Essay about Changes of Macbeth and Lady Macbeth - 958 Words

â€Å"My dearest partner of greatness† (I, v, 10) suggests to the reader or audience of the play Macbeth, that these two partners, Macbeth and Lady Macbeth, worked together and truly believed in the greatness of their work. This is not so. Said here in a letter from Macbeth to Lady Macbeth telling her that the king is coming soon. There Macbeth truly feels that Lady Macbeth is his partner in all these truly great events. The letter shows us of the close relationship between Macbeth and Lady Macbeth, and shows us that the deepest secrets of the heart were revealed to each other. It is from this point that we meet the true character of Lady Macbeth. She immediately shows herself as a domineering, strong willed and ambitious wife to†¦show more content†¦Somehow Macbeth manages to keep his composure when faced with his guests and the evidence of the killing, but we, the audience know that inside, his heart is quaking with fear. Out of nervousness, Macbeth blurts out the fact that he murdered the two servants with his anger. That was very rash and cast a tiny shadow of suspicion on him even at that early stage. Earlier it was Macbeth who was worried that their plan would fail and lady Macbeth was the one who scoffed at the mere idea of failing. Now Macbeth, the king, had murderers to kill Banquo and others with no qualms at all. When lady Macbeth inquires about how he is so sure that banquo doesn’t suspect them, Macbeth merely shrugs off her questions and tells her that these matters are not for the ears of a woman. Here we see how their close relationship, mentioned earlier has diminished to that of a slave and his master. Now Macbeth tells his wife t walk alongside him as they leave together. The biggest character change is seen within lady Macbeth. Lady Macbeth. Lady Macbeth is heart broken by he fact that she no longer has any control over her husband. He is moving forward and she is left behind. The queen yes, but moving up from that point doesn’t seem to be happening. She, the strong one has gone timid and womanly. Towards the end of the play, poor lady Macbeth is traumatised by her very own words she mocked Macbeth with, â€Å" A little water clears us of this deed†Show MoreRelatedHow Does the Relationship Between Macbeth and Lady Macbeth Change Throughout the Play2014 Words   |  9 Pagesrelationship between Macbeth and Lady Macbeth change throughout the play? In this essay I am going to talk about the dramatic and rapid changes of the relationship between husband and wife, Macbeth and Lady Macbeth. In the beginning of the play the couple share a loving and strong bond; however this contrast to the end of the play as the relationship which once was a strong is weakened as the couple no longer have importance in each other’s life. At the beginning of the play Macbeth displays his loveRead MoreHow the Relationship Between Macbeth and Lady Macbeth Changes and Develops During the Course of the Play1082 Words   |  5 PagesHow the Relationship Between Macbeth and Lady Macbeth Changes and Develops During the Course of the Play The relationship between Macbeth and Lady Macbeth alters throughout the play. At the beginning of the play Macbeth and Lady Macbeth were very close and loving. Lady Macbeth showed that she was supportive to Macbeth and encouraged him to kill Duncan in order to clear all obstacles that would get in the way of Macbeth becoming King! Macbeth is introduced as a brave soldierRead MoreLady Macbeths Character Changes Throughout the Play Macbeth Essay1902 Words   |  8 PagesLady Macbeths Character Changes Throughout the Play Macbeth In the Shakespearian play Macbeth Lady Macbeth is a very significant character. Written in the 17th century but set in 1050, she was ahead of her time. Lady Macbeth is such a strong, dominant character it would have shocked the audience because women at the time were meant to be subordinate. Her ambition leads to the breakdown of Scotland and the death of her and her husband. There is such a stark contrast Read MoreLady Macbeth Character Analysis768 Words   |  4 PagesIn the play Macbeth, the character Lady Macbeth has changed throughout Act I and Act V tremendously. Her attitude has changed heavily from her being cold-hearted and harsh in the beginning, to being dominated by guilt. Lady Macbeth’s transformation reveals the darkness of human nature and eventually dark ambition leads to Macbeth murdering Duncan to be king. This play critiques or upholds prescribed gender roles because when Lady Macbeth is pushing Macbeth to murder Duncan, she feels as if she hasRead