Tuesday, December 31, 2019

Bilingualism in Canada Good or Bad - 612 Words

Bilingualism in Canada: Good or Bad? I believe that bilingualism is central to Canada’s identity, as well as other languages. Pierre Elliott Trudeau has said that, â€Å"Bilingualism unites people; dualism divides them. Bilingualism means you can speak to the other; duality means you live in one language and the rest of Canada will live in another language†. Bilingualism is an essential part of Canadian nature and in the Canadian policy it promotes individuals to study a different language so you can be able to have mutual understanding with others. One thing to define being a Canadian is living in a country with two official languages, but doesn’t mean that living†¦show more content†¦ail.com/news/national/is-bilingualism-still-relevant-in-canada/article4365620/?page=3 http://www.edu.gov.mb.ca/k12/cur/socstud/foundation_gr6/blms/6-3-2g.pdf http://www.cnmag.ca/issue-22/855-canadian-bilingualism-e08 http://www.ocol-clo.gc.ca/html/biling_e.phpShow MoreRelatedThe Relationship Between The English And French Canadians1726 Words   |  7 Pagesthe separation of two large populations In Canada and created conflicts within the country. The many debates which were not solved between the two sides had a great impact on French- English relations. Throughout the years, their relationship was and still is very rocky. There are many reasons which explain why they have such strong hatred towards each other, but the most common ones were; biculturalism, belief/politics, and most importantly bilingualism. The first example which thoroughly explainsRead MoreWhat Does It Mean You Be Bilingual? Essay1439 Words   |  6 Pagescommunicate in school or at work. But bilingualism in the United States, is a rather perplex proposition. Here, it refers to the use of another language, in order to accommodate immigrants within the American system of public services. It proposes use of another language for voting ballots, government documents, court proceedings. Considering the costs of bilingual services, incentives for immigrants to learn English and the unifying factor of language, bilingualism must not be practiced for officialRead More English as the Official Language Essay2183 Words   |  9 Pagespopulation over a decade and when immigrants came, they revamped it. They started small businesses and many more other jobs provided employment opportunities. U.S. consumers also had a benefit to the degree that low- skilled labourers decreased the cost of goods and services. This might be true f or Detroit, but what are the consequences of immigration for the rest of America? Art Thompson, states his viewpoint â€Å"The immigration problem has grown so big that unless it is solved, it will prove an impedimentRead MoreSecond-Wave Feminism and Labour in Canada2863 Words   |  12 Pagesdiscrimination. Women in the workforce face many challenges like smaller wages, harassment, male privilege in hiring or promotions, and lack of support when pregnant or raising children. One half of the planet is women, and it can be assumed the same for Canada, but they still face judgment at work because they lack the authority to dispute against big corporations or even their male supervisor. It cannot be argued that Canadian women’s status has worsened over the past hundred years, of course, thanks toRead MoreHistory Grade 10 Exam Review6476 Words   |  26 PagesWW1 made him a successful PM * Arthur Meighen: 1920- 1921 * Conservative * William Lyon Mackenzie King: 1921- 1926, 1926- 1930, 1935- 1948 * Liberal * Independence of Canada in foreign policies * Richard Bennett: 1930- 1935 * Conservative * Create Bank of Canada, 1934 * Canadian Wheat Board, 1935 * Unemployment Benefits, 1935 * Maurice Duplessis: 1936- 1939, 1944- 1959. * Union Nationale * Fleur- de -Lys * Dark PeriodRead MoreReceived Pronunciation: Historical Background and Application17580 Words   |  71 Pageswell-known that there are countries with more than one national language, the most common case being the existence of two national languages on the same territory. For this Canada will be an example, where two different languages – English and French – form the repertoire of the community. In this case scholars speak about bilingualism in contrast to monolingualism typical of a country with one national language. Here arises the problem of interference, that is linguistic disturbance which results fromRead MoreEssay about Anthro Final6421 Words   |  26 PagesFormal economic theory is based on assumptions such as: a. the value of a particular commodity decreases as it becomes more scarce. b. only occasionally do people maximize their material well-being. c. people, when exchanging goods and services, naturally strive to maximize material well-being and profits. d. families will compete against each other to assert rights of ownership and allocation. e. in societies where there is formal market exchange (commercialism)Read More111135197X 38570 Essay example17696 Words   |  71 PagesWhat Do You Already Know? See page 350 of Writing Clearly, Third Edition for answers to the Pre-test. Practice What You Have Learned (pages 21–25) Exercise 1 (page 21) I 1. I have been interested in physics since high school. I 2. Having good social skills is essential for my job, and I decided (OR have decided) to take a class in personal communication. I 3. Since she was a child, she has liked sports, especially water sports, such as swimming and waterskiing. I 4. Mario graduatedRead MoreStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words   |  534 Pageshave an impact on their ability to affect retention. Nonetheless, RJPs provide a useful means for increasing retention in many circumstances. In addition, the use of biodata, which are data on objective characteristics such as years of experience, bilingualism, and college education, improves retention.54 Compensation and Benefits Equitable compensation is important for employee retention. In turn, greater compensation equity occurs with fair appraisal reviews, equitable ratios of inputs (e.g., effort

Monday, December 23, 2019

The Scarlet Letter Research Paper - 1586 Words

Alex Soltanian Mrs. Muller Period 2 December 4, 2014 The Scarlet Letter Research Paper Fitting into todays modern world has become of a great deal to us. Keeping up with trends, music, games and pop culture have taken the interests of kids and adolescents in the 21st century. Kids into the â€Å"main stream† interests are considered more popular than other kids. This causes conformity in our culture which is a growing problem on how kids are able to express themselves. Its is as if they are scared to admit they re sexual preferences, personal believes and interests because they are afraid of being judged.â€Å"In today’s youth there is an alarming rise in conformity, compared to the previous generations. Just like in every society, conformity and obedience are required to prevent chaos, but when the people of the society, especially the youth, forget who they are, there becomes a certain mindset. In this mindset the youth begins to over value other people’s opinions, this mindset allows the media to control what t hey look like, and this mindset discourages being unique. Without individuals acting individually, society becomes boring, bland, and basic.† ( â€Å"Conformity Attacking Today’s Youth†). Yet there are many kids such as myself whom encourage kids to be themselves and love to hear open minds. Unfortunately though in the months of the late 17th century many people were not encouraged to step up and not conform to societies will. In the novel the Scarlet letter, Hester Prynne, ourShow MoreRelatedThe Scarlet Letter Research Paper1189 Words   |  5 PagesTyler Beal English III T. Sinclair 19 May 2013 Portraying the Scarlet A within the Characters   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  In reality, the Scarlet Letter is many things. It has all the characteristics of a modern-day soap opera, but it is way more than some television show cast on ABC. It could be a sermon being shouted from a church attendee, but no; the Puritans are surely not the heroes in this novel. It could be a story of failure, for there are many failures cast upon the main characters, or it could be a storyRead MoreRomanticism And Transcendentalism In Nathaniel Hawthornes The Scarlet Letter956 Words   |  4 Pages The Scarlet Letter - Research Paper Nathaniel Hawthorne is 19th-century author whose works were primarily classified as romanticism and transcendentalism. His works held many controversial elements for his time including the extensive use of feminist principles. Many of Hawthornes novels depict a different viewpoint on the defiance towards misogyny and patriarchal ways. The Scarlet Letter furthermore enhances these elements. Hawthorne’s