Nursing Glasgow Coma Scale Over Time

Question: Talk about the Report for Nursing of Glasgow Coma Scale Over Time. Answer: The paper is about the wellbeing state of Mrs. Rhonda Bott, a 68-year-old woman admitted to the crisis division of the emergency clinic. Her child Paul announced that her mom whined of migraine, couldn't lift the correct arm and experienced issues in talking. She was exposed to a few physical assessment and CT filter. The consequences of CT check showed ischemic stroke and dismissed the nearness of hemorrhagic stroke. The motivation behind this exposition is to talk about the pathophysiology of the patient's condition and plan a treatment routine for Mrs. Bott on a stroke pathway. It will fundamentally give a basis for introductory nursing care and treatment method patients. Mrs. Botts condition showed odds of either ischemic stroke or hemorrhagic stroke. To affirm the conclusion, CT examine was done, which at last proposed she has an ischemic stroke. According to this finding, it is important to know the pathophysiology related with hemorrhagic and ischemic stroke. Stroke is fundamentally a heart or vein malady. It essential pathology incorporates hypertension, atherosclerosis, coronary illness, dyslipidemia, and hyperlipidemia (Liebeskind 2013). It indications remember inconvenience for talking, cerebral pain, deadness in face or arm, unsteadiness, watch which was likewise found in Mrs. Bott. An ischemic stroke happens when the blood thickening happens in the corridor connected to the mind and hemorrhagic stroke happens when veins crack and seeps into the encompassing pieces of the cerebrum (Hgg et al. 2014). Hemorrhagic stroke includes 20% of stroke cases, and ischemic stroke involves 80% everything being equal. A hemorrhagic stroke may happen inside the intracerebral district called intracerebral discharge or in the subarachnoid territory called an arteriovenous stroke (Robinson et al. 2013). Then again, ischemic stroke happens quickly as the cerebrum doesn't store vitality substrate glucose and it is unequipped for anaerobic digestion. This condition denies neuron of vital substrates (Berkhemer et al. 2015). An intracerebral discharge makes injury cerebrum tissue by upsetting all the associating pathways and prompting confined weight harm In both ischemic stroke and hemorrhagic stroke, ruinous biochemical substances are discharged which assumes a significant job in tissue annihilation. It is vital for patients to know the hastening variables of ischemic and hemorrhagic stroke. The ailment can be managed by preventable and non-preventable hazard factors. The non-preventable hazard components of stroke are age, sexual orientation, race and ethnicity, while the modifiable hazard factor incorporates occurrence of hypertension, diabetes mellitus, and coronary illness among patients relative. The interchange of the hazard factor is fundamental for a comprehension of stroke and arranging viable stroke anticipation programs patients. The malady can be overseen by changes in diet, smoking and overseeing ailments like a cerebral aneurysm, heftiness, atherosclerosis, hypertension, and so on (Zhang et al. 2013). Mrs. Bott has been admitted to medical clinic after grumblings of a cerebral pain, powerlessness to lift arms and trouble in talking. To design out introductory nursing care for Mrs. Bott in the initial 48 hours a cautious assessment of her state of being is vital. Her BP of 200/110 mg Hg shows danger of coronary episode and hypertension. Glasglow extreme lethargies scale is valuable in deciding the degree of cognizance in a patient after a cerebrum injury. Mrs. Bott's extreme lethargies scale is eight which means that serious mind injury (Barker et al. 2014). Extreme mind injury has odds of long haul hindrances in psychological, physical and social abilities in the patient. She was additionally seen with right-sided facial hang, thus she could react verbally. Mrs. Bott ECG report likewise demonstrated atrial fibrillation meaning a condition which disturbs heart beat in the person. Her family ancestry additionally uncovered instances of front myocardial localized necrosis because of which her dad kicked the bucket at 57 years old years. For dealing with the patient's condition inside 48 hours, the medical attendant would follow convention prompting fast intercession by IV organization of the coagulation busting drug (Vargas, J., Spiotta, A.M., Turner, R., Chaudry, I. also, Turk, A.S., 2015). The attendant should treat her with fibrinolytic recombinant tissue plasminogen activator (rtPA) drugs 4 hours post stroke. It helps in a dissolving blood clump, and this treatment must be started at the earliest opportunity to maintain a strategic distance from lasting harm (Kernan et al. 2014). Furthermore, looking after aviation route, breathing and dissemination in the patient will likewise be a need for the medical attendant. After investigation of aviation route and respiratory signs, the medical caretaker can give intubation to Mrs. Bott. A medical caretaker will constantly get to patient's crucial