MoreThoughtful Change In Macbeth Essay702 Words   |  3 PagesMacbeth: A Journey of Thoughtful Changes In Macbeth, a play by William Shakespeare, a soldier, Macbeth, ruins an entire country by killing to obtain power, all because of three prophesying witches. Macbeth and Lady Macbeth’s lust for power has caused them to make many unforgivable mistakes to which gluttony and greed for power, treason, and murder are only the beginning. This play demonstrates the human capability to drastically change—both mentally and physically—as shown by Macbeth andRead MoreChanging Relationship Between Macbeth and Lady Macbeth1173 Words   |  5 PagesHow does the relationship between Macbeth and Lady Macbeth change throughout the play? In the early stages of the play, the Macbeths seem to be a devoted couple. Their love and concern for each other remains strong and constant throughout the play, but their relationship changes dramatically following the ruthless killing of King Duncan in Act II. At the beginning of the play, Macbeth and his lady are very close, this is supported by how he referred to her in his letter as â€Å"my dearest partner ofRead MoreCharacter Analysis Of Lady Macbeth1100 Words   |  5 PagesIn the play Macbeth, the author Shakespeare describes many character developments. After winning the battle and defeating Macbeth, Malcom describes Macbeth and Lady Macbeth as cruel and ruthless people. However, this is not an accurate statement. Lady Macbeth does begin as an ambitious and callous fiend. Throughout the story, Lady Macbeth’s character changes dramatically into a shell of her former self. Lady Macbeth character evolves from an ambitious villain, to a neutral entity, and finallyRead More Character Changes in Shakespeares Macbeth Essay1344 Words   |  6 PagesMacbeth:   Character Changes This dead butcher and his fiend like queen(V.viii.80) is the way Malcolm describes Macbeth and Lady Macbeth.   The characters of Macbeth and Lady Macbeth changed considerably during the course of the play, Macbeth, written by William Shakespeare.   In the beginning of the play, Macbeth is seen as a courageous soldier who is loyal to the King.   As the play progresses, Macbeth is corrupted by the witches’ prophecies and by his and Lady Macbeth’s ambition. Because ofRead MoreThe Ambition of Lady Macbeth in Macbeth by William Shakespeare894 Words   |  4 PagesThe Ambition of Lady Macbeth in Macbeth by William Shakespeare Timothy Leary once said, Women who seek to be equal with men lack ambition (Peters 175). But is this true in the case of the classic play Macbeth? In Macbeth it seems to be, that Macbeth the protagonist of the play is influence by Lady Macbeths ambition. Could this be an exception or was Lady Macbeth lying when she ask to be equal to a man so she could commit the murder (1.5.33.45-61). To understand one must look deeply into theRead MoreEssay on Role Reversal in William Shakespeare’s Play Macbeth1258 Words   |  6 PagesWilliam Shakespeare’s play Macbeth has a few main themes, one of which is role reversal. Macbeth is portrayed as a strong, fierce, and trustworthy soldier. At this stage in the story he had a conscience, and had a boundary between good and bad. However, Lady Macbeth is depicted as a devious and an extreme organizer, without a good sense of what is right and wrong. She would do anything in order to obtain supreme authority. Gradually they both change t heir views of power, treatment of one another

The Chemical Composition of Wood Smoke

Smoke is something that we will deal with all throughout our lives, in everyday situations as well as in emergencies. But not all smoke is the same -- in fact, the smoke will vary depending upon what is being burned. So then what, exactly, is smoke made of? Smoke consists of gasses and airborne particles produced as a result of combustion or burning. The specific chemicals depend on the fuel used to produce the fire. Here is a look as some of the principal chemicals produced from wood smoke. Keep in mind, there are thousands of chemicals in smoke so the chemical composition of smoke is extremely complex. Chemicals in Smoke In addition to the chemicals listed in the table, wood smoke also contains a large amount of unreacted air, carbon dioxide, and water. It contains a variable amount of mold spores. VOCs are volatile organic compounds. Aldehydes found in wood smoke include formaldehyde, acrolein, propionaldehyde, butyraldehyde, acetaldehyde, and furfural. Alkyl benzenes found in wood smoke include toluene. Oxygenated monoaromatics include guaiacol, phenol, syringol and catechol. Numerous PAHs or polycyclic aromatic