novel, The Scarlet Letter, portrays the many elements of feminismRead MoreFeminism in the Scarlet Letter1297 Words   |  6 PagesJane Jonga Research Paper 11 March 2008 Hawthorne’s Hester Prynne and Feminism â€Å"In Heaven’s own time, a new truth would be revealed, in order to establish the whole relation between man and woman on a surer ground of mutual happiness† (ch.24).The definition of feminism would be women are inherently equal to men and deserve equal rights and opportunities. In Nathaniel Hawthorne’s, The Scarlet Letter, Hester Prynne is the key example for feminism in the novel. In Puritan times, women were thoughtRead MoreSelf as a Writer: Building Writing Skills upon Basic Foundations846 Words   |  4 Pagesessay. I have always felt distain hearing improper grammar; therefore, I never use it myself. Before, I felt self-conscious using line after line of description while setting a scene in a creative story, having now read Nathanial Hawthorne’s The Scarlet Letter, this fear of overdoing description has long passed. Although strengths determine the success of an author, their weaknesses are just as prominent in their work. The converse of strength is weakness, which is defined in the Dictionary asRead MoreEssay about Character Analysis of Roger Chillingworth655 Words   |  3 PagesArthur Dimmesdale are all important when analyzing his character. Chillingworths marriage to Hester is important to giving motive for his torture of Dimmesdale. Nathanial Hawthornes use of Chillingworth as a symbol will also be discussed in this research paper. Learning why Chillingworth tortures Dimmsdale will help the understanding of his character. Susan Van Kik says, Roger Chillingworth, unlike Hester and Dimmesdale, is a flat character. While he develops into an obsessed fiend, he is less ofRead MoreThe Crucible By Arthur Miller1405 Words   |  6 Pagesthe Salem scene, notwithstanding its numerous guiltless casualties, incredibly added to the redefinition of the popular feeling of ladies, fiend and sin all in all. 4. SALEM WITCHCRAFT TRIALS IN ARTHUR MILLER S THE CRUCIBLE Since the center of this paper is to consider Salem occasions from the point of view of the part and position of ladies, already specified hypotheses will be utilized to view a few representations of Salem occasions in American writing. Maybe the best known work enlivened by SalemRead MoreUncle Tom s Cabin, By Harriet Beecher Stowe1381 Words   |  6 Pagesmerit. George Orwell famously called it â€Å"the best bad book of the age.† Uncle Tom’s Cabin is arguably no Pride and Prejudice or Scarlet Letter. Leo Tolstoy is one of the few critics who praise it unabashedly, calling Uncle Tom’s Cabin a model of the â€Å"highest type† of art because it flowed from love of God and man. So why has it been called â€Å"a verbal earthquake, an ink-and-paper tidal wave†? How and why has it been so influential? Uncle Tom’s Cabin, or Life among the Lowly is at heart a typical nineteenth-centuryRead MoreRhetorical Analysis Of Cesar Chavez s Article1915 Words   |  8 Pagesmother’s advice.† This allows the reader of my essay to see the effects of the rhetorical devices used by John Quincy Adams. In my last rhetorical analysis, I was able to effectively analyze and explain the rhetorical strategies in Samuel Johnson’s letter. I was able to explain the effect of certain sentences. In the essay, I said how â€Å"this sentence allows the woman to see the ridiculous nature of her request.† When I first started, I had only a limited understanding of rhetorical devices and how toRead MoreNathaniel Hawthorne s The Minister s Black Veil1557 Words   |  7 Pagesmysterious and expressive novels like The Scarlet Letter, Twice Told Tales, and The House of The Seven Gables. The novel that caught my full attention was The Minister’s Black Veil because it has myste ry. I wonder why he writes so much about mystery? Nathaniel is a great writer and the way he wrote this novel caught my attention full on. My favorite thing about Nathaniel is that his stories are full of mystery and that what he thinks he writes it down on paper and it fascinates me the fact that he wasRead MoreRelativism And Abortions. Does Not Every Child Have The1348 Words   |  6 Pageseveryone has a different viewpoint. For example, pro-life supporters believe that every child has the right to live no matter the circumstances. On the other hand, pro-choice supporters believe that all women have a choice over their body. In this paper, I will demonstrate the inherit weakness of relativism as an ethical theory by examining the issue of abortion. I will then defend my viewpoint on how being pro-choice is morally unethical. By the end of the nineteenth century, abortions started to

Sunday, December 15, 2019

Streams of Silver 5. The Crags Free Essays

string(48) " a bit disheartened as he remembered the place\." Drizzt took the lead as the four companions jogged along the banks of the river Mirar, putting as much ground between themselves and Luskan as possible. Although they hadn’t slept in many hours, their encounters in the City of Sails had sent a burst of adrenaline through their veins and none of them was weary. Something magical hung in the air that night, a crispy tingling that would have made the most exhausted traveler lament closing his eyes to it. We will write a custom essay sample on Streams of Silver 5. The Crags or any similar topic only for you Order Now The river, rushing swiftly and high from the spring melt, sparkled in the evening glow, its whitecaps catching the starlight and throwing it back into the air in a spray of bejeweled droplets. Normally cautious, the friends could not help but let their guard down. They felt no danger lurking near, felt nothing but the sharp, refreshing chill of the spring night and the mysterious pull of the heavens. Bruenor lost himself in dreams of Mithril Hall; Regis in memories of Calimport; even Wulfgar, so despondent about his ill-fated encounter with civilization, felt his spirits soar. He thought of similar nights on the open tundra, when he had dreamed of what lay beyond the horizons of his world. Now, out beyond those horizons, Wulfgar found only one element missing. To his surprise, and against the adventuring instincts that denied such comfortable thoughts, he wished that Catti-brie, the woman he had grown to cherish, was with him now to share the beauty of this night. If the others had not been so preoccupied with their own enjoyment of the evening, they would have noticed an extra bounce in Drizzt Do’Urden’s graceful step as well. To the drow, these magical nights, when the heavenly dome reached down below the horizon, bolstered his confidence in the most important and difficult decision he had ever made, the choice to forsake his people and his homeland. No stars sparkled above Menzoberranzan, the dark city of the black elves. No unexplainable allure tugged at the heartstrings from the cold stone of the immense cavern’s lightless ceiling. â€Å"How much my people have lost by walking in darkness,† Drizzt whispered into the night. The pull of the mysteries of the endless sky carried the joy of his spirit beyond its normal boundaries and opened his mind to the unanswerable questions of the multiverse. He was an elf, and though his skin was black, there remained in his soul a semblance of the harmonic joy of his surface cousins. He wondered how general these feelings truly ran among his people. Did they remain in the hearts of all drow? Or had eons of sublimation extinguished the spiritual flames? To Drizzt’s reckoning, perhaps the greatest loss that his people had suffered when they retreated to the depths of the world was the loss of the ability to ponder the spirituality of existence simply for the sake of thought. The crystalline sheen of the Mirar gradually dulled as the lightening dawn dimmed the stars. It came as an unspoken disappointment to the friends as they set their camp in a sheltered spot near the banks of the river. â€Å"Be knowin’ that nights like that are few,† Bruenor observed as the first ray of light crept over the eastern horizon. A glimmer edged his eye, a hint of the wondrous fantasizing that the normally practical dwarf rarely enjoyed. Drizzt noted the dwarf’s dreamy glow and thought of the nights that he and Bruenor had spent on Bruenor’s Climb, their special meeting place, back in the dwarf’s valley in Ten-Towns. â€Å"Too few,† he agreed. With a resigned sigh, they set to work, Drizzt and Wulfgar starting breakfast while Bruenor and Regis examined the map they had obtained in Luskan. For all of his grumbling and teasing about the halfling, Bruenor had pressured him to come along for a very definite reason, aside from their friendship, and though the dwarf had masked his emotions well, he was truly overjoyed when Regis had come up huffing and puffing on the road out of Ten-Towns in a last-minute plea to join the quest. Regis knew the land south of the Spine of the World better than any of them. Bruenor himself hadn’t been out of Icewind Dale in nearly two centuries, and then he had been just an unbearded dwarf-child. Wulfgar had never left the dale, and Drizzt’s only trek across the world’s surface had been a nighttime adventure, skipping from shadow to shadow and avoiding many of the places the companions would need to search out, if they were ever to find Mithril Hall. Regis ran his fingers across the map, excitedly recalling to Bruenor his experiences in each of the places listed, particularly Mirabar, the mining city of great wealth to the north, and Waterdeep, true to its name as the City of Splendors, down the coast to the south. Bruenor slipped his finger across the map, studying the physical features of the terrain. â€Å"Mirabar’d be more to me liking,† he said at length, tapping the mark of the city tucked within the southern slopes of the Spine of the World. â€Å"Mithril Hall’s in mountains, that much I know, and not aside the sea.