signs, cardiovascular musicality, oxygen immersion rate and neurologi cal deficiencies for the initial 24 hours. To diminish the danger of goal and improve venous return in patients, the medical caretaker can change the situation of leader of the bed to 30 degrees. It will give better dissemination to the patient. As the patient is hypertensive, she will likewise be given hypertensive medicine (TrialistsCollaboration, 2013). Mrs. Bott's Glasgow trance like state scale showed serious cerebrum injury thus thrombolytic is extreme for her as it reestablishes cerebral blood stream in patients with intense ischemic stroke. It might improve her neurological deformities. Thrombolysis or thrombolytic treatment is a treatment methodology to break up blood clusters framed in the veins prompting the heart and mind. It includes intravenously infusing clump dissolving drug by IV line or catheter to convey it to the site of blockage. A couple of instances of thrombolytic operators incorporates Eminase, TNKase, Streptase, and so on (Kang et al., 2012). This drug is endorsed for sure fire treatment of patients with coronary episodes and ischemic strokes. A blood coagulation makes an opportunity of coronary failure when part of heart muscle gets harmed because of absence of oxygen being conveyed by the blood. Thrombolytics helps stroke patients by dissolving blood clusters rapidly and helps in reestablishing blood stream to the heart. It forestalls harm to heart muscle and lessens the danger of coronary failure. Anyway as the blood stream isn't totally typical, extra treatment like angioplasty is additionally done on singular patients (Strbian et al. 2012). The specialist has chosen to recommend anti-inflamatory medicine, frusemide and atorvastatin drug for Mrs. Bott following her stroke. As indicated by American Heart Association and American Stroke Association rule on auxiliary counteraction of stroke, antiaggregant like anti-inflamatory medicine is a compelling medication to treat stroke patients (Emedicine.medscape.com 2016). Ibuprofen is given to alleviate torment and aggravation. It is likewise endorsed to forestall strokes or coronary failure. Its advantage is that it keeps away from platelets from clustering together, and subsequently it helps in forestalling conditions that lead to cardiovascular failure (Halvorsen et al. 2014). The danger of taking ibuprofen is that it builds the opportunity of seeping in the stomach, small digestive tract, and cerebrum. Taking a high portion of anti-inflamatory medicine for longer time harms the layer of the stomach and small digestive tract and consequently prompts dying. The gastric mucosal sore is regular in a patient taking a high portion of headache medicine (Friberg et al. 2012). In any case, the advantage of low-portion anti-inflamatory medicine treatment far exceeds the hazard required for certain patients. As Mrs. Bott is a hypertensive patient, prescription is important to lessen her circulatory strain and forestall the danger of respiratory failure. This is the explanation behind the specialist endorsing furosemide medications to patients. In spite of the fact that furosemide is utilized to treat edema in persistent with congestive cardiovascular breakdown and kidney issue, it is likewise used to treat hypertension. Mrs. Boot has no indications of edema, so she has been recommended this drug for the most part to lessen hypertension. Bringing down hypertension in Mrs. Bott will assist with forestalling future strokes. It is a circle diuretic pill that encourages the body to dispose of additional water and salt by expanded pee. In any case, there are a couple of symptoms of the medications, for example, wooziness, dizziness, cerebral pain and obscured vision. It has a danger of extreme drying out thus genuine symptoms like a muscle cramp, blacking out, dry mouth, thirst, and so on ough t to be deliberately checked in patients (Dunne et al. 2013). Mrs. Bott medicine sedates precisely follow A, B, C, D, E pneumonic for heart stroke avoidance. A represent antiaggregant drugs (model headache medicine), B represents circulatory strain bringing down prescription (Furosemide) and C represents cholesterol bringing down medicine which is Atorvastatin drugs (Kernan 2014). Atorvastatin drugs is a HMG CoA reductase inhibitor which decreases terrible cholesterol (low-thickness lipoprotein) and builds great cholesterol (high-thickness lipoprotein). It will bring down the danger of stroke in Mrs. Bott. Regular watched reactions of the medication incorporate Diarhhea, nasopharyngitis and remarkable symptoms are a muscle fit, appendage torment, a sleeping disorder, wheeziness, liver torment, and so on. Hence specialists ought to reevaluate the portion if the symptoms are serious and it doesn't die down (Rabar et al. 2014). Mrs. Bott's ECG report showed atrial fibrillation. It noteworthiness lies in the realities that atrial fibrillation is the significant reason for ischemic stroke. Atrial fibrillation (AF) is the fast and unpredictable heart mood. It has no side effects and in infrequent cases heart palpitation, brevity of breath and chest agony may happen. The finding of AF in ECG report is noteworthiness in the patient since this condition is related with expanded danger of cardiovascular breakdown and stroke. Hypertension is likewise a hazard factor for AF (Sanna et al. 2014). The conceivable pharmacological mediation of stroke will observe the standard rules for forestalling stroke. It will contain prescription like enemies of totals, circulatory strain bringing down drug, choleste

