The Dimensions Of Interprofesssional Practice Nursing Essay

The Dimensions Of Interprofesssional Practice Nursing Essay This reflective Commentary will focus on a patients discharge planning liaison drawn from my experience in attending a Multidisciplinary team Meeting (MDT) held at my Elective Placement (Cardiology Ward) in the context of the dimensions of Interprofesssional Working (IPW) I will preliminary define in the introduction IP working; recognize policies; introduce patient scenario, identify the Reflection Model which I will use to evaluate and analyse the Dimensions of IPW. IPW refers to professionals with different training backgrounds (medical, surgical, counselling, psychotherapy, Occupational Therapist, physiotherapist) sharing common goals an objectives but who make a difference but complimentary contribution to the given client group in order to provide holistic care (Leathard, 2003). IPW has been highlighted by the United Kingdom (UK) government in a series of policies which shaped and continue to shape the way services and professionals work interprofesssionally. In 1998 The Department of Health (DoH) (1998) encouraged joint working through integrated provision. In 1999 papers such as DoH (1999) re-enforced that the effective care is the product of interagency working, promoting NHS to move towards interagency collaborative working or IPW in a shift from institutional to community-based care. The DoH (2000) a ten year programme of redevelopment practice to design and promotes a patient centered service and promote IP and Holistic care. One of the areas the DOH (2000) considered needed improving was the older generation patient discharge. To combat this, standard two of The Single Assessment Process (SAP) and Intermediate care services (ICS) was introduced by the National Service Framework for Older People by DoH (2001a) and this required services and professiona ls to work together in a co-ordinated assessment of needs for patients. From this, House of Commons Health Committee (2002) called for a number of key changes, one of them being a named Care Manager to coordinate all stages of the patient journey through hospital, up to and beyond discharge. And this coordination liaison could take the form of an MDT discharge planning meeting (DP). New ways of working have to be found that cross professional boundaries, in order to allow a more flexible approach to care delivery (DoH, 2002). To achieve this, the Government introduced Interprofesssional Education (IPE) in pre-registered students modules and their aim was to integrate IPE into their curriculum, enabling students to develop transferable skills that will facilitate communication and collaboration in the future (Barr, et al., 2005). Rattay and Mehanna (2008) suggest that as students should make an effort to attend MDT meetings to develop IP. I have used pseudonyms throughout my reflective commentary, to protect confidentiality in accordance with the Data Protection Act (1998) and the Nursing and Midwifery Council (NMC) (2009). I will refer to the patient as Sam. Sam is a 74 year old lady who lives alone in a ground floor flat. Sam has no family living locally however her neighbour visits regularly. Sam suffers from Chronic Heart Failure (CHF). Prior to admission Sam was fully independent at house cooping with her Activities of Daily living (ADLs) with slight difficulty due to breathing and poor balance (which Sam reported to suffering from for years). Sam was originally brought into hospital via accident and emergency by her neighbour as her breathing became progressively worse. There are many potential models of reflection. I will use Gibbs (1988) Model of Reflection (Appendix 1) as I find it more straightforward due to being depicted as a cycle, encouraging critical evaluation and analysis of the incident. Cyclical models are suggested by Ghaye (1998) to deepen awareness and increase knowledge and skilfulness from repeated movements around them. Reflection will able me to learn from the experience and identify my learning needs in areas which solicit improvements (Allen, et al., 2008). As suggested by Price (2006) Reflection makes a connection between theory, policies and practice required to develop evidence-based practice, professional and academic growth throughout my career; important in the development of lifelong learning (NMC (2009). Description The MDT meeting was held at the sisters office. The MDT consisted of a Ward Nurse (who was there intermittently due to staff levels), a Heart Failure Nurse Specialist (HFNS). Care Manager (Social Worker), Physiotherapist, Occupational Therapist, Doctor (Cardiologist Register) and myself. The meeting was led by the Doctor who gave an introductory overview of the Sams social situation and medical condition. The Doctor recommended that Sam was medically fit for discharge with a referral for HFNS community visits, as further health education was necessary. The physiotherapist suggested Sam was regaining confidence in her mobility but recommended further input to improve Sams balance and posture. The ward Nurse suggested Sams Nursing needs were stable and no input was required on discharged, upon this, I respectively argued that Sam discussed with myself earlier in the shift that she felt she was not coping at home and would feel more confident if she had minimal assistance with her ADLs at home. The Doctor re-directed the question to the HFNS, who re-directed the question to the Ward Nurse, both dismissing my input. At this point I respectfully assured the MDT that what I was advocating, it was also documented in Sam care plan. Subsequently, The HFNS requested Sams discharge planning to be discussed in