusion There are a lot of healthcare organizations in New Zealand that provide useful services to the elderly clients. Most of them are advocates of the elderly and prevent abuse and isolation. Some of them offer monetary benefits, discounts, and even free fare when using the public transport system. All are very useful especially because elderly clients usually only get their money from their pension. There are also a variety of healthcare facilities to choose from when choosing where the best place to receive care is. Each one has its own advantages and disadvantages and it is up to the individual, his family, and his healthcare provider to determine which facility will be the best for the needs of the client. Recommendation As person with experience working with geriatric clients, I recommend that the general public be properly educated about geriatric care. I believe that with proper education, we can eradicate most of the misconceptions surrounding geriatric care. I also recommend that we look into the current services provided to the elderly people here in New Zealand and find ways to improve on them. We can start by doing a survey of people ages 65 and above as to what they feel is needed so that we can get a better insight about their priorities and what services and benefits they want. Bibliography GreyPower. GreyPower History. (2008-2014) Retrieved from http://greypower.wpengine.com/history/ Age Concern. Accredited Visiting Service. Retrieved from http://www.ageconcern.org.nz/ACNZPublic/Home/Loneliness/ACNZ_Public/Loneliness_and_Social_Isolation.aspx Age Concern. Elder Abuse and Neglect Prevention. Retrieved from http://www.ageconcern.org.nz/ACNZPublic/Services/EANP/ACNZ_Public/Elder_Abuse_and_Neglect.aspx Age Concern. Wellbeing, Health and happiness. Retrieved from http://www.ageconcern.org.nz/ACNZPublic/Information/Wellbeing/ACNZ_Public/Wellbeing.aspx SuperGold. Retrieved from http://www.supergold.govt.nz/ Global Action on Aging. Elder Rights. (2004) Retrieved from http://www.globalaging.org/elderrights/index.htm Seniorline. Positive Ageing. Retrieved from http://www.adhb.govt.nz/SeniorLine/PositiveAgeing/Positive%20Ageing.htm Merck Sharp Dohme Corp. The Merck Manual, Respite Care. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/respite_care.html Merck Sharp Dohme Corp. The Merck Manual, Hospital Care and the Elderly. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/hospital_care_and_the_elderly.html Merck Sharp Dohme Corp. The Merck Manual, Skilled Nursing Facilities. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/skilled_nursing_facilities.html Merck Sharp Dohme Corp. The Merck Manual, Assisted Living Programs. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/assisted-living_programs.html Merck Sharp Dohme Corp. The Merck Manual, Pharmacists and the Elderly. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/pharmacists_and_the_elderly.html National Institute on Aging. End of Life: Helping with Comfort and Care. Retrieved from http://www.nia.nih.gov/health/publication/end-life-helping-comfort-and-care/finding-care-end-life

Improving Mother/Daughter Relationships in Amy Tan’s Joy Luck Club Essa

Improving Mother/Daughter Relationships in Amy Tan’s Joy Luck Club One day everything is going great, in fact things could not be better and then you say something and your friend turns to you and says â€Å"oh my god, you sounded just like your mother†.   That is when you freak out and think to yourself it is true I am turning into my mother.   This is every daughters worst nightmare come true.   When a young girl is growing up her mother always says and does things that the girl vows she will never say and do but she does.   Very rarely do we see cases of women wanted to be like their mother but it usually happens even if they do not want it to.   In the book The Joy Luck Club by Amy Tan tells stories of four Chinese immigrant mothers and their relationships with the American born daughters.   In this novel, Tan shows us the struggle these mothers face in teaching their American daughters about their heritage.   Throughout the novel it becomes evident that the daughters feel it is important to learn about their history and dev elop stronger relationships with their mothers Throughout the novel the reader is introduced to the characters one by one learning about their past and their present lives.  Ã‚   Each chapter deals with individual stories of relationships between husband and wife, mother and daughter,   and even daughter and daughter.   Every story helps the reader learn how important the mother daughter relationship is in The Joy Luck Club. First, Suyuan Woo who is actually dead but story is told by her daughter Jing-Mei Woo.   Suyuan Woo started the Joy Luck Club when she came to America so she and other Chinese immigrants could talk about Chinese culture and how to carry on traditions and make living conditions better for her... ...ws us that for young women to understand themselves they must understand their mothers.   The mother daughter relationship in The Joy Luck Club is illustrated through a learning process especially in Waverly and Jing-Mei’s situations.  Ã‚   Each women has to learn though her mother and her own feelings what it is like to become Chinese because that is basically what this book’s theme is.   Through the novel the women are developing mentally through experience some positive and some negative.   Each women finds herself through her mother and comes to peace with themselves Work Cited Tan, Amy. The Joy Luck Club. New York: Random House, 1989. Sources Consulted Do, Thuan Thi. Chinese-American Women in American Culture. 1992 http://www.ics.uci.edu/~tdo/ea/chinese.html Jokinen, Anniina. Anniina's Amy Tan Page. 1996 http://www.luminarium.org/contemporary/amytan/

