Othello was Insane :: Othello essays

Othello was Insane           Shakespeare's Othello is a prime case of a cunningly made catastrophe. Othello himself has all the components of a lamentable saint: the individual complaint including a companion and cherished one, the lamentable blemish (artlessness), the penance of self destruction. Othello's solid love for his better half also, the affection that Desdemona shows him by selling out her dad shows the bond among them.  As a man Othello was fair and noted with high respect around Venice, likewise a solid and extraordinary leader.  Every extraordinary pioneer has a lot of weight on him regardless of how incredible the leader.  The worry of fight, the envy, and the loss of respect are what drove Othello crazy and this is the reason he hath slaughtered his better half.           Although the pressure of fight was not referenced in the play one could envision the burdens put on a man with such accounts of fight that Othello himself told Brabantio.  Her dad adored me, oft welcomed me; /Still addressed me a mind-blowing tale/From year to year-the fights attacks, fortunes/That I have passed.(I, iii, 128-131) The various fights what's more, the difficulties of war wear a man down.  The worries of ordinary things at work get to us however the worries of fight must be and uncountable occasions worse.  Othello appeared to be and was referenced as a decent pioneer with the regard of the Duke.  The worries of being a person of color driving a multitude of white warriors that may regard you as a pioneer yet probably won't regard you as a human would influence you too.           Othello appeared to deal with the worries of war fine and dandy however with the desire included into his life by the most underhanded Iago's plot against him and Cassio was something that Othello experienced difficulty managing.  Othello was new to the wedded life and would not like to abandon his better half so he left her in the possession of the genuine Iago.  My life upon her confidence! - Honest Iago, /My Desdemona must I leave to thee(I, iii, 294-295).  Iago caused the desire in Othello's heart and caused it to get overwhelmed with emotion and with some bogus confirmation made Othello start his break from the real world.           The respect lost by the gossip of a conning spouse was the straw that

Amazon.com Marketing essays

Amazon.com Marketing expositions I have chosen to assess the promoting methodologies of Amazon.com. Amazon.com is presumably the most generally known about the website organizations on the planet today. They began as basically an on-line book shop, yet they have enormously extended their item contributions. They show up now to endeavor to situate themselves as the one-quit shopping shelter of the Internet. Today, Amazon.com is the spot to discover and find anything you need to purchase online....We have Earth's Biggest SelectionTM of items, including free electronic welcome cards, online sales, and a great many books, CDs, recordings, DVDs, toys and games, and hardware. (About Amazon.com, amazon.com). They are speaking to conceivably all market sections. Along these lines, the main inquiry I will endeavor to reply in this paper is the manner by which Amazon will arrive at each one of those potential markets, get them to their site, get them to buy, and get them to return. The following inquiry I will answer is the m eans by which Amazons approach contrasts from a standard stores approach. The Internet is changing the manner in which buyers and organizations locate one another. The Internet gives moment access to purchasers to organizations data and items. This gives organizations an extraordinary chance to arrive at a large number of individuals at an extremely ease. The Internet makes it feasible for [a] support to choose any of a large number of messages and to all the while narrowcast any of them to a huge number of various people. It is similarly as simple for clients to demand the data in any case, or to react electronically once they have it. (McCarthy ... <!