† Regis considered the dwarf’s observations for just a moment, then plunked his finger down on yet another spot, by the scale of the map a hundred miles and more inland from Luskan. â€Å"Longsaddle,† he said. â€Å"Halfway to Silverymoon, and halfway between Mirabar and Waterdeep. A good place to search out our course.† â€Å"A city?† Bruenor asked, for the mark on the map was no more than a small black dot. â€Å"A village,† Regis corrected. â€Å"There are not many people there, but a family of wizards, the Harpells, have lived there for many years and know the northland as well as any. They would be happy to help us.† Bruenor scratched his chin and nodded. â€Å"A fair hike. What might we be seeing along the way?† â€Å"The crags,† Regis admitted, a bit disheartened as he remembered the place. You read "Streams of Silver 5. The Crags" in category "Essay examples" â€Å"Wild and orc-filled. I wish we had another road, but Longsaddle still seems the best choice.† â€Å"All roads in the north hold danger,† Bruenor reminded him. They continued their scrutiny of the map, Regis recalling more and more as they went. A series of unusual and unidentified markings – three in particular, running in an almost straight line due east of Luskan to the river network south of Lurkwood – caught Bruenor’s eye. â€Å"Ancestral mounds,† Regis explained. â€Å"Holy places of the Uthgardt.† â€Å"Uthgardt?† â€Å"Barbarians,† answered Regis grimly. â€Å"Like those in the dale. More wise to the ways of civilization, perhaps, but no less fierce. Their separate tribes are all about the northland, wandering the wilds. Bruenor groaned in understanding of the halfling’s dismay, all too familiar himself with the savage ways and fighting prowess of barbarians. Orcs would prove much less formidable foes. By the time the two had finished their discussion, Drizzt was stretching out in the cool shade of a tree overhanging the river and Wulfgar was halfway through his third helping of breakfast. â€Å"Yer jaw still dances for food, I see!† Bruenor called as he noted the meager portions left on the skillet. â€Å"A night filled with adventure,† Wulfgar replied gaily, and his friends were glad to observe that the brawl had apparently left no scars upon his attitude. â€Å"A fine meal and a fine sleep, and I shall be ready for the road once more!† â€Å"Well don’t ye get too comfortable yet!† Bruenor ordered. â€Å"Ye’ve a third of a watch to keep this day!† Regis looked about, perplexed, always quick to recognize an increase in his workload. â€Å"A third?† he asked. â€Å"Why not a fourth?† â€Å"The elf’s eyes are for the night,† Bruenor explained. â€Å"Let him be ready to find our way when the day’s flown.† â€Å"And where is our way?† Drizzt asked from his mossy bed. â€Å"Have you come to a decision for our next destination?† â€Å"Longsaddle,† Regis replied. â€Å"Two hundred miles east and south, around Neverwinter Wood and across the crags.† â€Å"The name is unknown to me,† Drizzt replied. â€Å"Home of the Harpells,† Regis explained. â€Å"A family of wizards renowned for their good-natured hospitality. I spent some time there on my way to Ten-Towns.† Wulfgar balked at the idea. The barbarians of Icewind Dale despised wizards, considering the black arts a power employed only by cowards. â€Å"I have no desire to view this place,† he stated flatly. â€Å"Who asked ye?† growled Bruenor, and Wulfgar found himself backing down from his resolve, like a son refusing to hold a stubborn argument in the face of a scolding by his father. â€Å"You will enjoy Longsaddle,† Regis assured him. â€Å"The Harpells have truly earned their hospitable reputation, and the wonders of Longsaddle will show you a side of magic you never expected. They will even accept†¦Ã¢â‚¬  He found his hand involuntarily pointing to Drizzt, and he cut short the statement in embarrassment. But the stoic drow just smiled. â€Å"Fear not, my friend,† he consoled Regis. â€Å"Your words ring of truth, and I have come to accept my station in your world.† He paused and looked individually into each uncomfortable stare that was upon him. â€Å"I know my friends, and I dismiss my enemies,† he stated with a finality that dismissed their worries. â€Å"With a blade, ye do,† Bruenor added with a soft chuckle, though Drizzt’s keen ears caught the whisper. â€Å"If I must,† the drow agreed, smiling. Then he rolled over to get some sleep, fully trusting in his friends’ abilities to keep him safe. They passed a lazy day in the shade beside the river. Late in the afternoon, Drizzt and Bruenor ate a meal and discussed their course, leaving Wulfgar and Regis soundly asleep, at least until they had eaten their own fill. â€Å"We’ll stay with the river for a night more,† Brueror said. â€Å"Then southeast across the open ground. That’d clear us of the wood and lay open a straight path ‘fore us.† â€Å"Perhaps it would be better if we traveled only by night for a few days,† Drizzt suggested. â€Å"We know not what eyes follow us out of the City of Sails.† â€Å"Agreed,† replied Bruenor. â€Å"Let’s be off, then. A long road before us, and a longer one after that!† â€Å"Too long,† murmured Regis, opening a lazy eye. Bruenor shot him a dangerous glare. He was nervous about this trek and about bringing his friends on a dangerous road, and in an emotional defense, he took all complaints about the adventure personally. â€Å"To walk, I mean,† Regis quickly explained. â€Å"There are farmhouses in this area, so there must be some horses about.† â€Å"Horses’d bring too a high price in these parts,† replied Bruenor. â€Å"Maybe†¦Ã¢â‚¬  said the halfling slyly, and his friends could easily guess what he was thinking. Their frowns reflected a general disapproval. â€Å"The crags stand before us!† Regis argued. â€Å"Horses might outrun orcs, but without them, we shall surely fight for every mile of our hike! Besides, it would only be a loan. We could return the beasts when we were through with them.† Drizzt and Bruenor did not approve of the halfling’s proposed trickery, but could not refute his logic. Horses would certainly aid them at this point of the journey. â€Å"Wake the boy,† Bruenor growled. â€Å"And about my plan?† asked Regis. â€Å"We’ll make the choice when we find the opportunity!† Regis was contented, confident that his friends would opt for the horses. He ate his fill, then scraped together the supper’s meager remnants and went to wake Wulfgar. * * * They were on the trail again soon after, and a short time after that, they saw the lights of a small settlement in the distance. â€Å"Take us there,† Bruenor told Drizzt. â€Å"Mighten be that Rumblebelly’s plan’s worth a try.† Wulfgar, having missed the conversation at the camp, didn’t understand, but offered no argument, or even questioned the dwarf. After the disaster at the Cutlass, he had resigned himself to a more passive role on the trip, letting the other three decide which trails they were to take. He would follow without complaint, keeping his hammer ready for when it became needed. They moved inland away from the river for a few miles, then came upon several farms clustered together inside a stout wooden fence. â€Å"There are dogs about,† Drizzt noted, sensing them with his exceptional hearing. â€Å"Then Rumblebelly goes in alone,† said Bruenor. Wulfgar’s face twisted in confusion, especially since the halfling’s look indicated that he wasn’t thrilled with the idea. â€Å"That I cannot allow,† the barbarian spouted. â€Å"If any among us needs protection, it is the little one. I’ll not hide here in the dark while he walks alone into danger!† â€Å"He goes in alone,† Bruenor said again. â€Å"We’re here for no fight, boy. Rumblebelly’s to get us some horses.