hydrocarbons are found in smoke. Many trace elements are released. Reference: 1993 EPA Report, A Summary of the Emissions Characterization and Noncancer Respiratory Effects of Wood Smoke, EPA-453/R-93-036 Chemical Composition of Wood Smoke Chemical g/kg Wood carbon monoxide 80-370 methane 14-25 VOCs* (C2-C7) 7-27 aldehydes 0.6-5.4 substituted furans 0.15-1.7 benzene 0.6-4.0 alkyl benzenes 1-6 acetic acid 1.8-2.4 formic acid 0.06-0.08 nitrogen oxides 0.2-0.9 sulfur dioxide 0.16-0.24 methyl chloride 0.01-0.04 napthalene 0.24-1.6 substituted napthalenes 0.3-2.1 oxygenated monoaromatics 1-7 total particle mass 7-30 particulate organic carbon 2-20 oxygenated PAHs 0.15-1 Individual PAHs 10-5-10-2 chlorinated dioxins 1x10-5-4x10-5 normal alkanes (C24-C30) 1x10-3-6x10-3 sodium 3x10-3-2.8x10-2 magnesium 2x10-4-3x10-3 aluminum 1x10-4-2.4x10-2 silicon 3x10-4-3.1x10-2 sulfur 1x10-3-2.9x10-2 chlorine 7x10-4-2.1x10-2 potassium 3x10-3-8.6x10-2 calcium 9x10-4-1.8x10-2 titanium 4x10-5-3x10-3 vanadium 2x10-5-4x10-3 chromium 2x10-5-3x10-3 manganese 7x10-5-4x10-3 iron 3x10-4-5x10-3 nickel 1x10-6-1x10-3 copper 2x10-4-9x10-4 zinc 7x10-4-8x10-3 bromine 7x10-5-9x10-4 lead 1x10-4-3x10-3

Essay on Inside the Head of Sigmund Freud - 1568 Words

Among the top minds of the 20th century lie many great men who have devoted their lives to research in order to conclude an achievement of everyday remembrance as well in providing useful and technical information that will advance us in the future. Amongst these men lie Karl Marx, Albert Einstein, Charles Darwin, and Marie Curie. One name who is highly debated and criticized for his theories is neurologist Sigmund Freud. Arguments take place in order to prove Sigmund’s authenticity and the level of influence that he contributed. Sigismund Schlomo Freud was born May 6, 1856 in Moravia. Freud is highly known for his theories of the unconscious mind and for creating the clinical process of psychoanalysis, which treated psychopathology by†¦show more content†¦Therefore, the unconscious must distort the meaning of its information to make it through the conscious. As a result, the images in our dreams are not always what they appear to be. Therefore, dreams need to be inte rpreted by using psychoanalysis. Psychoanalysis is the method developed by Sigmund Freud that was intended to investigate the mind, conclude a symptom, and to provide a treatment for the symptom. In today’s modern society, many discredit Psychoanalysis and deed it useless. As Mikkel Jacobsen said, â€Å"The truth is that Freud knew from the very start that Anna O. and his 18 patients were not cured, and yet he did not hesitate to build grand theories on these non-existent foundations...he disguised fragments of his self-analysis as ‘objective’ cases, that he concealed his sources, that he conveniently antedated some of his analyses, that he sometimes attributed to his patients ‘free associations’ that he himself made up, that he inflated his therapeutic successes, that he slandered his opponents. To many, there is not enough proof, truthiness, and cause of work to set Freud as the great neurologist that he is set to be. Yet, there are those who credit him and Psychoanalysis for being the stepping-stone towards today’s foundation of psychology. Freud had a serious of works publicized. Three Essays on the Theory of Sexuality contains Freud’s ‘discovery’ of psychosexual phases: oral, anal, phallic-oedi pal, latency, and matureShow MoreRelated goodman brown Essay628 Words   |  3 Pages â€Å"Young Goodman Brown† is a short story by Nathaniel Hawthorne is an excellent piece that clearly illustrates Sigmund Freud theory of repression through Young Goodman Brown’s faith in his puritan religion. Brown in his unconscious mind is, however, challenged by the evils which surround him that he tries to repress and thus, a battle between good vs. evil surfaces. nbsp;nbsp;nbsp;nbsp;nbsp; Growing up as a dedicated puritan, Young Goodman Brown was raised under strict religious guidelines thatRead MoreOne Flew Over The Cuckoos Nest Critical Analysis1479 Words   |  6 Pagesfor a majority of his time in the ward, and does not see himself as a strong individual, although his large stature and overarching strength over all other patients. Chief Bromden does not wish to ever stand up for himself against Nurse Ratched, the head nurse in charge, he instead pretends to be deaf and dumb to avoid all confrontation with people. All the problems that keep him from leaving the ward, slowly being to disappear upon McMurphy’s arrival. Bromden is plagued with hallucinations of machinesRead MoreOne Flew Over The