Nursing - Aplication of Theory Essay Example | Topics and Well Written Essays - 1500 words

Nursing - Aplication of Theory - Essay Example However, the delivery of their services is in a detached manner, in which they have minimal physical and social contact with the patient. The nurse however is deeply involved at all stages with the patient, and has a stellar role to play throughout the recovery process, even after discharge. The nobility of the profession, already exemplified by Florence Nightingale, has been firmly established. The tremendous developments in science, education, medical techniques and information technology during the last and the present century have brought forth new concepts, Ideologies and roles for nursing as well as other professionals. An important aspect during this period has been the identification, conceptualization and practical application of numerous nursing theories’ which have established themselves as hallmarks for the nursing profession. A nursing theory has been defined as the body of knowledge that is used to support nursing practice with most of the presently recognized tw enty theories’ generated in the last 20 years, with new concepts being identified and added continuously(Web). Nursing theories have been pictorially visualized as a tree whose trunk is represented by Florence Nightingale’s whose significant contribution to the reduction of mortality in soldiers’ during the war in Turkey and efforts to bring about an association of nursing with spirituality, devotion and knowledge revolutionized the way nurses were looked at in society as well as the manner in which they operated (Tourville, 2003). Based on the strong foundations laid down by Nightingale, numerous nursing professionals have contributed to the development of this virtual tree whose roots have been described as the four meta-paradigms defined as person, environment, health and nursing (Tourville, 2003). Each subsequent contribution to the knowledge on nursing theories’ has been attributed to individual nursing practitioners’ who made a significant im pact on the subsequent school of thought in the profession. Jean Watson, who came up with the idea of her ‘carative theory’ in the latter part of the twentieth century has held great appeal in the subsequent years. Watson was influenced by philosophy and thoughts of eminent psychologists and personalities such as Carl Rogers, Yalom, Chardin, Sartre and Kirkland (Tourville, 2003). In addition she had vast experience in the nursing profession in multinational and multicultural environments. Watson relegated the scientific and medical aspects of healing to an altogether different aspect which she labeled as ‘Trim’ and stressed upon ‘caring’ for the patient as the most important aspect. She appealed for the nurses’ to treat themselves with gentleness and dignity while establishing a deep, caring relationship with the patient. She felt that the caring attitude of nurses’ as been buried under the technical aspects of healthcare. Unless and interpersonal relationship is established between the patient and the nurse, it is difficult to justify one’ duty as a nurse. The crux of her ‘carative factors focuses on unselfish concern for every human being, instillation of faith and hope in the sufferer, cultivation of sensitivity towards self as well as others, developing a helping attitude to strengthen trust, encouraging the patient to express freely, decision making through a problem solving

Training and development Essay Example | Topics and Well Written Essays - 500 words

Training and development - Essay Example However, to achieve supremacy within the related domains, training and development should be allotted the best possible resources and time. The systems approach (model) towards training and development is significantly drawn up because it pinpoints how its four different phases of needs assessment, program design, implementation and evaluation are shaped up within the reins of an organization. These are for the eventual basis of the employees themselves, because there is a great deal of importance on how the employees would be able to give in their best time and again. Within the needs assessment, the analysis of the organization is done so as to find out where the employees are lacking and what the organization can provide to them as a result of the same. Then on, the task analysis is looked upon at with a greater concentration because this deems significance for finding out what kind of need the employees have within their fore. When the task analysis gets completed, the organizati on moves on to the next phase of needs assessment which is the personnel analysis where each and every employee who requires training and development is determined with regards to his professional strengths and weaknesses.