† Regis smiled helplessly, caught fully in the trap that Bruenor had clearly set for him. Bruenor would allow him to appropriate the horses, as Regis had insisted, but with the grudging permission came a measure of responsibility and bravery on his part. It was the dwarf’s way, of absolving himself of involvement in the trickery. Wulfgar remained steadfast in his determination to stand by the halfling, but Regis knew that the young warrior might inadvertently cause him problems in such delicate negotiations. â€Å"You stay with the others,† he explained to the barbarian. â€Å"I can handle this deal alone.† Mustering up his nerve, he pulled his belt over the hang of his belly and strode off toward the small settlement. The threatening snarls of several dogs greeted him as he approached the fence’s gate. He considered turning back – the ruby pendant probably wouldn’t do him much good against vicious dogs – but then he saw the silhouette of a man leave one of the farmhouses and start his way. â€Å"What do you want?† the farmer demanded, standing defiantly on the other side of the gate and clutching an antique pole arm, probably passed down through his family’s generations. â€Å"I am but a weary traveler,† Regis started to explain, trying to appear as pitiful as he could. It was a tale the farmer had heard far too often. â€Å"Go away!† he ordered. â€Å"But – â€Å" â€Å"Get you gone!† Over a ridge some distance away, the three companions watched the confrontation, though only Drizzt viewed the scene in the dim light well enough to understand what was happening. The drow could see the tenseness in the farmer by the way he gripped the halberd, and could judge the deep resolve in the man’s demands by the unbending scowl upon his face. But then Regis pulled something out from under his jacket, and the farmer relaxed his grip upon the weapon almost immediately. A moment later, the gate swung open and Regis walked in. The friends waited anxiously for several grueling hours with no further sign of Regis. They considered confronting the farmers themselves, worried that some foul treachery had befallen the halfling. Then finally, with the moon well past its peak, Regis emerged from the gate, leading two horses and two ponies. The farmers and their families waved good-bye to him as he left, making him promise to stop and visit if he ever passed their way again. â€Å"Amazing,† laughed Drizzt. Bruenor and Wulfgar just shook their heads in disbelief. For the first time since he had entered the settlement, Regis pondered that his delay might have caused his friends some distress. The farmer had insisted that he join in for supper before they sat down to discuss whatever business he had come about, and since Regis had to be polite (and since he had only eaten one supper that day) he agreed, though he kept the meal as short as possible and politely declined, when offered his fourth helping. Getting the horses proved easy enough after that. All he had to do was promise to leave them with the wizards in Longsaddle when he and his friends moved on from there. Regis felt certain that his friends could not stay mad at him for very long. He had kept them waiting and worrying for half the night, but his endeavor would save them many days on a dangerous road. After an hour or two of feeling the wind rushing past them as they rode, they would forget any anger they held for him, he knew. Even if they didn’t so easily forgive, a good meal was always worth a little inconvenience to Regis. Drizzt purposely kept the party moving more to the east than the southeast. He found no landmarks on Bruenor’s map that would let him approximate the straight course to Longsaddle. If he tried the direct route and missed the mark, no matter how slightly, they would come upon the main road from the northern city of Mirabar not knowing whether to turn north or south. By going directly east, the drow was assured that they would hit the road to the north of Longsaddle. His path would add a few miles, but perhaps save them several days of backtracking. Their ride was clear and easy for the next day and night, and after that, Bruenor decided that they were far enough from Luskan to assume a more normal traveling schedule. â€Å"We can go by day, now,† he announced early in the afternoon of their second day with the horses. â€Å"I prefer the night,† Drizzt said. He had just awakened and was brushing down his slender, well-muscled black stallion. â€Å"Not me,† argued Regis. â€Å"Nights are for sleeping, and the horses are all but blind to holes and rocks that could lame them up.† â€Å"The best for both then,† offered Wulfgar, stretching the last sleep out of his bones. â€Å"We can leave after the sun peaks, keeping it behind us for Drizzt, and ride long into the night.† â€Å"Good thinking, lad,† laughed Bruenor. â€Å"Seems to be afternoon now, in fact. On the horses, then! Time’s for going!† â€Å"You might have held your thoughts to yourself until after supper!† Regis grumbled at Wulfgar, reluctantly hoisting the saddle onto the back of the little white pony. Wulfgar moved to help his struggling friend. â€Å"But we would have lost half a day’s ride,† he replied. â€Å"A pity that would have been,† Regis retorted. * * * That day, the fourth since they had left Luskan, the companions came upon the crags, a narrow stretch of broken mounds and rolling hills. A rough, untamed beauty defined the place, an overpowering sense of wilderness that gave every traveler here a feeling of conquest, that he might be the first to gaze upon any particular spot. And, as was always the case in the wilds, with the adventurous excitement came a degree of danger. They had barely entered the first dell in the up-and-down terrain when Drizzt spotted tracks that he knew well: the trampling march of an orc band. â€Å"Less than a day old,† he told his concerned companions. â€Å"How many?† asked Bruenor. Drizzt shrugged. â€Å"A dozen at least, maybe twice that number.† â€Å"We’ll keep to our path,† the dwarf suggested. â€Å"They’re in front of us, and that’s better’n behind.† When sunset came, marking the halfway point of that day’s journey, the companions took a short break, letting the horses graze in a small meadow. The orc trail was still before them, but Wulfgar, taking up the rear of the troupe had his sights trained behind. â€Å"We are being followed,† he said to his friends’ inquiring faces. â€Å"Orcs?† Regis asked. The barbarian shook his head. â€Å"None like I have ever seen. By my reckoning, our pursuit is cunning and cautious.† â€Å"Might be that the orcs here are more wise to the ways of goodly folk than be the orcs of the dale,† said Bruenor, but he suspected something other than orcs, and he didn’t have to look at Regis to know that the halfling shared his concerns. The first map marking that Regis had identified as an ancestral mound could not be far from their present position. â€Å"Back to the horses,† Drizzt suggested. â€Å"A hard ride might do much to improve our position.† â€Å"Go till after moonset,† Bruenor agreed. â€Å"And stop when ye’ve found a place we can hold against attack. I’ve a feeling we’re to see some fighting ‘fore the dawn finds us!† They encountered no tangible signs during the ride, which took them nearly across the span of the crags. Even the orc trail faded off to the north, leaving the path before them apparently clear. Wulfgar was certain, though, that he caught several sounds behind them, and movements along the periphery of his vision. Drizzt would have liked to continue until the crags were fully behind them, but in the harsh terrain, the horses had reached the limit of their endurance. He pulled up into a small copse of fir trees set on top of a small rise, fully suspecting, like the others, that unfriendly eyes were watching them from more than one direction. Drizzt was up one of the trees before the others had even dismounted. They tethered the horses close together and set themselves around the beasts. Even Regis would find no sleep, for, though he trusted Drizzt’s night vision, his blood had already begun pumping in anticipation of what was to come. Bruenor, a veteran of a hundred fights, felt secure enough in his battle prowess. He propped himself calmly against a tree, his many-notched axe across his chest, one hand firmly in place upon its handle. Wulfgar, though, made other preparations. He began by gathering together broken sticks and branches and sharpening their points. Seeking every advantage, he set them in strategic positions around the area to provide the best layout for his stand, using their deadly points to cut down the routes of approach for his attackers. Other sticks he cunningly concealed in angles that would trip up and stick the orcs before they ever reached him. Regis, the most nervous of all, watched it all and noted the differences in his friends’ tactics. He felt that there was little he could do to prepare himself for such a fight, and he sought only to keep himself far enough out of the way so as not to hinder the efforts of his friends. Perhaps the opportunity would arise for him to make a surprise strike, but he didn’t even consider such possibilities at this point. Bravery came to the halfling spontaneously. It was certainly nothing he ever planned. With all of their diversions and preparations deflecting their nervous anticipation, it came as almost a relief when, barely an hour later, their anxiety became reality. Drizzt whispered down to them that there was movement on the fields below the copse. â€Å"How many?