a second meeting.. Following to this, The Occupational Therapist recommended she would liaise with Sam regarding any house equipment that would facilitate Sams ADLs. The social worker (Care manager) who would be coordinating all stages of Sams journey through hospital, up to and beyond discharge, organise possible (i) care (ii) meals on wheels. The Doctor summarised the MDT plan and rescheduled the meeting for 2 days to allow professionals to liaise with Sam in order to evaluate the discharge planning in partnership with Sam. Doctor was reluctant to reschedule and to change Sams expected day of discharge (EDD), it seemed. In the follow up MDT meeting, Sam was medical ly fit for discharge, her it seemed, had improved, as had her slightly her confidence but she could still benefit from further rehabilitation; therefore, Sam was referred to Intermediate Care Services (ICS) (Appendix 2) for further rehabilitation in the community, with out-patient medical follow up and HFNS home visits. Feelings When I asked my Mentor to attend the MDT meeting, I was excited as I was going to be able to see how the IPW provides a positive outcome for the patients. Slightly anxious but ready to be a Patient advocate. Soon it dawned on me when I was introduced to other professionals and given opportunities to work with them and I felt slightly insecure at the thought of having to expose myself to the criticisms of others. When Discussing Sams DP I commented on her behalf the feeling of slight insecurity was soon overpowered by a feeling of achievement as I was in a position to be her advocate appropriately and contribute in making a difference to her life for better. This feeling overpowered the shuttled frustration I felt when the Doctors dismissed initially my input but understandable due to my still pre-reg position, he needed reassurance as this input was going to change Sam EDD. As the meeting was lead by the Doctor I had inadvertently imposed a sense of hierarchy upon the group. I soon f elt that the hierarchy, even after the incident above, was not actually evident once a patient DP was being discussed as every professional was having a say and all professional seemed to understand each others responsibilities, roles and the documentation used involved all MDT input. I felt that through the discussions each professionals identify was gain and respect was given accordingly, although, I considered there was possibility of gaining a professional personality stereotypes and therefore ultimately a hierarchy may develop in future group meetings. By the end of it, I still felt slightly daunted to be in a MDT meeting working with professionals who knew so much (i) HFNS who developed their careers to a point of extreme knowledge, it overwhelmed me, that I am still just in the beginning of an extraordinary journey. Evaluation In accordance to Holland, et al. (2005) and Gonseth, et al. (2004) Heart Failure Nurse Specialist (HFNS) input was fundamental as HF patients as Sam require close clinical management and encouragement to manage their symptoms in order to remain in the community (James and Sarah, 2008). Furthermore, Blue, at al. (2001) randomised controlled trial suggested that HFN have the ability to focus not only on the clinical needs of the patient, but the educational and supportive needs as well as establishing effective liaison between health and social care. Although HFNS is important in the provision of Sams Good Health in the community, without front line staff (i) ward nurse to document appropriately and report to the appropriate professional and act as an advocate for patients in meeting such this, the provision of IP working and Safe Discharge Planning would be compromised (Atwal and Caldwel (2006). Record keeping was to be commended as the Discharge planning Form (DPF) (Appendix 3) was filled in from admission and updated regularly by Sams Multidisciplinary team regarding assessment, planning, and implementation and evaluation goals specific to each professional to establish safe discharge. Effective record keeping is the key factor to effective care and continuation of care of Patient; and a Code of Conduct requirement for excellence practice and care (NMC, 2009). The Community Rehabilitation/Intermediate Care Services (ICS) Appendix 3. Referral was suggested appropriately in order to meet Sams needs, in accordance with the DoH (2001a, 2001b) agrees that ICS establishes IP working and avoids duplication, enhances communication and allows each team member to view and check the patient notes at all times. Furthermore Godfrey, et al, (2005) suggests that it enhances Holistic care. According to Leathard and Cook (2009) Sams care could be considered Holistic as her physical, psychological, sociological, spiritual needs were addressed, and Sams views were considered alongside any recommendations offered by all the different multi-disciplinary teams in a mutual participation in a shared decision-making partnership. With changes in Nhs such as patient-centred care (DoH, 1998), and the establishment of sophisticated holistic approach to health and social care, one of the key features of Sams patient centred care is the development and implementation of integrated care pathways (ii) collaborative care plans such ICS, providing Sam with a continuity of care. MDT meeting structure seemed to reflect The DoH (1998) in its drive for a first class service as staff seemed to clear understands of how their own roles fit with others in both the health and social care professions. Although, Role Clarity was predominant and significant, the Status caused distress within the MDT; it made some members feel their opinions are not as important as others (Robinson, et al., 2005). Furthermore, at certain points of the discussion the blurring of the boundaries of ones discipline Ward Nurse and (HFSN) (i) Doctor redirected the question about Sam to the HFSN first instead of the ward Nurse. I agree with Molyneux (2001) is a factor that may create a competitive atmosphere rather than a collaborative one. In addition to the group dynamics, the situation of Sam needing care set up also highlighted the tension between professionals and in a sense organizational aims and resources. Analysis The DoH (2000, 2006) stressed the need for team working to helping rove the quality of care to patients and encourage role development to meet the demands of IP working. (i) Registered nurse specialists are expanding their roles and skills in numerous clinical areas (DoH 1999, 2006) due to patients diversity of needs in todays society (Furlong and Smith, 2005). According to DoH (2000, 2003) and the National Institute of Clinical Excellence (NICE) (2003) Heart failure care and management is one of this areas which had an increase in nurse specialists (HFNS) in a broad evaluation by Patterden, et al., (2008) which showed that HFNS reduced (i) all-cause admissions by an average of 35 per cent an average saving of  £1,826 per patient is gained after the costs of the nurse have been deducted. Furthermore, a systematic review by Holland, et al., (2005) argues that HFNS management of HF associated with (reducing readmissions, improving patients quality of life, Like Sam and reducing finan cial costs is more efficient compared with medical management. In outcome, Hewison (2004) and Abbot, et al., (2005) agreed that although the development of roles and increased flexibility is usually a benefit to many professions, it can be seen as a threat for their own interest and power status, generating a resistance to IP collaborations. Moreover according to Molyneux (2001) a tribalism sense. This is normally the professional at the top of the hierarchy (i) as when the doctor was resistant to move the EED. Furthermore, as far back as 1998 when (DoH, 1998) was published, Stapleton (1998) suggested that Collaborative working emphasis that demarcations and hierarchical relations between professions are neither sustainable nor appropriate. Although, in Sams MDT it was apparent in agreement with Hean (2006) my preliminary feelings of hierarchy are common and traditionally hierarchies place more power to the medical profession. The tension seemed in a way to be overcome through the structured but open discussion regarding Sams needs which according to Freeth (2001) open discussion helps develop the team and recognise the benefits and the diversity and development of skills. Martin and Roger (2004) highlight that it is important to premise a clear understanding and appreciation not just for the roles but also for the pressures of other professionals (i) performance targets to meet. The Qualitative methodology questionnaire led interviews and focus group (18 cases studiers across Europe) by Coxon (2005) suggestion that IP working promotes job satisfaction, improved team working, good communication and enhance co-operation with other agencies, and identifies IP difficulties to be due to organizational boundaries and financial limits. Additionally, Hubbard and Themessi-Huber (2005) used the same method as Coxon (2005) although he identified that a main difficulty to IP is managers focusing on policies and changes of services: arranging MDT meeting whilst front line staff, as ward nurses need to adapt to practicalities of the IP. Atwal, and Caldwell (2006) argues the importance of staff ratios as a barrier to nurses developing IP practices, furthermore a study carried by both with nineteen nurses in acute health care ward, it is spotted that in MDT meetings not all the professionals involved in the care of a patient are invited and that nurses did not regularly att end the meetings due to staff ratios. Another conclusion of this study is that nurses not always express their opinion for fear of being made a scapegoat, the result from the research show as well, that consultants and medical staff usually speak first and with more confidence on all issues. In divergence, Barrett and Keeping (2005) argues that collaborative working should minimise staff pressures from a ward level to community (primary and secondary setting) but research done within this Era of IPW still shows that at a nursing level in a 2005 survey by RCN (2006) found that 49% of nurses left the NHS due to stress/workload problems. Horder (2004) and Pullon and Fry (2005) goes further to suggest to overcome the work pressure, shared decision making is the ultimate hallmark of partnership and this requires distribution of power or the empowerment of all involved within the multidisciplinary professionals in a manner that would equalize the hierarchy through (i) through IPE. It is essential that health and social care professionals realise the important of IPW as it has now been recognised that a single profession can no longer deliver the complex patient care that is demanded nowadays, a holistic approach is required (CAIPE, 2007). Rattay and Mehanna, (2008) suggest in summary that structured MDT meeting provides the discharge process with a structure that is organised professionally and timely, allowing patients to return home earlier safely, consequently reducing the NHS cost, minimising the risk of hospital acquired infections, promoting independence and enabling patients to return back to their homes and community, like Sam. Lack of co-operation between agencies has led to a failure of service (Glasby, et al., 2004). Communication within the team is also an