Health Demographics in Derbyshire

Health Demographics in Derbyshire (Derby city council, 2013) Dermography Alvaston is in the south east of Derby city centre and approximately covers 702 hectares. It has expanded with the arrival of the railways and linked employment in the 19th century (Derby city council, 2011). The population of Alvaston is 16,255. 50.3 % are females and males make 49.7% and this follows a national trend (D.C.C, 2011). Alvaston has a higher number of children of the ages of 0-4, 2% more than England average (ONS, 2011). An increase in number of children is said to be a result of having a large population of women of childbearing age. This is reflected in the Ward. There is a higher percentage of women in this age range, potentially increasing the number of children in the Ward (ONS, 2013). Due to the vast improvements in healthcare infant mortality rates have continually decreased over the years (ONS, 2013). The high number of children can increase pressures on the local services such as childcare providers, schools and health visiting services. Gender Fig 2. According to ONS (2011) Alvaston ward has more females than males and this follows a national trend. Naidoo and Wills (2010) points out that women live 6 years longer than men on average. This is said to be because women are more likely to report illness and are less likely to be in full time employment, therefore having easier access to healthcare while men are exposed to unsafe working environments and tend to adopt risky behaviours socially, like alcoholism and they contribute to a high number of accidents. (Annandale and Hunt, 2000) Ethnicity Adapted by Author (ONS,2011)Fig 3. Alvaston Ward is not ethnically diverse, its population is predominantly white, accounting to 88% of the ward population, slightly higher than national average (ONS, 2011). However Asians make 5% of the biggest ethnic group population. Ethnicity plays a role in terms of illness and behaviour, furthermore some diseases are more prevalent in certain ethnic groups, and for example, cardiovascular diseases are more common in Asian men (NHS, 2015). Genetics cannot be altered but it is important for health professionals to be aware of such groups to allow proper preventative preparation and screening processes for diseases and illnesses prevalent in particular ethnic groups. Disease Paterns Adapted by Author:ONS,2012Fig 4. Morbidity Alvaston has good access to primary care services. There are three Gp practices, four pharmacies, four dental practices and an Optometrists serving the ward (Derby city council,2012).The ward has a significantly high percentage of people with emergency hospital admissions for myocardial infarction, 40% more than national average (local health.org.uk).The main cause of MI is smoking Coronary heart disease is also high at 38% more than national average. According to Naidoo and Wills (2010) coronary heart disease is one of the most commonly reported longstanding illness in the UK. It is the most common cause of premature death, and often results from a number of lifestyles factors (see Fig ) such as diet high in fat, smoking, alcohol and lack of exercise (Naidoo and Wills, 2010). Health practitioners have a role to construct programmes to tackle causation factors and educating the public about the risks accredited to certain habits and practices. Mortality Fig 5. Mortality is one of the indicators of deprivation, early mortality rates from Coronary heart disease are 39% higher in Alvaston compared to nationally (PHE, 2013). The death rates from CHD has increased to three times higher among unskilled man than among professionals (DOH, 1999). CHD is caused by key lifestyle risk factors such as smoking, poor nutrition, obesity, lack of exercise and high blood pressure (DOH, 1999). The ward is also high in smoking (see lifestyle graph). Poorer people are often exposed to highest risk as low socio economic status and lack of education seem to be associated with behavioural risk factors for CHD (Hemmingway, 2007). The increase of influencing factors to CHD start in childhood, and this has authenticated the healthy child programme.(DOH,2008). Although there are many causes of CHD, communities need to be made aware of the changeable risk factors. Unemployment has also shown to increase the risk of CHD, unemployment levels are higher in Alvaston compared to nationally. The DOH(2000) government document ‘Saving Lives: Our healthier nation has recommended that Health and Local authorities should lead the development and implementation of a comprehensive local programme of effective policies to reduce smoking, promoting healthy eating, physical activity and reducing overweight and obesity. In Alvaston, these services are provided by the Live-well, which is a local authority project. Cancer incidence Adapted by author: ONS, 2011Fig 6. Over 250 000 people in England are diagnosed with cancer, despite the developments made to tackle it, a big gap remains in mortality rates (Naidoo Wills, 2010). The increase in cancer rates is said to be a result of longer life expectancy, however according to ( ) work environment contribute to cancer mortalities. Workers from low class jobs are twice as likely to die from cancer as compared to professionals are (Naidoo and Wills, 2010). In Alvaston the majority of the workforce are in elementary jobs (see Fig ) and there are many smokers therefore increasing the prevalence of lung cancer to 44% more than national average. The NHS Framework, a strategy for cancer has set out actions to be used to tackle preventable causes of cancer (DOH, 2011). The focus is primary, this is aimed at health education and support for behaviour changes, especillially in relation to smoking and healthy eating. And secondary focus is intended at increasing the uptake of screening services (DOH.2011). And some of the environmental factors that are linked to cancer are being acknowledged