† Bruenor called back. â€Å"Four to one against us, and maybe more,† Drizzt replied. The dwarf turned to Wulfgar. â€Å"Ye ready, boy?† Wulfgar slapped his hammer out before him. â€Å"Four against one?† he laughed. Bruenor liked the young warrior’s confidence, though the dwarf realized that the odds might actually prove more lopsided, since Regis wouldn’t likely be out in the open fighting. â€Å"Let ’em in, or hit them out in the field?† Bruenor asked Drizzt. â€Å"Let them in,† the drow replied. â€Å"Their stealthy approach shows me that they believe surprise is with them.† â€Å"And a turned surprise is better’n a first blow from afar,† Bruenor finished. â€Å"Do what ye can with yer bow when it’s started, elf. We’ll be waitin’ fer ye!† Wulfgar imagined the fire seething in the drow’s lavender eyes, a deadly gleam that always belied Drizzt’s outward calm before a battle. The barbarian took comfort, for the drow’s lust for battle outweighed even his own, and he had never seen the whirring scimitars outdone by any foe. He slapped his hammer again and crouched in a hole beside the roots of one of the trees. Bruenor slipped between the bulky bodies of two of the horses, pulling his feet up into a stirrup on each, and Regis, after he had stuffed the bedrolls to give the appearance of sleeping bodies, scooted under the low-hanging boughs of one of the trees. The orcs approached the camp in a ring, obviously looking for an easy strike. Drizzt smiled in hope as he noted the gaps in their ring, open flanks that would prevent quick support to any isolated group. The whole band would hit the perimeter of the copse together, and Wulfgar, closest to the edge, would most likely launch the first strike. The orcs crept in, one group slipping toward the horses, another toward the bedrolls. Four of them passed Wulfgar, but he waited a second longer, allowing the others to get close enough to the horses for Bruenor to strike. Then the time for hiding had ended. Wulfgar sprang from his concealment, Aegis-fang, his magical warhammer, already in motion. â€Å"Tempus!† he cried to his god of battle, and his first blow crashed in, swatting two of the orcs to the ground. The other group rushed to get the horses free and out of the camp, hoping to cut off any escape route. But were greeted by the snarling dwarf and his ringing axe! As the surprised orcs leaped into the saddles, Bruenor clove one down the middle, and took a second one’s head clean from its shoulders before the remaining two even knew that they had been attacked. Drizzt picked as targets the orcs closest to the groups under attack, delaying the support against his friends for as long as possible. His bowstring twanged, once, twice, and a third time, and a like number of orcs fell to the earth, their eyes closed and their hands helplessly clenched upon the shafts of the killing arrows. The surprise strikes had cut deeply into the ranks of their enemies, and now the drow pulled his scimitars and dropped from his perch, confident that he and his companions could finish the rest off quickly. His smile was short-lived, though, for as he descended, he noticed more movement in the field. Drizzt had come down in the middle of three creatures, his blades in motion before his feet had even touched the ground. The orcs were not totally surprised – one had seen the drow dropping – but Drizzt had them off balance and swinging around to bring their weapons to bear. With the drow’s lightninglike strikes, any delay at all meant certain death, and Drizzt was the only one in the jumble of bodies under control. His scimitars slashed and thrust into orcan flesh with killing precision. Wulfgar’s fortunes were equally bright. He faced two of the creatures, and though they were vicious fighters, they could not match the giant barbarian’s power. One got its crude weapon up in time to block Wulfgar’s swing, but Aegis-fang blasted through the defense, shattering the weapon and then the unfortunate orc’s skull without even slowing for the effort. Bruenor fell into trouble first. His initial attacks went off perfectly, leaving him with only two standing opponents – odds that the dwarf liked. But in the excitement, the horses reared and bolted, tearing their tethers free from the branches. Bruenor tumbled to the ground, and before he could recover, was clipped in the head by the hoof of his own pony. One of the orcs was similarly thrown down, but the last one landed free of the commotion and rushed to finish off the stunned dwarf as the horses cleared the area. Luckily, one of those spontaneous moments of bravery came over Regis at that moment. He slipped out from under the tree, falling in silently behind the orc. It was tall for an orc, and even on the tips of his toes, Regis did not like the angle of a strike at its head. Shrugging resignedly, the halfling reversed his strategy. Before the orc could even begin to strike at Bruenor, the halfling’s mace came up between its knees and higher, driving into its groin and lifting it clear off the ground. The howling victim grasped at its injury, its eyes lolling about aimlessly, and dropped to the ground with no further ambitions for battle. It had all happened in an instant, but victory was not yet won. Another six orcs poured into the fray, two cutting off Drizzt’s attempt to get to Regis and Bruenor, three more going to the aid of their lone companion facing the giant barbarian. And one, creeping along the same line Regis had taken, closed on the unsuspecting halfling. At the same moment Regis made out the drow’s warning call, a club slammed between his shoulder blades, blasting the wind from his lungs and tossing him to the ground. Wulfgar was pressed on all four sides, and despite his boasts before the battle, he found that he didn’t care for the situation. He concentrated on parrying, hoping that the drow could get to him before his defenses broke down. He was too badly outnumbered. An orcan blade cut into a rib, another clipped his arm. Drizzt knew that he could defeat the two he now faced, but doubted that it would be in time for him to help his barbarian friend. Or the halfling. And there were still reinforcements on the field. Regis rolled onto his back to lay right beside Bruenor, and the dwarf’s groaning told him that the fight was over for both of them. Then the orc was above him, its club raised above its head, and an evil smile spread wide upon its ugly face. Regis closed his eyes, having no desire to watch the descent of the blow that would kill him. Then he heard the sound of impact†¦above him. Startled, he opened his eyes. A hatchet was embedded into his attacker’s chest. The orc looked down at it, stunned. The club dropped harmlessly behind the orc, and it, too, fell backward, quite dead. Regis didn’t understand. â€Å"Wulfgar?† he asked into the air. A huge form, nearly as large as Wulfgar’s, sprang over him and pounced upon the orc, savagely tearing the hatchet free. He was human, and wearing the furs of a barbarian, but unlike the tribes of Icewind Dale, this man’s hair was black. â€Å"Oh, no,† Regis groaned, remembering his own warnings to Bruenor about the Uthgardt barbarians. The man had saved his life, but knowing the savage reputation, Regis doubted that a friendship would grow out of the encounter. He started to sit up, wanting to express his sincere thanks and dispel any unfriendly notions the barbarian might have about him. He even considered using the ruby pendant to evoke some friendly feelings. But the big man, noting the movement, spun suddenly and kicked him in the face. And Regis fell backward into blackness. How to cite Streams of Silver 5. The Crags, Essay examples

Friday, December 6, 2019

Develop Menus High Blood Pressure and Heart Rate