college :: essays research papers

My First Year at Lewis My college experience started about two years ago. I knew it was not going to be easy, but I was unsure of what was ahead of me. The one word that describes the feelings I first had during my first year at Lewis is responsibility, which I experienced academically, socially and even economically. My college experience was not like any other college student would describe it. Most college students say that you have a lot of time on your hands because classes are so spread out, but things did not go this way for me. Aviation Maintenance at Lewis University has a different way of doing things.   Ã‚  Ã‚  Ã‚  Ã‚  everybody knows that college is academically a step higher than high school. I grew more responsible academically because my classes where very straight to the point, and the teachers spoke with great knowledge. Aviation Maintenance has a different schedule here at Lewis University. For me that meant 8:00 a.m. until 5:00 p.m. classes with one hour break. I had to keep up with tests and homework in very short periods. It took a lot of responsibility for me to accomplish this. I felt I had to change many things in my life. I had to get more sleep, finish homework fast, and make time to study for tests. Everybody in my class felt the same pressure.   Ã‚  Ã‚  Ã‚  Ã‚  I also grew more responsible socially as I met more friends and became more acquainted with them. My classmates felt the same tough schedule for Aviation Maintenance as well. Everyday we had â€Å"shop† class from 1:00 p.m. until 5:00 p.m. This meant we had to get along in order to get work done. Shop classes where very interesting and involved a lot of hands on and group work. Responsibility becomes a big roll in helping each other and accomplishing our tasks especially when it comes to these classes.   Ã‚  Ã‚  Ã‚  Ã‚  Finally, I became more responsible economically as I commuted to school every morning and felt the pressure of keeping a close budget. My first class was at 8:00 a.m., which meant getting up at 6:00 a.m. and leaving at 6:30 a.m. Sleep became a necessity, while at the same time getting studies done was also necessary. Time was an issue that had to be controlled well and this became hard for me because time was never an issue before.

Language Analysis Bullying

Girls College wrote an opinion piece â€Å"It's time for us to take a stand†, which was published In the Breadboard Leader on the 9th of December, 2013, she contends In a critical and negative tone that the young people of Australia must stand up against the cruel, vindictive and cowardly practice of bullying. Elise explains how bullying has been around since the start of time, but social media is making acts such as bullying too easy for these bullies to argue their victims and little is being done about it.Stakeholders include friends, family, workers, schools, social media, victims, and the medical industry. The target audience for this text is the victims, to encourage them to stand up for themselves. Elise opens up the article in a serious and urgent tone, explaining how serious this really is, and how little Is being done about it, strongly suggesting something needs to be done now. Social Media sites such as Backbone and Twitter play a huge role In Weber bullying, they make millions of dollars In advertising and Elise explains how It Is only fair If they use some of the money to help stop the spellbinding that their platforms allow.She draws In the audience with a persuasive technique appealing them to fear by stating â€Å"it seems that not a month goes by when we don't hear another story of a teen somewhere overseas or in Australia that has taken their life due to the bullying that has occurred on line. † Another effective technique she has used is the use of rhetorical questions for example â€Å"Can we as young people sit idly y while these companies become indirectly wealthy from the misery they help create? Can parents knowingly let their children use websites that allow such cruel behavior to be facilitated? Elise continues to explain the causes of bullying with reason and logic, stating that most bullies are highly sensitive so they bully to avoid getting bullied themselves, and making them feel the bigger person, or to compensate for some short coming In their lives. She then explains In a call and clear tone how Important It Is for the parents to educate their children that bullying s not acceptable, suggesting how can the children take a stand for themselves if they have no guidance by their parents?Elise explains more in depth how the parents need to be educated themselves, so they can educate their children that the appalling behavior of bullying is wrong. The best way to stop bullying is to prevent it, and the parents and education department play a key role in that. She explains the effects of bullying in every aspect, not only the physical and emotional cost, but the financial cost too for example it costs the tax areas money every time they have to go to the doctor's surgery.She uses evidence and repetition as a persuasive technique that Is supporting her contention effectively. For example â€Å"Based on 2009 studies, 27 per cent of students In years four to nine are bullied regularly – let' s call It one In four students. Personally I am horrified by this statistic. One in four! ONE IN FOUR! † Elise closes the article with an for themselves. She says â€Å"Remember that we the good people outnumber the bullies. Don't let the unnecessary suffering continue. United we stand, divided they fall. In the visual piece of the text there is a photograph of a young child with innocent eyes looking right up at you, with his hands up showing the words written across them â€Å"stop bullying†. The camera is angled in front and above the boy, creating a dominating effect, making the boy look more vulnerable, innocent and weak. It is a simple but powerful photograph taken by James Luckier. The effects on the stakeholders such as the victims of bullies sends out a message to them to take a stand for themselves.The effect on the bullies is that they would hopefully feel bad for what they do and actually consider thinking about stopping. In conclusion, Elise uses many diff erent techniques and tones in this argument, with a lot of logic and evidence to support her main points, so overall this is an effective persuasive piece, leaving the audience convinced to take a stand. We outnumber the bullies, they are truly the weak ones. Target audience – young people themselves, taking a stand Stakeholders – friends, family, workers, schools, social media, victims, medical industry