Malibu in Redwood City Closes free essay sample

Malibu: ass infant goals on the market Malibu, whose call on my own beckons nostalgia, has eventually closed after 35 years of rushing across the track and hustling cash. The Gypsy Castle turned into home to birthday parties, PEG qualifiers, boat races, arcade opposition, batting cage classes, cart racing, and masses of a laugh. The Palace Entertainment employer opened many tracks such as that at Malibu across the state, to be able to sell the Indy 500. Despite a miserable and out of date vibe, it regarded to draw many families and younger young adults in the place. Although Malibu had commercial enterprise at the weekends, it couldn't maintain up on its apartment payments due to reducing commercial enterprise, upkeep costs, and an luxurious real estate marketplace. Concurrently, a new age of at home online game players and wife youngsters have arrived. Video video games have now end up overtly De-socialized and the arcade misplaced its attraction due to inconvenience and fee. Your mother and father might also recall the cash that seemed to disappear from their wallets while it was a Malibu night time. We will write a custom essay sample on Malibu in Redwood City Closes or any similar subject matter mainly for you Do Not WasteYour Time HIRE WRITER Only 13.Ninety / page At least the pizza became worth the journey. Well, this is if you revel in sizzling cardboard. But nonetheless, anyone has a small vicinity for Malibu in their coronary heart. Kina Conchie 14 mirror on days wherein had putt putt contests. The golf team now will must pass all of the way to Sunnyvale to experience mini golf. Through research and interview, I actually have discovered that Malibu changed into a bit greater than the arcade and race music I concept of it to be. Every Easter Malibu held a 14 acre wide egg hunt. Also, the ones pass carts, the big kid ones, were modeled after Indy 500 vehicles. They had been custom designed and go extensively quicker than every other outside tracks motors. Riley Freeman 1 5 reflects on the thrilling day my brother passed his sciences check and the first component we did turned into visit the Malibu music to ride the sixteen and over carts. As for the fortress, a set of avenue musicians are presently squatting in it and may regularly be visible swimming within the vintage bumper boat pond. Regardless of your story, Malibu is a memory: one so as to constantly be personally venerated at the same time as heading north on a hundred and one . Those who by no means visited the sight may or might not have missed out on not anything, but for me it's miles a fruitful reminiscence of friendship and coins that amounted to nothing, but plastic nick knacks. Malibu in Redwood City Closes By Michelangelo

Power of Choice in Anthony Burgess A Clockwork Orange Essay

nbsp;nbsp;nbsp;nbsp;nbsp; The choice between good and evil is a decision every man must make throughout his life in order to guide his actions and control his future. This element of choice, no matter what the outcome, displays mans power as an individual.nbsp; Any efforts to control or influence this choice between good and evil will in turn govern mans free will and enslave him.nbsp; In the novel A Clockwork Orange,nbsp; the author uses symbolism through imagery, the characterization of Alex, and the first person narrative point of view to prove that without the ability to choose between good and evil, Man becomes a slave. nbsp; nbsp;nbsp;nbsp;nbsp;nbsp; nbsp;The symbolism†¦show more content†¦. .nbsp; in very horrorshow groodies(22).nbsp; This proves that he feels he must display his power through his abuse of choice.nbsp; His love for violence symbolises his abuse of power as an evil trait, but his love for music symbolises his human side.nbsp; In the end of the story Alex decides that he is ready to become a man.nbsp; During this rapid evolution from adolescence to manhood, Alex chooses a wife, a family,nbsp; a life, and in essence he chooses good for the first time in the story.nbsp; There was your humble narrator . . .nbsp; I knew what was happening, O my brothers.nbsp; I was growing up(147).nbsp; Alex realizes that he may choose good and still maintain a strong element of choice.nbsp; He becomes stronger because he now has a broader selection to choose from.nbsp; He sees that the abuse of the ability of choice is not what makes Man powerful.nbsp;nbsp; It is instead, the realization that the choice between good and evil, no matter what decision, is the power within Man. nbsp; nbsp;nbsp;nbsp;nbsp;nbsp; Using the characterization of Alex,nbsp; it effectively illustrates