Question: Discuss about theDevelop Menusfor High Blood Pressure and Heart Rate. Answer: Introduction The patient, Mr. Giles, a 61-year-old male was admitted to a hospital with high blood pressure and heart rate. He had cholesterol and had a habit of smoking. Hence suffered a stroke and as a result had short-term memory loss. He had been under control since the last 14 months. However, he was overweight, had stomach problems, lack of energy, irritability and developed rashes on legs, occasionally. Due to the obesity, he was unable to walk without a walking stick and suffered from mild depression. He was admitted to a hospital, undergone some blood test and was detected with type 2 diabetes. The allergy test detected that the patient was allergic to nuts, raw tomatoes, garlic and nuts. Moreover, he was intolerant to wheat/gluten (Ceoliac) and lactose. 14-day menu that takes into account all allergies and intolerances the patient (Mr Giles) has. The menu and recipes must consist of the follow categories: Table 1: Menu Recipes Breakfast cup of high fibre breakfast cereal with low fat lactose free milk or 2 bread slices, toast (made of whole grain other than wheat) with avagado or margarine, grilled tomato, baked beans, 1 fruit (other than strawberry), tea or coffee. Lunch 1 /2 to 1 cup of pasta or cooked rice or two small potatoes. Other vegetables can be added as per requirement. 65 to 80 grams of lean meat, seafood, skinless poultry, egg or legumes like beans (1 cup cooked). 1 fruit (other than strawberry), tea, water or coffee. Dinner 1 bread slices (gluten free) served with margarine, or fat free mayonnaise made from lactose free milk. Vegetable salads (other than raw tomatoes). 65 to 80 grams of lean meat, or 100 grams of fish or seafood, skinless poultry, egg or legumes like beans (1 cup cooked). 1 fruit (other than strawberry), tea, coffee or water. With a choice at each meal period 1 fruit (other than strawberry) 1 cup lactose free yoghurt, 1 slice bread (gluten free, made of grain other than wheat), high fibre crispy breads or crackers. Table 2: Week 1 Menu Plan Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Breakfast 2 bread slices + low fat lactose free milk+ tea Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Toast+ grilled tomatoes +tea+ 1 fruit 2 bread slices + low fat lactose free milk+ tea Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Lunch 1 bread roll+ vegetables+ 1 egg+ 1 fruit + coffee 2 bread slices+ vegetable+ seafood+ low fat lactose free yoghurt+ tea 1 cup cooked pasta+ vegetables+ lean meat+ fatless lactose free custard 1 cup sweet corn+ egg+ vegetables+ beans+ low fat lactose free yoghurt+ coffee 2 medium potatoes+ vegetable+ legumes+ 1 fruit+ tea 1 cup sweet potato+ vegetable+ lentils+ custard 1 cup cooked rice+ skinless poultry+ vegetables + fat reduced cheese+ 1 fruit+ tea Dinner 1 sandwich (2 bread slices) with thinly spread margarine+ vegetables for salad+ skinless poultry+ 1 fruit+ tea 1 bread roll with avocado+ salad vegetable+ fat reduced cheese+ 1 fruit+ coffee 4 bread biscuits+ vegetable+ lean meat+ 1 fruit+ tea 2 bread slices with thinly spread margarine+ vegetable for salad+ beans+ tea 1 sandwich (2 bread slices) with thinly spread margarine+ vegetables for salad+ seafood+ 1 fruit+ tea 1 bread roll with fat free mayonnaise+ salad vegetable+ egg+ 1 fruit+ coffee 4 bread biscuits+ vegetable+ legumes+ 1 fruit+ coffee With a choice at each meal period 2 high fibre crisp breads 1 cup low fat lactose free milk 2 high fibre crackers 1 slice fruit bread 1 cup of low fat lactose free yoghurt 1 fruit 1 slice of bread (gluten free) Table 3: Week 2 Menu Plan Day 8 Day 9 Day 10 Day 11 Day 12 Day 13 Day 14 Breakfast Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Baked beans+ toast with thinly spread jam +1 fruit+ coffee Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Toast+ grilled tomatoes +tea+ 1 fruit Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Baked beans+ toast with thinly spread jam +1 fruit+ coffee Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Lunch 1 cup cooked pasta+ vegetables+ lean meat+ fatless lactose free yoghurt 1 cup sweet corn+ egg+ vegetables+ beans+ custard+ fruit 2 medium potatoes+ vegetable+ lentils+ 1 fruit+ tea 2 bread slices+ vegetable+ seafood+ low fat lactose free yoghurt+ tea 1 cup cooked rice+ skinless poultry+ vegetables + fat reduced cheese+ 1 fruit 1 bread roll+ vegetables+ 1 egg+ 1 fruit + coffee 1 cup sweet potato+ vegetable+ lentils+ low fat yoghurt+ coffee Dinner 1 bread roll with avocado+ salad vegetable+ legumes+ 1 fruit+ coffee 4 bread biscuits+ vegetable salad+ egg+ 1 fruit+ tea 2 bread slices with thinly spread margarine+ vegetable for salad+ seafood+ tea 4 bread biscuits+ vegetable salads+ lentils+ 1 fruit+ coffee 1 sandwich (2 bread slices) with thinly spread fat free mayonnaise+ vegetables for salad+ skinless poultry+ 1 fruit+ coffee 2 bread slices with thinly spread avocado+ vegetable for salad+ lean meat+ tea 4 bread biscuits+ vegetable salads+ skinless poultry+ 1 fruit+ tea With a choice at each meal period 1 fruit 1 cup of low fat lactose free yoghurt 1 slice of bread (gluten free) 2 high fibre crisp breads 1 cup low fat lactose free milk 1 slice fruit bread 2 high fibre crackers In compiling the menu, several issues or constraints due to the establishment have been highlighted: Giles diet plan has been planned in accordance to the allergies and intolerances he was detected with in the blood test. He was allergic to nuts, garlic, raw tomatoes and strawberries. In the diet plan, baked or grilled tomatoes have replaced the raw tomatoes. Raw tomatoes are excluded from the vegetables in the salad or as side dishes. Among fruits, all fruits are included other than strawberries as the patient is allergic to strawberries The spread on the bread in the breakfast, dinner or between meals are devoid of peanut butter or any nuts and replaced by avocado. Nuts and garlic are not included in the diet as the patient is allergic to them. Gluten free breads are recommended in the diet plan, as the patient is intolerant to wheat/gluten. The patient is intolerant to lactose; hence, lactose free milk and yoghurt have been included in the diet plan. The choice of ingredients and the dishes have been analyzed and the dishes are considered to be suitable and in compliance with the dietary restrictions. The meal is planned for a 61 year old, male patient with diabetes such that- the size of the servings are appropriate for him, the meals are spread uniformly, they are capable of providing balanced diet, the meal panned has low content of fat, specifically saturated fat. The diet plan is containing high fiber carbohydrates like cereals, breads, beans, vegetables and fruits. As per the instructions by the dietician, the dishes must have the fat content of less than 2% o free from cholesterol. Hence, the diet has been planned following the dieticians instructions. Moreover, the patient as found to be gaining weight as well as had high cholesterol issues. Moreover, the patient had low energy levels. Hence, the patient was in high requirement of diet with good fats. The fats are the sources of energy found in all food items. Nevertheless, the type and quantity of fat intake is vital for maintaining a healthy life. However, consuming high amount of fat may lead to gaining of weight. It will also contribute to increasing the blood glucose level making the patient severely ill. Hence, the diet has been planned with small amounts of fat, which will impart good taste to the food as well as it will also reduce the risk of developing further cardiovascular complications which the patient already encountered two years back. According to the Australian dietary guidelines, the diet needs to be balanced and must contain all the five food groups. The five food groups include: Vegetables and legumes Fruits Wholegrain cereals or high fiber containing cereal food Lean meat, fish, poultry, eggs, nuts, seeds and legumes Reduced fat milk, cheese and yoghurt According to the Australian dietary guidelines, unsaturated fats and oils can be permitted for cooking. Moreover, nuts and seed can also be included in the diet for patients of age less than 70 years, male. The prescribed quantity is 28 to 40 grams per day (diabetesnsw.com.au, 2016). Table 4: Diet plan for 61 year old male as per Australian dietary guidelines Men 51-70 years Vegetables and legumes Fruits Grains (Cereal) Lean meat, fish, poultry, eggs, nuts, seeds and legumes Reduced fat milk, cheese and yoghurt 5.5 2 6 2.5 2.5 The menu that has been framed meets all the 5 food groups in the recommended quantities. The diet that has been planned contains all the items from the food groups like the cereals (breads), vegetables and legumes like beans, tomatoes, fruits, vegetable salads, beverages like tea, coffee or water. The diet also contains lean meat, fish, eggs and seeds. It contains reduced fat milk, cheese and yoghurt. However, the diet does not contain the nuts as per the guidelines as the patient is allergic to nuts and the milk or yoghurt prescribed in the diet plan is lactose free as the patient has intolerant to it (Ramsden et., 2013). The dishes are planned such that the fat management is properly done. Hence, the menu contains baked, grilled, fat