and developed (Naidoo and Wills, 2010). Life expectancy Adapted by Author: ONS, 2011Fig 7. Life expectancy at birth defects in Alvaston is worse off compared to national average, Males at 5% worse and females at 4% worse (ONS, 2011). According to Doyal and Payne (2011) Lower life expectancy is linked to deprivation and lower socio economic status. Determinants of Health Determinants are described by World Health Organisation (2013) as the causes that impact health, such as conditions in which people are born, grow, live, work, and age including the health system. Some of these determinants are changeable like social, economic, environmental conditions that influence the health of individuals and populations (Marmot, 2010).Availability of resources that improve quality of life can have a big impact on population health outcomes, for example, availability of healthy foods, affordable housing, access to education and health services (Marmot, 2010) and these determinants can be altered either at community or social policy level. Index of Multiple deprivation Adapted by Author: (ONS,2012)Fig 8. Indices of multiple deprivation are those factors that are used to measure deprivation in an area. These measures include measurement of income, health, education and housing (Derby city council, 2012). Alvaston is one of the most deprived wards in the country, ranked fourth most deprived of all Derby Wards (Derby city council, 2010). Index of Multiple Deprivations (IMDs) measures level of deprivation in lower layer super output areas (LSOAs) (Derby city council, 2012) Childhood poverty is significantly high in the ward at 15% higher than national average, disadvantaged older people measure high at 25%, makes it 7% higher than national average, income deprivation also measure at 7% higher than England average (Derby city council, 2012). Green et-al (2015) points out that constant childhood poverty is damaging as it does not only affect in short term but it has long lasting effects and it adds to sustaining cycles of deprivation. In order to reduce childhood poverty, the government has set strategies to tackle inequalities (Green at-al, 2015). Fair society, healthy Lives document, and its first recommendations from the Marmot review (2010), are that every child is given the best start in life. These recommendations are sanctioned through a wide range of policy initiatives, including sure start, healthy child programme and Child Poverty Act, 2010. (Marmot, 2010). Education Adapted by Author: ONS, 2012Fig 8. Education is an important social determinant of health Ungerleider et-al (2009). There is a pointedly higher percentage, totalling to 33% of people with no qualification in Alvaston than England average of 23% (Derby city council, 2011). Education is linked to other health determinants in that good education increases the prospects of getting a safe and well-paying job with good working conditions (Benatar and Brook, 2011).educated individuals tend to adopt healthy lifestyles behaviours, furthermore it is Identified Health Need Adapted by Author: ONS,2012Fig 9. Coronary heart disease (CHD) Coronary heart disease is described as the narrowing of the coronary arteries, which are one of the important structures in the heart, due to build-up of fatty material within their walls and therefore damaging these vessels and thus limiting their ability to deliver blood to many organs including the heart.(BHF,2010)(Granato,2008). Coronary heart disease is also classed as cardiovascular disease, and these are said to be one of the main causes of death in Europe (BHF). In Alvaston there is a substantial percentage of coronary heart disease, amounting to 177 percent, almost doubling national average amongst the under 75s (ONS, 2012). According to the Derby city council (2012) health and wellbeing is determined by many factors, and it is clear that effects on health can be due to a number of interrelating variables. Coronary heart disease is caused by many lifestyle risk factors such as smoking, unhealthy diet (high in fat and salt), obesity and not exercising. Other factors include family history, ethnicity and co-existing predisposing factors like Diabetes and High blood pressure (Naidoo and Wills, 2010). The more risk factors an individual has the more they are likely to develop Coronary heart disease and the risk increases with age (British heart foundation, 2012). There is a small percentage of people eating healthy on the Ward and as already discussed that this is linked to CHD. Obesity increases the risk by 46 percent and physical inactivity by 37 percent and this reflects the high levels of the disease in the ward (Derby city council, 2012). Although coronary heart disease typically occur in middle age or later, it is said to be higher among the lower socio-economic communities and more men die as a result of CHD while women are more likely to die from stroke, and this is said to be due to behavioural factors associated with the risks (Doyal and Payne, 2011). To combat Heart disease the government has put in place many policies in collaboration with the Food Standards Agency to reduce the intake levels of unhealthy eating and salt (Marmot, 2010) (WHO,2015). The Department of Health document, ‘Saving Lives: Our healthier Nation(1999) has also made recommendation to tackle coronary Heart Disease There has been a reduction in the advertisements for unhealthy foods during children’s television programmes (NICE, 2010). Clear labelling and traffic light system on food labels were introduced to encourage people to make healthy option choices (DOH, 1999) (British heart Foundation). Promoting physical activity in the workplace is very well encouraged across the country and the use of green space areas to encourage exercise (Marmot, 2010) as well as introducing plain standardised tobacco packaging and banning tobacco advertisements and Smoking cessation (The white paper,2010).