Cuckoo s Nest1226 Words   |  5 Pagesillnesses work, as well as touches on masculinity, insecurity, impulse, sexuality, power, leadership, authority, racial sensitivity, and more. I intend to dissect and deconstruct this novel and peer at i ts inner meaning through the spectacles of Sigmund Freud, esteemed Austrian psychologist. Freud’s highly regarded contribution to the study of the human brain and mind opens the curtains of the books reality. Things like mental illness and depression were not well known or understood traits for a personRead MoreAnalysis Of The Movie Inside Out 1318 Words   |  6 Pages Inside Out is the story of a young girl, Riley, who is forced to work through her emotions when she leaves her old life in Minnesota for a new start in San Francisco. Riley s Emotions are portrayed as little people inside her head and there are five of them: Joy, Sadness, Anger, Fear, and Disgust. Three theories that have been discussed in class and that are present in the movie Inside Out are the Memory Consolidation theory, Wish-Fulfillment theory, and the Creativity theory. Another theory,Read MorePersonality Is The Dynamic Organization Within The Individual Of Different Theories Of Personality Essay1732 Words   |  7 Pagesstudy the human behavior using different theories of personality. While many theories are rational, the theory of the ‘Unconscious mind’ emphasized by Sigmund Freud most resonated with me in explaining one’s behaviors. Freud stressed the idea of our subconscious and its impact on our personality, using his analogy of the iceberg. Even though, Sigmund Freud (1856-1939) did not invent the concept of the conscious versus unconscious mind; he was the primary contributor who expanded on this intrapsychicRead MorePsychoanalytic and Trait Approaches Personality Assessment Essay996 Words   |  4 PagesAssessment PSY/250 Psychoanalytic and Trait Approaches Personality Assessment I have always attributed personality as being a culmination of environment first, biology second, and traits, or what my understanding of them was. I was not aware of Sigmund Freud’s psychoanalytic approach, or the correct definition of the trait theory prior to beginning this class. The psychoanalytic approach to personality defines the origins of personality as being divided in to three parts; the id (unconscious), theRead MoreSigmund Freud s Theory Of Psychology2134 Words   |  9 PagesTheorists. Sigmund freud Sigmund freud showed importance of all childhood experiences and different events, Sigmund very much concerntrated on the mental disorders other than the normal functioning. According to Sigmund freud children’s development is portrayed as a array of psychosexual stages. In the three essays of sexuality Sigmund Freud zoned these stages as oral, anal, phallic, latency and genital. All of the stages which are involved in the fulfillment the pleasure of a libidinal wish andRead MoreThe Raven, By Edgar Allen Poe1164 Words   |  5 Pages Any time someone thinks, their brain has a special, designated voice for their thoughts. This voice, allows an individual to in some degree, have a conversation with their self, without necessarily communicating out loud. This voice in our heads has had numerous names throughout the years, such as a person’s conscious or recently has been called the â€Å"self.† Many researchers have wanted to know who and or what the actual voice is that we hear in our conversations. Richard Rass author ofRead MoreRene Dali s The First Days Of Spring1457 Words   |  6 Pagesideas were new to art, the subconscious and flow of imagination were studied by Sigmund Freud in years prior. Artists of the surrealist movement were greatly influenced by his ideas and obsession with the subconscious. Salvador Dali’s The First Day of Spring was primarily influenced by Sigmund Freud s Interpretation of Dreams. Similar to other surrealist works, there are allusions to repressed desires. According to Freud, â€Å"The dream is a psychic act full of import; its motive power is invariably aRead MoreThe Yellow Wallpaper, By Charlotte Perkins Gilman1711 Words   |  7 Pagesproblems will arise; Issues such as being more at risk for anxiety, stress, and health problems. Nervous exhaustion, just like anxiety, causes fearfulness more than anything else. This fearful thinking originates from the negative thoughts in a person’s head. It is similar to the idiom â€Å"you are what you eat†. In the event that someone who progressively consumes negative thoughts and decisions, will only produce negative outcomes. It is normal to have thoughts and feelings that are unfavorable. But once