how the element of choice is linked to the power within man.nbsp; The author uses violence to represent the abuse of power when the rightShow MoreRelated freeclo Violence and Free Will in Anthony Burgess A Clockwork Orange2208 Words   |  9 PagesViolence as an Expression of Free Will in A Clockwork Orange      Ã‚  Ã‚  Ã‚  Ã‚   This essay will deal with the subject of free choice, which is the main topic of the novel, A Clockwork Orange . This significant problem is already indicated in the very first line of the text when an unknown voice asks Alex - and certainly by that the reader - What s it going to be then, eh? (13). Being repeated at the beginning of the second part and at the beginning of the very last chapter of the third part this questionRead MoreThe Theme Of Immorality In A Clockwork Orange1299 Words   |  6 PagesImagine every night being the blackest of nights, where even the police do not stop the criminals lurking in the corners. This is the world in Anthony Burgess’s A Clockwork Orange, where a dystopian society in which juvenile delinquents roam free to terrorize the night is chronicled. Your Humble Narrator, Alex DeLarge, is a member of this appalling culture of teenagers. Over the course of the novel, he performs unspeakable acts of ultraviolence with his dr oogs, which land him behind bars in StajaRead More What Title? Essay1307 Words   |  6 Pages A Clockwork Orange : Chosen Evil vs. Forced Morality nbsp;nbsp;nbsp;nbsp;nbsp;What becomes of a man stripped of his free will? Does he continue to be a man, or does he cease? These are questions that Anthony Burgess tries to answer. Written in the middle of Burgess’ writing career, A Clockwork Orange was a reflection of a youth subculture of violence and terrorization that was beginning to emerge in the early 1960s. The novel follows Alex, a young hoodlum who is arrested for his violent actsRead MoreA Clockwork Orange, by Stanley Kubrick1139 Words   |  5 PagesKubrick’s 1971 film adaptation of Anthony Burgess’ 1963 novel, A Clockwork Orange has been used to explore contemporary anxieties. A Clockwork Orange takes place in an outlandish and dreary vision of future Britain governed by an oppressive, totalitarian super government. In this society, ordinary people have fallen into a dazed state of complacency, unaware of the sinister growth of a rampant, violent youth culture. Anthony Burgess wrote his short novel A Clockwork Orange in 1962 as a way of coming toRead More A Clockwork Orange Essay: Existentialist Analysis1535 Words   |  7 PagesAnalysis of Burgess A Clockwork Orange  Ã‚     Ã‚   Freedom and liberalism are catchwords that appear frequently in both philosophical and political rhetoric. A free man is able to choose his actions and his value system, to express his views and to develop his most authentic character. What this kind of idealistic liberalism seems to forget, however, is that liberty does not mean a better society, better life or humanistic values such as equality and justice. In his novel A Clockwork Orange (1962),Read MoreA Clockwork Orange1450 Words   |  6 PagesAnthony Burgess A Clockwork Orange is a dystopian novel set in an oppressive, futuristic state. Published in 1962, A Clockwork Orange is an extremely intense, graphic, and, at times, horrifying novel. A reader begins to question their own values as they become numb and desensitized to the violence at hand. Both behaviorism and free will is occurring throughout A Clockwork Orange. A Clockwork Orange brings up a question, how much control of our own free will do we actually h ave? Do we reallyRead MoreEssay about Analysis of A Clockwork Orange2423 Words   |  10 PagesInterpretation of A Clockwork Orange A Clockwork Orange, by Anthony Burgess, is one of the most experimental, original, and controversial novels of the twentieth century. It is both a compelling work of literature and an in-depth study in linguistics. The novel is a satirical, frightening science fiction piece, not unlike others of this century such as George Orwells Nineteen Eighty-Four or Aldous Huxleys Brave New World. However, the conflicts and resolutions in A Clockwork Orange are more philosophicalRead More Clockwork Orange Essay example2225 Words   |  9 PagesClockwork Orange In all of my reading, I have come to the conclusion that Anthony Burgess is one of the greatest literary genius’s of the twentieth century. His masterpiece, A Clockwork Orange, is unrivaled in obvious depth, insight, and innovation. The novel is a work of such quality, such perfection, that it seems to be genuinely written by a literary demigod. The novels main theme deals with free choice