Abortion - An Unborn Child is a Human Being! :: abortion argumentative persuasive argument

Abortion - An Unborn Child is a Human Being! The founding of entire nation was forged on the principle that all men are created equal under the law. This is the essence of our Declaration of Independance and the philosophy behind the Constition. We, through history, have made certain that ALL people in this country have equality before the law. We have set uup the premise that all people are equal before the law. Lady Justice is blind to Race, Religion, _________ . We have declared that there is no such thing as sub-humans -- and that NO human being's rights are superior to another human being. If we want to live by the premises that we set up in this country, then we cannot overlook ANY human being -- NO ONE can be excluded. There are, however, a human beings that is ignored the protection to thier rights to life everyday. The aborted children. I dare the negative to PROVE that a child in her mother's wound is alive! Does the negative actually believe that a human being is alive when and only when a human being has fully developed? If this is true, then most of here are not alive. The human specie is only fully grown at adulthood, many of us here are not adults yet -- and by that definition, it wouldn't matter if your shot and killed on the street because "your not fully developed". We are a stage in development -- teenager -- just like a child is, just like a toddler is, just like an old man is, and just like a aborted child is. There is no magical transformation that occurs when a child is born. He has the same basic needs to survive before he is born, and the same needs after he is born. The negative is going to attempt to make you believe that the differnce in quality of a unborn child is so great that these children do not resemble what we call alive. They want you to believe that a unborn child cannot feel pain. Can an unborn child feel pain? If it can, then does that not resemble life? If they do successfully make you accept this

A Study Of Anatomy And Psychology Essay

The procedure in lifting the leg to climb a stair is a complex one which involves a huge amount of technology inter-transfer between the brain and the eventual skeletal muscle. There is initiation of the movement at the brain which is transmitted via specialized white fibre tracts to the hip flexors via the intermediate spinal cord, involving a very complex mechanism at the cellular level   The initiation of the   process is at the motor cortex (Ms I) of the brain. The primary motor area is located at the precentral gyrus of the frontal lobe. The area controlling the motion of the lower limbs lies towards the superior surface of the brain. Within this area lies the cell body of the primary neuron. These neurons are known as upper motor neurons (UMN). These UMNs receive modulating impulse from the inputs from the cerebellum and the basal ganglia via the extrapyramidal pathways. These tracts modulate the gross movement initiated at the frontal cortex. In turn these areas are modulated by afferent signals from ascending spino cerebellar, and spino-thalamic pathways. The complex the signal initiated at the nucleus of the cell body is transmitted electronically via the axon of the myelinated neuron via the mode of salutatory conduction. The myelin sheath which surrounds the axon of nerves that involve fast transport, breaks at intermediate regions known as Nodes of Ranvier. The electrical impulse moves in   a jumping manner at these nodes nerve transmission as a neural impulse, generated by the formation of a nerve action potential. Like all excitable tissue, nerves maintain a resting membrane potential that is the difference of voltage