Warfarin Therapy for Atrial Fibrillation

Question: Discuss about the Warfarin Therapy for Atrial Fibrillation. Answer: Introduction: Atrial Fibrillation that is a medical condition occurring due to irregular heartbeats in patient enhancing the chances of blood clots ultimately leading to a stroke. Warfarin therapy is an effective treatment for the atrial fibrillation and discontinuation of the green vegetables is essential as these works in against of the regulatory and remedial procedure undertaken by the Warfarin therapy (Moss et al., 2014). The essay is a case study of Mrs. Lillian Gamble who is suffering from atrial fibrillation and is under Warfarin therapy for treatment. This essay outlines the learning needs of Mrs. Lillian gamble, aids and barriers to effective treatment with the help of Warfarin therapy. Furthermore, formulation of smart objective for effective imparting of awareness and effective teaching aid that can be undertaken. According to the case study, Mrs Lillian Gamble is a 78 years old aged woman who carries a long history of medical conditions. Recently she has been suffering from atrial fibrillation with the symptoms that started to show up three months back in term of chest pain, palpitations and dyspnoea (Raine et al., 2016). The learning requirement of Mrs. Gamble is on Warfarin therapy and prohibition from eating green leafy vegetables. Warfarin is an anticoagulant tablets that increases the time of blood coagulation by making it thin. The blood clot inside the body can causes cardiac arrest, heart failure or the failure of any other essential organ leading to ultimately death. Besides this, the consumption of green leafy vegetables has been prohibited for her as these vegetables contain high levels of vitamin K that helps in coagulation process. Continual consumption of these along with Warfarin tablets will breach the thinning of the blood. Aid and barriers are most common and prevalent issues faced by the healthcare professionals when dealing with the patients for any malady or illness. The level of understanding for a disease is not common and updated by the patients that lead to a lag and huge gap in undertaking the optimal treatment imparted by healthcare professionals (Loewen et al., 2017). Same issue prevails in the case of Mrs. Gamble who does not know much about her condition that is atrial fibrillation, its symptoms and why she is prevented from eating green leafy vegetables. Furthermore, due to long history of severe health conditions she has severe pain in the body and further impairment of the physical movement and activities. Besides this, she is lagging in optimal cognitive skills that have affected her ability to remember provided information and effectual decision-making. Furthermore, her short stay in the hospital has also breached the detailed understanding on her medical condition, symptoms and implem ented preventions (Lee et al., 2016). Increment in self advocacy can be done with optimal awareness allowing them to make independent decisions based on the knowledge. The SMART approach has been undertaken along with the Blooms Taxonomy of Learning Objective for the formulation of procedures and aims (Kirchhof et al., 2016). The goals are: Specific: To enhance the existing knowledge with the help of optimal communication of Mrs. Lillian Gamble on her medical condition that is Atrial Fibrillation and its prevailing symptoms in her. Further enhancing knowledge on what dietary intake she is required to consume during the remedial treatment. Besides this, awareness is to be provided on the Warfarin therapy in accordance with the prevailing issues such as overall lack in education, cognitive skills, decision-making, learning and understanding. Undertaking of certain exercises such as flash cards or mcqs based on the guidelines of the hospital will help in achieving the target (Culebras et al., 2014). Measurable: To conduct this awareness program with her for a week in order to instil complete information required by Mrs Gamble on the prevailing conditions in her understandable terminologies and interpretation. The growth and development must be determined daily with the help of questionnaire and asking for feedback. This also undertakes qualitative analysis on the approach of Mrs. Gamble towards the imparted knowledge and further critical evaluation is to be conducted to mould the further training (Culebras et al., 2014). Achievable: Within a week, the awareness program must instil optimal knowledge on the atrial fibrillation and related must be provided with the help of certain guidelines and exercises. To achieve this