and spiritual freedom. More specifically, [The ethical promise that A manRead MoreGovernment Control and Free Will in A Clockwork Orange by Anthony Burgess668 Words   |  3 PagesA Clockwork Orange, a novel written by Anthony Burgess in the 1960’s takes place in dystopian future in London, England. The novel is about a fifteen year old nadsat (teenager) named Alex who along with his droogs (friends) commit violent acts of crime and opts to be bad over good. In time, Alex finds himself to be in an experiment by the government, making him unable to choose between good and evil, thus losing his ability of free will, and being a mere clockwork orange. A â€Å"clockwork orange† isRead MoreA Clockwork Orange Analysis1497 Words   |  6 PagesOn the surface a Clockwork Orange written in 1962 by Anthony Burgess appears to be a protest novel criticising a totalitarian government’s prohibition of free will and censoring fre e speech. The Government in A Clockwork Orange appears extremely socialistic and it extends complete control over all its citizens, Burgess appears to abhors the lack of freedom in government-controlled societies and as a result despite Alex’s violent crimes Burgess paints the removal of free will through the Ludovico

Essay about Women in Latin America during the Colonization

Women in Latin America during the Colonization The perception of inequality was evident in the colonial Spanish America, man belief that women were lacked in capacity to reason as soundly as men. A normal day for European women in the new world was generally characterized by male domination, for example marriage was arranged by the fathers, women never go out except to go church, women didn’t have the right to express their opinions about politic or society issues. Subsequent to all these bad treats European women try to find different ways to escape from man domination and demonstrate their intellectual capacities, for example women used become part of a convent, write in secret their desires and disappointments, and even dress as man to†¦show more content†¦As for example one of the stories of Tales of Potosi called Claudia the Witch describe how in 1674 a woman that used to practice Indians rituals was judged and discriminated as a witch, her name was Claudia, she was a perfect example of what was the consequen ce of being a different type of woman that was already predestinated into society. nbsp;nbsp;nbsp;nbsp;nbsp;In consequence of these bad treats, women try to find different ways that in their point of view were a way out to reveal their need and discontents with man. One way for women to express their dissatisfaction was become part to the Convent, it provided an especially opportunity to achieving self-expression and freedom from male domination and sexual exploitation for elite and middle-class women. In the convents women display their capacity for leadership in administration, management of resources, and a way to create a social life by receiving visitors. An example of these ways out to society is â€Å"Sor Juana,† according to Keen and Haynes’s book Sor Juana’s intellectual brilliance made it difficult for her to find a suitable marriage partner, in consequence she decide to become part of a Convent. This same experience was common for one or more daughters of an elite family in every day life nbsp;nbsp;nbsp;nbsp;nbsp;Other way for women to discover society and communicate their thoughts was to go out without permission fromShow MoreRelatedEuropean Colonialism In The Film Pelo Malo1709 Words   |  7 PagesWe often villainize the countries of Latin America, making them out as lands filled with violent, less civilized, poor people. Those who are uneducated about Latin America and the culture may apply the things they know about one culture in Latin America or the Caribbean to other countries in the area. We don’t realize that some of the stereotypes are directly influenced by the legacies left by European colonialism. Scholars studying colonialism have determined five colonial legacies that are seenRead MoreCultural Syncretism1599 Words   |  7 Pagesboth Africa and the Americas such as weaponry, technological advancements, medical and religious. China and India’s values were quite different when it came to cultural beliefs. They would isolate themselves fr om outside traditions, which made them more resistant to syncretism. Cultural Syncretism Syncretism is the process by which cultures are merged, generally between traditional culture and traits of an introduced culture. This process was especially pronounced in the Americas with the introductionRead MoreThe Atlantic And East Asian