across the membrane of the neuron. In neurons this value is   – 70 mV. This voltage difference is maintained by the Na/K pump on the membranes. This impulse generated at the axon hillock is transmitted via the depolarizing phase which allows sodium ions ingress into cells via opening of the Na channels. This entry of Na in one portion allows activation of other Na channels, causing depolarization of the adjacent region of the neuron. Subsequently repolarization occurs via the opening of K channels, which restores the membrane potential. Thus this process continues which allows the transmission of impulse. Many such nerves together descend as the descending cortico spinal tract in the pyramidal system, which travels through the midbrain into the spinal cord, decussating at the level of midbrain( 90% of the fibres decussating and forming the lateral spinothalamic tract) and again at the level of spinal cord ( the other 10%, forming the anterior spinothalamic tract) . It is the former which is responsible for the lower limb movements. The cortico-spinal tract travels in the anterior horn cell of the spinal cord till the lumbar level where they synapse with the spinal ventral root neuron (lower motor neuron). A single post-synaptic neuron receives signals from many neurons. At the axon terminal, the propagation of impulses leads to release of neurotransmitters, which are stored in specialized vesicles. The released Ach diffuses into the synaptic cleft and binds with receptors on the post synaptic membrane to produce excitatory post synaptic potentials. This leads to generation and propagation of impulse in nerves which are destined to innervate the neuro-muscular junction. At the neuro-muscular junction, Ach is released, which diffuses into the synovial cleft and binds to receptors in the motor end plate, and triggers a muscle action potential. The released Ach is destroyed by the acetylcholinestrase. At the level of the sarcolemma of the muscles, the muscle AP travels along T-tubules, opening Ca release channels in the sarcoplasmic reticulum. Ca binds to troponin-tropomysin complex, which releases the myosin heads, these then bind to the actin thin filaments, and draws them closer to the M line. Meanwhile bringing the Z disc closer. This leads to muscle fibre contraction. This is a self propagating sequence eventually leading to the contraction of ilio-psoas muscle, which causes the flexion of thigh on the pelvis. Each nerve fibre innervates many musle fibres ( about 150). This is   the motor unit. The greater the number of motor units recruited by the nerve action potential, the greater the force of contraction of the muscles. In the spinal cord, nerve impulse travels along the lumbar plexus (L1-L5) to innervate the iliopsoas ( hip flexion- ilio-inguinal nerve), biceps femors, semitendinosus and semimembranosus ( knee flexion – sciatic nerve), ankle flexors ( EHl, EDL, TA – tibial nerve), leading to the person climbing the step. This excitatory impulse is also associated with the production of inhibitory action potential ( hyperpolarizing impulse) in the antagonists (eg the glutei, which must relax to allow flexors to act. In the event of raising of the upper limb above the head, to lift a book, the impulse travels along the cortico spinal tract till the level of the cervical cord to synapse with the lower motor neurons of the brachial plexus ( C3-T1). From here the nerve impulses travel to shoulder elevators ( supraspinatus, deltoid, trapezius, and latissimus dorsi)- posterior cord ), elbow extensor ( triceps and anconeus – radial nerve) wrist extensor ( ECRL, ECRB – radial nerve), finger flexors ( FDS, FDP – median nerve and the ulnar nerve)   and the intrinsics – ulnar nerve and the median nerve)