On Salvador Dali Essays - Salvador Dal, Federico Garca Lorca

On Salvador Dali Salvador Dali, was conceived Salvador Felipe Jacinto Dali I Domenech at 8:45 a.m., Monday, 11 May 1904, in the little town, in the lower regions of the Pyrenees, of Figueres, Spain, roughly sixteen miles from the French outskirt in the realm of Catalonia. His folks upheld his ability also, constructed him his first studio, while he was as yet a youngster, in their late spring home. Dali proceeded to go to the San Fernando Academy of Fine Arts in Madrid, Spain, was hitched to Gala Eluard in 1934 and passed on 23 January 1989 of every a medical clinic in the town he conceived. Dali didn't restrict himself to one specific style or medium. Starting with his initial impressionistic work going into his dreamlike works, for which he is most popular, and finishing off with what is known as his exemplary period, it becomes obvious exactly how shifted his styles and mediums are. He worked with oils, watercolors, drawings, models, illustrations and even films. Dali held his initial small time appear in Barcelona in 1925 where his gifts were first perceived. He became universally known when a portion of his works of art were appeared in the Carnegie International Exhibition in Pittsburgh in 1928. The following year he joined the Paris Surrealist Group what's more, started his relationship with Gala who turned out to be more than simply his sweetheart, she was his business chief, muse and most prominent motivation. Oddity rose up out of what was left of Dada in the mid 1920's and not normal for Dada, a skeptical development, Oddity held a promising and increasingly positive perspective on craftsmanship what's more, in view of this won numerous believers. It started as a abstract development in a Paris magazine. What they held in regular was their faith in the significance of the oblivious brain and its signs, as was worried by Freud. They accepted that through the oblivious psyche a plenty of masterful symbolism would be uncovered. Both of these developments were likewise rebellious and they dismissed the customary Western Judeo-Christian convictions and virtues furthermore, accepted that reason and rationale had bombed man's journey for self-information. The Surrealists varied from Dada in one other, ideological perspective. The Surrealists accepted that man could without a doubt improve the human condition, the major contrast between the two developments. A couple of years before his union with Gala in 1934, Dali developed as a pioneer of the Surrealist Movement. In spite of the fact that Dali was charmed with the Surrealist strategy of automatism, in which the craftsman with pen and ink let his hand move rapidly over the paper and let their idea through to the paper without permitting their psyches to control those contemplations, he had just established his framework for his own Surrealistic craftsmanship in his childhood through his paranoiac-basic technique. This commitment of his was an exchange way in which to see or see reality. It was no new idea; it could be followed back to Leonardo da Vinci and his act of gazing at stains on dividers, mists, streams, and so forth and seeing various figures in them. Each and every individual who goes cloud watching utilizes this method. Dali, anyway gave this technique an alternate bend. Dali connected his paranoiac-basic technique, the capacity to take a gander at any item and see another, with distrustfulness, which was described then by ceaseless daydreams and mental trips. Dali himself was not neurotic but rather was capable to put himself in neurotic states. In one of his more popular proclamations he stated, ?The main distinction between myself and a psycho is that I am not frantic.? He had the option to take a gander at the real world and dream of new thoughts and paint them, which he called his ?hand-painted dream photos.? Through his paranoiac-basic strategy, Dali had the option to take a gander at ordinary questions and connect an abstract importance dependent on his fixations, fears and clashes. The outcome was another, innovative visual introduction of the real world. By the forties, in any case, Dali started his move from Oddity into what he called his exemplary time. This is the zone I will concentrate on in paper while examining a few of his fine arts. Not long before World War II, Dali and his spouse fled from Europe to the United States. They spent the one decade from now in the States where Dali experienced a transformation of sorts. He gave his first major review display at The Museum of Modern Art in New York and soon a short time later he distributed his self-portrayal, The Mystery Life of Salvador Dali. He started his arrangement of eighteen huge solicits. One of the better known about these works is The Psychedelic Toreador. In this work Dali consolidated numerous components from his Catalan culture, the toreador himself also, the bull, his Catholic childhood, the blessed messengers in the back of the field, a portion of his aesthetic impacts, the models of the