goal within time, effective trained and professional approach by the healthcare professionals is required that undertakes the training with efficacious compassion and dedication. For this, such professionals must be trained enough of handling patients with conditions as Mrs. Gamble (Kirchhof, 2017). Result-Oriented: Each and every aspect of the atrial fibrillation, warfarin therapy and other important information related to it must be meet leading to the completion of the program. Such measures will help in providing person centred training required by Mrs. Gamble. Time-bound: Within a week, the newly implemented awareness program for Mrs Gamble must provide optimal information required. Optimal efficacy is determined by critically analysing the effectiveness of the imparted information with the help of questionnaire (Kirchhof, 2017). Effective teaching aids and optimal environment for learning are two prime factors required for the learning and understanding of the patient to be imparted by the healthcare professionals regarding their prevailing condition. As Mrs. Gamble is suffering from different conditions such as cognitive impairment, lack in understand, learning and formulating the decision-making on the basis of the information given, different teaching aids that can be used for her are displaying information with the help of flash cards, using motion picture, providing her written information on the prevalent condition, existing symptoms, and knowledge on remedial treatment undertaken such as Warfarin therapy (Gladstone et al., 2015). The remedial environment required for optimal imparting of the information requires good knowledge on the condition of the patient case history and current condition. Furthermore, any kind of pressure must not adhere in mrs. gamble while implementation of the exercise. Beside s this, optimal regulation of the teaching aids such as flash cards, motion picture or written information in the form of brochures, flyers or a written booklet must be provided to mrs. gamble along with a small diary in which she can write and preserve the allotted prescription for the optimal intake of the medication provided. Effective communication is one of the essential criteria to be followed on which all other factors for the optimal regulation of the exercise depends. Effective communication must be patient oriented and implemented cautiously by the healthcare professional making the patient comfortable, congenial and interested enough towards the communication (Tamura, 2013). The series of induction includes the study of the old age and the case history of mrs. Gamble. This analysis needs to be studied by the healthcare professional as well as mrs gamble as well in order to understand the reason behind the prevailing health condition. She is a 78 years old woman with a long history of medical conditions such as hypothyroidism, hip replacement and the rehabilitation, abdominal pain, distension, septicaemia, MRSA infection, pseudoarthrosis, dyspnoea, chest pain, artial fibrillation and pneumonia. This long history has triggered symptoms of artrial fibrillation such as palpitations, chest pain, reduced exercising capability, dyspnoea, confusion and short of breath. After acknowledging and imparting the case history, information must be provided on arterial fibrillation and its effect on the coagulation process conducted by blood. Information must be imparted on the Warfarin therapy that conducts thinning of the blood and information on Coumadin medication th at is provided to mrs. gamble for treatment. Besides this, regulation of optimal diet is essential and green leafy vegetables must be prohibited till the time Warfarin therapy is been undertaken. Green leafy vegetables are rich in vitamin K that undertakes the coagulation process of the blood. The Warfarin therapy or medication is undertaken for the thinning of the blood. The function of the Warfarin therapy and green leafy vegetables are just opposite and this will prevent optimal regulation and treatment of the arterial fibrillation in mrs gamble. Furthermore, importance of prescribing Coumadin which is a colour coded tablets of Warfarin especially made for the patients suffering from confusion and impaired cognitive skills (Graudins, Chen Hopper, 2015). At the end, approach of mrs gamble needs to be generalised towards this in order to generate self advocacy in her. Self advocacy will provide optimal decision-making which is extremely essential for the regulation of the treatmen t provided by the healthcare professional as per the extent of own understanding and learning. Conclusively, the