Colonization1074 Words   |  5 PagesWhen you think about the resources and animals in our country do you realize that they are mostly not native to our country. If they re not native, where do they come from. The answer is the European colonization. We all know about Christopher Columbus and the Columbian exchange, the most infamous exploration of the world. But, we must dig deeper. It all first began in Portugal who wanted a quicker way to access East Asia by going around Africa, but who would know that this would change the worldRead MoreInequality in Latin America Essay3137 Words   |  13 Pages Although Latin America has faced many social, political, and economic issues within the last three centuries, inequality remains one of the mos t important, historical, and omnipresent aspects of the region’s culture. As Europeans took over Latin America during the time of colonization, they implemented many elitist social structures that have held strong and are evident today (Harris). Income inequality is the most visible and greatest disparity that the region faces; yet inequality between genderRead MoreChronicle Of A Death Foretold By Gabriel Garcia Marquez1325 Words   |  6 PagesExploration and Criticism of the Oppression of Women in Latin American Society as Shown by Female Characters in Chronicle of a Death Foretold Emily Quinn Candidate Number: Works in Translation 35 B2 Ms. Prestash April 9, 2015 Through a Different Lens: The Exploration and Criticism of the Oppression of Women in Latin American Society as Shown by Female Characters in Chronicle of a Death Foretold The representation and portrayal of women in the novel Chronicle of a Death Foretold by GabrielRead MoreImmigration Of Latin Americans : Immigration Essay1364 Words   |  6 Pages Immigration of Latin Americans Immigration involves the movement of a group of people from one country to another where they do not possess citizenship. There are many reasons in which people may leave their country such as employment, lack of resources, family, fear due to violence, exile, the American dream. In 1965, Congress changed immigration law in ways that allowed much more intake from Asia and Latin America than earlier. Before 1965, the intake was mostly from Europe. Since then, overRead MoreA Radical- Socialist Feminism with a Postcolonial Approah Essay1260 Words   |  6 Pagesto explain the application of this theory, I will illuminate a feminist issue. Further, I will present ways to tackle the problem and provide limitations of my theory. My feminist theory draws influences from a variety of ideas I have come across during the course of this semester. My theory is rooted in radical-socialist feminism with a postcolonial approach. Postcolonial/transnational feminism, unlike other theories we have encountered in this course, does not explain a unique cause of women’sRead More Afro-descendants in Latin America Essay1581 Words   |  7 PagesThere are currently 150 million Afro-descendants in Latin America who make up nearly 30 percent of the region’s population (Congressional Research Service, 2005). Out of the fifteen Latin American nations that have recently adapted some sort of multicultural reform, only three give recognize Afro-Latino communities and give them the same rights as indigenous groups (Hooker, 2005). Indigenous groups are more successful than afro-descendent groups in gaining collective rights and development aid fromRead MoreAdam Smith And Karl Marx1924 Words   |  8 PagesProgress as any transformation that made Latin America similar to European and US models, resulting in human improvement. These transformations included the application of advanced technology, new political aspects, and economic growth. Neocolonialism was born from Progress, which can be explained as the influence foreign countries had on Latin America’s colonization. There was, however, different views on which way Progress should be achieved Latin America. Adam Smith and Karl Marx are examples ofRead MoreThe Consequences of Not Legalizing Abortion in Latin American Countries2427 Words   |  10 Pagesabortion was declared Latin Americas leading cause of pregnancy-related mortality. Nearly two decades later a solution has not been found to the increasing deaths of Latin American women. In Latin America, there are restrictive laws on reproductive rights because abortion and contraceptives are considered immoral by the Catholic Church. Catholicism has dominated the region politically and socially since colonial times. Despite illegality, the abortion rate in Latin America is higher than all of

Literary Techniques Used by Fyodor Dostoyevsky in Crime...