important issue to good collaborative working, developing ways to communicate and to work together is the key for successful IP working (Abbott, et al., 2005). The NMC (2004) advises that at the point of registration students should have the necessary skills to communicate effectively with colleagues and other departments to improve patient care. Cook, et al., (2004) identify that communication and decision making are very important for teams. Larking and Callaghan (2005) argue that teams who do not regularly hold meetings for policy making and resolutions of differences, should not be considered a team, these findings are also emphasized by Molyneux (2001) who states that communication is supported with weekly MDT meetings in order to evaluate and plan patient centred care delivery. Conclusion This reflective commentary allows me to connect policies, NMC requirements, theory and practice. It provided me with the assurance that the dimensions of IPW is complex but possible in practice IPE exists. It highlighted that different professionals have to deal with their own perceptions and adapt to changes. There is no doubt that IPW promotes a better and more holistic care and the documentation in place promotes further patient-centered care. The MDT gave me the opportunity to work closely with other professionals and understanding further their roles. This will help me to effectively work together in the future. Action Plan I will allocate the Action Plans in my professional portfolio to demonstrate achievement in clinical practice linked with theoretical knowledge. All my Action Plan are made SMART Specific, Measurable, Achievable, Realistic and Time (Drew and Bingham, 2004) 1. Inter-Professional To develop an awareness of the roles and services provided in the inter-professional team and identify examples of how this is appropriate in delivering appropriate patient/client focused care. 2. Enhance my knowledge about decision-making processes within care management 3. Continue to reflect in and on Practice therefore to participate in further process of reflection to establish my own learning needs (Appendix 4).

Christopher Columbus Hero or Tiran

Christopher Columbus is revered as the conqueror of the new world; but many people have a different view of his accomplishments. People debate on whether Columbus discoveries were self-credited or completely his findings. There are two very different views of Columbus, in one hand there is the Italian explorer who discover the Americas and the New World; in the other hand there is the Columbus, who should have been condemned for bringing slavery, diseases, and death to the indigenous inhabitants of the so-called new World. Many Americans still admire Christopher Columbus because as his story is traditionally though and passed down he discovered America. It has been argued over time that Christopher Columbus was not the hero that he is made out to be. After all, every child learns that he was the one responsible for discovering the Americas. From learning that, people immediately think he was a great man and never examine the subject any deeper. For the people who look deeper into the events that took place, they find themselves are astounded when they find how cruel he really was. As years pass and new generations seek facts in history rather than a mystique, we start finding that sometimes history gets manipulated concealing facts and only disclosing portions of the truth glorifying some characters throughout our history. As a child the information learned in schools about his life only depicted Columbus as a great explorer and colonizer who discovered the New World. Christopher Columbus (c. 31 October 1451 – 20 May 1506) was a navigator, colonizer, and explorer from the Republic of Genoa, in northwestern Italy, whose voyages across the Atlantic Ocean led to general European awareness of the American continents in the Western Hemisphere. † Christopher Columbus sailed to the west across of the Atlantic searching for a better route to Asia but became famous by finding the Americas instead. In 1476 Columbus almos t paid with his life in his first trip to the Atlantic. Columbus was part of a commercial fleet that was attacked by French pirates as they sailed close to the coast of Portugal. The ship Columbus was sailing on was destroyed and he had to find his way to the Portuguese waterside. He decided to settle and in the course of the time he spent there he finally got married. Columbus collaborated in a couple of expeditions to Africa acquiring knowledge of the Atlantic Ocean as it flowed east and west from the Canary Islands. Columbus thought that the earth was in shape of a sphere and many contemporary experts of that time disagreed with him. He set his sights into sailing west across the Atlantic believing that it would be a quicker and safer route to India and china. He devised a plan and lobbied for money and ships in order to start his experimental voyage. His plan was rejected by the Portuguese and Italian when finally still full of skepticism the Spanish funded his expedition. Columbus wasn’t the first European to find the Americas, Vikings had previously settled in North American for a brief time, in Canada around the 11th century. The politically correct view is that Columbus did not discover America, because people had lived here for thousands of years. † Christopher Columbus’s explorations and voyages however, directly impacted on how people saw the world. His discoveries led to the exposure of the Americas to European colonization. It was a great time for the import and export of animals, plants and cultures, but in the other hand it brought war and death to the indigenous