The Role Christianity Played Throughout the Light and Truth of Slavery: Aaron’s History

The Role Christianity Played Throughout The Light and Truth of Slavery: Aaron's History In 1845 Aaron is telling a story, a story of his life as a slave; which was documented through The Light and Truth of Slavery: Aaron's History. Aaron, a former slave, notes that he escaped from the South and became a â€Å"poor way-faring Bondman,† where he lectured in churches and public buildings throughout the North during the first half of the 19th century. Aaron advocates the political platform of the Liberty Party because of that party's attempt to pass legislation abolishing slavery as unconstitutional.He also suggests that abolishing slavery would not have the feared financial repercussions on the South but would, instead, financially benefit the South and the nation as a whole. In some ways religion meant nothing at all when it came to slaves and slave owners, but in another sense people took it very serious. Aaron starts his story by speaking about Mr. Harrison, William Henry Harr ison who was running for president at that time. Aaron speaks about how caucasian people spoke so highly of Harrison when in actuality he was doing nothing different than any other person.Harrison was still turning hungry kids away but as Aaron says â€Å"Now what more can you expect from a slaveholding man, for you can expect nothing more† (Aaron 3). Aarons view on slavery connected with religon and politics as well. At this time almost everyone’s religion was christianity, and according to the bible; Every is equal. Aaron could never understand how someone could claim to be a Christian, but promote un-christian like qualities to the world. Although slaves were enslaved, that did not keep them away from their religion. Enslaved men and women kept the rites, rituals, and cosmologies of Africa alive in America through stories, healing arts, song, and other forms of cultural expression, creating a spiritual space apart from the white European world. † (Sambol-Tosco 1). If a slave who was beaten, and treated as if they were not even close to human could stick to their religion and live by the words of the bible, how could a person who had no one holding them back do the same. Slave owners used Christianity as an excuse for how they treated slaves in the 19th century.Throughout the narrative, Aaron is on a journey to use his religion to get others on his side and to prove his point on what he thought religion was all about, but he is faced with people who want to help in along his journey, and also people who could care less about him or if he ate that day. While on his journey he traveled through towns such as Elizabethtown, Foxboro, Wrentham and many more. While on his journey through these many different towns, Aaron ran into many Northern abolitionists who Aaron called â€Å"wolves and sheep clothing† (Aaron 7).When he says this he means it as someone that looks harmless (like a sheep), but is actually not (like a wolf), but is just pretending or disguised. These people pretended to want to help him but then refused to help him in his time of need. While on his journey he also ran into other things that did not make him very happy. He blames southern ministers for hypocrisy, because while they were preaching holiness, they were taking advantage of female slaves. While in Elizabethtown he came into contact with a man that thought it was okay to say things like â€Å"he cut up with his female slaves, more than he did his own wife† (Aaron 3).These are all things that confused Aaron and made him want to continue his journey to promote Christianity, so that people could see it that way that he did. The Bible can be used to support particular viewpoints, and slavery is no exception. There are numerous references to slavery in the Bible which can be interpreted to condemn or either condone this practice (Reddie). Except for murder, slavery has to be one of the most immoral things a person can do. Yet slavery is talked about throughout the Bible in both the Old and New Testaments.The Bible clearly approves of slavery in many passages, and it goes so far as to tell how to obtain slaves, and how hard you can beat them. Many Christians will try to ignore the moral problems of slavery by saying that these slaves were actually servants or indentured servants, like the slave owners did. While many slaves may have worked as household servants, that doesn't mean that they were not slaves who were bought, sold, and treated worse than livestock.When people think about slavery, they think about how bad it is and how it has ruined people but what they do not think about is that once, it was just a way of live. â€Å"Historical records show that Islam and Christianity played an important role in enslavement in Africa† (Reddie). Ever since slaves were being captured from Africa, Christians have witnessed this act and have done nothing about it, so what would that change now that slavery has been going on for many years; and that is what Aaron was trying to prevent. While promoting his religion, that meant promotion freedom as well.Aaron was very big on slaves getting their freedom like he did. Throughout the narrative, Aaron told stories about the things brutality he had witnessed when it came to the slaves. As free people, people today do not think about how important freedom is because they have always been free, but they do not see that without freedom you are nothing. â€Å"A poor slave being on his deathbed, begged of his master to give him his liberty before he died, ‘I want to die free massa. ‘ His master replied, you are going to die soon, what good will your liberty do? ‘O master, I want to die free. He said to the slave, ‘you are free. ‘ ‘But do write it master, I want to see it on paper. ‘ At his earnest request he wrote that he was free, the slave took it in his trembling hand, looked at it with a smile and exclaimed, à ¢â‚¬ËœO how beautiful, O how beautiful,' and soon fell asleep in the arms of death† (Aaron 8). † It is amazing how a person could want freedom so bad, that they would even want their family members to say that they died a free man. Slave owners did not see it the same way, freedom was a privilege slave owners thought, not a right.Aaron wanted everyone to be free, because he was and by spreading his thoughts about religion he thought that would help. On his journey, Aaron ran into many abolitionists that he thought were trying to save the slaves. While some were using Christian scriptures to diffuse slavery, others were searching through the Bible to end it. Even even ran into Quakers, since their establishment in the mid 17th century, Quakers had faced persecution for their beliefs which stated that everyone was â€Å"equal in the sight of God† and capable of receiving the â€Å"light of God's spirit and wisdom†, including Africans.Several of their founders , including George Fox and Benjamin Lay, encouraged fellow congregants to stop owning slaves, and by 1696, Quakers in Pennsylvania officially declared their opposition to the importation of enslaved Africans into North America. Quakers in Philadelphia and London debated slavery at their yearly meetings in the 1750s, became required reading for abolitionists on both sides of the Atlantic (Reddie). Aaron was eager to find out that there were other people willing to help him abolish slavery through religion and willing to do almost anything to get it done.