A Study of the literary techniques used by Fyodor Dostoyevsky in Crime and Punishment to convey the downfall and subsequent rise of the main character. Crime and Punishment by Fyodor Dostoyevsky is the story of a young student Raskolnikov and his need to murder an old woman to prove one of his many philosophies. The book begins with the murder, but the primary focus is on his reasoning and reactions before and after the act. It is set in St Petersburg where the main character, Raskolnikov, appears to be an ex-student living, in poverty, a life of lethargy. However, it soon emerges that he, despite the physical nature of his situation, has a very active mind. To reveal whether he is of a special breed of humans, he finds†¦show more content†¦He had been crushed by poverty The use of crushed here implies that Raskolnikov is profoundly affected by the destitution from which he endured. This plays a large part in his mentality and the developments of his theories. The feeling that he has nothing to live for certainly further propels him towards his acts of murder. If he were indeed able to perform this act, without feeling regret, then he would be able to consider himself more than just a poor student. The author shows that Raskolnikov has grown to into his state of mind, suggesting a progression over a period of time. The theory that poverty is the cause of his actions is mentioned in the Epilogue during his trial: [Raskolnikov replied] that the cause of the whole thing had been his rotten social position, his poverty and helplessness However, it is not just his theories that this setting has nurtured; he has also become angry at everything around him: by this time, so much vicious contempt had built up in the young mans soul The phrase vicious contempt is very strong, and shows how the setting has encouraged the hatred inside him. It is the combination of this anger, apparently caused by the setting of poverty and pain, and Raskolnikovs keenShow MoreRelated Dostoevsky as Performer Essay4297 Words   |  18 Pagessleep with the sound of one of their parents reading. His mother would sometimes read to Fyodor from The Lives of the Saints, stories that imprinted themselves on his mind and were of great significance to his later development (Magarshack 26). The Gothic novels of Ann Radcliffe were favorites of the Dostoevskys. Frank contends that Dostoevsky, influenced by Radcliffe, would later incorporate Gothic techniques of plot, character, and atmosphere and carry them to a peak of perfection that has neverRead MoreArthur Miller s Psychological And Social Magnitude Of His Characters1657 Words   |  7 Pages(Shmoop) a) He wanted to achieve success through hard work, initiative, and determination. The Depression quickly ruined the success of Miller family and decreased their social status; this event caused the family as a whole to struggle, but Arthur used this to shape himself into the man he was to be. b) The struggle and change had an evident impact on Arthur Miller. As the years go by, it is no surprise that the majority of his plays deal with individuals rendered helpless in the face of uncontrollable

Clinical Practice Guidelines

Question: Describe a detailed description of the health questions covered by the guideline ? Answer: Introduction Clinical practice guidelines are the statements that are systematically developed to assist practitioners, as well as, the patient in diagnosis, screening, health promotion, as well as, in decision-making related to health care in the specific clinical circumstances. Clinical practice guidelines are focused on offering the concise instructions related to the provision of the healthcare services. The most important and foremost benefit offered by clinical practice guidelines is the potential of these guidelines to improve the process or quality of the care, as well as, the patient outcomes (Wilmott, 2005). For successful implementation of these guidelines and their development appropriate methodologies, as well as, rigorous strategies are used. The quality of the clinical practice guidelines can be varied extremely and in a few cases, these guidelines often fall short or lack the implementation of basic standards. Hence, evaluation of the clinical practice guidelines is an important a spect and should meet the standard parameters (Grant, 2000). Evaluation of CPG: The Appraisal of Guidelines for Research Evaluation (AGREE) Tool are the tool used for the evaluation of the clinical practice guidelines. This tool provides the set of various standardized questions, which are used as a guide for the evaluation of the methodology used in the development of the guidelines. AGREE tool is considered as an excellent tool that has been adopted extensively and is generally used and accepted in the assessment of the quality of the development of the guideline. The AGREE instrument besides assessing the process of developing the guidelines also assesses the extent of reporting the process. AGREE tool includes 23 Likert scale items that are organized into 6 different domains. Every single domain is focused on capturing a separate dimension related to the quality of the guideline. Assessment of each guideline then assigns the standardized dimension scores that ranges from 0100. Besides including the score, this tool also consists of sets o f questions that is used to provide the assessment of the guidelines overall quality globally, i.e., whether one would