Operating management 5 Assignment Example | Topics and Well Written Essays - 1250 words

Working administration 5 - Assignment Example Careless Corporation Limited in New Zealand is an open organization that spends significant time in the production of broadloom fleece floor coverings since its opening in 1984. This organization guarantees powerful use of normalization in its activity the board jobs to incorporate degrees of shared characteristic, reference, trade capacity, and similarity. As a merchandise creation organization, Cavalier partnership restricted goes on the full stretch to include the utilization of normalization standards in producing, preparing and breaking down measurements, testing organization related hypotheses, and keeping on check the gracefully chain the executives area (Cavalier Corporation, 2010). ... s portrayed by its reliance on the customers’ rundown of prerequisites to help in the assurance of what type nature of products ought to be fabricated, or benefits offered, at whatever point they are needing it. A force arrangement of approach in tasks the executives is a specially made procedure, inside Goodman Fielder Company, an assembling, merchant and advertiser of dairy items, bread, margarine, dressings, oil and various nourishment fixings in New Zealand and Australia. Goodman Fielder Company utilizes the haul framework via doing reviews on their clients’ prerequisites and desires on the products and enterprises they make and appropriate by methods for meetings to generate new ideas, concentrated gathering conversations and studies on the client practices and kinds of requirements. It is in this manner implied for creating merchandise and rendering administrations that are outfitted towards customers’ more elevated levels of fulfillments, company’s lower activity costs, lower stock activities and continually changing the item plans to meet the regularly changing customers’ needs dependent on schedule, style, area and cost (Tari, Molina, and Castejon, 2007). A synopsis can in this way be drawn from this clarification that lean standards depend on a way of thinking looking to dispose of squanders as far as deferrals, duplications, superfluous developments, poor correspondences, mistaken inventories, opportunity lost, and blunders in either exchanges or harmed things, in all parts of Goodman Fielder Company’s creation exercises. One of the weaknesses of this kind of framework is that it powers makers to the most grounded terms and conditions conceivable to concoct instruments of putting intensely into research and advancements to see into it that they definitely address the issues of the consistently changing clients’ wants, accordingly

Find Out How to Choose the Best Research Paper Topics With the Help of Our Guide

Research Paper Topics for College Students Many students believe that the most difficult part of preparing a research paper is to think about the beginning of the text. However, many writing experts say that the most difficult and at the same time the most important part of the work is finding a proper topic. Deciding on a topic that you like or the one that inspires you is able to give some extra motivation. Working with such topics is not only easier, but you also get lots of positive emotions dealing with the information that is truly valuable and important for you. However, the topic must also be interesting and trending. Such topics can attract more attention of your auditory. For the same aim, it’s better to avoid too popular themes that are well-known or used by too many students. No one is intrigued by reading the same information several times. It’s preferable to choose information that is fresh and unique. In case you choose some common topics, it will be hard to find facts that are not known to other people. However, if you pick something extraordinary, you are in the risk of finding no proper information at all. Choosing a topic is not as easy as it may appear. It includes many aspects that very few students pay attention to when picking up a theme to work with. That’s why we decided that creating a useful, simple and detailed guide for choosing your  persuasive essay topic can become a helpful solution for many scholars. Below we have analyzed several approaches for choosing an essay topic. Research Paper Topics Based On Your Interest There’s nothing wrong in choosing a topic that would coincide with your interests. This method gives a lot of advantages and often saves some time, because it’s faster and easier to keep working with a theme that is interesting and familiar to