This Is Not Hollywood Professor Ramos Blog

This Is Not Hollywood Woman Hollering Creek Woman Hollering Creek is an excellent narration of the journey of a woman named Cleofilas whos dreams are disclosed through her consciousness. She would dream about getting swept off her feet by her future husband, just like in the telenovelas. So when the opportunity came, Cleofilas married Juan Pedro and moved off to America from Mexico. Before she left, her father told her, I am your father, and Ill never abandon you (Cisneros 43), A quote that she will remember later down the line. They move to a town called Seguin, in Texas, the city of nasty gossips, dust, and despair, where Cleofilas has to gradually learn that the community life she cherished before moving north no longer exists. She believes that the town foundation is built so that wives have to depend on husbands for a ride or stay home. There is nothing for a woman to walk to no supportive church, no leafy town square, and no friendly shops. While the time passes, she begins realizing that this is not what she was expecti ng, and Juan Pedro is not the man who she envisioned. Juan Pedro, in reality, is a sexist man who beats his wife eventually she realizes that she needs to escape this life that Juan Pedro has made for her, and go back to Mexico to her family. Thanks to the help from a firm independent woman name Felice. She has a chance to go back to her father along with her children, and on the journey, knowing that there are strong women like Felipe who dont follow the social norms like on the telenovelas. She admires Felipe for being independent and wonders if she could be like that too. The author purposes for writing this story is to prompt the readers ideas of romantic love, woman role in a masculine culture, and expectation Vs. Reality. As a young woman, Cleofilas would dream about finding her prince charming, finding true love Passion in its purest crystalline essence (Cisneros 44). A situation like this is common when it comes to a young teenager because of movies, and television it gives the viewer expectations about how love is. According to cultivation theory, viewers who are repeatedly exposed to romantic content in media should, over time, adopt beliefs about the real world that are similar to the themes featured in the storylines (Gerbner, Gross, Morgan, Signorielli, Shanahan, 2002). As for Cleofilas, when she met Juan Pedro, it was love at first sight, just like in the movies. A good comparison to her situation is the frozen movie when the main character, Anna, meets Han. They immediately take a liking to each other. When trouble falls upon the kingdom, Anna decides to leave Han in charge, A man that she only knew for a short time, while she goes to save her sister. Little does she know that Han was a hoax , and she gave him the perfect opportunity to take over the kingdom. In our story, Cleofilas meets Juan Pedro only for a short period before he asks her to marry him. Cleofilas knowing that this is rushed still agree to marry him because he doesnt know when shell get another opportunity again, and she wants that telenovelas life. As time goes on, she began to question the reality of the relationship. There was not enough reason yet to give up on the relationship she still believes the trope I believe if another person and I love each other, we can overcome any differences and problems that may arise (V. Hefner B. J. Wilson 164). This trope is a huge problem when it comes to television; it gave the idea no matter how bad the relationship gets love conquers all, and Cleofilas is holding on to that expectation. Reality is the world or the state of things as they exist, as opposed to an idealistic or notion idea of them. A moment in the story when reality set in is when the author recalls and he slapped her, and then again, and again; until the lip split and bled an orchid of blood, she didnt fight back, she didnt break into tears, she didnt run away as she imagined she might when she saw such things in the telenovelas (Cisneros 47). At this moment, Cleofilas mind begins to question the idealistic relationship and the Telenovelas. She realized it was not as simple as just picking up your belonging, and leaving there a physical, and emotional connection that cannot be severed so easily. She starts asking herself if this is the man she wants to be with the rest of her life. Every day from that point on Cleofilas questions why she loves him saying things like he isnt a good man, he doesnt even help with the baby, and hes nothing like the men on the telenovelas (Cisneros 49). The expectations th at she had been through, and now, reality has set in. She starts seeing the true nature of this town, how it made for women to rely on men. They have no place to go no car to drive all they can do is cater to their husbands. As the time when on she had had enough, and decided to do something about her reality. After that, a named Graciela asked for a favor to her friend Felice to get Cleofilas to the bus station. While on their way, Cleofilas realized that Felice was not the norm of a woman like she saw on the telenovelas. Felice was a confident woman who had her pick up a truck and worked for everything. Cleofilas admired seeing the reality of a strong woman in this world right in front of her face. Woman Hollering Creek is about a woman realizing that the world reality and television expectations are far part. The television expectation puts a false ideal into a young woman mind about what a relationship should be, that the prince may not be prince charming. That the reality of th e world is cold, and sometimes doesnt have those fairytale endings, but you control your destiny. Hefner, Veronica, and BarbaraJ. Wilson. â€Å"From Love at First Sight to Soul Mate: The Influence of Romantic Ideals in Popular Films on Young People’s Beliefs about Relationships.†Ã‚  Communication Monographs, vol. 80, no. 2, June 2013, pp. 150–175.  EBSCOhost, doi:10.1080/03637751.2013.776697.