free food items as well as the alcohols or such beverages are also limited in the diet plan. Skinless chicken is recommended to reduce the trans fat and saturated fat intake. Fried foods are avoided. The menu limits fats, salts, sugar and alcohol. The menu contains low fat milk, yoghurt and lean meat. Butter, coconut cream or such saturated or trans saturated fat rich food items are not included in the diet plan, the diet plan does not contain any high sugar containing food. However, the diet plans of diabetes may contain sugar, hence, the sugar content in vegetables like potatoes, sweet corn, although their quantity has been limited. The diet plan does not contain any alcohol; however, lite beers can be added as they have less than 3% alcohol content. As a result, it would not contribute to weight gain. The quantity of salt in the diet is also maintained well while planning the diet. The food must be prepared and stored safely for wellbeing of the patient and ensure his speedy recovery. The food must be prepared in a hygienic environment and stored properly such that the food does not get contaminated. Moreover, special attention must be provided as the patient had stomach issues, hence food should be cooked well and easily digestible. The following points have played significant part while planning the diet for the patient: The nutrients and the food sources are carbohydrates (potatoes), fats (reduced fat milk), proteins (fish, meat, eggs). The kind of food planned in the diet chart have possible influences in weight loss, less chances of heart diseases, the diet has been planned as per the patient requirement and allergies. The foods and beverages selected are tea, coffee or water in limited quantity. The food labeling and interpretation were also taken into account for planning the diet. The food additives are not used in the diet to ensure further reactions like rashes or digestion related problems are eliminated. Poor food choices may lead to deterioration of the patient as if the allergens might cause allergic reactions or the lactose might cause rashes in the patient. Consumption of high fat containing food might increase weight and cause heart diseases. However, the diet has been planned considering all the issues. Following good and healthy food habits like the one planned in the diet chart will help avoid dietary diseases like heart diseases, obesity and diabetes. Baked, grilled and boiled foods are the healthy choices of cooking that would ensure proper digestion, weight management and healthy life. The choices of the food in the diet chart are planned as per the patient preferences. This would facilitate active participation in the food related habits that will accelerate the recovery procedure of the patient. The few other things that are to be considered for discussion with the dietician are: Whether the patient was compliant to the previous diet plan. Reason: the compliance of the patient to previous diet will facilitate the treatment procedures. Whether the patient has serious dental problems. Reason: The information on patients dental condition will help in maintaining the texture and consistency of the food. If the patient has dental problems, he might need food that can be chewed easily. This will enhance the ability of the patient to digest the foods easily. Whether the patient has any special dietary requirement like vegetarian diet, religion and belief based diets. Reason: The information and knowledge regarding the special dietary requirements by the patient will help promoting the entire nutrition process and the patient preferences can be accommodated accordingly. References: Ramsden, C. E., Zamora, D., Leelarthaepin, B., Majchrzak-Hong, S. F., Faurot, K. R., Suchindran, C. M., ... Hibbeln, J. R. (2013). Use of dietary linoleic acid for secondary prevention of coronary heart disease and death: evaluation of recovered data from the Sydney Diet Heart Study and updated meta-analysis.Bmj,346. www.diabetesnsw.com.au,. (2016). Retrieved 27 October 2016, from https://diabetesnsw.com.au/wp-content/uploads/2014/12/DA-15-Food-choices-for-people-with-diabetes.pdf

Develop Menus High Blood Pressure and Heart Rate

Question: Discuss about theDevelop Menusfor High Blood Pressure and Heart Rate. Answer: Introduction The patient, Mr. Giles, a 61-year-old male was admitted to a hospital with high blood pressure and heart rate. He had cholesterol and had a habit of smoking. Hence suffered a stroke and as a result had short-term memory loss. He had been under control since the last 14 months. However, he was overweight, had stomach problems, lack of energy, irritability and developed rashes on legs, occasionally. Due to the obesity, he was unable to walk without a walking stick and suffered from mild depression. He was admitted to a hospital, undergone some blood test and was detected with type 2 diabetes. The allergy test detected that the patient was allergic to nuts, raw tomatoes, garlic and nuts. Moreover, he was intolerant to wheat/gluten (Ceoliac) and lactose. 14-day menu that takes into account all allergies and intolerances the patient (Mr Giles) has. The menu and recipes must consist of the follow categories: Table 1: Menu Recipes Breakfast cup of high fibre breakfast cereal with low fat lactose free milk or 2 bread slices, toast (made of whole grain other than wheat) with avagado or margarine, grilled tomato, baked beans, 1 fruit (other than strawberry), tea or coffee. Lunch 1 /2 to 1 cup of pasta or cooked rice or two small potatoes. Other vegetables can be added as per requirement. 65 to 80 grams of lean meat, seafood, skinless poultry, egg or legumes like beans (1 cup cooked). 1 fruit (other than strawberry), tea, water or coffee. Dinner 1 bread slices (gluten free) served with margarine, or fat free mayonnaise made from lactose free milk. Vegetable salads (other than raw tomatoes). 65 to 80 grams of lean meat, or 100 grams of fish or seafood, skinless poultry, egg or legumes like beans (1 cup cooked). 1 fruit (other than strawberry), tea, coffee or water. With a choice at each meal period 1 fruit (other than strawberry) 1 cup lactose free yoghurt, 1 slice bread (gluten free, made of grain other than wheat), high fibre crispy breads or crackers. Table 2: Week 1 Menu Plan Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Breakfast 2 bread slices + low fat lactose free milk+ tea Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Toast+ grilled tomatoes +tea+ 1 fruit 2 bread slices + low fat lactose free milk+ tea Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Lunch 1 bread roll+ vegetables+ 1 egg+ 1 fruit + coffee 2 bread slices+ vegetable+ seafood+ low fat lactose free yoghurt+ tea 1 cup cooked pasta+ vegetables+ lean meat+ fatless lactose free custard 1 cup sweet corn+ egg+ vegetables+ beans+ low fat lactose free yoghurt+ coffee 2 medium potatoes+ vegetable+ legumes+ 1 fruit+ tea 1 cup sweet potato+ vegetable+ lentils+ custard 1 cup cooked rice+ skinless poultry+ vegetables + fat reduced cheese+ 1 fruit+ tea Dinner 1 sandwich (2 bread slices) with thinly spread margarine+ vegetables for salad+ skinless poultry+ 1 fruit+ tea 1 bread roll with avocado+ salad vegetable+ fat reduced cheese+ 1 fruit+ coffee 4 bread biscuits+ vegetable+ lean meat+ 1 fruit+ tea 2 bread slices with thinly spread margarine+ vegetable for salad+ beans+ tea 1 sandwich (2 bread slices) with thinly spread margarine+ vegetables for salad+ seafood+ 1 fruit+ tea 1 bread roll with fat free mayonnaise+ salad vegetable+ egg+ 1 fruit+ coffee 4 bread biscuits+ vegetable+ legumes+ 1 fruit+ coffee With a choice at each meal period 2 high fibre crisp breads 1 cup low fat lactose free milk 2 high fibre crackers 1 slice fruit bread 1 cup of low fat lactose free yoghurt 1 fruit 1 slice of bread (gluten free) Table 3: Week 2 Menu Plan Day 8 Day 9 Day 10 Day 11 Day 12 Day 13 Day 14 Breakfast Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Baked beans+ toast with thinly spread jam +1 fruit+ coffee Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Toast+ grilled tomatoes +tea+ 1 fruit Toast with thinly spread margarine+ baked beans+ 1 fruit +tea Baked beans+ toast with thinly spread jam +1 fruit+ coffee Low fat lactose free milk+ 2 bread slices+ coffee+ 1 fruit Lunch 1 cup cooked pasta+ vegetables+ lean meat+ fatless lactose free yoghurt 1 cup sweet corn+ egg+ vegetables+ beans+ custard+ fruit 2 medium potatoes+ vegetable+ lentils+ 1 fruit+ tea 2 bread slices+ vegetable+ seafood+ low fat lactose free yoghurt+ tea 1 cup cooked rice+ skinless poultry+ vegetables + fat reduced cheese+ 1 fruit 1 bread roll+ vegetables+ 1 egg+ 1 fruit + coffee 1 cup sweet potato+ vegetable+ lentils+ low fat yoghurt+ coffee Dinner 1 bread roll with avocado+ salad vegetable+ legumes+ 1 fruit+ coffee 4 bread biscuits+ vegetable