you. However, when you choose a topic relying on your own taste and interests, you must avoid some certain things: Avoid too common topics It’s ok when you like things, which other people are also fond of. However, choosing something very common and widely known is the wrong way. These topics will not be interesting as your readers may already know all the information about it. You can choose one aspect of a popular topic that is still connected with the theme, however, opens more rare sides of an object. Don’t choose very simple topics A simple research proposal gives you some advantages. You can have plenty of information and spend less time on preparation and data analysis. However, most teachers don’t give A marks for such essays. In order to impress your audience, choose complex and deep topics that are interesting and valuable for modern society. Research Paper Topics Examples Research Paper Topics Based On Availability of Information The topic of an essay itself is the core of the whole work. Before making your final decision about a topic to work on, you should better check whether there’s enough information about it. The perfect way is deciding on several topics primarily and then choosing one of them according to the amount of informational sources you can access. Research Paper Topics: Examples For Students Below we have published some examples of successfully chosen topics that may help you in picking up your own topic for a research paper. Medicine In which cases life-sustaining therapy must be stopped? Can placebo treatment be legally used in medicine? Alternative variants for animal testing. Possible negative effects of soft-drug legalization for medical means. Image of cow milk: shall people be warned about its potential danger? Possible negative effect of a vegetarian diet for younger children. The hidden danger of obesity. What should be changed in a system of children vaccination? Shall advertising of drugs be restricted? Role of doctors in increasing the number of drug-addicted people. Education Can modern tests be a real evidence of education quality? Possible ways of making higher education available for poor people. How college education can help in getting a higher salary? How should we change the educational program due to rapid changes in the world of high technologies? How can we make higher education more available for blind students? (Check out our 500-word essay) How can usage of social networks improve educational process? Should more measures of security be taken in schools and colleges? How to prevent kids from bullying others? Ways of testing innovative educational models in schools. How modern technologies can help to plan lessons in a better way? Environment Which measures can be taken on a local level to slow down the effect of global warming? Comfortable alternative for using paper and cutting trees for paper production. Ways of managing the production of different goods in an environmentally-friendly way in the condition of rapid population growth. How films on environmental issues can help in solving environmental problems? Level of human impact in the destruction of forests. How can industrialization cause earthquakes? How to make buildings more hurricane resistant? Possible ways of improving forecasting of hurricanes. Minuses and pluses of GMO foods. The negative impact of nuclear energy on a human. Entertainment and Sport Positive and negative impact of social networks on kids. Do action games stimulate aggressiveness or help in throwing tantrum? How beauty contests can stimulate the development of psychological disorders in kids? Shall it be banned to use animals for social entertainment? Is there future for newspapers in the world of hi-tech? Can gaming make a negative influence on adopting healthy life values? Should men and women compete against each other in sports contests? Is it necessary to control the content of TV shows in a stricter way? Which role does social media take in developing psychological complexes among children? Fake moral standards in society. Politics What decision on drinking age can be taken? Cases when carrying a shotgun could be allowed. How to make gun control laws more effective? Ways of influencing potentially dangerous countries against developing nuclear weapons. Which measures can be effectively taken against ethnic killings? How can war between countries be prevented? How world history could change without global wars? Pros and cons of socialism. Shall death penalty be allowed? How to stimulate healthy partnership between world countries? Psychology How incorrect treatment can worsen autism symptoms? How to help children to adopt healthy behavioral patterns? Ways of reducing violence among kids. How to help relatives with a mental breakdown? Can classical music be a part of psychological treatment? Impact of insomnia on mental processes. Can nightmares and lack of sleep become a reason for depression? Can constant stress lead to serious health disorders? Impact of depression on immune system. Is it possible that talent is inherited genetically?