people who did not wanted to be ruled. It also brought to the Americas the beginning of slavery and new deceases and death. When celebrating national holiday for an individual’s achievements, a nation shows its appreciation for that individual’s accomplishments. In the United States Columbus’s Day is a national holiday. But, as we carefully examine Columbus’ voyages and ways of establishment in the New World it should change the country’s opinions about the celebration of that holiday. As I see Columbus expeditions through history, his arrival to the Americas was accompanied by death and destruction. Columbus took the credit for discovering the new world. But, in my opinion, it is impossible to discover something that has been there already, someplace being inhabited by people already. As Christopher Columbus proclaimed himself as the founder of the New World, he did not take considered any aspects about the current civilization inhabiting the land, the customs and traditions practiced in the country for as long as they had been there. With only the thought of prosperity in his mind, he introduced slavery to compensate for the non-existence promised of large amounts of gold he gave the Spanish Crown. Christopher Columbus can be argued to be both a hero and/or a villain. When people think of Columbus most think of the hero that started the exploration of America, which went on to become the modern day we have now, but based on Columbus’ actions and pursuits throughout his expeditions and time in America I believe him to be a villain that led to the downfall of many civilizations. Columbus was a very demanding and greedy man when it came to his benefits and the profits of his expeditions. He was also very stubborn and ignorant, by continually believed that he had reached Asia, instead of the Americas until he died in 1506. From the first time he met with Native Americans in 1492 until he died, Christopher Columbus took advantage of the good nature and hospitality of the natives, and eventually lead them to extinction. Columbus first started his search for a sponsor for his first expedition westward to Asia in about 1474. Columbus was very persistent when it came to finding a sponsor for his expedition; he searched and waited for about 18 years before his plan was finally found a patron, in 1492. Columbus’ main reasons for his expeditions were in order to search for a westward trade route to Asia, spread Catholicism to the people of the west, discover any new territory for Spain and of course to boost his own fame as a navigator. Even though Columbus was very lucky to find a sponsor for his expedition, Columbus took on the persona of being very demanding, by making further demands that would increase his own personal gain through this journey, like demanding one tenth of anything valuable found in the new lands, being made admiral of the Ocean Sea, as well as being named governor of all new land discovered. Columbus was also a very egocentric person, which most of his demands show. Most of Columbus’ demands had to do with some kind of leadership role, but shows his lack of leadership skills when setting up several colonies and all of them being destroyed under his governing. Columbus left for his first voyage on August 3rd, 1492, with three ships (the Ni a, the Pinta, and the Santa Maria). October 12th, 1492 Columbus’ crew first spotted land, whether because of Columbus’ lack of knowledge or his misleading belief that Asia was not as far as it was already believed to be, Columbus was convinced that this new land was Asia, but was actually a small island in the central Bahaman Islands. Coming from Europe Columbus believed â€Å"that Christians had the right to rule lands inhabited by non-Christians so without any regard for the inhabitants (Indios/Taino) of what Columbus called San Salvador (Holy Savior), Columbus claimed it for Spain and Christianity. Columbus and his sailors were greeted very graciously and were shown great generosity by the Taino. Instead of accepting their generosity and returning it Columbus only saw it as a sign of weakness, which would help him with his own personal gain. He thought that because of their generosity they would be easy to both convert to Catholicism and be conquered. Columbus continued his search for gold by traveling from island to island, claiming them for Spain, again without any consideration for their natives. The first Spain settlement set up by Columbus was on Hispaniola named La Navidad (the nativity). Here the Spanish were showered with gold by the natives of Hispaniola, which convinced the Spanish to stay. In January 1493 Columbus returned to Spain, but despite their generosity Columbus took two dozen Taino (Arawaks) captives, against their will, back to Spain. The somber chronicle of the events that ended in the genocide of the peaceful Arawaks of the Caribbean islands is amply documented in Columbus’ own letters and journals and in the pages of his most ardent admirer, Father Bartolome de Las Casas, the great contemporary historian of the West Indies who believed Columbus had been divinely inspired to make the Discove ry. † Upon his return Columbus found the settlement destroyed, so Columbus went on to build another settlement, even after the obvious failure of the first settlement. Once again Columbus left the settlement in order to search for more gold around the Caribbean. While away the colonist continued to pressure the Taino to provide food and gold, which eventually led to a revolt from the Tanio, because of his lack of leadership Columbus was replaced as viceroy. Before this Columbus allowed the colonist to control Indian labor, on his own accord against the wishes of Queen