salad+ egg+ 1 fruit+ tea 2 bread slices with thinly spread margarine+ vegetable for salad+ seafood+ tea 4 bread biscuits+ vegetable salads+ lentils+ 1 fruit+ coffee 1 sandwich (2 bread slices) with thinly spread fat free mayonnaise+ vegetables for salad+ skinless poultry+ 1 fruit+ coffee 2 bread slices with thinly spread avocado+ vegetable for salad+ lean meat+ tea 4 bread biscuits+ vegetable salads+ skinless poultry+ 1 fruit+ tea With a choice at each meal period 1 fruit 1 cup of low fat lactose free yoghurt 1 slice of bread (gluten free) 2 high fibre crisp breads 1 cup low fat lactose free milk 1 slice fruit bread 2 high fibre crackers In compiling the menu, several issues or constraints due to the establishment have been highlighted: Giles diet plan has been planned in accordance to the allergies and intolerances he was detected with in the blood test. He was allergic to nuts, garlic, raw tomatoes and strawberries. In the diet plan, baked or grilled tomatoes have replaced the raw tomatoes. Raw tomatoes are excluded from the vegetables in the salad or as side dishes. Among fruits, all fruits are included other than strawberries as the patient is allergic to strawberries The spread on the bread in the breakfast, dinner or between meals are devoid of peanut butter or any nuts and replaced by avocado. Nuts and garlic are not included in the diet as the patient is allergic to them. Gluten free breads are recommended in the diet plan, as the patient is intolerant to wheat/gluten. The patient is intolerant to lactose; hence, lactose free milk and yoghurt have been included in the diet plan. The choice of ingredients and the dishes have been analyzed and the dishes are considered to be suitable and in compliance with the dietary restrictions. The meal is planned for a 61 year old, male patient with diabetes such that- the size of the servings are appropriate for him, the meals are spread uniformly, they are capable of providing balanced diet, the meal panned has low content of fat, specifically saturated fat. The diet plan is containing high fiber carbohydrates like cereals, breads, beans, vegetables and fruits. As per the instructions by the dietician, the dishes must have the fat content of less than 2% o free from cholesterol. Hence, the diet has been planned following the dieticians instructions. Moreover, the patient as found to be gaining weight as well as had high cholesterol issues. Moreover, the patient had low energy levels. Hence, the patient was in high requirement of diet with good fats. The fats are the sources of energy found in all food items. Nevertheless, the type and quantity of fat intake is vital for maintaining a healthy life. However, consuming high amount of fat may lead to gaining of weight. It will also contribute to increasing the blood glucose level making the patient severely ill. Hence, the diet has been planned with small amounts of fat, which will impart good taste to the food as well as it will also reduce the risk of developing further cardiovascular complications which the patient already encountered two years back. According to the Australian dietary guidelines, the diet needs to be balanced and must contain all the five food groups. The five food groups include: Vegetables and legumes Fruits Wholegrain cereals or high fiber containing cereal food Lean meat, fish, poultry, eggs, nuts, seeds and legumes Reduced fat milk, cheese and yoghurt According to the Australian dietary guidelines, unsaturated fats and oils can be permitted for cooking. Moreover, nuts and seed can also be included in the diet for patients of age less than 70 years, male. The prescribed quantity is 28 to 40 grams per day (diabetesnsw.com.au, 2016). Table 4: Diet plan for 61 year old male as per Australian dietary guidelines Men 51-70 years Vegetables and legumes Fruits Grains (Cereal) Lean meat, fish, poultry, eggs, nuts, seeds and legumes Reduced fat milk, cheese and yoghurt 5.5 2 6 2.5 2.5 The menu that has been framed meets all the 5 food groups in the recommended quantities. The diet that has been planned contains all the items from the food groups like the cereals (breads), vegetables and legumes like beans, tomatoes, fruits, vegetable salads, beverages like tea, coffee or water. The diet also contains lean meat, fish, eggs and seeds. It contains reduced fat milk, cheese and yoghurt. However, the diet does not contain the nuts as per the guidelines as the patient is allergic to nuts and the milk or yoghurt prescribed in the diet plan is lactose free as the patient has intolerant to it (Ramsden et., 2013). The dishes are planned such that the fat management is properly done. Hence, the menu contains baked, grilled, fat free food items as well as the alcohols or such beverages are also limited in the diet plan. Skinless chicken is recommended to reduce the trans fat and saturated fat intake. Fried foods are avoided. The menu limits fats, salts, sugar and alcohol. The menu contains low fat milk, yoghurt and lean meat. Butter, coconut cream or such saturated or trans saturated fat rich food items are not included in the diet plan, the diet plan does not contain any high sugar containing food. However, the diet plans of diabetes may contain sugar, hence, the sugar content in vegetables like potatoes, sweet corn, although their quantity has been limited. The diet plan does not contain any alcohol; however, lite beers can be added as they have less than 3% alcohol content. As a result, it would not contribute to weight gain. The quantity of salt in the diet is also maintained well while planning the diet. The food must be prepared and stored safely for wellbeing of the patient and ensure his speedy recovery. The food must be prepared in a hygienic environment and stored properly such that the food does not get contaminated. Moreover, special attention must be provided as the patient had stomach issues, hence food should be cooked well and easily digestible. The following points have played significant part while planning the diet for the patient: The nutrients and the food sources are carbohydrates (potatoes), fats (reduced fat milk), proteins (fish, meat, eggs). The kind of food planned in the diet chart have possible influences in weight loss, less chances of heart diseases, the diet has been planned as per the patient requirement and allergies. The foods and beverages selected are tea, coffee or water in limited quantity. The food labeling and interpretation were also taken into account for planning the diet. The food additives are not used in the diet to ensure further reactions like rashes or digestion related problems are eliminated. Poor food choices may lead to deterioration of the patient as if the allergens might cause allergic reactions or the lactose might cause rashes in the patient. Consumption of high fat containing food might increase weight and cause heart diseases. However, the diet has been planned considering all the issues. Following good and healthy food habits like the one planned in the diet chart will help avoid dietary diseases like heart diseases, obesity and diabetes. Baked, grilled and boiled foods are the healthy choices of cooking that would ensure proper digestion, weight management and healthy life. The choices of the food in the diet chart are planned as per the patient preferences. This would facilitate active participation in the food related habits that will accelerate the recovery procedure of the patient. The few other things that are to be considered for discussion with the dietician are: Whether the patient was compliant to the previous diet plan. Reason: the compliance of the patient to previous diet will facilitate the treatment procedures. Whether the patient has serious dental problems. Reason: The information on patients dental condition will help in maintaining the texture and consistency of the food. If the patient has dental problems, he might need food that can be chewed easily. This will enhance the ability of the patient to digest the foods easily. Whether the patient has any special dietary requirement like vegetarian diet, religion and belief based diets. Reason: The information and knowledge regarding the special dietary requirements by the patient will help promoting the entire nutrition process and the patient preferences can be accommodated accordingly. References: Ramsden, C. E., Zamora, D., Leelarthaepin, B., Majchrzak-Hong, S. F., Faurot, K. R., Suchindran, C. M., ... Hibbeln, J. R. (2013). Use of dietary linoleic acid for secondary prevention of coronary heart disease and death: evaluation of recovered data from the Sydney Diet Heart Study and updated meta-analysis.Bmj,346. www.diabetesnsw.com.au,. (2016). Retrieved 27 October 2016, from https://diabetesnsw.com.au/wp-content/uploads/2014/12/DA-15-Food-choices-for-people-with-diabetes.pdf