Lala Essay - 1214 Words

How does Haddon’s portrayal of the relationship between Christopher and his world move us to a deeper understanding of acceptance? In your response make a detailed reference to your prescribed text. Break down Portrayal - how it is shown Relationship between Christopher and his world - how Christopher interacts with him world; his perceptions of people and the world and how we as the reader realise the world perceives him Acceptance - acceptance of Christopher and in a broader sense acceptance of being different Reword Basically, they want us to talk about how Haddon shows us the relationships Christopher develops with others and the world around him. And what we learn from these relationships. Planning†¦show more content†¦One of the key examples in The curious incident of the dog in the night time, is demonstrated through the lack of physical interaction. This is revealed through the use of low modality language in the dialogue of Christopher’s father when he wants to physically connect with Christopher ‘Christopher, please’† The use of the word â€Å"please† demonstrates the want of affection displayed by Christopher’s father. The dialogue used by Haddon reinforces the idea of emotional and physical frustration due to lack of connection. Another demonstration of hardship faced is the sacrifices that parents must make in order to adapt to the needs of the individual’s with Aspergers. Haddon uses Christopher’s mother Judy Boone, to demonstrate the emotional sacrifices connected with raising Christopher. Haddon displays this through the use of a metaphor in â€Å"it broke my heart†¦ would be better for al l of us if I went†. The use of the word â€Å"broke† is used as a hyperbole to show the extreme sacrifices that Christopher’s parents must make in order to support him throughout his life. A great paragraph about caring for an child who has Aspergers. Some really good ideas and well expressed insights! However, you are still not linking to the essay question! It is through these negative interactions and experiences that the responder can understand and build knowledge of the idea ofShow MoreRelatedAnalysis Of Lala Land And Lala Land739 Words   |  3 Pagesin times of trouble. The Academy Award winning film, Lala Land takes the aspect of dreams to a completely different level. Whenever Damien Chazelle released the first trailer for the movie over a year ago, I was automatically in love with the masterpiece that was about to bless all my five senses. Just within the minute and a half teaser I saw over a year ago, I was mesmerized by the phenomenal cinematography and score. The amazing film, Lala Land is the best movie ever made because of the: amazingRead MoreBhagat Singh1227 Words   |  5 Pagesgovernment-school books and imported clothes. 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Community Based Mental Health Care - 844 Words

Mental health providers utilize many forms of research from the interventions that they use to provide care to their clients all the way to the assessment’s that they use to gauge the level of satisfaction of their clients with their services and how effective their services are in regards to their overall mental health wellness. Pennsylvania Mentor’s Lehigh Valley location provides Intensive Case Management (ICM) / Resource Coordination (RC) service, Family Based Mental Health Services and Certified Peer Support Services (CPS). Although these three programs are different, they all provide services to their clients in the home and in the community. ICM/RC’s help their clients with scheduling and following through with medical and mental health appointment, navigating social security and public welfare system, finding employment and utilizing community resources. Family Based Mental Health offers intensive mental health treatment to children who have a mental health diagnosis while providing services to their families. The CPS program help’s clients meet their recovery goals through the support of an individual who also has a mental health diagnosis. I had the opportunity to speak with Pamela Durdock one of the ICM/RC and CPS Program supervisors and Josh Hoch one of the Family Based Mental Health Services supervisors. Both Pamela and Josh were very knowledgeable within their respected departments and what the conditions of mental health services in the Lehigh Valley.Show MoreRelatedThe Community Mental Health Act Of 19631064 Words   |  5 Pages The Community Mental Health Act of 1963, was the first federal law that inspired community-based mental health care, and it ignited the transformation of the public mental health system (Young Minds Advocacy, 2016). 