Isabelle, which would eventually lead to the encomienda system that would play a major role when it came to the destruction of the Native American tribes. During his four expeditions Columbus came in contact with several Native American tribes his first being the Taino. Columbus was very surprised by the great generosity of these people, because Europe believed so much in their selfish lifestyle and feudalistic ways that this sort of behavior was new to them. The Spanish took this as a sign of weakness and concluded that the Native Americans were very naive and would be easy to conquer and be used as labor. The Spanish took advantage of the Native Americans generosity, using them to mine gold, provide food and build houses. The Spanish showed very little respect to the Natives American’s lifestyle and culture, by forcing them to convert to the Roman Catholic faith. He assisted in the development of the encomienda system played a huge factor in the drop of population in the Native American tribes. Many of the Native Americans captured and forced to work for the Spanish died of overwork, malnutrition and deceases brought over from Europe and the African slave trade. This unfortunately did not stop the European’s slavery systems, but instead the Native Americans were replaced with African slaves. Christopher Columbus left Spain in search of a trade route that would eventually boost his own fame and wealth, but instead discovered the New World and the altruistic inhabitants that lived there. Columbus only thinking about his and Spain’s own personal gain made decisions and actions that would assist this cause, but in turn would lead to the destruction of many Native American civilizations. Greed and the hunger for power and domination destroyed in my opinion a large amount of civilizations that some of us only know because of history. As I discover my own New World through history books I see that history is in the eye of the beholder, I see that throughout time a series of events have been doctored in order to give generations a perception of greatness. But, as you dig a little deeper you will find numerous amounts of scripts and publications and at the end of the day is up to you to make your own decision.

Up in Arms About Mount Everest Essay Topics?

Up in Arms About Mount Everest Essay Topics? The Fundamentals of Mount Everest Essay Topics Revealed Parents must be at fault for providing a wholesome diet. Students need to be careful about posting on social networking. They should keep their mobile in silence so as to not disturb the class. They should be allowed to pray in school. Everest is the maximum mountain on the planet, and among the mountains garnering annual death tolls for over half a century. In reality, speaking of Irvine and Mallory, it isn't entirely clear whether they were able to get to the top of Everest. Cell phone use and texting allow it to be hard to concentrate. The most important mission is to convince your listeners your point is the sole right even if it's not. You may trust us to present expert aid for many of your academic writing needs. In reality, it is possible to find dozens of resources on the internet that is going to teach you just how to write persuasively. Prior exposure or knowledge about a specific subject provides better hindsight that may bring improved arguments on the issue. You need to set up facts, possess the confidence and demonstrate the obvious evidence of your private viewpoint to certain phenomenon. The goal of brainstorming is to help you receive ideas. For this reason, you've got to come across enough substantial evidence for the specific topic. Normally, having three main arguments to show your point is sufficient for a convincing paper. Although having the ability to write persuasively can look like a difficult thing for children to learn, remind them that everyone has valid opinions. Aside from lot's of explore When i determined which examining in regard to an individual for that the bulk of widely used in addition to referred to mountain peak for this universe incorporates captivated folks. The range of body paragraphs will mostly rely on the amount of your paper. The Advantages of Mount Everest Essay Topics The question could be part of your introduction, or it may make a wonderful title. Apparently, you ought not purposely select a topic that will bore your audience. Demonstrate or give examples to create the audience understand the way that it works and the way that it solves the issue. You have to know all parts of financial topics when you choose them. If it's a college essay, it is critical to consider what aspects of it is going to be evaluated. It's possible for you to chat with your writer to learn how the practice goes and ask him questions. Possessing excellent research abilities and selecting an excellent topic is vital. Students are accustomed to the simple fact which their professors give them with the assignment's topic. In such a circumstance, a student is needed to select an ideal topic to write about. Even a student can begin a business online. Therefore, many students and employees decide to get inexpensive essay rather than writing it themselves. There are some easy guidelines to follow as a way to be in a position to compose a fantastic persuasive essay. After you settle on this issue and pick the position on which you will base your essay, the remainder of the job can then begin. You may continue to keep your argumentative essays for your upcoming job portfolio in case they're highly graded. So, the best method to compose a fantastic persuasive essay is to locate a theme you're familiarized with and wish to share your experience with the reader.

