To what extent do you find this a satisfactory ending to the novel - :: English Literature

To what extent do you find this a satisfactory ending to the novel - chap6 Salinas River consequences of Lennies actions. To what extent do you find this a satisfactory ending to the novel? Chapter 6 takes place at the Salinas River in the late afternoon where we see the consequences of Lennies actions. After murdering Curley's wife in the barn, Lennie has gone on the run and hides in the brush. George finds Lennie and tries to give him a fear free death. This is probably the most moving chapter of the novel. In many ways I find it a satisfying ending, but there is also an element of surprise in the fact that it is George who kills his best friend Lennie, although Steinbeck has prepared us with the death of Candy's dog and Curleys wife. The impact of the ending is very poignant and touching as I feel sympathy for Lennie as I feel I understand him better than the other characters that have died. The link between the beginning of the novel and the end makes it more complete as there is a full circle. The setting that they're in, along the Salinas River with men shouting, and the reason why they are there are also similar to the beginning of the novel and this has looped. Lennie is running from this ranch, the same as in the beginning as they ran away from Weed. But the previous reason was not as serious as this one. Lennie had been accused of raping a woman, whereas this instance he has murdered one. The only other difference in this is that Lennie expects George to follow him and they would both escape together, but that was not to be the story. This was unexpected in the way that George killed Lennie, but Lennie had done too many bad things and this time he had crossed over the line and George had had enough. Lennies hallucination shows how he's imitating all the people close to him. This could be a sign of him going insane and not knowing what to do. When George arrives at the brush, Lennie is trying to make him follow the same ritual by first of all waiting as George tells him off, and then attempts to make him feel guilty by saying how he could run away and live in a cave. After that George would feel sorry for Lennie and they would make up and talk about the ranch and the rabbits. Lennie thinks that he is succeeding, but it creates an empathetic mood when George finally shoots Lennie.

Pfizer information systems Essay

Pfizer is a health organization in form of a pharmaceutical company. It has its headquarters in London. Due to the wide distribution of activities within the corporation however, success of its activities has been through the use of Clinical Management System (CMS). This is management software, which is in a form of a wide scope of database that support the storage, processing and release of information across different departments. In 2000, this information system database won the top honor towards care management. The nature of the database is inform of a complex autonomy of information sourcing, storage and dissemination center to the various departments within the organization. (http://ieeexplore. ieee. org/Xplore/login. jsp? url=/iel5/6709/20043/00926806. pdf? arnumber=926806) It has been an important implement towards the maintenance of patient records in electronic forms. It helps in providing support for the providers of primary care, care managers, health professionals and nurses with the most appropriate framework for decision-making. Within its system, CMS database holds records about the outlay of various chronic diseases. Elsewhere, it is equipped with the health information of various patients which is seen as an important step towards offering adequate performance lifestyle in the care management for the patients. (http://www. pfizer. com. my/01b_bus. asp) To Pfizer, CMS database system was developed as a solution towards patients care management. It has been a tool for supplement health care management in various institutional process management within the organization. A complex autonomy of data is held within its system which captures patient health history, chronic diseases, and medical attention given to them above others. Decision support for patients is attained through the provision of information across various departments within the organization. The database helps the professionals for health care in collected the most appropriate medical history, laboratory data, medical data information on treatment status, symptoms and other basic patient information. Within its system also, treatment information on patients that have diabetes, depression and heart failure is maintained. It also has a component of modules that are used by health care professionals in facilitating health lifestyles. Consequently, an approach towards lifestyles that help to reduce the risks involved in cardiovascular disease is provided. (http://www. pfizerhealthsolutions. com/media/071301_award. asp) Therefore, CMS is a risk management database system where information which is patient specific is stored. Consequently, the stored information is thus configured towards providing the most appropriate real-time analyzed decision support structures to the caregivers. The application of the information held in the system involves trained nurses as well as care managers who are licensed to use various program protocols under strict supervision of a specialist. They then deliver the most appropriate care towards the success of the patients. It has various clinical features and functions aimed at patient care management. Generally, Pfizer Health solutions have been known in offering and enhancing efficiency and quality in health care delivery. This would perhaps be a simple structure of database CMS information system.

Trust Is Obtainable To The Health Care Staff That...