induction procedure includes background study of mrs. gamble, study on atrial fibrillation its symptoms and remedial Warfarin therapy that leads to prohibition of intake of green leafy vegetables (Jun et al., 2015). According to a study conducted by Gomes et al. (2013), warfarin therapy is essential for the treatment of various maladies such as Atrial Fibrillation, Pulmonary Embolism (PE), artificial heart valves, Deep Vein Thrombosis (DVT) and others. Warfarin is a medicine that prevents the clotting of blood by thinning it. Furthermore, this medicine is essential after big surgeries such as bypass surgery, cardiac arrest or any other surgery of organs. Coumadin and Marevan are two different brands of the warfarin tablet are available for commercial purpose. They come in different colours for different strengths to prevent any sort of confusion during consumption. Mrs Gamble is suffering from atrial fibrillation that promotes blood clotting. Optimal undertaking of this tablet by her will prevent clotting by thinning the blood. Besides this malady, old age and severe medical case history one of the prevailing factors of the symptoms shown by her. Confusion, unable to take correct doses, palpitat ion, short breath, body pain, weakness and unable to walk are some of the essential symptoms leading to decrement in her condition (Gomes et al., 2013). Another study conducted by Bjorck et al. (2013), though there are many advantages of using Warfarin tablet, certain limitations are also there if doses are not maintained optimally. This may lead to haemorrhage that is release of blood from ruptured and broken blood vessels. Older patients suffering from atrial fibrillation tend to get exposed from haemorrhage mostly within the thirty days of starting of Warfarin therapy. Furthermore, atrial fibrillation is also responsible for ischemic stroke. Occurrence of this stroke increases with age mostly in the aged people above eighty years of age. Alteration in the required doses of Warfarin therapy increases the chances of ischemic stroke in the patients suffering from atrial fibrillation to a greater extent (Bjorck et al., 2013). A study conducted by Dennis et al. (2017) determines that warfarin therapy is one of the most prevailing anticoagulant medication that is accepted by different healthcare professionals yet its context and usefulness is not fully informed and accepted in remote areas. Scope for improvement for determined when an analysis for the warfarin tablet users in the remote areas of Northern Australia was undertaken. A very less number of patients were aware with the concept of anticoagulation property of warfarin tablets (Dennis et al., 2017). The necessary information for Mrs. Gamble undertakes sufficient knowledge towards her symptoms, her prevailing malady that is atrial fibrillation, prohibition on certain dietary intake such as green leafy vegetables and remedial treatment provided to her through Warfarin therapy. Furthermore, Mrs Gamble must be provided information on the doses of the Warfarin to be consumed in a day. Besides this, resourceful information must be provided on the treatment plan covering different questions such as the importance of the consumption of the Warfarin tablet and the time of next blood test to determine the amount of the time the blood takes to coagulate. Furthermore, information must be provided on how to undertake the optimal usage of Warfarin at home on own for the continual intake of the medication (Wang et al., 2014). This can be done by regular consumption of the medication as prescribed by the doctor with the help of the colour coding of the tablet. Additionally, Warfarin tablets mus t be consume along with the evening meal but other schedule is to be prescribed by the doctor and consumption must be undertaken accordingly. Information of missing the doses in accordance with the prescription must be directly consulted with the doctor to prevent any dangerous implications. Conclusively, warfarin therapy is a good method of providing relief to the patients but must be undertaken in accordance to the prescription. Furthermore, regular blood test must be conducted that determines how much time blood is taking to coagulate with the help of International Normalised Ratio. Lower value will lead to more coagulation and high value will lead to bleeding. Besides this, Mrs. Gamble requires to follow all rules and regulation for the consumption regulation and maintaining equilibrium in the warfarin therapy (Coyle et al., 2015). Conclusively, warfarin therapy is the best possible solution for the treatment of