A Brief History of the Cuban Revolution

In the final days of 1958, ragged rebels began the process of driving out forces loyal to Cuban dictator Fulgencio Batista. By New Year’s Day 1959, the nation was theirs, and Fidel Castro, Chà © Guevara, Raà ºl Castro, Camilo Cienfuegos, and their companions rode triumphantly into Havana and history, but the revolution had begun long before. The eventual rebel triumph came only after many years of hardship, propaganda campaigns, and guerrilla warfare. Transcendental Graphics / Getty Images Batista Seizes Power The seeds of the revolution were sown when former Army Sergeant Fulgencio Batista seized power during a hotly contested election. When it became clear that Batista—who had been president from 1940 to 1944—would not win the 1952 election, he seized power prior to the voting and canceled the elections outright. Many people in Cuba were disgusted by his power grab, preferring Cuba’s democracy, as flawed as it was. One such person was rising political star Fidel Castro, who would likely have won a seat in Congress had the 1952 elections taken place. Castro immediately began plotting Batista’s downfall. Assault on Moncada On the morning of July 26, 1953, Castro made his move. For a revolution to succeed, he needed weapons, and he selected the isolated Moncada barracks as his target. The compound was attacked at dawn by 138 men. It was hoped that the element of surprise would make up for the rebels’ lack of numbers and arms. The attack was a fiasco almost from the start, and the rebels were routed after a firefight that lasted a few hours. Many were captured. Nineteen federal soldiers were killed; those remaining took out their anger on captured rebels, and most of them were shot. Fidel and Raul Castro escaped  but were later captured. History Will Absolve Me The Castros and surviving rebels were put on public trial. Fidel, a trained lawyer, turned the tables on the Batista dictatorship by making the trial about the power grab. Basically, his argument was that as a loyal Cuban, he had taken up arms against the dictatorship because it was his civic duty. He made long speeches and the government belatedly tried to shut him up by claiming he was too ill to attend his own trial. His most famous quote from the trial was, â€Å"History will absolve me.† He was sentenced to 15 years in prison  but had become a nationally recognized figure and a hero to many poor Cubans. Mexico and the Granma In May 1955, the Batista government, bending to international pressure to reform, released many political prisoners, including those who had taken part in the Moncada assault. Fidel and Raul Castro went to Mexico to regroup and plan the next step in the revolution. There they met up with many disaffected Cuban exiles who joined the new â€Å"26th of July Movement,† named after the date of the Moncada assault. Among the new recruits were charismatic Cuban exile Camilo Cienfuegos and Argentine doctor Ernesto â€Å"Chà ©Ã¢â‚¬  Guevara. In November  1956, 82 men crowded onto the tiny yacht Granma and set sail to Cuba and revolution. In the Highlands Batista’s men had gotten wind of the returning rebels and ambushed them. Fidel and Raul made it into the wooded central highlands with only a handful of survivors from Mexico—Cienfuegos and Guevara among them. In the impenetrable highlands, the rebels regrouped, attracting new members, collecting weapons, and staging guerrilla attacks on military targets. Try as he might, Batista could not root them out. The leaders of the revolution permitted foreign journalists to visit and interviews with them were published around the world. The Movement Gains Strength As the July 26th Movement gained power in the mountains, other rebel groups took up the fight as well. In the cities, rebel groups loosely allied with Castro carried out hit-and-run attacks and nearly succeeded in assassinating Batista. Batista boldly decided to send a large portion of his army into the highlands in the summer of 1958 to try and flush out Castro once and for all—but the move backfired. The nimble rebels carried out guerrilla attacks on the soldiers, many of whom switched sides or deserted. By the end of 1958, Castro was ready to deliver the coup de grà ¢ce. Underwood Archives / Getty