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The history of the Mental Health movement begins in 1909. The history of advocacy began with Clifford W. Beers. Beers, himself an ex-psychiatric patient who, after his release, crusaded to bring mental health and mental illness to the attention of his fellow citizens (Pols). In 1908, Beers published his autobiography, A Mind That Found Itself

A Battle of Two Cultures free essay sample

I am a person who is completely split in two. I have grown up in two worlds, two families and two cultures. I am a girl born and bred in the heart of New York City. I never had a backyard. I only had the brick wall I looked at from my 8th floor apartment window. I never watched miles roll by from the back seat of a minivan. I watched streets go by in taxis and strangers get on and off the subway. I have seen all of Central Park from on top of my father’s shoulders. I know that salty soft pretzels are a delicacy and that Nuts4Nuts smell much better than they taste. I grew up with the Yankees, the Mets and their subway rivalry, but I have never watched a college football game. I have never gone to sleep in complete darkness with crickets chirping outside. We will write a custom essay sample on A Battle of Two Cultures or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The lights from other buildings make patterns in the night and I fall asleep to trucks rumbling and sirens rushing past my building. I have become so accustomed to these noises that the night seems incomplete without them. I have seen the devastating poverty of the homeless and have walked past the filthy rich. I grew up as one of eight million. I have been a small figure. An almost insignificant member of this crazy city, I have had to struggle to find my place. I am a girl from the Deep South. From Tennessee and Alabama, I have been raised a God fearing Christian. I was taught how to be a country club debutante with white gloves and frilly dresses, as well as a girl who knows how to cook fried chicken. And while I don’t like country music (evidence of my Northern upbringing leaking into the foundation of my Southern one), I have stacks of Johnny Cash and Elvis memorabilia in my attic. I can put on a Southern accent with ease and I have learned that the Rendezvous is the best place to get dry-rub barbeque in Memphis. For burgers, you go to Huey’s, the trashy bar where you shoot toothpicks at the corkboard ceiling with your straw once you have finished your food. I know that a Fazoli’s breadstick can cure anything, cornbread should be salty and smothered with butter, and iced tea should come already sweetened. I hear stories about my Confederate ancestors, such as my great-great grandfather, Battle Manassas Bull Run Brow n, whose portrait hangs over the mantle. And at Christmas time we have spiced fruit, baked honey glazed ham, cheese grits and boiled custard with coconut cream cake. Foods that most of my friends back home have never tasted. My two halves tug at me constantly inquiring, â€Å"Which one do you like best?† They are unaware that they are creating a Civil War inside of me. But shall the North triumph again? I have no way to tell. For all the conflict created by my two worlds I cannot help but think that I would not be myself without having been exposed to both of them. I know that I am all the stronger for being an alloy. I am a combination of two cultures. As I enter into the real world, where you must interact with people of all backgrounds, I am confident that I can relate to more people than most. I’ve had good training. I have been taught one of the most essential life lessons, to be open minded and accepting to all people. Blessed to have experienced these two unique environments, I now know that I can be comfortable and make the best of any situation life may throw my way.