strongly recommend this guideline for use in practice without modifications, recommend this guideline for use in practice on the condition of some alterations or with provisos, or not recommend this guideline (not suitable for use in practice). Six domains of the AGREE tool: The following are the six different domains that are included in the AGREE tool, which are domain 1 is scope and purpose, domain 2 is stakeholder involvement, domain 3 is the rigor of development, domain 4 is clarity and presentation, domain 5 is applicability, and domain 6 is editorial independence. Overall assessment of the guidelines includes their overall rating of the guidelines quality and whether there will further recommendation of these guidelines for use in the practice. Domain 1 of AGREE tool, which is the Scope and Purpose, is focused and concerned with the aim of the guideline as a whole, the specific health questions, as well as, the target population. The three key points that are kept in mind using the domain 1 are: The overall objective or objectives of the mentioned guidelines are specifically described. There is a specific description of all the clinical questions that are covered by the guideline, and there is specific and complete description of the patients on whom the guidelines are supposed to apply. Domain 2 of the AGREE tool is the Stakeholder Involvement, which focuses and concentrate on the extent of the development of the guidelines by the appropriate and concerned stakeholders, as well as, also represents the views and perspectives of its intended users. The main factors that are kept while studying the domain 2 is focusing that the group involved in the development of the guideline consists of individuals that are from all the desired and relevant professional groups. The complete views, as well as, the preferences of the patient have been sought. There is a clear description of the target users meant for the intended guidelines. The guidelines that are developed has been piloted between the target users (Silagy, 2002). Domain 3 of AGREE tool is the Rigor of Development that is related to the process, which is used and focused on gathering, as well as, synthesizing the evidence, the ways and methods used to formulate different recommendations, as well as, to update them. Follwing key factors are studied in the rigor development domain, focused on studying the systematic methods that were used for searching the evidence, there is a complete and clear description of the criteria used for selecting the evidence, clear description of the methods that are used in the formulation of the recommendations are mentioned, the consideration of all the health benefits, risks, as well as, side effects are clearly accounted while formulating the recommendations, an explicit link is mentioned between the recommendations formulations and the supporting evidence, the expert panel had externally reviewed the guideline prior to its publication, and there is a provision of the procedure required for updating the guideli ne (Graham, 2005). Domain 4, which is the Clarity of Presentation is the domain that deals with the structure, language, as well as, the format of the guideline. The things that are evaluated in this domain are the recommendations that used in the guidelines are specific, as well as, unambiguous, there is a clear representation of the various options that can be used for the management of the specified condition, the key recommendations used in the development are easily identifiable, and the guideline specified is supported by various tools for application (Arries, 2006). Domain 5 of the AGREE tool is Applicability that pertains to the common facilitators, as well as, barriers related to the implementation, various strategies related to the improvement of the uptake, and implications of the resources during the application of the guidelines. It focuses that there is clear and conscise discussion of all the potential organisational barriers that are present during the application of the guideline, there is consideration of all the potential cost implications that are or can occur during the application of the recommendations, the guideline is able to present the key review criteria that can be used for monitoring or audit purposes. The sixth domain, i.e. the editorial independence deals that the guideline formed is editorially independent and is not linked to the funding body, as well as, all the conflicts of interest related to the development of the guideline members are recorded (Brouwers, Kerkvliet, Spithoff, 2016). Critical appraisal of CPGs: In the era of an overwhelmingly growing and large medical literature, practitioners and providers often turn and refers to the clinical practice guidelines for the information related to the decisions they usually make with the patients. Hence, by systematically appraising the processes and evidences, as well as, by providing the means of transparent recommendations used for the practice, these guidelines will have the potential of improving both the health policy, as well as, the decision making. Therefore, the Appraisal of Guidelines for Research Evaluation Instrument was formed to address all the issues related to the variability in the quality of the guideline (Dans Dans, 2010). Clinical practice guidelines are meant to reduce the inappropriate kind of variations occurring in the clinical care setting, minimize the harm, produces