Images Castro Tightens the Noose In late 1958, Castro divided his forces, sending Cienfuegos and Guevara into the plains with small armies; Castro followed them with the remaining rebels. The rebels captured towns and villages along the way, where they were greeted as liberators. Cienfuegos captured the small garrison at Yaguajay on December 30. Defying the odds, Guevara and 300 weary rebels defeated a much larger force at the city of Santa Clara in a siege that lasted from December 28–30, capturing valuable munitions in the process. Meanwhile, government officials were negotiating with Castro, trying to salvage the situation and halt the bloodshed. Victory for the Revolution Batista and his inner circle, seeing that Castro’s victory was inevitable, took what loot they could gather up and fled. Batista authorized some of his subordinates to deal with Castro and the rebels. The people of Cuba took to the streets, joyfully greeting the rebels. Cienfuegos and Guevara and their men entered Havana January 2, 1959, and disarmed the remaining military installations. Castro made his way into Havana slowly, pausing in every town, city, and village along the way to give speeches to the cheering crowds, finally entering Havana on January 9, 1959. Aftermath and Legacy The Castro brothers quickly consolidated their power, sweeping away all remnants of the Batista regime and muscling out all of the rival rebel groups that had aided them in their rise to power. Raul Castro and Chà © Guevara were put in charge of organizing squads to round up the Batista-era war criminals whod engaged in torture and murder under the old regime in order to bring them to trial and execution. Although Castro initially positioned himself as a nationalist, he soon gravitated toward communism and openly courted the leaders of the Soviet Union. Communist Cuba would be a thorn in the side of the United States for decades, triggering international incidents such as the Bay of Pigs and the Cuban Missile Crisis. The United States imposed a trade embargo in 1962 that led to years of hardship for the Cuban people. Under Castro, Cuba has become a player on the international stage. The prime example is its intervention in Angola: thousands of Cuban troops were sent there in the 1970s to support a leftist movement. The Cuban revolution inspired revolutionaries throughout Latin America as idealistic young men and women took up arms to try and change hated governments for new ones. The results were mixed. In Nicaragua, rebel Sandinistas eventually did overthrow the government and come to power. In the southern part of South America, the upswing in Marxist revolutionary groups such as Chiles MIR and Uruguays Tupamaros led to right-wing military governments seizing power (Chilean dictator  Augusto Pinochet is a prime example). Working together through Operation Condor, these repressive governments waged a war of terror on their own citizens. The Marxist rebellions were stamped out, however, many innocent civilians died as well. Cuba and the United States, meanwhile, maintained an antagonistic relationship well into the first decade of the 21st century. Waves of migrants fled the island nation over the years, transforming the ethnic makeup of Miami and South Florida. In 1980 alone, more than 125,000 Cubans fled in makeshift boats in what came to be known as the Mariel Boatlift. After Fidel In 2008, the aging Fidel Castro stepped down as president of Cuba, installing his brother Raul in his stead. During the next five years, the government gradually loosened its tight restrictions on foreign travel and also began allowing some private economic activity among its citizens. The U.S. also began to engage Cuba under the direction of President Barack Obama, and by 2015 announced that the long-standing embargo would gradually be loosened.   The announcement resulted in a surge of travel from the U.S. to Cuba and more cultural exchanges between the two nations. However, with the election of Donald Trump as president in 2016, the relationship between the two countries is in flux. Fidel Castro died on Nov. 25, 2016.  Raà ºl Castro announced municipal elections for October 2017, and Cubas National Assembly officially confirmed Miguel Dà ­az-Canel as Cuba’s new head of state.