atrial fibrillation among aged people. Besides this, different barriers such as ageing and maladies have affected Mrs. Lillian Gamble cognitive skills and ability of understanding, learning and decision-making. The major goal of teaching the patients regarding their prevailing severe healthcare condition is to improve their existing knowledge on the disease and why different remedial measures has been undertaken. Furthermore, effective communication along with the usage of teaching aids will create awareness in the patient leading to self advocacy. This measure is extremely important for the optimal conduction and regulation of the treatment provided by the healthcare professional to the patient. References: Bjrck, S., Palaszewski, B., Friberg, L., Bergfeldt, L. (2013). Atrial fibrillation, stroke risk, and warfarin therapy revisited.Stroke,44(11), 3103-3108. Coyle, D., Coyle, K., Essebag, V., Birnie, D. H., Ahmad, K., Toal, S., ... Krahn, A. D. (2015). Cost effectiveness of continued-warfarin versus heparin-bridging therapy during pacemaker and defibrillator surgery.Journal of the American College of Cardiology,65(9), 957-959. Culebras, A., Mess, S. R., Chaturvedi, S., Kase, C. S., Gronseth, G. (2014). Summary of evidence-based guideline update: Prevention of stroke in nonvalvular atrial fibrillation Report of the Guideline Development Subcommittee of the American Academy of Neurology.Neurology,82(8), 716-724. Dennis, J., Majoni, W., Tinsley, J., Kangaharan, N. (2017). Safety and Efficacy of Warfarin Therapy in Remote Communities of the Top End of Northern Australia.Heart, Lung and Circulation. Gladstone, D. J., Geerts, W. H., Douketis, J., Ivers, N., Healey, J. S., Leblanc, K. (2015). How to Monitor Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation: A Practice Tool Endorsed by Thrombosis Canada, the Canadian Stroke Consortium, the Canadian Cardiovascular Pharmacists Network, and the Canadian Cardiovascular SocietyHow to Monitor Patients Receiving Direct Oral Anticoagulants.Annals of internal medicine,163(5), 382-385. Gomes, T., Mamdani, M. M., Holbrook, A. M., Paterson, J. M., Hellings, C., Juurlink, D. N. (2013). Rates of hemorrhage during warfarin therapy for atrial fibrillation.Canadian Medical Association Journal,185(2), E121-E127. Graudins, L., Chen, F., Hopper, I. (2015). Warfarin brands.Australian prescriber,38(5), 150. Jun, M., James, M. T., Manns, B. J., Quinn, R. R., Ravani, P., Tonelli, M., ... Hemmelgarn, B. R. (2015). The association between kidney function and major bleeding in older adults with atrial fibrillation starting warfarin treatment: population based observational study.bmj,350, h246. Kirchhof, P. (2017). Integrated care of patients with atrial fibrillation: the 2016 ESC atrial fibrillation guidelines. Kirchhof, P., Breithardt, G., Bax, J., Benninger, G., Blomstrom-Lundqvist, C., Boriani, G., ... Calvert, M. (2016). A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference.Europace,18(1), 37-50. Lee, T. M., Ivers, N. M., Bhatia, S., Butt, D. A., Dorian, P., Jaakkimainen, L., ... Wing, L. (2016). Improving stroke prevention therapy for patients with atrial fibrillation in primary care: protocol for a pragmatic, cluster-randomized trial.Implementation Science,11(1), 159. Loewen, P. S., Ji, A. T., Kapanen, A., McClean, A. (2017). Patient values and preferences for antithrombotic therapy in atrial fibrillation.Thrombosis and Haemostasis. Moss, R. C., Lowe, G. C., Frampton, C. A., Revell, P. (2014). A nurse-led randomised controlled trial of a structured educational programme for patients starting warfarin therapy.Journal of Research in Nursing,19(5), 402-412. Raine, D. T., Begg, G. A., Moore, J., Taylor, E. C., Buck, R. T., Honarbakhsh, S., ... Thomas, D. E. (2016). 59multipolar contact mapping guided ablation of temporally stable high frequency and complex fractionated atrial electrogram sites in patients with persistent atrial fibrillation60intra-cardiac and peripheral levels of biochemical markers of fibroses in patients undergoing catheter ablation for atrial fibrilation61the don't wait to anticoagulate project (dwac) by the west of england academic health science network (ahsn) optimises stroke prevention for patients with atrial fibrillation (AF ....Europace,18(suppl 2), ii24-ii35. Tamura-Lis, W. (2013). Teach-back for quality education and patient safety.Urologic Nursing,33(6), 267. Wang, Y., Kong, M. C., Lee, L. H., Ng, H. J., Ko, Y. (2014). Knowledge, satisfaction, and concerns regarding warfarin therapy and their association with warfarin adherence and anticoagulation control.Thrombosis research,133(4), 550-554.