the optimal outcomes related to the patients health, as well as, focuses on promoting the practices that are cost-effective practice. There is a use of a systematic process in the evidence-based guidelines to develop the policy based on the selection and the review of scientific evidence. In a clinical practice guideline, the development of the policy is defined in terms of recommendations. Recommendations are usually the components of the guideline that are intended for influencing the behavior of the practitioner and the patient. There is a high level of rigor used in support of an evidence-based guideline with the help of which there is the identification, appraisal, as well as, summarization of the guidelines. Moreover, there must be an explicit linkage in between the recommendations, as well as, the evidences that supports them (Long, 2001). The recent development is seen in the use of various clinical practice guidelines that help and aid in the medical decision making. Though in the past, the use of narrative reviews or clinical position statements that were from professional societies were used by the clinicians in the decision making, the use of rigorously developed CPGs in the recent times can explicitly address the limitation with the use of a recommended course of action that is based on the systematic, as well as, the comprehensive grading and review of the evidence. Moreover, it is an explicit comparison between the benefits, as well as, the potential harms of the given treatment or test (Clutter, 2009). Case scenario Nursing care provided for the patient having stroke is more effective when multidisciplinary members work in collaboration with each other. A working multidisciplinary group was formed including nurses for providing acute care, rehabilitation settings, and long term care to Mary Pierce. The foremost step was the development of an evidence-based and consistent approach for the assessment and management of the risk associated with the stroke (Rohde, Worrall, Le Dorze, 2013). The main areas for assessment of the risk in Mary were risk of swallowing problems, communication deficits, skin breakdown, as well as, falling (Hill, 2008). Mary was screened for any kind of swallowing deficits prior to giving food, fluid, or oral medications. She was also screened for the presence of any kind of communication deficits with the help of a screening tool, which was valid and reliable (Politi, Wolin, Lgar, 2013). Assessment in performing daily activities by Mary was being assessed by the trained cl inician. She was screened for malnutrition and was given dietary plan to follow. Instructions related to dietary, lifestyle changes, and post-discharge cautions were provided. Facilitators and barriers to the implementation of the clinical practice guidelines: Clinical practice guidelines are created to help the health professionals to apply research evidence into the practice, which can improve the outcomes of the stroke care and facilitates the implementation. However, CPGs are usually not implemented successfully in the clinical practice and lack of time or resource allocation are sometimes barriers. More research is required for exploring the factors that will influence the implementation of the clinical practices guidelines (Hadely, Power, OHalloran, 2014). Conclusion Use of updated and evidence-based clinical practice guidelines is an irremissible and prerequisite for the better and high-quality management of various diseases. Recognizing the several factors which can affect the compliance of the guidelines make it possible to focus and work towards the improvement of the adherence of the guidelines in the clinical practice. CPGs have the potential of improving process of care and the patient outcomes. But, their beneficial effects are possible on their successful implementation. There are various factors which can influence the CPGs implementation that can be understood by using different implementation frameworks, as well as, knowledge creation. Clinical settings can be moved towards definite use of evidence in ones practice by local adaptation or adopting the existing guidelines. There must be a careful consideration of various available clinical guidelines during decision-making for the suitable outcome of the setting. The use of rigorous, as well as, transparent process in the identification, appraisal, and adapting guidelines is very important as the clinical practice guidelines are the multiple interventions, as well as, the decisions that are made, which can affect both the providers and the patients. References Arries, E. (2006). Practice standards for quality clinical decision-making in nursing.Curationis,29(1). Brouwers, M., Kerkvliet, K., Spithoff, K. (2016). The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines.BMJ, i1152. Clutter, P. (2009). Clinical Practice Guidelines: Key Resources to Guide Clinical Decision Making and Enhance Quality Health Care.Journal Of Emergency Nursing,35(5), 460-461. Dans, A. Dans, L. (2010). Appraising a tool for guideline appraisal (the AGREE II instrument).Journal Of Clinical Epidemiology,63(12), 1281-1282. Graham, I. (2005). Evaluation and adaptation of clinical practice guidelines.Evidence-Based Nursing,8(3), 68-72. Grant, J. (2000). Making use of guidelines in clinical practice.Family Practice,17(2), 213-213. Hadely, K., Power, E., OHalloran, R. (2014). 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