Trust is obtainable to the health care staff that consistently grounds their thoughts on the well-being of all their patients. It is imperative for health care staff to open their understanding to minorities in regard to cultural differences and the deterrents aiding their distrust of medical staff. Moreover, the collaborative effort of the United States (U.S.) healthcare system that helped improve and hindered the growth of trust between the minorities and health care staff. Understanding every aspect that has improved trust and leads to mistrust in the minorities is crucial to building a successful health care facility. To develop effective strategies that build trust in minority groups there needs to be a focus on analyzing factors†¦show more content†¦Analyzing the element that lead to distrust is crucial, but without understanding the importance of building trust there cannot be growth to improve health care employees’ conduct and procedures. Trust is the key to treating and maintaining minority patients’ health and building trust in the minority communities. Distrust causes a ripple effect that can be felt all the way down to the administration department and can leave a negative imprint in the quality provided by the health care facilities. Trust is crucial for properly diagnosing and treating minority groups. The elderly minority group for example, commonly deals with a language barrier which can unfortunately lead to misdiagnosis and misunderstanding of pharmaceutical directions. They also are influenced by many factors including family, cultural differences, and home remedies (Byrd el al, 2007). A physician or medical staff member cannot treat a minority patient efficiently without gaining the trust of the patient because distrust leaves negative variables that will negatively influence patients’ medical care and treatment. Physicians and medical staff who are cultural competent provideShow MoreRe latedThe Next Steps for Accountable Care Organizations, Bundled Payments, and Health Reform4617 Words   |  19 PagesThe Next Steps for Accountable Care Organizations, Bundled Payments, and Health Reform The University of Texas at Dallas The American Health Care System HGMT 6320 The Next Steps for Accountable Care Organizations, Bundled Payments, and Health Reform With the enactment of the Patient Protection and Affordable Care Act (PPACA) in March 2010, health care reform has become the law. The legislation will extend health care coverage to more citizens, stabilize health insurance markets, enhance regulationRead MoreManagement Theories And Practices : Final Project3444 Words   |  14 Pagesdepartment throughout HEB meet for a three-day conference annually. The events are designed to build camaraderie between fellow managers, strengthen our competencies in diverse areas such as relational skills, team building, goal setting, lifestyle health choices, merchandising, financial acumen, waste reduction and community involvement. The desire is to increase managers overall effectiveness, not only on a professional level but, also a personal one. Senior Leadership gives presentations regardingRead MoreHigh School Based Mentoring Programs3175 Words   |  13 Pageseducation literature that identify at-risk students are those who use English as a second language, physically challenged students, and emotionally impaired students (Walsh, 2003; Malnarich, 2005). According to Jackson (2005), isolation from school staff was also found to be a factor among at-risk adolescents. These students had greater feelings of being disregarded, of helplessness, and had overall negative attitudes. Cavazos (1999) suggested that at-risk children usually lack the support needed toRead MoreAn Evalution of the Attachment Theory Essay13038 Words   |  53 PagesTHE ATTACHMENT THEORY AN EVALUTION OF THE ATTACHMENT THEORY WHEN WORKING WITH CHILDREN IN CARE Gail Walters Dissertation Social Work BA (HONS) Manchester Metropolitan University Tutor: Pauline Black CONTENTS Pages Abstract Read More A Strategic Analysis of Walgreens and the Retail Drugstore Industry 17582 Words   |  71 Pagesstore traffic, usually positioning the pharmacy in the back of the store. In response to this pressure, both independent and chain drugstores have greatly increased the variety of their retail product offerings. The sale of cosmetics, along with health and beauty aids, has become an important profit generator for retail drugstores. Many are now also positioning themselves to compete with convenience stores by offering snack food items, beverages, and staple items. The move to stand-alone storesRead MoreEdexcel Igcse Economics Answer49663 Words   |  199 Pagesrising costs have resulted in the business cutting back production.  © Pearson Education Ltd 2010 7 (b) The owner has asked the production manager to lay off four members of staff. This is presumably in response to rising wages and other costs. The business is cutting back on production by 10 per cent so the need for staff will be reduced. Consequently four people will be made redundant. Answers: Section A: The Market System Question 1: (a) Subsidies are offered to encourage the productionRead MoreWhat Constitutes A Property Development?10504 Words   |  43 Pagestenant on the consideration paid for the grant of a lease over UK land. There are a number of transactions that are relieved from SDLT, for example, transfers of land between group companies and the leaseback element of a sale and leaseback. Great care must be taken as it is possible for these reliefs to be clawed back in certain circumstances. Different rates apply to the acquisition of residential property. It is also proposed that an annual tax charge for high value (over  £2 million) residentialRead MoreLibrary Management204752 Words   |  820 Pages . . . . 169 Centralization and Decentralization . . . . . . . . . . . . . . . 170 Unity of Command . . . . . . . . . . . . . . . . . . . . . . . . . . . 172 Span of Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172 Line and Staff Positions . . . . . . . . . . . . . . . . . . . . . . . . 174 Coordination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Coordinating Mechanisms . . . . . . . . . . . . . . . . . . . . . . 177 Conclusion . . . . . . . . . . .Read MoreManagement Challenges for the 21st Century.Pdf60639 Words   |  243 PagesManagement’s New Paradigms 9 working population made his or her living in economic activities (e.g., farming). The growth sectors in the 20th century in developed countries have been in â€Å"nonbusiness†Ã¢â‚¬â€in government, in the professions, in health care, in education. As an employer and a source of livelihood business has been shrinking steadily for a hundred years (or at least since World War I). And insofar as we can predict, the growth sector in the 21st century in developed countries will notRead MorePractical Guide to Market Research62092 Words   |  249 Pagesthe public at large. The MRS code is taken seriously by all professional researchers and even if they are not personally members of the Society, they are likely to 11 subscribe to the principles embodied in this code. A copy of the code is obtainable from the MRS and research users should be familiar with its main provisions since it affects and to some extent restricts the user/supplier relationship. Some important aspects of the Code in this respect include the following: †¢ Information can